Hearth Record

Livingston Hospice Care

A hospice in Livingston, Montana 59047

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

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Oct 2025. Most serious: Standard-level. Every month

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

What these words mean2
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?

1 deficiency cited in the last three years

The middle of the 5 hospices serving ZIP code 59047 had 1.

The last inspection on record was on Oct 23, 2025: a recertification inspection by the state.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Oct 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 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 hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Oct 23, 2025: recertification inspection by the state1 deficiency

  • Review of the plan of care (42 CFR 418.56(d))

    The inspectors’ words, 520 words

    “Based on interview and record review, the agency failed to revise and document the individualized plan of care updates, when new medication orders were received for 4 (#s 5, 6, 11, and 13) of 14 sampled patients. Findings include: 1. Patient #5Review of patient #5’s Hospice Medication Profile, as of 10/22/25, showed the addition of the following order:- acetaminophen 500 mg, 2 tablets to be taken three times a day, start date of 10/1/25, and- melatonin 5 mg, 1 tablet to be taken every night at bedtime, start date of 10/1/25.Review of patient #5’s plan of care, as of 10/21/25, showed an acetaminophen order for 500 mg, 2 tablets every six hours as needed for pain. Patient #5’s plan of care did not reflect the current medication orders.2. Patient #6Review of patient #6’s Hospice Medication Profile, as of 10/22/25, showed the addition of the following order:- acetaminophen 500 mg tablet, one tablet to be administered three times a day, start date of 10/17/25.Review of patient #6’s plan of care, as of 10/21/25, did not show the new order for acetaminophen, which began on 10/17/25.3. Patient #11Review of patient #11’s Hospice Medication Profile, as of 10/22/25, showed the following order:- fentanyl 75 mcg/hr transdermal patch, change patch in 2-3 days, start date of 10/15/25, and discontinued date of 10/20/25.Review of patient #11’s plan of care, date 10/17/25 included the new order of fentanyl 75 mcg from 10/15/25, but the plan of care was not updated on 10/20/25 with the discontinuation of fentanyl 75 mcg. Patient #11’s plan of care was not reviewed/revised with new medication orders until the interdisciplinary team meeting on 10/22/25.4. Patient #13Review of patient #13’s Hospice Medication Profile, on 10/22/25 at 11:06 a.m., showed the following medication order changes after the 9/17/25 admission:- quetiapine fumarate 50 mg tablet at bedtime, start date of 9/17/25, discontinued date of 10/16/25,- fluconazole 100 mg tablet, two tablets administered on 10/10/25, one time order discontinued on 10/10/25,- fluconazole 100 mg tablet, once daily, start date of 10/11/25, order to be discontinued on 10/24/25, and- quetiapine fumarate 100 mg tablet at bedtime, start date of 10/16/25.Review of patient #13’s plan of care, last revised on 10/14/25, did not show the two new orders for fluconazole, which began on 10/10/25 and 10/11/25.No updated plan of care was completed to include the discontinuation of quetiapine fumarate 50 mg on 10/16/25 and the addition of quetiapine fumarate 100 mg on 10/16/25, as of 10/22/25 at 7:30 a.m.During an interview on 10/22/25 at 8:35 a.m., staff member D stated when a medication order was changed, the nurse assigned to the patient was to notify the quality nurse so updates/changes could be made in the plan of care timely. Staff member D stated the plan of care should be changed each time there were changes to medication(s).During an interview on 10/23/25 at 8:00 a.m., staff member A stated when a nurse processed medication order changes, the system changes the orders in the medication profile listing only. The nurse completing the medication changes must communicate the information to the office personnel for the plan of care to be updated.”

    Rule L0552. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Oct 23, 2025Recertification inspection by the state1 deficiency cited

Is it certified?

  • Medicare-certified hospice since Feb 28, 1990.
  • Ownership: other.
  • No deficiency or on record in the last three years.
Source:

CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Has anything been proven against it?

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

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Who does the caring?

  • From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 17.8 nurse care minutes per routine home care day, 11.8% of skilled nursing minutes at weekends and a visit near death for 92.7% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 92% at home, 3% in assisted living, 6% in a nursing facility.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day17.8 min
Skilled nursing minutes at weekends11.8%
Visits near death92.7% of patients who died

Who owns it?

  • 11 owners or officers are people: Bruce E Whitfield (corporate officer); Courtney Konop (corporate director); Steven W Caldwell (corporate officer); Jennifer Carmody (corporate director); Matthew Groenig (managing employee (on the payroll)); William Lee Kinsey (corporate director); 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, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 86.96% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 77.1% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not rated
Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold9 of 10

How does it compare nearby?

  • Of the 5 hospices CMS’s data show serving patients in ZIP code 59047, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1; this one had 1.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

The 5 hospices CMS lists serving ZIP code 59047
PlaceDeficiencies, 3 years
Livingston Hospice Care This hospice1
Enhabit Hospice of Bozeman1
Compassus Hospice Helena2
Stillwater of Hospice1
Eden Hospice5

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospices, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
  • Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.

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 27, 2026.

From the hospice

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

Replies

None. Replies aren’t open yet. When they open, the hospice 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 hospice”, 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 8, 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

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

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