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

Staffing

Hours and turnover

RN hours / resident day

0.66

Registered nurse staffing

LPN hours / resident day

0.17

Licensed practical nurse staffing

Aide hours / resident day

2.19

Nurse aide staffing

Weekend hours

2.53

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

30%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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

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Staffing
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Fines
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