Home›Browse›Montana›Stevensville›Bitterroot Valley Living Center

Nursing homeFAID #7512

Bitterroot Valley Living Center

57 MAIN ST, STEVENSVILLE, MT, 59870

(406) 777-5411

50 licensed beds

CMS rates Bitterroot Valley Living Center 5 out of 5 overall. Federal inspectors issued 23 citations across 9 inspections in the last three years, with $37,525 in fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections5/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

57 Main St

Stevensville, MT 59870

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

275125

Care type

Nursing home

County

Ravalli

Facility name

Bitterroot Valley Living Center

Legal entity

The Living Centre

Street address

57 MAIN ST

City / state / ZIP

Stevensville, MT 59870

Phone

(406) 777-5411

About this facility — Bitterroot Valley Living Center

Bitterroot Valley Living Center is a Medicare/Medicaid-certified skilled nursing facility in Stevensville, Montana. It is licensed for 50 beds — below the median for skilled nursing facilities in Montana (75 beds).

It is one of 4 senior care facilities in Stevensville and 62 skilled nursing facilities across Montana. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Bitterroot Valley Living Center 23 times across 9 inspections in the last three years, and CMS has imposed $37,525 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Margie Fruit

Ownership type

For profit - Corporation

Registered owners & officers

Living Centre Limited

Direct owner · Operational control · Additional disclosable party — 100% stake — since 2013

Becker, Leanne

Officer · Operational control · Additional disclosable party — since 2019

Kirkland, Brenda

Operational control · Additional disclosable party — since 2024

Watkins, Jordan

Indirect owner · Officer · Operational control · Additional disclosable party — since 2024

Watkins, Kyle

Indirect owner · Officer — since 2024

Watkins, William

Indirect owner · Officer · Operational control · Additional disclosable party — since 2013

Regulatory standing

Licensed / certified since

1977-09-01

CMS overall rating

5 of 5 stars

Health deficiencies

2 at the last standard inspection

Federal fines

$37,525 total

Last standard inspection

2026-02-26

Nurse staffing

4.8 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$515 per day (≈ $15,660/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

61% Medicaid · 11% Medicare · 28% private/other

Occupancy

61% (fiscal year 2024)

Vs. state median

45% above the MT median of $355/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2026-02-26Health inspection2 citations

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-03-20

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-03-20

2025-01-30Health inspection2 citations

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-03-14

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-03-14

7 earlier / fire-safety inspections (19 citations)

2025-01-08Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-07

2024-06-03Health inspectionComplaint-triggered2 citations

F-0600

G · Actual harmFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-06-19

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-19

2024-01-31Health inspection1 citation

F-0640

B · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-02-14

2023-12-07Health inspectionComplaint-triggered2 citations

F-0636

E · No harm foundFrom a complaint

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-12-11

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-11

2026-02-26Fire-safety inspection3 citations

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-03-31

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-03-31

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-03-31

2025-01-30Fire-safety inspection4 citations

E-0025

F · No harm found

Create arrangements with other facilities to receive patients.

Corrected 2025-03-21

K-0261

F · No harm found

Have properly spaced exits within rooms.

Corrected 2025-02-17

K-0371

F · No harm found

Have properly sized and located compartments to protect residents from smoke.

Corrected 2025-02-17

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-02-17

2024-01-31Fire-safety inspection6 citations

K-0223

D · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-01-30

K-0261

D · No harm found

Have properly spaced exits within rooms.

Corrected 2024-01-30

K-0342

D · No harm found

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2024-01-30

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-30

K-0371

E · No harm found

Have properly sized and located compartments to protect residents from smoke.

Corrected 2024-01-30

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-01-30

Federal penalties

2024-06-03Fine$24,876

2023-12-07Fine$12,649

Total fines$37,525

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 275125.

Quality of care & staffing

How it compares in Montana.

Inspection citations, 3 years

More than 13% of nursing homes in the state

State median: 41

Federal fines, 3 years

$37,525

More than 60% of nursing homes in the state

State median: $27,405

Nurse staffing, hours per resident per day

4.8

Higher than 77% of nursing homes in the state

State median: 3.8

Nursing staff turnover, annual

50%

Higher than 36% of nursing homes in the state

State median: 56%

Resident outcomes

On 21 federal quality measures, this facility does better than the Montana average on 13 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	11.1%	18.5%	13.5%	Better than state
Lose too much weight	7.6%	6.4%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	2.0%	0.7%	Better than state
With a urinary tract infection	0.0%	3.0%	1.5%	Better than state
Have depressive symptoms	3.9%	6.3%	13.5%	Better than state
Were physically restrained	0.0%	0.6%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	4.4%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.3%	96.7%	93.7%	Near state average
Ability to walk independently worsened	22.4%	16.1%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	14.4%	15.4%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	97.2%	94.0%	95.3%	Near state average
With pressure ulcers	14.6%	6.2%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	31.9%	22.1%	18.3%	Worse than state
Received an antipsychotic medication	14.7%	20.7%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.04	1.39	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.39	2.08	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	88.5%	84.1%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.2%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	93.8%	76.7%	80.1%	Better than state
Were rehospitalized after a nursing home admission	12.9%	20.2%	23.4%	Better than state
Had an outpatient emergency department visit	7.2%	13.1%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0261 2 inspections. Have properly spaced exits within rooms.
K-0371 2 inspections. Have properly sized and located compartments to protect residents from smoke.
K-0374 2 inspections. Install smoke barrier doors that can resist smoke for at least 20 minutes.
F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Verify & compare

Where to check, and what's nearby.

Who to contact in Montana

Licensing: Montana Department of Public Health and Human Services, Office of Inspector General, Certification Bureau
File a complaint: Online
Long-Term Care Ombudsman: 800-332-2272. A free advocate for residents and families.
Adult Protective Services: 844-277-9300. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Bitterroot Health - Daly Hospital, about 19 miles. CMS rating 4 of 5.
Community Medical Center, about 23 miles. CMS rating 3 of 5.
St. Patrick Hospital, about 25 miles. CMS rating 5 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Discovery Care Centre, Hamilton, about 19 miles. CMS rating 3 of 5.
Village Health & Rehabilitation, Missoula, about 23 miles. CMS rating 4 of 5.
Riverside Health & Rehabilitation, Missoula, about 25 miles. CMS rating 2 of 5.
Missoula Health and Rehabilitation Center, Missoula, about 27 miles. CMS rating 4 of 5.
Community Nursing Home of Anaconda, Anaconda, about 61 miles. CMS rating 3 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 23 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Federal NPI Registry (NPPES)

NPI 1396946018

Monthly federal file

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered