Hearth Record

Livingston Healthcare Home Health and Hospice

A home health agency in Livingston, Montana 59047

320 Alpenglow Lane, Livingston, Montana 59047. (406) 823-6430.

CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 21, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Aug 2024. Most serious: Element-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

The last inspection on record was on Aug 14, 2024: a recertification inspection.

1 deficiency cited in the last three years.

Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Aug 2024. Most serious: Element-level. The last 3 years, to Oct 24, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Aug 14, 2024: recertification inspection1 deficiency

  • Verbal Orders

    The inspectors’ words, 611 words

    “Verbal orders CFR(s): 484.60(b)(3)(4) (3) Verbal orders must be accepted only by personnel authorized to do so by applicable state laws and regulations and by the HHA’s internal policies. (4) When services are provided on the basis of a physician or allowed practitioner’s verbal orders, a nurse acting in accordance with state licensure requirements, or other qualified practitioner responsible for furnishing or supervising the ordered services, in accordance with state law and the HHA’s policies, must document the orders in the patient’s clinical record, and sign, date, and time the orders. Verbal orders must be authenticated and dated by the physician or allowed pracitioner in accordance with applicable state laws and regulations, as well as the HHA’s internal policies. This Element is not met as evidenced by: Based on interview and record review, the agency failed to follow their established policies and procedures and ensure all verbal orders were authenticated and dated by the physician or allowed practitioner for 7 (#s 1, 2, 3, 4, 7, 8 and 9) of 9 sampled patients. Findings include: Review of patient #1’s plan of care, with a start of care date of 10/29/23, showed the order was signed by the provider on 11/7/23. The verbal order failed to be authenticated within the agency’s established timeframe. Review of patient #2’s plan of care, with a start of care date of 12/12/23, showed the order was signed by the provider on 1/5/24. The verbal order failed to be authenticated within the agency’s established timeframe. Review of patient #3’s plan of care, with a start of care date of 7/25/24, showed the order was signed by the provider on 8/5/24. The verbal order failed to be authenticated within the agency’s established timeframe. Review of patient #9’s plan of care, with a start of care date of 7/25/24, showed order failed to was not signed by the provider. The verbal order failed to be authenticated within the agency’s established timeframe. During an interview on 8/14/24 at 1:07 p.m., staff member H stated the plan of care was considered a verbal order. Staff member H stated after the plan of care is developed, it was then sent out to the provider for signature. Review of the agency’s procedure titled, Home Health Program Guidelines, effective date 9/1/23, showed: - …”Written Orders: - … Verbal orders may be taken by Registered Nurses, LPN’s and Therapists according to their scope of practice. All verbal orders must be followed by written orders within 5 days. …” Review of patient #4’s plan of care, with a start of care date of 1/21/24, showed the order was signed by the physician on 2/5/24. The verbal order failed to be authenticated within the agency’s established timeframe. Review of patient #7’s plan of care, with a start of care date of 7/26/24, showed the attending physician signed the verbal order on 8/14/24. The verbal order failed to be authenticated within the agency’s established timeframe. Review of patient #7’s verbal physician order, dated 7/31/24, showed the order was signed by the physician on 8/8/24. The verbal order failed to be authenticated within the agency’s established timeframe. Review of patient #8’s plan of care, with a start of care date of 9/25/23, showed the order was signed by the physician on 10/24/23. The verbal order failed to be authenticated within the agency’s established timeframe. During an interview on 8/14/24 at 8:23 a.m., staff member H stated verbal orders need to be signed within 5 days, per the agency’s policies and procedures. During an interview on 8/14/24 at 1:12 p.m., staff member H stated a patient’s initial plan of care was considered verbal orders for care, including medications and treatment.”

    Rule G0584. Element-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Aug 14, 2024Recertification inspection1 deficiency cited

Is it certified?

  • Medicare-certified home health agency since Apr 14, 1989.
  • Ownership: non-profit.
  • No deficiency on record in the last three years.
Source:

CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Has anything been proven against it?

  • CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
  • 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Who does the caring?

  • Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
  • CMS doesn’t publish staffing levels for home health agencies.
Source:

CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

Who owns it?

  • 11 owners or officers are people: Bruce E Whitfield (corporate officer); Bruce E Whitfield (managing employee (on the payroll)); Courtney Konop (corporate director); Steven W Caldwell (corporate officer); Jennifer Carmody (corporate director); William Lee Kinsey (corporate officer); Michael Atkinson (corporate director); Elizabeth Lewis (corporate director); Henry Pinango (corporate director); Justin K Roberts (corporate director); Molly Ballard (corporate director).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.

How do patients fare?

  • CMS rates its quality of patient care 2.5 of 5.
  • CMS gives no : “Fewer than 70 patients completed the survey.”
  • CMS compares it with the national rate: discharged to the community, better; potentially preventable hospital stays, the same; potentially preventable readmissions after discharge, the same.
Source:

CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Quality of patient care ratingCMS star rating, 1 to 5 in half stars2.5 of 5
Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5Not rated
Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate91.15% (better than the national rate)
Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate7.17% (same as the national rate)
Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate3.63% (same as the national rate)

How does it compare nearby?

  • Of the 3 agencies CMS’s data show serving patients in ZIP code 59047, where this agency’s office is, 3 have a quality of patient care rating; the middle one is 3 of 5, and this one is rated 2.5 of 5.
Source:

CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

The 3 agencies CMS lists serving ZIP code 59047
PlaceQuality rating
Livingston Healthcare Home Health and Hospice This home health agency2.5
Enhabit Home Health3
Eden Home Health3

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
  • Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Oct 24, 2026.

From the agency

The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the agency will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the agency”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

Sign in

A free account keeps your watch list, shortlists, comparisons and saved searches on every device, and can email you when something you watch changes. Browsing never needs one.