Gallatin Rest Home
1221 W Durston Rd, Bozeman, MT 59715
Gallatin Rest Home, a 94-bed government - county nursing facility in Bozeman, MT, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 4065823300
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 4.85
- Well above average · nurse hrs/day · nat'l 3.89
- 15
- Inspection findings · 2 serious
- $64K
- Federal penalties (2)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 275066
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 94
- Residents
- 51
- In Hospital
- No
- County
- Gallatin
- Last Inspection
- Jun 5, 2025
Staffing Data
How the 4.85 total nursing hours per resident-day are staffed:
- RN Hours
- 0.89 (nat'l avg: 0.68)
- LPN Hours
- 0.88
- CNA Hours
- 3.07
- Total Nursing Hours
- 4.85 (nat'l avg: 3.89)
- PT Hours
- 0.07
- Nursing Turnover
- 62.5%
- RN Turnover
- 66.7%
What the CMS Record Reveals About Gallatin Rest Home
Gallatin Rest Home operates 94 certified beds in Bozeman, MT with approximately 51 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 2★).
The inspection file contains 15 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $64K against this provider. Reported nurse staffing runs 4.85 total hours per resident day (national average 3.89); RN hours specifically are 0.89 per resident day.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Gallatin Rest Home falls into a category where comparative context matters. Reported nursing turnover at this facility is 62.5%, above the level where continuity of care typically begins to suffer.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (15 most recent)
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 20, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 20, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 20, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 20, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 20, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 20, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Category: Resident Rights Deficiencies
Corrected: Jul 20, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Aug 16, 2024
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Category: Nutrition and Dietary Deficiencies
Corrected: Aug 16, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 18, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 18, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 18, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Jul 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 18, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 18, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.8% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.2% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 10.5% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.2% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.3% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 8.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 91.9% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 4.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 81.8% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 29.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 68.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 39.7% | No |
Penalty History 2 penalties totaling $64K
| Date | Type | Amount |
|---|---|---|
| Jun 5, 2025 | Fine | $55K |
| Jun 8, 2023 | Fine | $8K |
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Understanding Nursing Home Data
Frequently Asked Questions
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Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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