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C
Below Standard

THE VALLEY HEALTH AND REHAB

601 N 10TH ST · HAMILTON, MT 59840

4063632273 · Non profit - Other

58 beds39.3 residents83 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very 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

THE VALLEY HEALTH AND REHAB receives an overall staffing grade of C (Below Standard). With 3.1901 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.71 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 6.93% compared to weekdays. The facility has low agency staff usage (7.09% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1901 HPRD — needs 0.29 more hours per resident per day.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 6.93% drop-off
Total Nurse HPRD
3.1901hrs/resident/day▼ 0.71
CMS benchmark: 3.48
RN HPRD
0.8211hrs/resident/day▲ 0.14
Recommended: 0.75
Weekend Drop-off
6.93%
3.2538 weekday → 3.0283 weekend
Agency Staff
7.09%
17.85% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0382hrs/resident/day
Direct care aides
LPN HPRD
0.3296hrs/resident/day
Licensed practical nurses
Consistency
0.4281std 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. Ravalli County Average-0.85 HPRD
4.04
03.19 HPRD
vs. Montana State Average-0.79 HPRD
3.98
03.19 HPRD
vs. National Average-0.71 HPRD
3.90
03.19 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
THE VALLEY HEALTH AND REHAB ★
HAMILTON · This facility
—
C
3.19010.8211★★★☆☆
THE LIVING CENTRE
STEVENSVILLE
18.7 mi
A
4.88681.0329★★★★★
VILLAGE HEALTH & REHABILITATION
MISSOULA
41.9 mi
B
3.94011.0386★★★☆☆
RIVERSIDE HEALTH & REHABILITATION
MISSOULA
43.6 mi
B
3.70040.8124★★★★☆
MISSOULA HEALTH & REHABILITATION CENTER
MISSOULA
45.5 mi
B
3.5430.5925★★★☆☆
COMMUNITY NURSING HOME OF ANACONDA
ANACONDA
58.8 mi
A+
5.42451.2329★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
19
Total Deficiencies
$33,262
Fines Assessed
Nov 18, 2025Health
6 deficiencies cited
▼
Aug 27, 2025Health
2 deficiencies cited· Includes actual harm
▼
Dec 5, 2024Health
3 deficiencies cited· Includes actual harm
▼
Dec 5, 2023Health
1 deficiency cited
▼
Aug 2, 2023Health
1 deficiency cited
▼
Nov 21, 2022Health
6 deficiencies cited
▼

Penalty History

Aug 27, 2025Fine
$14,015
Aug 27, 2025Payment Denial
Dec 5, 2024Fine
$19,247
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.