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Nursing homeFAID #7477

Village Health & Rehabilitation

2651 SOUTH AVE W, MISSOULA, MT, 59804
(406) 728-9162
193 licensed beds

CMS rates Village Health & Rehabilitation 4 out of 5 overall. Federal inspectors issued 40 citations across 10 inspections in the last three years, with $27,846 in fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of VILLAGE HEALTH & REHABILITATION
Photo via Google · The Village Health & Rehabilitation
What we can show you for free.
Bed capacity
193
CMS facility ID
275043
Care type
Nursing home
County
Missoula
Facility name
Village Health & Rehabilitation
Street address
2651 SOUTH AVE W
City / state / ZIP
Missoula, MT 59804
Phone
(406) 728-9162

Village Health & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Missoula, Montana. It is licensed for 193 beds — well above the median for skilled nursing facilities in Montana (75 beds).

It is one of 22 senior care facilities in Missoula 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 Village Health & Rehabilitation 40 times across 10 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $27,846 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.

What the public record shows.

Ownership & operator

Parent company
The Goodman Group
Ownership type
For profit - Corporation

Registered owners & officers

Benson, Randall
Direct owner · Officer — since 2016
Community Nursing, Inc
Direct owner — since 1986
Edinger, Craig
Officer — since 2016
John B. Goodman 2006 Irrv Grantor Tr
Direct owner — since 2017
Knacke, Clinton
Officer — since 2022
Olson, Denise
Officer — since 2013
Salmen, Thomas
Direct owner — since 2017
South Dakota Trust Company, Llc
Direct owner — since 2017
Strauss, Dee
Managing employee — since 2018
Weichert, James
Direct owner · Director — since 2016
Wilson, Mark
Direct owner — since 2017

Regulatory standing

Federal court records
6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1975-02-01
CMS overall rating
4 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
$27,846 total
Last standard inspection
2025-08-28
Nurse staffing
4.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$362 per day (≈ $11,000/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
52% Medicaid · 20% Medicare · 28% private/other
Occupancy
69% (fiscal year 2023)
Vs. state median
2% above the MT median of $355/day — full state cost breakdown

Services & coverage

Licensed beds
193
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2025-11-19Health 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 2025-12-09
2025-08-28Health inspectionComplaint-triggered6 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-23
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 2025-09-23
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-23
F-0726
D · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-09-23
F-0808
D · No harm foundFood safety
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-09-23
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-23
7 earlier / fire-safety inspections (33 citations)
2025-04-03Health inspectionComplaint-triggered1 citation
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-04-29
2024-11-21Health inspectionComplaint-triggered4 citations
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-12-19
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2024-12-19
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-19
F-0758
D · No harm foundFrom a complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-12-19
2024-08-01Health inspection9 citations
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-08-23
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 2024-08-23
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 2024-08-23
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-23
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-16
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-08-16
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-08-23
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-16
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-23
2023-07-20Health inspection4 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-17
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2023-08-17
F-0641
B · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-08-17
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-08-17
2025-08-28Fire-safety inspection7 citations
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-23
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-23
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-23
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-09-23
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-09-23
K-0912
D · No harm found
Have power receptacles that are properly grounded.
Corrected 2025-09-23
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-23
2024-08-01Fire-safety inspection2 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-16
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-16
2023-07-20Fire-safety inspection6 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 2023-08-17
K-0223
E · 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 2023-08-17
K-0271
D · No harm found
Have exits that are accessible at all times.
Corrected 2023-08-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-17
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-08-17
K-0754
D · No harm found
Provide properly sized and located linen or trash receptacles.
Corrected 2023-08-17

Federal penalties

2025-08-28Fine$11,190
2024-08-01Fine$16,656
Total fines$27,846
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 275043.
How it compares in Montana.
Inspection citations, 3 years
40
More than 42% of nursing homes in the state
State median: 41
Federal fines, 3 years
$27,846
More than 52% of nursing homes in the state
State median: $27,405
Nurse staffing, hours per resident per day
4.0
Higher than 57% of nursing homes in the state
State median: 3.8
Nursing staff turnover, annual
56%
Higher than 51% 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 12 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased10.6%18.5%13.5%Better than state
Lose too much weight8.0%6.4%5.1%Worse than state
With a catheter inserted and left in their bladder1.0%2.0%0.7%Better than state
With a urinary tract infection0.7%3.0%1.5%Better than state
Have depressive symptoms5.9%6.3%13.5%Near state average
Were physically restrained0.0%0.6%0.1%Better than state
Experiencing one or more falls with major injury2.2%4.4%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine99.1%96.7%93.7%Near state average
Ability to walk independently worsened7.0%16.1%12.7%Better than state
Received an antianxiety or hypnotic medication16.5%15.4%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine97.5%94.0%95.3%Near state average
With pressure ulcers5.9%6.2%4.5%Near state average
With new or worsened bowel or bladder incontinence9.0%22.1%18.3%Better than state
Received an antipsychotic medication19.1%20.7%15.4%Near state average
Hospitalizations per 1000 long-stay resident days1.711.391.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days1.462.081.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine98.7%84.1%82.3%Better than state
Newly received an antipsychotic medication0.5%1.2%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine96.8%76.7%80.1%Better than state
Were rehospitalized after a nursing home admission13.7%20.2%23.4%Better than state
Had an outpatient emergency department visit12.4%13.1%11.8%Near state average
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.

  • F-0609 3 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • K-0321 2 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.
  • K-0363 2 inspections. Install corridor and hallway doors that block smoke.

What its owners also hold

  • John B. Goodman 2006 Irrv Grantor Tr has an ownership stake on file at 6 nursing homes, averaging 3.5 of 5 on CMS's overall rating.
  • South Dakota Trust Company, Llc has an ownership stake on file at 4 nursing homes, averaging 3.8 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
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

  • Community Medical Center, about 0.9 miles. CMS rating 3 of 5.
  • St. Patrick Hospital, about 2.6 miles. CMS rating 5 of 5.
  • Bitterroot Health - Daly Hospital, about 42 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.040 ratings on Google
★★★★★Sally Dallagiacomo · 2026-02-11 · via Google

“Google The care my sister received at The Village Health & Rehabilitation was truly exemplary. From the very beginning, the staff showed genuine compassion, professionalism, and attention to detail. They treated my sister with dignity and respect, and it was clear they were deeply invested in her comfort, health, and overall well-being. Communication with our family was excellent, and we always fe…”

★★★★★Kathy Estes · 2026-04-02 · via Google

“The Executive Director of the Village is one that really cares for the residents and helps to keep them safe. The Director of Nursing brings quality to nurses. I am a resident here at the Village, The staff, Nurses, Med Techs,CNA’s are now my extended family. I highly recommend .”

★Chrystal Lynn · 2026-04-29 · via Google

“My mom was in here for rehabilitation after her back surgery. She now has sepsis and had asked multiple times for someone to look at it or get her a bandage to cover as the stitches were catching on the bedding and then never followed back up to give her the care she was asking for. Do not recommend.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
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 40 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
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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