Missoula, MT

Missoula Health & Rehabilitation Center

3-star overall rating with 3-star inspections with 12 recent health deficiencies

3018 Rattlesnake Dr, Missoula, MT

(406) 549-0988

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Evergreen Healthcare Group

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

41 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

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

0.59

Registered nurse staffing · state 0.94 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.54

All reported nurse hours · state 3.97 · national 3.89

Licensed hours

1.48

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.07

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.69 · national 0.47

Physical therapist

0.14

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.69

CMS adjusted RN staffing hours

Adjusted total hours

4.12

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,066

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

34.11

Composite VBP score used to determine payment impact.

Payment multiplier

0.9882

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.27

Performance 19.92% · Measure score 3.27 · Achievement 3.27 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

3.18

Performance 6.88% · Measure score 3.18 · Achievement 3.18 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

3.72

Baseline 50.00% · Performance 48.48% · Measure score 3.72 · Achievement 3.72 · Improvement 0.10

Adjusted total nurse staffing

3.48

Baseline 3.62 hours · Performance 4.07 hours · Measure score 3.48 · Achievement 3.48 · Improvement 1.56

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.12%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 44 · Observed rate 6.82% · Lower 95% interval 6.75%
Discharge to community	43.54%	50.57% 7 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 38.64% · Lower 95% interval 34.57%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	97.37%	95.27% 2.1 pts better	Numerator 37 · Denominator 38
Falls with major injury	5.26%	0.77% 4.5 pts worse	Numerator 2 · Denominator 38
Discharge self-care score	53.57%	53.69% 0.1 pts worse	Numerator 15 · Denominator 28
Discharge mobility score	35.71%	50.94% 15.2 pts worse	Numerator 10 · Denominator 28
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 38 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.88%	7.12% 0.2 pts better	No Different than the National Rate · Eligible stays 33 · Observed rate 6.06% · Lower 95% interval 3.48%
Staff COVID-19 vaccination coverage	15.79%	8.2% 7.6 pts better	Numerator 9 · Denominator 57
Staff flu vaccination coverage	71.7%	42% 29.7 pts better	Numerator 76 · Denominator 106
Discharge function score	67.86%	56.45% 11.4 pts better	Numerator 19 · Denominator 28
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
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	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.6	1.3 0.7 pts better	1.9 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.0	2.2 1.2 pts better	1.8 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	94.4% 5.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	93.7% 6.3 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	4.2% 1.9 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.4%	4.7% 2.3 pts better	11.4% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 9.7% · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight	0.0%	5.9% 5.9 pts better	5.4% 5.4 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 who received an antianxiety or hypnotic medication	34.7%	17.4% 17.3 pts worse	19.6% 15.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 43.3% · Q3 33.3% · Q4 34.4% · 4Q avg 34.7%
Percentage of long-stay residents who received an antipsychotic medication	34.9%	20.6% 14.3 pts worse	16.7% 18.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 33.3% · Q3 36.4% · Q4 33.3% · 4Q avg 34.9% · 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	18.4%	19.7% 1.3 pts better	16.3% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.1%	19.8% 9.7 pts better	14.9% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.8% · Q3 6.7% · Q4 24.1% · 4Q avg 10.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.5%	2.6% 1.9 pts worse	1.0% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 6.4% · Q3 4.2% · Q4 0.0% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.9% 2.9 pts better	1.7% 1.7 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 with new or worsened bowel or bladder incontinence	23.5%	25.4% 1.9 pts better	19.8% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 19.7% · Q3 26.6% · Q4 20.1% · 4Q avg 23.5%
Percentage of long-stay residents with pressure ulcers	2.2%	6.4% 4.2 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 4.2% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.7%	78.7% 18 pts better	81.7% 15 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 93.3% · Q3 100.0% · Q4 100.0% · 4Q avg 96.7%
Percentage of short-stay residents who had an outpatient emergency department visit	19.2%	15.0% 4.2 pts worse	12.0% 7.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 19.2% · Observed 17.6% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.6% 1.6 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	72.4%	73.8% 1.4 pts worse	79.7% 7.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 72.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.6%	19.4% 8.2 pts worse	23.9% 3.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 23.5% · Expected 20.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

12 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-15 · Fire 2024-02-15

9 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-02-16 · Fire 2023-02-16

13 health deficiencies

Top issue: Resident Rights (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-02-13

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-03-26

E · Potential for more than minimal harm 2025-02-13

F675 · Quality of Life and Care Deficiencies

Health

Honor each resident's preferences, choices, values and beliefs.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-13

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-13

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-13

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-13

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-13

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-13

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-13

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 2025-03-26

D · Potential for more than minimal harm 2025-02-13

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-03-26

D · Potential for more than minimal harm 2025-02-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-26

F · Potential for more than minimal harm 2024-02-15

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-03-26

E · Potential for more than minimal harm 2024-02-15

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-03-26

E · Potential for more than minimal harm 2024-02-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-03-26

E · Potential for more than minimal harm 2024-02-15

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2024-03-26

E · Potential for more than minimal harm 2024-02-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-26

D · Potential for more than minimal harm 2024-02-15

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-26

D · Potential for more than minimal harm 2024-02-15

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 2024-03-26

D · Potential for more than minimal harm 2024-02-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-03-26

D · Potential for more than minimal harm 2024-02-15

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-03-26