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C
Below Standard

LIVINGSTON HEALTH & REHABILITATION CENTER

510 S 14TH ST · LIVINGSTON, MT 59047

4062220672 · For profit - Corporation

115 beds52.2 residents105 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LIVINGSTON HEALTH & REHABILITATION CENTER receives an overall staffing grade of C (Below Standard). With 3.1434 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6535 HPRD, below the recommended 0.75. It is 0.75 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 7.9% compared to weekdays. The facility relies heavily on temporary agency staff (28.23% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1434 HPRD — needs 0.34 more hours per resident per day.
⚠️RN staffing (0.6535 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️28.23% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 7.9% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.1434hrs/resident/day▼ 0.75
CMS benchmark: 3.48
RN HPRD
0.6535hrs/resident/day▼ 0.03
Recommended: 0.75
Weekend Drop-off
7.9%
3.2152 weekday → 2.9613 weekend
Agency Staff
28.23%
7.51% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.034hrs/resident/day
Direct care aides
LPN HPRD
0.456hrs/resident/day
Licensed practical nurses
Consistency
0.263std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Park County Average+0.00 HPRD
3.14
03.14 HPRD
vs. Montana State Average-0.84 HPRD
3.98
03.14 HPRD
vs. National Average-0.75 HPRD
3.90
03.14 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LIVINGSTON HEALTH & REHABILITATION CENTER ★
LIVINGSTON · This facility
—
C
3.14340.6535★★☆☆☆
GALLATIN REST HOME
BOZEMAN
23.3 mi
A
4.88250.8972★★★★☆
MADISON VALLEY MANOR
ENNIS
59.7 mi
A+
5.1871.3757★★★★☆
BEARTOOTH REHABILITATION AND NURSING LLC
COLUMBUS
63.2 mi
D
2.79870.5755☆☆☆☆☆
TOBACCO ROOT MOUNTAINS CARE CENTER
SHERIDAN
79.3 mi
A+
7.68141.6181★★★★★
LAUREL HEALTH & REHABILITATION CENTER
LAUREL
86.8 mi
C
3.16990.6362★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
39
Total Deficiencies
$17,404
Fines Assessed
Nov 18, 2025Health
6 deficiencies cited
▼
Jun 5, 2025Health
7 deficiencies cited
▼
Dec 31, 2024Health
9 deficiencies cited· Includes actual harm
▼
Jul 3, 2024Health
8 deficiencies cited
▼
Jun 8, 2023Health
9 deficiencies cited
▼

Penalty History

Dec 31, 2024Fine
$17,404
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.