Valle Vista Rehab: Resident Rights Violation - MT
Federal inspectors cited the Lewistown facility following a November 2025 complaint inspection, finding that Valle Vista failed to provide receiving providers with complete special instructions and precautions when transferring residents. The information missing from those transfers included details about treatments and devices, specifically oxygen equipment, implants, intravenous lines, and tubes and catheters.
Those aren't minor administrative checkboxes. A resident arriving at a new facility without documentation of an existing implant, an active IV, or a catheter in place is a resident whose new care team is starting blind.
Inspectors classified the violation as F0628, with a harm level of minimal harm or potential for actual harm, and noted that a few residents were affected.
The citation does not describe whether any resident experienced a specific adverse outcome as a result of the incomplete transfers. What the record shows is a facility that was sending people out the door without the full picture of what those people needed next.
Valle Vista is not a large system. It is a single facility serving a rural Montana community where the nearest alternative care options can be a significant distance away. When a resident is transferred from a place like Lewistown, the receiving provider is often working with whatever documentation arrives. If that documentation leaves out the fact that someone is on supplemental oxygen or has a catheter requiring specific care, the gap doesn't announce itself. It waits.
The inspection was conducted November 21, 2025, in response to a complaint.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Valle Vista Rehabilitation and Nursing LLC from 2025-11-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
VALLE VISTA REHABILITATION AND NURSING LLC in LEWISTOWN, MT was cited for violations during a health inspection on November 21, 2025.
Those aren't minor administrative checkboxes.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.