D

THE VALLEY HEALTH AND REHAB

601 N 10TH ST, HAMILTON, MT 59840
Score: 44 / 100

The Valley Health And Rehab faces challenges in its CMS ratings, earning a D grade with a score of 44/100. The facility ranks in the 41th percentile among Montana nursing homes, suggesting significant room for improvement.

With 3.18 total nurse hours per resident per day, The Valley Health And Rehab falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 21 deficiencies at The Valley Health And Rehab. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.18 3.8 Below Average
Registered Nurses (RN) 0.82 0.7 Above Average
Licensed Practical Nurses (LPN) 0.33 0.7 Below Average
Certified Nursing Assistants (CNA) 2.03 2.4 Below Average
Weekend Total Nursing 3.02 3.8 Below Average
Weekend RN Hours 0.58 0.7 Below Average

🔍 Inspection & Deficiency History

21
Total Deficiencies
Jan 27, 2026
Most Recent Inspection
⚪ 1 Minor 🟠 20 Moderate
View recent deficiencies (5 shown)
  • Tag 0809 Severity D
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals
    Jan 27, 2026 · Nutrition and Dietary Deficiencies
  • Tag 0725 Severity F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Nov 17, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0600 Severity E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Nov 17, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0677 Severity E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Nov 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Nov 17, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.7% 4.5% Worse
Falls with major injury 0.9% 3.0% Better
On antipsychotic medication 21.3% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 27.0% 14.0% Worse
Excessive weight loss 7.3% 7.5% Average
New/worsened incontinence 37.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $33,262

How This Grade Was Calculated

This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Other
Certified Beds
58
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 4, 2024
Deficiencies (Cycle 1)
13