nursing home in Hamilton, MT
The Valley Health and Rehab
601 N 10th St, Hamilton, MT 59840 · (406) 363-2273
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Valley Health and Rehab at a glance
The Valley Health and Rehab is a 58-bed for-profit nursing home in Hamilton, Montana (Ravalli County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Montana average of 2.9.
Residents receive about 3.7 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (January 28, 2026) found 22 health citations. The Montana average is 11.1.
Federal regulators fined it 3 times in the past three years, totaling $59,962.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 58
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Goodman Group
- Medicare-certified since
- September 10, 1990
- Resident/family council
- Resident
- County
- Ravalli County
- CMS Certification Number
- 275135
Ratings
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.70 hrs | 4.05 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.69 hrs | 0.98 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.58 hrs | 2.57 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.41 hrs | 3.59 hrs | 3.42 hrs | Average |
Inspections
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 22 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 13 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 119 | 104.7 | 80.6 | Worse |
Penalties
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $59,962 | $55,610 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
Size
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 58 | 85 | 107 | |
| Average residents per day | 51 | 57 | 86 | |
| Occupancy | 88.1% | 69.3% | 80.9% |
Long-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.8% | 4.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6% | 6.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 23.7% | 20.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.8% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 20% | 18.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 6.5% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 8.4% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 5.7% | 5.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.6% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.4% | 15.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 26.6% | 24.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 90.3% | 93.6% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92.1% | 96.5% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 86.7% | 73.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 78.8% | 81.2% | 82% | Average |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 23, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected May 26, 2026 |
| April 23, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 26, 2026 |
| April 23, 2026 Complaint | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected May 26, 2026 |
| April 23, 2026 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected May 26, 2026 |
| April 23, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 26, 2026 |
| January 28, 2026 Fire safety | Ensure that smoke control systems are tested and documented in accordance with established engineering principles. Miscellaneous Deficiencies · Tag K0771 | F Potential harm, widespread | Corrected March 13, 2026 |
| January 28, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 13, 2026 |
| January 28, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected March 13, 2026 |
| January 28, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected March 13, 2026 |
| January 28, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 13, 2026 |
| January 28, 2026 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | E Potential harm, pattern | Corrected March 6, 2026 |
| January 28, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 6, 2026 |
| January 28, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 28, 2026 Complaint | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 28, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 28, 2026 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 28, 2026 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 28, 2026 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 28, 2026 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 28, 2026 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | C No harm, widespread | Corrected March 6, 2026 |
| January 28, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | C No harm, widespread | Corrected March 6, 2026 |
| November 18, 2025 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected December 22, 2025 |
| November 18, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected September 19, 2025 |
| November 18, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected December 22, 2025 |
| November 18, 2025 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected December 22, 2025 |
| November 18, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 22, 2025 |
| November 18, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 22, 2025 |
| August 27, 2025 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | G Actual harm, isolated | Corrected September 29, 2025 |
| August 27, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected September 29, 2025 |
| December 5, 2024 Fire safety | Ensure that smoke control systems are tested and documented in accordance with established engineering principles. Miscellaneous Deficiencies · Tag K0771 | F Potential harm, widespread | Corrected January 18, 2025 |
| December 5, 2024 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected December 27, 2024 |
| December 5, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected December 27, 2024 |
| December 5, 2024 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 5, 2023 Fire safety | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Tag E0023 | F Potential harm, widespread | Corrected January 11, 2024 |
| December 5, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 11, 2024 |
| December 5, 2023 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected January 11, 2024 |
| December 5, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 11, 2024 |
| December 5, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 11, 2024 |
| December 5, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected January 11, 2024 |
| December 5, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected January 11, 2024 |
| December 5, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected January 11, 2024 |
| December 5, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected January 11, 2024 |
| December 5, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected January 11, 2024 |
| December 5, 2023 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected January 11, 2024 |
| December 5, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected January 11, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $59,962 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 23, 2026 | Fine | $31,185 |
| August 27, 2025 | Payment Denial | 2 days from September 27, 2025 |
| August 27, 2025 | Fine | $9,243 |
| December 5, 2024 | Fine | $19,534 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| THE GOODMAN FAMILY OPERATING FOUNDATION Organization | 5% or greater direct ownership interest | 100% | 07/26/2021 |
| BROUWER, LAWRENCE Individual | contracted managing employee | NOT APPLICABLE | 10/01/2012 |
| EDINGER, CRAIG Individual | corporate director | NOT APPLICABLE | 07/26/2021 |
| GOODMAN, SHANE Individual | corporate director | NOT APPLICABLE | 07/26/2021 |
| KNACKE, CLINTON Individual | corporate director | NOT APPLICABLE | 07/26/2021 |
| REILING, MARK Individual | corporate director | NOT APPLICABLE | 07/26/2021 |
| SALMEN, THOMAS Individual | corporate director | NOT APPLICABLE | 07/26/2021 |
| WEICHERT, JAMES Individual | corporate director | NOT APPLICABLE | 07/26/2021 |
| WILSON, MARK Individual | corporate director | NOT APPLICABLE | 07/26/2021 |
| KNACKE, CLINTON Individual | corporate officer | NOT APPLICABLE | 07/26/2021 |
| SALMEN, THOMAS Individual | corporate officer | NOT APPLICABLE | 07/26/2021 |
| WILSON, MARK Individual | corporate officer | NOT APPLICABLE | 07/26/2021 |
| ZWICKER, MICHAEL Individual | w-2 managing employee | NOT APPLICABLE | 08/31/2023 |
Other nursing homes near The Valley Health and Rehab
- ★★★★★5Much above average
Frequently asked questions
What is The Valley Health and Rehab's rating?
The Valley Health and Rehab has 2 out of 5 stars on the CMS overall star rating. The average for Montana nursing homes is 2.9 stars.
How many inspection citations did The Valley Health and Rehab receive?
Its most recent standard health inspection found 22 citations, compared with a Montana average of 11.1. Every citation is listed on this page with its severity.
Does The Valley Health and Rehab accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Valley Health and Rehab?
It is for profit - limited liability company and part of The Goodman Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Valley Health and Rehab and how do I contact it?
The Valley Health and Rehab is at 601 N 10th St, Hamilton, MT 59840. Phone: (406) 363-2273.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.