What is The Living Centre's Medicare star rating?

CMS rates The Living Centre 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did The Living Centre get at its last inspection?

2 health deficiencies at the standard inspection on February 26, 2026. The Montana average is 11.2.

Does The Living Centre accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns The Living Centre?

CMS lists 18 owners and managers. Legal business name: LIVING CENTRE LIMITED.

The Living Centre: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on February 26, 2026, inspectors cited 2 health deficiencies (the Montana average is 11.2, the national average 9.2).

Of 10 health citations since December 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $37,525 in the last three years; the largest was $24,876, and the latest is dated June 3, 2024.

Nurses and nurse aides worked 5.49 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 1.04 of those hours.

48.2% of nursing staff left within the year CMS measured (Montana average 54.8%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

212/23

101/24

206/24

101/25

201/25

202/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 26, 2026Standard inspection · 2 citations

D

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

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to update a comprehensive care plan with a resident's preferences for tobacco use for 1 (#35) of 21 sampled residents.
D

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

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026

Inspectors wroteBased on observation, interviews, and record review, the facility failed to obtain a physician's order for oxygen for 1 (#15); and failed to ensure the residents' oxygen tubing was clean and changed regularly for 2 (#s 14 and 15) of 21 sampled residents.

January 30, 2025Standard inspection · 2 citations

D

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

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025

Inspectors wroteBased on interview and record review, the facility failed to include a resident's intermittent catheterization on a resident's care plan, for 1 (#2); and failed to create and implement a comprehensive person-centered care plan related to trauma informed care, and the resident became upset related to events which occurred when the resident was in a past war, for 1 (#29) of 18 sampled residents.
D

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

F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025

Inspectors wroteBased on interview and record review, the facility failed to provide trauma informed care for a resident with PTSD, and the resident voiced having nightmares, and was identified as having hallucinations related to his time in Vietnam; and the facility did not identify concerns related to the PTSD and ensure a care plan was in place for staff to be able to meet his needs sufficiently (refer to F656 Comprehensive Care Plan), for 1 (#29) of 1 sampled resident for trauma informed care.

January 8, 2025Complaint inspection · 1 citation

D

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

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 7, 2025

Inspectors wroteBased on interview and record review, the facility failed to report an alleged incident of verbal abuse to the State Survey Agency timely, as required, for 1 (#1) of 5 sampled residents.

June 3, 2024Complaint inspection · 2 citations

G

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

F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2024

Inspectors wroteBased on interview and record review, the facility failed to protect one (#1) of 1 sampled resident from verbal and physical abuse by a caregiver. This deficiency caused the resident to cry out in pain and had the potential to affect the resident's mental health.
D

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

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2024

Inspectors wroteBased on interview and record review the facility failed to report suspected abuse to the State Survey Agency, for one (#1) of one sampled resident.

January 31, 2024Standard inspection · 1 citation

B

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

F640 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) February 14, 2024

Inspectors wroteBased on interview and record review, the facility failed to submit Death in Facility MDS assessments for 2 (#s 17 and 33) and Discharge MDS assessments for 2 (#s 12 and 28) of 24 sampled residents.

December 7, 2023Complaint inspection · 2 citations

J

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

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 11, 2023

Inspectors wroteBased on interview and record review, the facility licensed nursing staff failed to thoroughly assess one resident to ensure appropriate transfer services and necessary medical assessments were completed and thoroughly documented after a resident's fall, and the resident sustained fractures, a broken tooth, and a head injury during the fall for 1 (#9). Nursing staff then directed CNA staff to transfer the resident from the floor using a mechanical lift, to her bed. This increased the risk for injury. Upon transfer to the ER, it was found the resident had significant injuries, to include fractures of her C-1 and C-2, a broken tooth, and a head laceration and was admitted to the Intensive Care Unit. The resident expired six days later at the faclity, and her care plan was not updated for fall prevention after returning; [...]
E

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

F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 11, 2023

Inspectors wroteBased on interview and record review, it was identified the facility failed to ensure individualized fall care plans were updated, to reflect the identification and implementation of beneficial fall interventions, for residents with falls, for 2 (#s 4 and 9) of 5 sampled residents, and #4 had recurrent falls so the opportunity was missed several times for the care plan modifications, and #9 returned to the facility on comfort care with fractures, and with the various medical changes, the care plan was not modified to address them adequately.

Fire safety inspections

13 fire safety citations on file: 3 on February 26, 2026, 4 on January 30, 2025, 6 on January 31, 2024.

Every fire safety citation13 citations

F
Have simulated fire drills held at unexpected times.

K 712 · February 26, 2026 · Corrected (the home has a date of correction)
D
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.

K 222 · February 26, 2026 · Corrected (the home has a date of correction)
D
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · February 26, 2026 · Corrected (the home has a date of correction)
F
Create arrangements with other facilities to receive patients.

E 25 · January 30, 2025 · Corrected (the home has a date of correction)
F
Have properly spaced exits within rooms.

K 261 · January 30, 2025 · Corrected (the home has a date of correction)
F
Have properly sized and located compartments to protect residents from smoke.

K 371 · January 30, 2025 · Corrected (the home has a date of correction)
F
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · January 30, 2025 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · January 31, 2024 · Corrected (the home has a date of correction)
E
Have properly sized and located compartments to protect residents from smoke.

K 371 · January 31, 2024 · Corrected (the home has a date of correction)
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · January 31, 2024 · Corrected (the home has a date of correction)
D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K 223 · January 31, 2024 · Corrected (the home has a date of correction)
D
Have properly spaced exits within rooms.

K 261 · January 31, 2024 · Corrected (the home has a date of correction)
D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

K 342 · January 31, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
June 3, 2024	Fine	$24,876
December 7, 2023	Fine	$12,649

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Montana	United States
All nursing staff (RN, LPN and aides)	5.49	4.05	3.86
Registered nurses	1.04	0.98	0.69
All nursing staff on weekends	5.08	3.59	3.42
Nurse aides	3.86
Licensed practical nurses	0.59
Nursing staff turnover (share who left in a year)	48.2%	54.8%	45.8%
Registered nurse turnover	28.6%	48.3%	42.9%
Administrators who left	0

CMS expects 3.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.65 on weekdays and 5.08 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.59 in April to June 2025 to 5.49 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	5.49	1.04	5.65	5.08	16.8%	0 of 90	37
Oct to Dec 2025	5.11	1.05	5.22	4.83	17.1%	0 of 92	37
Jul to Sep 2025	4.88	1.03	5.15	4.19	22.6%	0 of 92	37
Apr to Jun 2025	4.59	0.76	4.81	4.04	15.7%	1 of 91	38
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Montana, Jan to Mar 2026	3.91	0.89	4.10	3.46	11.6%	0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Montana

Job	Median	Middle half	Employed
Montana, all employers
CNAs (nursing assistants)	$19.67	$18.29 to $22.86	4,390
LPNs and LVNs	$29.91	$27.95 to $32.14	1,620
Registered nurses	$41.00	$38.56 to $48.46	10,950
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Montana	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	11.5	18.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	2.1	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	2.9	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.0	4.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	19.8	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	13.6	6.3	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	15.5	20.4	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	11.6	19.2	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	13.3	14.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.9	1.4	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.1	2.2	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Living Centre's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

44.7% this home

No different from the national rate

US median of homes 51.5% · Montana: 7 better, 2 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 37 eligible stays.

Potentially preventable readmissions

9.8% this home

No different from the national rate

US median of homes 10.7% · Montana: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 38 eligible stays.

Infections that led to a hospital stay

6.7% this home

No different from the national rate

US median of homes 7.1% · Montana: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 31 eligible stays.

Self-care and mobility at discharge

62.1% this home

Median of homes: Montana58.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 29 residents counted.

Falls with major injury

0.0% this home

Median of homes: Montana0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 35 residents counted.

New or worsened pressure ulcers

3.5% this home

Median of homes: Montana2.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 35 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Montana97.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 18 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LIVING CENTRE LIMITED.

Name	Role	Type	Share	Since
Living Centre Limited	5% or greater direct ownership interest	Organization	100%	09/01/2013
Watkins, Jordan	5% or greater indirect ownership interest	Individual		01/01/2024
Watkins, Kyle	5% or greater indirect ownership interest	Individual		01/01/2024
Watkins, William	5% or greater indirect ownership interest	Individual		01/01/2024
Becker, Leanne	Corporate officer	Individual		01/01/2022
Watkins, Jordan	Corporate officer	Individual		01/01/2024
Watkins, Kyle	Corporate officer	Individual		01/01/2024
Watkins, William	Corporate officer	Individual		01/01/2024
Living Centre Limited	Operational/managerial control	Organization		09/01/2013
Becker, Leanne	Operational/managerial control	Individual		02/01/2019
Kirkland, Brenda	Operational/managerial control	Individual		02/08/2024
Watkins, Jordan	Operational/managerial control	Individual		01/01/2024
Watkins, William	Operational/managerial control	Individual		09/01/2013
Living Centre Limited	Adp of the SNF	Organization		09/01/2013
Becker, Leanne	Adp of the SNF	Individual		02/01/2019
Kirkland, Brenda	Adp of the SNF	Individual		02/08/2024
Watkins, Jordan	Adp of the SNF	Individual		01/01/2024
Watkins, William	Adp of the SNF	Individual		09/01/2013

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 26, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on January 8, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."

Other nursing homes nearby

The Valley Health and Rehab
Hamilton, 18.8 mi · 2 of 5 stars · 28 citations
Village Health & Rehabilitation
Missoula, 23.3 mi · 3 of 5 stars · 25 citations
Riverside Health & Rehabilitation
Missoula, 24.9 mi · 3 of 5 stars · 32 citations

Montana contacts for a concern about a nursing home

These are the official offices in Montana. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Montana DPHHS, Office of Inspector General, Certification Bureau, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Montana Long-Term Care Ombudsman Program, Senior and Long Term Care Division, (800) 332-2272. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Certification Bureau Survey Results and Plans of Correction, where Montana publishes its own records on licensed homes.

Common questions

What is The Living Centre's Medicare star rating?: CMS rates The Living Centre 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Living Centre get at its last inspection?: 2 health deficiencies at the standard inspection on February 26, 2026. The Montana average is 11.2.
Has The Living Centre been fined?: Yes. CMS lists 2 fines totaling $37,525 in the last three years.
Does The Living Centre accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The Living Centre?: CMS lists 18 owners and managers. Legal business name: LIVING CENTRE LIMITED.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.