Cycle 1
Health 2025-06-05 · Fire 2025-06-05
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Bozeman, MT
Gallatin Rest Home
4-star overall rating with 4-star inspections with $63,603 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1221 W Durston Rd, Bozeman, MT
(406) 582-3300
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
94
Certified beds
Average residents
51
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.89
Registered nurse staffing · state 0.94 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
3.07
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
4.85
All reported nurse hours · state 3.97 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.94
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.55
Weekend registered nurse coverage · state 0.69 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.92
CMS adjusted RN staffing hours
Adjusted total hours
5.01
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,390
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.89
Composite VBP score used to determine payment impact.
Payment multiplier
0.9857
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.00% · Performance 23.77% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.63
Baseline 7.69% · Performance 7.05% · Measure score 2.63 · Achievement 2.63 · Improvement 1.87
Total nurse turnover
0
Performance 71.80% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
9.33
Baseline 6.02 hours · Performance 5.73 hours · Measure score 9.33 · Achievement 9.33 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.49% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 123 · Observed rate 2.44% · Lower 95% interval 5.6% |
| Discharge to community | 64.34% |
50.57%
13.8 pts better
|
Better than the National Rate · Eligible stays 128 · Observed rate 64.84% · Lower 95% interval 55.48% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 87.67% |
95.27%
7.6 pts worse
|
Numerator 64 · Denominator 73 |
| Falls with major injury | 1.37% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 73 |
| Discharge self-care score | 49.12% |
53.69%
4.6 pts worse
|
Numerator 28 · Denominator 57 |
| Discharge mobility score | 63.16% |
50.94%
12.2 pts better
|
Numerator 36 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 2.74% |
2.29%
0.5 pts worse
|
Numerator 2 · Denominator 73 · Adjusted rate 2.67% |
| Healthcare-associated infections requiring hospitalization | 7.05% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 81 · Observed rate 4.94% · Lower 95% interval 4.28% |
| Staff COVID-19 vaccination coverage | 23.53% |
8.2%
15.3 pts better
|
Numerator 8 · Denominator 34 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 49.12% |
56.45%
7.3 pts worse
|
Numerator 28 · Denominator 57 |
| Transfer of health information to provider | 90% |
95.95%
6 pts worse
|
Numerator 45 · Denominator 50 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 16.67% |
25.2%
8.5 pts worse
|
Numerator 5 · Denominator 30 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.3
1.1 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.7 |
2.2
1.5 pts worse
|
1.8
1.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 2.9 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.9% |
94.4%
2.5 pts worse
|
93.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.4% · Q2 95.0% · Q3 88.9% · Q4 95.6% · 4Q avg 91.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.8% |
93.7%
11.9 pts worse
|
95.5%
13.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 81.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.2%
4.2 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.2% |
4.7%
3.5 pts worse
|
11.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.4% · Q3 9.3% · Q4 15.0% · 4Q avg 8.2% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
5.9%
1.6 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.2% · Q3 0.0% · Q4 10.8% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.3% |
17.4%
13.1 pts better
|
19.6%
15.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.1% · Q3 2.8% · Q4 5.4% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.6% |
20.6%
8 pts better
|
16.7%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 13.8% · Q3 10.3% · Q4 14.8% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.2% |
19.7%
2.5 pts better
|
16.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 4.1% · Q4 27.5% · 4Q avg 17.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.8% |
19.8%
2 pts better
|
14.9%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 6.5% · Q3 11.4% · Q4 22.2% · 4Q avg 17.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.2% |
2.6%
1.6 pts worse
|
1.0%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.0% · Q3 5.2% · Q4 5.0% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 10.5% |
2.9%
7.6 pts worse
|
1.7%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 5.1% · Q3 8.9% · Q4 20.0% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.4% |
25.4%
4 pts worse
|
19.8%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 31.7% · Q3 34.5% · Q4 33.9% · 4Q avg 29.4% |
| Percentage of long-stay residents with pressure ulcers | 8.2% |
6.4%
1.8 pts worse
|
5.1%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 6.1% · Q3 9.7% · Q4 9.3% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.0% |
78.7%
10.7 pts worse
|
81.7%
13.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 67.3% · Q2 65.5% · Q3 65.5% · Q4 73.3% · 4Q avg 68.0% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.7% |
1.6%
4.1 pts worse
|
1.6%
4.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 8.8% · Q3 2.7% · Q4 0.0% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 39.7% |
73.8%
34.1 pts worse
|
79.7%
40 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 39.7% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-02 · Fire 2024-07-02
2 health deficiencies
Top issue: Infection Control (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Cycle 3
Health 2023-06-08 · Fire 2023-06-08
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-05
E25 · Emergency Preparedness Deficiencies
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-07-22
E · Potential for more than minimal harm
2025-06-05
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-06-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-11
F · Potential for more than minimal harm
2024-07-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-07-02
K241 · Egress Deficiencies
Fire Safety
Have correct number of accessible exits for each story.
Corrected 2024-07-25
D · Potential for more than minimal harm
2024-07-02
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-07-25
D · Potential for more than minimal harm
2024-07-02
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-08-12
D · Potential for more than minimal harm
2024-07-02
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-07-02
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-07-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-23
D · Potential for more than minimal harm
2024-07-02
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-23
F · Potential for more than minimal harm
2023-06-08
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-10
F · Potential for more than minimal harm
2023-06-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-10
E · Potential for more than minimal harm
2023-06-08
K241 · Egress Deficiencies
Fire Safety
Have correct number of accessible exits for each story.
Corrected 2023-07-10
E · Potential for more than minimal harm
2023-06-08
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-07-10
Inspection history
Recent health citations
G · Actual harm
2025-06-05
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-20
E · Potential for more than minimal harm
2025-06-05
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-20
E · Potential for more than minimal harm
2025-06-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-20
D · Potential for more than minimal harm
2025-06-05
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-07-20
D · Potential for more than minimal harm
2025-06-05
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-07-20
D · Potential for more than minimal harm
2025-06-05
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-20
D · Potential for more than minimal harm
2025-06-05
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-07-20
F · Potential for more than minimal harm
2024-07-02
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2024-08-16
F · Potential for more than minimal harm
2024-07-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-16
G · Actual harm
2023-06-08
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-18
F · Potential for more than minimal harm
2023-06-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-18
F · Potential for more than minimal harm
2023-06-08
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-07-20
E · Potential for more than minimal harm
2023-06-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-18
D · Potential for more than minimal harm
2023-06-08
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-18
D · Potential for more than minimal harm
2023-06-08
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-18
Penalties and ownership
What sits behind the stars
$55,413
2025-06-05
Fine
Fine · fine $55,413
Fine
$8,190
2023-06-08
Fine
Fine · fine $8,190
Fine
Ownership
Gallatin County
5% Or Greater Direct Ownership Interest · Organization
Boyer, Jennifer
Operational/Managerial Control · Individual
Boyer, Jennifer
Corporate Officer · Individual
Gallatin County
Operational/Managerial Control · Organization
Vance, Melissa
Operational/Managerial Control · Individual
Vaughn, Darcel
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Livingston Health & Rehabilitation Center
Livingston, MT
2-star overall rating with 2-star inspections with $17,404 in total fines with 13 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Madison Valley Manor
Ennis, MT
4-star overall rating with 4-star inspections with 9 recent health deficiencies
#3
Tobacco Root Mountains Care Center
Sheridan, MT
5-star overall rating with 5-star inspections with 1 recent health deficiencies
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