Park County, Montana · Nursing home
Livingston Health & Rehabilitation Center
1 of 5 overall from CMS
510 S 14th St, Livingston, MT 59047
At a glance
- Overall rating 1 of 5 Below the state average of 2.9
- Nurse time per resident, per day 3.38 hours Below the state average of 4.05
- Nursing staff who left in a year 69.6% Above the state average of 54.8%
- Health citations, last 3 inspection cycles 38 3 at the harm level or above
- Fines in 3 years $17,404 1 fine
- Certified beds in use 52.3% of 115 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Livingston Health & Rehabilitation Center is a 115-bed nursing home in Livingston, Montana (Park County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.38 nurse staffing hours per resident per day, below the Montana average of 4.05. CMS lists 1 fine totaling $17,404 in the past three years.
- Certified beds
- 115
- Residents per day (average)
- 60.1
- Certified since
- 1974 (52 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Evergreen Healthcare Group (43 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Livingston Health & Rehabilitation Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $17,404 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 14 health deficiencies in the latest inspection cycle (the standard inspection on Jun 29, 2026 plus complaint and infection-control inspections); the Montana average is 11.2. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 69.6%, above the Montana average of 54.8%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Montana average 2.9
- Health inspections 2 of 5 Montana average 2.8
- Staffing 2 of 5 Montana average 3.6
- Quality measures 1 of 5 Montana average 3.0
The vertical line marks the Montana average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.38 h Montana average 4.05
- Nurse aides 2.11 h Montana average 2.57
- Licensed practical nurses 0.40 h Montana average 0.50
- Registered nurses 0.88 h Montana average 0.98
- All staff, weekends 3.28 h Montana average 3.59
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Montana average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover69.6%
- Montana average54.8%
- Registered nurse turnover70.0%
- Montana average48.3%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Montana and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Montana | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 26.0% | 18.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.5% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.7% | 2.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 34.0% | 5.6% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.6% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% | 4.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% | 96.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 23.8% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% | 15.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.1% | 93.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 10.2% | 6.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.8% | 24.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 23.0% | 20.4% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.92 | 1.38 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.17 | 2.16 | 1.78 |
Short-stay residents
| Measure | This home | Montana | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.9% | 81.2% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 5.3% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.9% | 73.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.6% | 19.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 21.1% | 14.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 38 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. 20 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 29, 2026: Provide and implement an infection prevention and control program.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 29, 2026 | 14 | 11 |
| Jun 5, 2025 | 16 | 13 |
| Jul 3, 2024 | 8 | 12 |
Montana homes averaged 11.2 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (38)
-
GActual harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Past Non-Compliance (Mar 31, 2026)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 18, 2026)
-
EPotential for more than minimal harm, pattern
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control · Deficient, Provider has date of correction (Jul 18, 2026)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 18, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 18, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Aug 12, 2026)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 18, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jul 18, 2026)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 3, 2025)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 3, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 3, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 3, 2025)
-
BPotential for minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 3, 2025)
-
BPotential for minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 3, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 22, 2025)
-
EPotential for more than minimal harm, pattern
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jul 22, 2025)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Resident Rights · Deficient, Provider has date of correction (Jul 22, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Jul 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 22, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Jul 22, 2025)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 28, 2025)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 3, 2025)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Feb 3, 2025)
-
FPotential for more than minimal harm, widespread
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Feb 3, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Feb 3, 2025)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 3, 2025)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 3, 2025)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 3, 2025)
-
DPotential for more than minimal harm, isolated
Prepare residents for a safe transfer or discharge from the nursing home.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Feb 3, 2025)
Showing the 30 most recent of 38.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Dec 31, 2024 | Fine | $17,404 |
Montana homes averaged 1.5 fines and $55,610 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Montana
- Size12 of 59 by certified beds
- Montana average residents per day56.7
- ChainEvergreen Healthcare Group
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Park County1
Common questions
What is the CMS star rating for Livingston Health & Rehabilitation Center?
Livingston Health & Rehabilitation Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 1.
How many beds does Livingston Health & Rehabilitation Center have?
Livingston Health & Rehabilitation Center has 115 certified beds. It averages 60.1 residents per day, about 52.3% of its certified beds.
How much nursing care do residents get at Livingston Health & Rehabilitation Center?
The home reports 3.38 hours of nurse staffing per resident per day, including 0.88 hours from registered nurses. The Montana average is 4.05 hours and 0.98 hours from registered nurses.
Has Livingston Health & Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $17,404 in the past three years.
Does Livingston Health & Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Gallatin Rest Home 69beds 71.0%in use –nurse hours a day
- 5 of 5 Madison Valley Manor 32beds 50.6%in use 6.58nurse hours a day
- 1 of 5 Beartooth Rehabilitation and Nursing LLC –beds –in use 2.95nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Park County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 275047. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.