Hot Springs Health & Rehabilitation Center
A nursing home in Hot Springs, Montana 59845
600 1st Ave N, Hot Springs, Montana 59845. (406) 741-2992.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 3 health citations at the latest inspection cycle Montana average: 10.9
- 2.57 nurse hours per resident per day Montana average: 4.02
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
3 health citations at the latest inspection cycle
The Montana average is 10.9.
Last standard inspection Feb 10, 2026.
Most serious in three years: actual harm (G), at a standard inspection on Dec 7, 2023
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
23 citations in 4 months of the last 36. Last cited Feb 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 23 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 3 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Feb 10, 2026: standard inspection3 citations
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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.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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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.
Dec 19, 2024: standard inspection11 citations
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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.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure the resident’s doctor reviews the resident’s care, writes, signs and dates progress notes and orders, at each required visit.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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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.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Mar 26, 2024: complaint inspection1 citation
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Keep residents’ personal and medical records private and confidential.
Dec 7, 2023: standard inspection6 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that residents are free from significant medication errors.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide activities to meet all resident’s needs.
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Provide and implement an infection prevention and control program.
Dec 7, 2023: standard and complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Sep 1, 1977.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 40 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $22,614 in all.
- No Medicare payment denials in the last three years.
- 3 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Dec 7, 2023 | Fine | $22,614 |
Who does the caring?
2.57 nurse hours per resident per day
The Montana average is 4.02.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Montana average |
|---|---|---|
| Nurse hours per resident per day | 2.57 | 4.02 |
| Of which registered nurses | 0.91 | 0.92 |
| At weekends | 2.18 | 3.53 |
| Nursing staff turnover | 56.7% | 54.6% |
| Registered nurse turnover | 50% | 48.9% |
| Administrators who left | 1 | Not given |
Who owns it?
- Pacific Northwest 12 Leased Operations Holdings LLC owns 100% directly since Aug 31, 2023.
- Couve Healthcare Consulting LLC and Pnw 12 Opco Management LLC and Couve Financial Services LLC and Pnw 12 SNF Consulting LLC run it.
- 18 owners or officers are people: Yisroel E Herzka (owns a share through other companies, 66.5%); Yitzchok Yenowitz (owns a share through other companies, 25%); A person CMS lists without a name (owns a share through other companies, 3%); A person CMS lists without a name (owns a share through other companies, 1%); Hethar Hovet (runs it (operational or managerial control)); Hethar Hovet (additional disclosable party (controls, leases property to, or provides services to the home)); William Harlow (runs it (operational or managerial control)); William Harlow (additional disclosable party (controls, leases property to, or provides services to the home)); James Hohn (on the governing body (managing control)); James Hohn (additional disclosable party (controls, leases property to, or provides services to the home)); Yitzchok Yenowitz (runs it (operational or managerial control)); Yitzchok Yenowitz (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Shimon Spielman (runs it (operational or managerial control)); Shimon Spielman (additional disclosable party (controls, leases property to, or provides services to the home)); Donald Randolph Cheeks (runs it (operational or managerial control)); Donald Randolph Cheeks (on the governing body (managing control)); Donald Randolph Cheeks (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Evergreen Healthcare Group (43 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Montana Associates, LLC | Holds 5% or more security interest | 100% | Aug 31, 2023 |
| Pacific Northwest 12 Leased Operations Holdings LLC | Owns a share directly | 100% | Aug 31, 2023 |
| Ch Pnw 12 Holdings LLC | Owns a share through other companies | 66.5% | Aug 31, 2023 |
| Witzcorp Pnw 12 LLC | Owns a share through other companies | 25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 3% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 2.25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 2.25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 2.25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 2.25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 1% | Aug 31, 2023 |
| Couve Healthcare Consulting LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Couve Healthcare Consulting LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 8, 2025 | |
| Pnw 12 Opco Management LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Pnw 12 Opco Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 8, 2025 | |
| Montana Associates, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 17, 2025 | |
| Couve Financial Services LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Couve Financial Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 28, 2025 | |
| Pnw 12 SNF Consulting LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Pnw 12 SNF Consulting LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 8, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Montana average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 4 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 60.2 miles, this one had the 6th most health citations at the latest inspection cycle (3; the middle value was 3).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Hot Springs Health & Rehabilitation Center This nursing home | 3 | |
| Clark Fork Valley Nursing Home | 13.8 | 2 |
| Polson Health & Rehabilitation Center | 24.7 | 3 |
| St Luke Community Nursing Home | 25.6 | 1 |
| Lakeview Rehabilitation and Nursing LLC | 42.1 | Not given |
| Immanuel Skilled Care Center | 44.7 | 5 |
| Brendan House | 44.8 | 7 |
| Kalispell Rehabilitation and Nursing LLC | 45.0 | 30 |
| Montana Veterans Home N H | 56.9 | 2 |
| Whitefish Care and Rehabilitation | 57.3 | 32 |
| Missoula Health & Rehabilitation Center | 59.7 | 6 |
| Silverton Health and Rehabilitation of Cascadia | 60.2 | 3 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.