nursing home in Hot Springs, MT
Hot Springs Health & Rehabilitation Center
600 1st Ave N, Hot Springs, MT 59845 · (406) 741-2992
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hot Springs Health & Rehabilitation Center at a glance
Hot Springs Health & Rehabilitation Center is a 40-bed for-profit nursing home in Hot Springs, Montana (Sanders County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Montana average of 2.9.
Residents receive about 2.7 hours of nursing care per day (0.9 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (February 10, 2026) found 3 health citations. The Montana average is 11.1.
Federal regulators fined it 1 time in the past three years, totaling $22,614.
Nursing staff turnover is 45.2% per year (state average 54.8%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 40
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Evergreen Healthcare Group
- Medicare-certified since
- September 1, 1977
- Resident/family council
- Both
- County
- Sanders County
- CMS Certification Number
- 275069
Ratings
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.70 hrs | 4.05 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.94 hrs | 0.98 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.58 hrs | 2.57 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.41 hrs | 3.59 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 45.2% | 54.8% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 42.9% | 48.3% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 41 | 104.7 | 80.6 | Better |
Penalties
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $22,614 | $55,610 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 40 | 85 | 107 | |
| Average residents per day | 31 | 57 | 86 | |
| Occupancy | 76.8% | 69.3% | 80.9% |
Long-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.9% | 4.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.5% | 6.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 7.1% | 20.4% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.6% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 22.6% | 18.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 20.3% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.5% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3% | 5.6% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.6% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9% | 15.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 21% | 24.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.8% | 93.6% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.1% | 96.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Montana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 61.8% | 81.2% | 82% | Worse |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 10, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected February 19, 2026 |
| February 10, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected February 19, 2026 |
| February 10, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 19, 2026 |
| February 10, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected February 19, 2026 |
| February 10, 2026 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected February 19, 2026 |
| February 10, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected February 13, 2026 |
| February 10, 2026 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected February 13, 2026 |
| February 10, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected February 13, 2026 |
| December 19, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 31, 2025 |
| December 19, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected January 31, 2025 |
| December 19, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected January 31, 2025 |
| December 19, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected January 31, 2025 |
| December 19, 2024 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 19, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 19, 2024 Fire safety | 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 19, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 19, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 19, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 31, 2025 |
| December 19, 2024 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected January 31, 2025 |
| December 19, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | F Potential harm, widespread | Corrected January 31, 2025 |
| December 19, 2024 Standard | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Tag F0837 | F Potential harm, widespread | Corrected January 31, 2025 |
| December 19, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected January 31, 2025 |
| December 19, 2024 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected January 31, 2025 |
| December 19, 2024 Standard | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | E Potential harm, pattern | Corrected January 31, 2025 |
| December 19, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 19, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 19, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 31, 2025 |
| December 19, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 31, 2025 |
| March 26, 2024 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected April 26, 2024 |
| December 7, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected January 22, 2024 |
| December 7, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected January 22, 2024 |
| December 7, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected January 11, 2024 |
| December 7, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected January 3, 2024 |
| December 7, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 29, 2023 |
| December 7, 2023 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected January 14, 2024 |
| December 7, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 7, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected January 16, 2024 |
| December 7, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 7, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected January 21, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $22,614 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 7, 2023 | Fine | $22,614 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MONTANA ASSOCIATES, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 08/31/2023 |
| CHEEKS, DONALD Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 07/28/2025 |
| COUVE HEALTHCARE CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 04/08/2025 |
| HARLOW, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| HOHN, JAMES Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| HOVET, HETHAR Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| MONTANA ASSOCIATES, LLC Organization | adp of the snf | NOT APPLICABLE | 06/17/2025 |
| PNW 12 OPCO MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 04/08/2025 |
| PNW 12 SNF CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 04/08/2025 |
| SPIELMAN, SHIMON Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLC Organization | direct ownership interest | NOT APPLICABLE | 08/31/2023 |
| CH PNW 12 HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| HERZKA, YISROEL Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| WITZCORP PNW 12 LLC Organization | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| CHEEKS, DONALD Individual | managing control - governing body | NOT APPLICABLE | 08/31/2023 |
| HOHN, JAMES Individual | managing control - governing body | NOT APPLICABLE | 08/31/2023 |
| CHEEKS, DONALD Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| HARLOW, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| HOVET, HETHAR Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| PNW 12 OPCO MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| PNW 12 SNF CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| SPIELMAN, SHIMON Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
Other nursing homes near Hot Springs Health & Rehabilitation Center
- ★★★★★4Above average
Polson Health & Rehabilitation Center
9 14th Ave W, Polson, MT 59860 · 24.7 mi
For-profit · 70 beds · Part of Evergreen Healthcare Group
★★★★★4Above average- ★★★★★5Much above average
Frequently asked questions
What is Hot Springs Health & Rehabilitation Center's rating?
Hot Springs Health & Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for Montana nursing homes is 2.9 stars.
How many inspection citations did Hot Springs Health & Rehabilitation Center receive?
Its most recent standard health inspection found 3 citations, compared with a Montana average of 11.1. Every citation is listed on this page with its severity.
Does Hot Springs Health & Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Hot Springs Health & Rehabilitation Center?
It is for profit - corporation and part of Evergreen Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Hot Springs Health & Rehabilitation Center and how do I contact it?
Hot Springs Health & Rehabilitation Center is at 600 1st Ave N, Hot Springs, MT 59845. Phone: (406) 741-2992.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.