Montana ›Lewistown

Valle Vista Rehabilitation and Nursing LLC

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402 Summit Ave, Lewistown, MT 59457 (opens Google Maps) · Fergus County · (406) 538-8775· 101 certified beds · avg 53 residents/day · certified since Oct 1, 1970 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS (19 facilities, chain avg rating 1.7★)

2/5
Health inspection rating (on-site)
inspected May 20, 2025
1
Serious findings on record
most recent Jul 2, 2026
$0
Fines, last 3 years
3.63
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jul 2, 2026 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 5, 2026 (Deficient, Provider has plan of correction)

Inspection findings in the public record

Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684

  2. F · Potential for more than minimal harm, widespread

    The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint F-0880

  3. D · Potential for more than minimal harm, isolated

    The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint F-0580

View all 25 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jul 2, 2026▲ G · Actual harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jul 2, 2026F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jul 2, 2026D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Jul 2, 2026D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Jul 2, 2026D · Potential for more than minimal harm, isolatedThe facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. · from a complaint · F-0710
Jul 2, 2026D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Jun 4, 2026F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Jun 4, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Jun 4, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint · F-0740
Nov 21, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint · F-0628
May 20, 2025F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
May 20, 2025E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Aug 28, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
May 21, 2024F · Potential for more than minimal harm, widespreadThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
May 21, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 21, 2024E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
May 21, 2024E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
May 22, 2023F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
May 22, 2023E · Potential for more than minimal harm, patternThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 8).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 9
Serious citations (G–L): 0
2026
All citations: 9
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202320F
202450F
202590F
202691G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMontana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.63
Montana average: 4.82
U.S. average: 3.95
Registered Nurse hours
This facility: 0.82
Montana average: 1.17
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.83
Montana average: 4.26
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMontana avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.634.823.95bottom 16% in Montana; bottom 43% in the U.S.
Registered Nurse hours0.821.170.69bottom 35% in Montana; top 26% in the U.S.
Weekend total nurse staffing2.834.263.50bottom 2% in Montana; bottom 22% in the U.S.
Weekend RN hours (not acuity-adjusted)0.490.710.48bottom 29% in Montana; top 34% in the U.S.
Total nursing staff turnover (%)42.554.845.8top 19% in Montana; top 43% in the U.S.
RN turnover (%)28.648.342.9top 16% in Montana; top 26% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.15, RN 0.71, weekend 2.46.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.15 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Valle Vista Rehabilitation and Nursing LLC. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Cashmer LLCOrganizationDirect Ownership InterestNOT APPLICABLE07/01/2023
Fey, DanielIndividualIndirect Ownership InterestNOT APPLICABLE07/01/2023
Fey, KristinIndividual5% or Greater Indirect Ownership Interest24%07/01/2023
Anderson, WendyIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2023
Anderson, WendyIndividualADP of the SNFNOT APPLICABLE07/01/2023
Cottonwood Healthcare LLCOrganizationOperational/Managerial ControlNOT APPLICABLE07/01/2023
Cottonwood Healthcare LLCOrganizationADP of the SNFNOT APPLICABLE05/12/2025
McFadden, SteveIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2023
McFadden, SteveIndividualADP of the SNFNOT APPLICABLE07/01/2023
Myers, WalterIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2023
Myers, WalterIndividualADP of the SNFNOT APPLICABLE07/01/2023
Professional Business Advisors LLCOrganizationOperational/Managerial ControlNOT APPLICABLE07/01/2023
Professional Business Advisors LLCOrganizationADP of the SNFNOT APPLICABLE05/12/2025
Sura, MichaelIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2023
Sura, MichaelIndividualADP of the SNFNOT APPLICABLE07/01/2023
Wipfli LLPOrganizationOperational/Managerial ControlNOT APPLICABLE07/01/2023
Wipfli LLPOrganizationADP of the SNFNOT APPLICABLE05/12/2025

All 17 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers — 19 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 18 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "If my family member falls or their condition changes, exactly when and how will I be notified?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
  • "Who would be my family member's attending doctor here, and how often would they be seen?"
  • "How do you keep residents' medical records accurate, complete, and secure?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Montana midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 43% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 17 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Montana Mental Health Nursing Home0.6 miLewistown, MT★★★★☆3/5

Compare this facility with the 1 closest →

All facilities in Lewistown →

Facility data as of CMS processing date 2026-08-01. CCN 275021.

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