Gallatin Rest Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

64.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 128 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 28.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 53 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2025Q4 — more than 39% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 14% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 69 beds and averages 49.0 residents a day — about 71% occupied, or roughly 20 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Weekend coverage: total nurse staffing is 3.30 hrs/resident/day on weekends vs 4.50 on weekdays — 27% thinner on weekends — a notable drop. RN hours go from 0.61 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.

• Actual harm · G2025-06-05 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  2. During an observation on 6/5/25 at 7:57 a.m., resident #13 received morning cares from staff members F and K. Resident #13 was lying on her back in the bed. Resident #13 had a wound dressing on her right heel which was left in place. When resident #13 was turned to her right side for incontinence care, an open area was noted on her coccyx. There was no wound dressing in place. Staff member F applied moisture barrier cream, and a new incontinence brief. Resident #13 called out in pain and cried when she was moved in her bed. The crying stopped as soon as the resident was left alone. During an interview on 6/4/25 at 12:47 p.m., staff member G stated the wound nurse had been seeing the resident weekly, otherwise staff did the dressing changes. Review of resident #13's nursing progress notes showed the following: - 3/17/25, bruising to buttocks, present on admission, no measurements documented, - 4/14/25, bruising to buttocks resolved, - 4/21/25, new pressure ulcer on coccyx, scheduled to see the wound nurse on 4/22/25, - 4/22/25, Unstageable pressure ulcer on medial gluteus and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-06-18 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure opened food products were labeled with the date opened, and failed to properly store opened food products after opening. The failure placed all residents receiving food from the kitchen at increased risk of receiving expired, contaminated, or deteriorated food products. Findings include:During an observation of the kitchen dry storage and cold storage areas on 6/15/26 at 2:00 p.m., the following were observed: - An open, unsealed 25-pound bag of flour with approximately one quarter of the contents remaining; no open date. - Several open bulk spice containers, partially used (onion powder, nutmeg, paprika, garlic powder, thyme, and cloves); no open dates. - One bag of dry oat cereal rolled closed and stored on a preparation shelf; no open date. - Three opened and partially used gallons of milk stored in the refrigerator; no open dates. - One open box containing frozen hamburger patties in an unsealed manufacturer's plastic bag, exposing the patties to air; no open date.During an observation of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-18 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a resident was free from physical abuse by agency staff for 1 (#27); failed to ensure a resident was free from verbal abuse by agency staff for 2 (#s 39 and 60); failed to ensure a resident was free from physical and verbal abuse by another resident for 2 (#s 46 and 59); and failed to ensure a resident was free from neglect of care for 1 (#13) of 8 residents sampled for abuse. The failure placed the residents at risk for physical injury, emotional distress, diminished quality of life, and loss of dignity. Findings include:1. Review of a Facility-Reported Incident, submitted to the State Survey Agency on [DATE], showed NF2 was observed grabbing resident #27 by the arm and directing the resident into a seated position. The facility investigated the incident and substantiated the allegation of abuse. During an interview on [DATE] at 12:05 p.m., staff member B stated NF2 was a travel staff member completing a 13-week contract; however, following the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-18 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to thoroughly investigate allegations of abuse for 7 (#s 13, 27, 37, 39, 46, 55 and 59) of 8 residents sampled for abuse. The failure resulted in incomplete investigations, which did not show the evaluation of ongoing actions taken for the residents' well-being, did not identify resident-specific interventions, revise care planning, or document other measures implemented to protect residents and prevent recurrence of similar incidents. Findings include: 1. Review of a Facility-Reported Incident, submitted to the State Survey Agency on [DATE], showed resident #37 and resident #55 were involved in a physical altercation without injuries. Staff intervened, separated the residents, and completed initial assessments. Resident #55 was transferred to another facility approximately six weeks after the incident. During an interview on [DATE] at 7:50 a.m., resident #37 stated, No one followed up with me, and no one told me to stay away from her (#55). Review of a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to assess the risks and benefits associated with the use of a wander guard alarm and obtain informed consent for 1 (#1) of 5 residents sampled for wandering. The failure placed the resident at risk for restriction of movement and psychosocial distress; and failed to ensure a door to the outside of the facility was checked for eloping residents when alarmed, which had the potential to affect 5 residents who wander (#s 1, 3, 11, 18, and 34) of 23 sampled and supplemental residents. Findings include:1. During an interview on 6/15/26 at 4:45 p.m., staff member D stated resident #1 could become agitated and wander during the early evening hours. Staff member D stated resident #1 used a walker for ambulation and had exhibited exit-seeking behaviors in the recent past; therefore, a wander guard alarm was placed on the resident's walker. During an interview on 6/16/26 at 8:40 a.m., NF4 stated she was not familiar with a wander guard alarm or how it was used. NF4 stated she did not recall being notified of the use of a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-18 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure staff adhered to infection control processes during an ostomy bag change and peri-care for 1 (#29); failed to perform proper hand hygiene and glucometer sanitizing during medication administration for 1 (#14); and failed to ensure enhanced barrier precautions were implemented for 1 (#40) of 23 sampled and supplemental residents. These deficient practices increased the risk of the spread of infections for residents in the facility. Findings include: 1. During an observation on 6/17/26 at 9:33 a.m., staff member C entered resident #29's room and donned gloves. Staff member C checked resident #29's ostomy bag. Staff member C did not perform hand hygiene prior to donning the gloves. During an observation on 6/17/26 at 9:34 a.m., staff member C disposed of the previous gloves, and donned a gown and a new pair of gloves. Staff member C did not perform hand hygiene before donning the new gloves. Staff member C opened the door to resident #29's bathroom, grabbed a trash bag, and doffed her gloves. Staff member…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-18 · tag F0949 — failed to train staff on dementia and abuse — pattern
  Provide behavior health training consistent with the requirements and as determined by a facility assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to implement, and maintain an effective behavioral health training program for all staff. This deficient practice had the potential to affect resident #14 and all other residents with behavioral health needs. Findings include:During an interview on 6/16/26 at 2:02 p.m., staff member H stated they had not received training on behavioral health services during their employment at the facility. During an interview on 6/17/26 at 8:11 a.m., staff member K stated they were not aware of any education regarding suicide attempts or ideations, staff member B provided that education so she would not know what was done. During an interview on 6/17/26 at 12:52 p.m., staff member B stated verbal education was given after resident #14's discharge from the emergency room. Staff member B stated she provided, . verbal coaching ., to staff regarding the resident's safety plan. During an interview on 6/18/26 at 9:31 a.m., staff member C stated they did not know the protocol if a resident attempted suicide or voiced suicidal ideations. Staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-18 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to follow professional standards of practice when they did not use a resident's respiratory therapy (CPAP) equipment, failed to notify the resident's provider, and failed to document the reason for the non-use of CPAP therapy for 1 (#5) of 15 sampled residents. Findings include:During an interview on 6/16/26 at 11:24 a.m., resident #5 stated she did not use her CPAP/BiPAP machine because there was an electrical part missing. Resident #5 was not able to say how long she had been unable to use her machine.During an interview on 6/18/26 at 8:42 a.m., staff member I stated when she worked evening shifts, it was her responsibility to put on resident #5's CPAP mask at bedtime. Staff member I stated if there were parts missing, she would pull the equipment from use and notify the resident's provider. Staff member I stated she would document the circumstances in the resident's chart.Review of resident #5's diagnosis list showed she was admitted to the facility with a diagnosis of obstructive sleep apnea.Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-18 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to assess the safety and appropriateness of bed rail use and obtain informed consent for the use of two upper side rails for 1 (#49) of 23 sampled and supplemental residents. The failure placed the resident at risk for injury related to bed rail use, including entrapment, falls, and restriction of movement. Findings include:During an observation on 6/16/26 at 8:12 a.m., resident #49 was observed in bed with two upper side rails in the raised position.During an interview on 6/16/26 at 4:23 p.m., staff member A stated the facility did not complete a bed rail safety assessment or obtain informed consent for resident #49 because the resident was receiving hospice services.During an interview on 6/17/26 at 11:44 a.m., staff member B stated the facility should have documentation supporting the use of bed rails, including a safety assessment and informed consent from the resident or resident's representative.During an interview on 6/17/26 at 2:45 p.m., staff member A stated the facility did not have any policies…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-18 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to obtain necessary services for the behavioral health care needs of 1 (#14) of 15 sampled residents. This deficient practice increased the risk of declining mental health for the resident. Findings include:During an observation and interview on 6/15/26 at 3:56 p.m., resident #14 was sitting in her reclining chair. Resident #14 stated she previously attempted suicide; she tried hanging herself with her call light, and now she did not have a call light. A cord, approximately two inches long, was sticking out of the wall where the call light used to be. Resident #14 stated that when she needed help, she used the chair alarm on her bedside table. Resident #14 stated she saw a psychiatrist, a counselor who came to the building, and a nurse practitioner who, . does her meds.During an interview on 6/16/26 at 1:44 p.m., resident #14 stated her husband of 44 years passed away ten years ago. Resident #14 stated she had two children but lost her son when he was in his twenties, resulting in increased loneliness and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-18 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure all the irregularities noted by the pharmacist on the monthly medication regimen review were addressed and documented in the resident's medical record for 2 (#s 5 and 13) of 15 sampled residents. Findings include:1. Review of the [Pharmacy Name] Monthly Consulting document, dated February of 2026, showed the following nursing recommendation for resident #5, [Resident #5] needs an AIMS assessment due to Seroquel use.Review of resident #5's Assessments section of the EHR, dated between 1/1/26 and 6/15/26, showed one AIMS assessment was completed on 5/18/26. No other AIMS assessments were completed during that time.2. Review of the [Pharmacy Name] Monthly Consulting document, dated February of 2026, showed the following nursing recommendation for resident #13, Please clarify diagnosis for mirtazapine. It's being used for insomnia which is an off label indication and duplication of therapy due to zolpidem use. [Resident #13] has a diagnosis of anxiety which may be more appropriate. Review of resident #13's physician…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$55,413 in federal fines across 1 penalty.

• $55,413 — penalty dated 2025-06-05

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 10 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $28K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MT