Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.71 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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VALLE VISTA REHABILITATION AND NURSING LLC has 101 certified beds in LEWISTOWN, Montana. The CMS overall rating is 3 of 5, compared with the Montana average of 2.9. The CMS health inspection rating is 2 of 5, compared with the Montana average of 2.8. The CMS staffing rating is 4 of 5. The latest standard health survey on May 20, 2025 lists 7 deficiencies, compared with the Montana average of 7.0. Total nurse staffing is 3.15 hours per resident day in 2026Q1, compared with the Montana average of 4.08.
CMS nursing home
Also known publicly as Valle Vista Rehab & Nursing
LEWISTOWN, MT
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 275021.
At a glance
3 of 5
2 of 5
4 of 5
5 of 5
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Showing 25 of 35 relationships from CMS/PECOS evidence.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2023-07-01.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.71 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 20, 2025 cited 7 deficiencies.
View inspection evidenceCMS-published records list 45 ownership or control parties.
CMS records show an ownership change effective July 2023.
View ownership evidenceCMS groups this facility with a chain covering 18 facilities across 3 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
9 currently connected nursing homes share this CMS organization identity with MAZE FAMILY LIMITED PARTNERSHIP.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 24%
Association date reported to CMS: Jul 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: May 12, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: May 12, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: May 12, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 29.5%
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 16 across CO, MT, NV.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 4 across MT.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 42.5%
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 17 across CO, MT, NV.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 23.5%
Association date reported to CMS: Jul 1, 2023
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 19.97%
Association date reported to CMS: Jul 1, 2023
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 20.8%
Association date reported to CMS: Jul 1, 2023
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.5%
Association date reported to CMS: Jul 1, 2023
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 14.16%
Association date reported to CMS: Jul 1, 2023
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 14.75%
Association date reported to CMS: Jul 1, 2023
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.5%
Association date reported to CMS: Jul 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: May 12, 2025
Other facilities connected through this exact CMS organization identity: 17 across CO, MT, NV, UT.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 22, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: May 12, 2025
Other facilities connected through this exact CMS organization identity: 6 across CO, MT.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: May 12, 2025
Other facilities connected through this exact CMS organization identity: 92 across CA, CO, IA, MI, MN, MO, MT, NH, OH, WI.
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 4 across MT.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 0.25%
Association date reported to CMS: Jul 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 17 across CO, MT, NV, UT.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 6 across CO, MT.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2023
Other facilities connected through this exact CMS organization identity: 92 across CA, CO, IA, MI, MN, MO, MT, NH, OH, WI.
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across MT.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 803 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 18 | 1.8 | 2.2 |
| Mon Jun | 18 | 1.8 | 2 |
| Fri May | 18 | 1.8 | 2 |
| Wed Apr | 18 | 1.8 | 1.9 |
| Sun Mar | 18 | 1.6 | 1.8 |
| Sun Feb | 17 | 1.7 | 1.8 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Aug 5, 2026)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Aug 5, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Aug 5, 2026)
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Aug 5, 2026)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Aug 5, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Aug 5, 2026)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 10, 2026)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 12, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2025)
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2025)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2025)
Provide activities to meet all resident's needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 18, 2024)
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 14, 2024)
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.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 14, 2024)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 14, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 14, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 26, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 26, 2023)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: VALLE VISTA REHABILITATION AND NURSING LLC.
KISMET LWT, LLC → VALLE VISTA REHABILITATION AND NURSING LLC
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.433 | 2.46 |
| RN categories | 0.802 | 0.486 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.046 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 2.929 | 0.671 | 0.061 | 2.009 | 0% | 91 |
| 2025Q3 | 3.018 | 0.66 | 0.167 | 1.998 | 0% | 92 |
| 2025Q4 | 3.14 | 0.665 | 0.116 | 1.935 | 0% | 92 |
| 2026Q1 | 3.153 | 0.711 | 0.121 | 2.167 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.