Aspen Meadows Health and Rehabilitation Center
A nursing home in Billings, Montana 59102
3155 Ave C, Billings, Montana 59102. (406) 656-8818.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 14 health citations at the latest inspection cycle Montana average: 10.9
- 3.75 nurse hours per resident per day Montana average: 4.02
- 2 fines 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?
14 health citations at the latest inspection cycle
The Montana average is 10.9.
Last standard inspection Mar 26, 2026.
Most serious in three years: actual harm (G), at a standard and complaint inspection on Mar 26, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
38 citations in 7 months of the last 36. Last cited Aug 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 38 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. 20 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 13, 2026: complaint inspection2 citations
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide safe, appropriate pain management for a resident who requires such services.
Mar 26, 2026: standard inspection8 citations
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Ensure that residents are free from significant medication errors.
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Ensure each resident receives an accurate assessment.
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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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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Mar 26, 2026: standard and complaint inspection8 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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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Honor the resident’s right to receive visitors of his or her choosing, at the time of his or her choosing.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Sep 10, 2025: complaint inspection2 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Apr 10, 2025: standard inspection7 citations
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Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Provide and implement an infection prevention and control program.
Jan 16, 2025: complaint inspection5 citations
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
Oct 21, 2024: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 11, 2024: standard inspection3 citations
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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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.
Apr 11, 2024: standard and complaint inspection2 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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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 Oct 27, 1992.
- 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.
- 90 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $91,549 in all.
- No Medicare payment denials in the last three years.
- 20 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Mar 26, 2026 | Fine | $43,891 |
| Oct 21, 2024 | Fine | $47,658 |
Who does the caring?
3.75 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 | 3.75 | 4.02 |
| Of which registered nurses | 0.53 | 0.92 |
| At weekends | 3.33 | 3.53 |
| Nursing staff turnover | 73.8% | 54.6% |
| Registered nurse turnover | 70% | 48.9% |
| Administrators who left | 0 | Not given |
Who owns it?
- Aspen Meadows SNF Operations, LLC owns 100% directly since Aug 31, 2023; Aspen Meadows SNF Operations, LLC owns 100% directly since Aug 31, 2023; Pacific Northwest SNF Operations Holdings (Mt) LLC owns 100% directly since Aug 31, 2023; Pacific Northwest SNF Operations Holdings (Mt) LLC owns 100% directly since Aug 31, 2023.
- Couve Healthcare Consulting LLC and Couve Financial Services LLC and Pacific Northwest Opco Management LLC and Aspen Meadows SNF Operations, LLC and Montana SNF Consulting LLC run it.
- 25 owners or officers are people: Yitzchok Yenowitz (runs it (operational or managerial control), 100%); Yisroel E Herzka (owns 5% or more through other companies, 66.5%); Yisroel E Herzka (owns a share through other companies, 66.5%); Yitzchok Yenowitz (owns 5% or more through other companies, 25%); 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%); Leonor Lowe (runs it (operational or managerial control)); Leonor Lowe (on the governing body (managing control)); Leonor Lowe (additional disclosable party (controls, leases property to, or provides services to the home)); Larry A Severa (runs it (operational or managerial control)); Larry A Severa (additional disclosable party (controls, leases property to, or provides services to the home)); Teresa Naumann (runs it (operational or managerial control)); Teresa Naumann (additional disclosable party (controls, leases property to, or provides services to the home)); Rebecca Johnson (runs it (operational or managerial control)); Rebecca Johnson (on the governing body (managing control)); Rebecca Johnson (additional disclosable party (controls, leases property to, or provides services to the home)); Sheldon L Jensen (runs it (operational or managerial control)); Sheldon L Jensen (additional disclosable party (controls, leases property to, or provides services to the home)); Yitzchok Yenowitz (corporate officer); Yitzchok Yenowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Yisroel E Herzka (additional disclosable party (controls, leases property to, or provides services to the home)); Shimon Spielman (corporate officer); Shimon Spielman (runs it (operational or managerial control)); Shimon Spielman (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Evergreen Healthcare Group (43 homes in CMS’s data).
- A private-equity firm is among the owners CMS lists.
- No real-estate investment trust 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 |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings LLC | Owns 5% or more through other companies | 100% | Aug 31, 2023 |
| Pacific Northwest SNF Operations Holdings LLC | Owns a share through other companies | 100% | Aug 31, 2023 |
| Aspen Meadows SNF Operations, LLC | Owns 5% or more directly | 100% | Aug 31, 2023 |
| Aspen Meadows SNF Operations, LLC | Owns a share directly | 100% | Aug 31, 2023 |
| Pacific Northwest SNF Operations Holdings (Mt) LLC | Owns 5% or more directly | 100% | Aug 31, 2023 |
| Pacific Northwest SNF Operations Holdings (Mt) LLC | Owns a share directly | 100% | Aug 31, 2023 |
| Witzcorp Global LLC | Owns a share through other companies | 66.5% | Aug 31, 2023 |
| Ch Pacific Northwest Holdings LLC | Owns 5% or more through other companies | 66.5% | Aug 31, 2023 |
| Ch Pacific Northwest Holdings LLC | Owns a share through other companies | 66.5% | Aug 31, 2023 |
| Witzcorp Global LLC | Owns 5% or more 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 | 1% | Aug 31, 2023 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 20, 2025 | |
| Witzcorp Global LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | 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) | Mar 20, 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) | Mar 20, 2025 | |
| Pacific Northwest Opco Management LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Pacific Northwest Opco Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 20, 2025 | |
| Aspen Meadows SNF Operations, LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Aspen Meadows SNF Operations, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 20, 2025 | |
| Montana SNF Consulting LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Montana SNF Consulting LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 20, 2025 | |
| Ch Pacific Northwest Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 31, 2023 |
How do residents fare?
- CMS rates its quality measures 1 of 5 (Montana average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 1 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 90.1 miles, this one had the 6th most health citations at the latest inspection cycle (14; the middle value was 14).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Aspen Meadows Health and Rehabilitation Center This nursing home | 14 | |
| Skyline Heights Nursing and Rehabilitation | 0.5 | 16 |
| Yellowstone River Nursing and Rehabilitation | 1.5 | 19 |
| St John’s Lutheran Home | 1.7 | 11 |
| Billings Rehabilitation and Nursing LLC | 4.4 | 20 |
| River Ridge Rehabilitation and Nursing LLC | 7.1 | 14 |
| Laurel Health & Rehabilitation Center | 11.5 | 31 |
| Beartooth Rehabilitation and Nursing LLC | 33.9 | 25 |
| Awe Kualawaache Care Center | 56.7 | 5 |
| New Horizons Care Center | 67.0 | 6 |
| Powell Valley Care Center | 71.6 | 2 |
| Cody Regional Health Long Term Care Center | 90.1 | 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
-
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).
-
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).
-
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).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
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.