Lewistown, MT

Valle Vista Rehabilitation And Nursing LLC

5-star overall rating with 4-star inspections with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

402 Summit Ave, Lewistown, MT

(406) 538-8775

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

101

Certified beds

Average residents

53

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers

Operator or chain grouping

Approved since

1970-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

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

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

0.66

Registered nurse staffing · state 0.94 · national 0.68

LPN hours / resident day

0.17

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

2.19

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.02

All reported nurse hours · state 3.97 · national 3.89

Licensed hours

0.83

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

2.53

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.69 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.78

CMS adjusted RN staffing hours

Adjusted total hours

3.59

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

30%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,890

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

Performance score

14.85

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.34

Baseline 36.84% · Performance 58.18% · Measure score 1.34 · Achievement 1.34 · Improvement 0

Adjusted total nurse staffing

1.63

Baseline 3.83 hours · Performance 3.54 hours · Measure score 1.63 · Achievement 1.63 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.81%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 2.5% · Lower 95% interval 6.25%
Discharge to community	42.64%	50.57% 7.9 pts worse	No Different than the National Rate · Eligible stays 41 · Observed rate 39.02% · Lower 95% interval 28.25%
Medicare spending per beneficiary	0.55	1.02 0.5 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 72
Staff flu vaccination coverage	34.43%	42% 7.6 pts worse	Numerator 21 · Denominator 61
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · 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	0.2	1.3 1.1 pts better	1.9 1.7 pts better	Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	2.2 1.5 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	94.4% 5.1 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.9% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.9%	93.7% 2.2 pts better	95.5% 0.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.9%
Percentage of long-stay residents experiencing one or more falls with major injury	1.1%	4.2% 3.1 pts better	3.3% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.2%	4.7% 2.5 pts better	11.4% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 4.4% · 4Q avg 2.2%
Percentage of long-stay residents who lose too much weight	8.8%	5.9% 2.9 pts worse	5.4% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 9.3% · Q3 6.7% · Q4 5.0% · 4Q avg 8.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.1%	17.4% 1.3 pts better	19.6% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 14.0% · Q3 15.6% · Q4 20.9% · 4Q avg 16.1%
Percentage of long-stay residents who received an antipsychotic medication	22.1%	20.6% 1.5 pts worse	16.7% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 17.6% · Q3 24.3% · Q4 21.1% · 4Q avg 22.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	1.1%	0.4% 0.7 pts worse	0.1% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1%
Percentage of long-stay residents whose ability to walk independently worsened	11.0%	19.7% 8.7 pts better	16.3% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 8.5% · Q3 18.4% · Q4 3.3% · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.8%	19.8% 8 pts better	14.9% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 16.7% · Q3 9.1% · Q4 7.1% · 4Q avg 11.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.1%	2.6% 0.5 pts better	1.0% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 4.3% · Q3 1.5% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	2.9% 2.4 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	35.1%	25.4% 9.7 pts worse	19.8% 15.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.9% · Q2 27.1% · Q3 38.7% · Q4 35.3% · 4Q avg 35.1%
Percentage of long-stay residents with pressure ulcers	3.1%	6.4% 3.3 pts better	5.1% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 9.3% · Q4 0.0% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.8%	78.7% 13.1 pts better	81.7% 10.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 90.7% · Q3 90.9% · Q4 87.2% · 4Q avg 91.8%
Percentage of short-stay residents who had an outpatient emergency department visit	4.6%	15.0% 10.4 pts better	12.0% 7.4 pts better	Short Stay · 20240701-20250630 · Adjusted 4.6% · Observed 5.0% · Expected 12.1% · 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	97.6%	73.8% 23.8 pts better	79.7% 17.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.2%	19.4% 4.8 pts worse	23.9% 0.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 25.0% · Expected 24.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-20 · Fire 2025-05-20

9 health deficiencies

Top issue: Resident Rights (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-05-21 · Fire 2024-05-21

5 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-05-22 · Fire 2023-05-22

2 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-20

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-06-20

F · Potential for more than minimal harm 2025-05-20

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-06-20

F · Potential for more than minimal harm 2025-05-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-20

F · Potential for more than minimal harm 2025-05-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-20

E · Potential for more than minimal harm 2025-05-20

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-06-20

D · Potential for more than minimal harm 2025-05-20

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 2025-06-20

F · Potential for more than minimal harm 2024-05-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-21

F · Potential for more than minimal harm 2024-05-21

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-21

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 2024-06-21

D · Potential for more than minimal harm 2024-05-21

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-21

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-05-21

K771 · Miscellaneous Deficiencies

Fire Safety

Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

Corrected 2024-06-21

F · Potential for more than minimal harm 2023-05-22

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-06-26

F · Potential for more than minimal harm 2023-05-22

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-22

K252 · Egress Deficiencies

Fire Safety

Provide at least two remote exits on each floor or fire section of the building.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-22

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-22

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-06-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-21

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-12-12

F · Potential for more than minimal harm 2025-05-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-19

E · Potential for more than minimal harm 2025-05-20

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-20

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-20

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-20

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-20

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-05-20

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-06-19

F · Potential for more than minimal harm 2024-08-28

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 2024-09-18

F · Potential for more than minimal harm 2024-05-21

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-06-14

F · Potential for more than minimal harm 2024-05-21

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 2024-06-14

E · Potential for more than minimal harm 2024-05-21

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 2024-06-14

E · Potential for more than minimal harm 2024-05-21

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-06-14

F · Potential for more than minimal harm 2023-05-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-26

E · Potential for more than minimal harm 2023-05-22

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 2023-06-26

Penalties and ownership

What sits behind the stars

Ownership

Maze Family Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

43% 18 facilities 2023-07-01

Charly Bello Family Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

30% 18 facilities 2023-07-01

Dover Ruxpin Family Limited Partnership

5% Or Greater Direct Ownership Interest · Organization

25% 5 facilities 2023-07-01

Fey, Kristin

5% Or Greater Indirect Ownership Interest · Individual

24% 4 facilities 2023-07-01

Myers, Walter

5% Or Greater Indirect Ownership Interest · Individual

21% 23 facilities 2023-07-01

Myers, Katie

5% Or Greater Indirect Ownership Interest · Individual

20% 16 facilities 2023-07-01

Swain, Jared

5% Or Greater Indirect Ownership Interest · Individual

15% 21 facilities 2023-07-01

Swain, Holly

5% Or Greater Indirect Ownership Interest · Individual

14% 16 facilities 2023-07-01

Anderson, Wendy

Operational/Managerial Control · Individual

0% 4 facilities 2023-07-01

Cottonwood Healthcare LLC

Operational/Managerial Control · Organization

0% 16 facilities 2023-07-01

Mcfadden, Steve

Operational/Managerial Control · Individual

0% 1 facilities 2023-07-01

Myers, Walter

Operational/Managerial Control · Individual

0% 23 facilities 2023-07-01

Professional Business Advisors LLC

Operational/Managerial Control · Organization

0% 5 facilities 2023-07-01

Sura, Michael

Operational/Managerial Control · Individual

0% 1 facilities 2023-07-01

Swain, Cameron

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2023-07-01

Swain, Serene

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2023-07-01

Wipfli Llp

Operational/Managerial Control · Organization

0% 32 facilities 2023-07-01

Nearby options

Other facilities in reach

#1

Montana Mental Health Nursing Home

Lewistown, MT

4-star overall rating with 2-star inspections with $7,163 in total fines with 15 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall: 4 / 5
Health: 2 / 5
Staffing: 5 / 5
Fines: $7,163

#2

Park Place Transitional Care And Rehabilitation

Great Falls, MT

3-star overall rating with 2-star inspections with $185,087 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall: 3 / 5
Health: 2 / 5
Staffing: 4 / 5
Fines: $185,087

#3