Nursing homeActive
The Valley Health And Rehab
601 N 10th St, Hamilton, MT 59840406363227358 certified beds · 51 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
29
● 2● 24● 3
Penalties · 3 yrs
$59,962
3 fines · 1 action
Last survey
2026-04-23
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Montana DPHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-23 | Complaint | 041 | CMS-2567 (Care Compare) | — |
| 2026-01-28 | Standard | 290 | CMS-2567 (Care Compare) | — |
| 2025-11-18 | Complaint | 060 | CMS-2567 (Care Compare) | — |
| 2025-08-27 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-12-05 | Standard | 021 | CMS-2567 (Care Compare) | — |
| 2023-12-05 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Montana DPHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-26Record 275135-20260423-F686
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 275135-20260423-F679
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 275135-20260423-F690
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 275135-20260423-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 275135-20260423-F880
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 275135-20260128-F578
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 275135-20260128-F628
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 275135-20260128-F636
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 275135-20260128-F637
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 275135-20260128-F638
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 275135-20260128-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 275135-20260128-F689
F809Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 275135-20260128-F809
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 275135-20260128-F880
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2026-03-06Record 275135-20260128-F812
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2026-03-06Record 275135-20260128-F882
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 275135-20251118-F600
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-22Record 275135-20251118-F610
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-22Record 275135-20251118-F677
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-22Record 275135-20251118-F725
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-22Record 275135-20251118-F744
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-22Record 275135-20251118-F880
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-09-29Record 275135-20250827-F627
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-29Record 275135-20250827-F610
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-12-27Record 275135-20241205-F692
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 275135-20241205-F578
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 275135-20241205-F804
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 275135-20231205-F558
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-25Record 275135-20230802-F600
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-04-23 | Civil money penalty | $31,185 | CMS · Penalties |
| 2025-08-27 | Civil money penalty | $9,243 | CMS · Penalties |
| 2025-08-27 | Denial of payment for new admissions Payment denial for 2 days, from 2025-09-27 | — | CMS · Penalties |
| 2024-12-05 | Civil money penalty | $19,534 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.69
Facility
Montana
National
Montana 0.98 · National 0.69
Total nurse hours per resident day3.70
Facility
Montana
National
Montana 4.05 · National 3.86
Weekend total nurse hours3.41
Facility
Montana
National
Montana 3.59 · National 3.42
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Montana | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.0% | 6.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.8% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 23.7% | 20.4% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.6% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.0% | 18.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.4% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.4% | 15.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| The Goodman Family Operating Foundation Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Brouwer, Lawrence Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Edinger, Craig Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Goodman, Shane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Knacke, Clinton Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Knacke, Clinton Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Reiling, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Salmen, Thomas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Salmen, Thomas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Weichert, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wilson, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wilson, Mark Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Zwicker, Michael Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
The Goodman Group — 9 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Montana.
No county cost figures on file for Ravalli.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Living Centre Stevensville | 18.8 mi | 2026-02-26 | 172 |
| Village Health & Rehabilitation Missoula | 42.0 mi | 2025-11-19 | 0192 |
| Riverside Health & Rehabilitation Missoula | 43.7 mi | 2026-06-17 | 1301 |
| Missoula Health & Rehabilitation Center Missoula | 45.6 mi | 2026-03-26 | 0270 |
| Discovery Rehabilitation and Living Salmon | 75.2 mi | 2025-12-03 | 0190 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |