The Valley Health and Rehab
601 N 10th St · Hamilton, MT · 59840 · 4063632273
58 certified beds For profit - Limited Liability company Chain: The Goodman Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $28,644 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.55 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $28,644 |
Inspection citations (29 in the current record)
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Actual harm · G April 23, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 26, 2026 · Quality of Life and Care
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Potential for harm · E April 23, 2026 · found via complaint
Provide activities to meet all resident's needs.
Corrected May 26, 2026 · Quality of Life and Care
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Potential for harm · D April 23, 2026 · found via 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.
Corrected May 26, 2026 · Quality of Life and Care
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Potential for harm · F April 23, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 26, 2026 · Nutrition and Dietary
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Potential for harm · D April 23, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 26, 2026 · Infection Control
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Potential for harm · D January 28, 2026
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.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · D January 28, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · E January 28, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2026
Assess the resident when there is a significant change in condition
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2026
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.
Corrected March 6, 2026 · Quality of Life and Care
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Potential for harm · D January 28, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 6, 2026 · Quality of Life and Care
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Potential for harm · E January 28, 2026
Provide and implement an infection prevention and control program.
Corrected March 6, 2026 · Infection Control
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Potential for harm · D January 28, 2026 · found via 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.
Corrected March 6, 2026 · Nutrition and Dietary
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No harm found · C January 28, 2026
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected March 6, 2026 · Infection Control
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No harm found · C January 28, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 6, 2026 · Nutrition and Dietary
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Potential for harm · E November 18, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 18, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 18, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · F November 18, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 22, 2025 · Nursing and Physician Services
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Potential for harm · D November 18, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D November 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 22, 2025 · Infection Control
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Actual harm · G August 27, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · D August 27, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 5, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected December 27, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 27, 2025 | Fine | $9,110 |
| August 27, 2025 | Payment Denial | 2 days |
| December 5, 2024 | Fine | $19,534 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275135 · certified since September 10, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.