The home failed to provide enough food and fluids to keep residents healthy. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
LIVINGSTON HEALTH & REHABILITATION CENTER
LIVINGSTON, MT · Medicare-certified · 115 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
2 of 5 stars overall. This nursing home has low staffing (2 of 5) and quality measures (1 of 5), reported nurse staffing below the federal benchmark (3.38 vs. 4.1 hours per resident per day), and recent fines totaling $17,404 with a recent federal penalty; recent inspection issues included food/fluids, pain management, and infection prevention and control.
Facility ratings
Health inspections
Staffing
3.384 hrs/resident/day
Quality measures
Last inspection: November 18, 2025Penalties, last 24 months: $17,404recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.384.
Staffing detail
- Registered nurses
- 0.88
- Licensed practical nurses
- 0.40
- Nurse aides
- 2.11
- Weekend nursing
- 3.28
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 70%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
25.9%18.8%Improving
Residents with a fall causing major injury
5.1%0%Improving
Residents with pressure ulcers (bedsores)
9.6%9.3%No change
Residents with a urinary tract infection
0%6.8%Worsening
Residents who lost too much weight
2.8%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.9%28.2%Worsening
Residents whose ability to walk got worse
—17.7%—
Long-stay residents on antianxiety or sleep medication
19.4%17.5%Improving
Short-stay residents newly given an antipsychotic
7.1%5.1%Improving
Residents with a long-term catheter
3.6%1.5%Improving
Residents with new or worsening incontinence
11.2%22.3%Worsening
Residents with depressive symptoms
0%73.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—88.1%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—65.9%—
Short-stay residents given the pneumonia vaccine
52.4%93.1%Improving
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,404 was recorded.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $17,404 in total fines.
- $17,404
Federal fine
Dec 31, 2024
Operator & ownership
Recent ownership change · Aug 31, 2023
Now operated by Livingston Health & Rehabilitation Center, previously Livingston Health and Rehabilitation Center.
- Ownership
- For profit - Corporation
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 44 homes · 2.5 stars avg
- Occupancy
- 60.1 residents on an average day (52% of 115 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.