Hot Springs Health & Rehabilitation Center

Name: Hot Springs Health & Rehabilitation Center
Address: 600 1ST AVE N, Hot Springs, MT, 59845, US
Telephone: 4067412992

600 1st Ave N, Hot Springs, MT 59845 · Sanders County · 40 certified beds · avg 31 residents/day · certified since Sep 1, 1977

Part of chain: EVERGREEN HEALTHCARE GROUP (44 facilities, chain avg rating 2.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

$22,614

Fines, last 3 years

3.66

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Dec 7, 2023 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 11, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Dec 7, 2023 · F-0760

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 3, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 10, 2026	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 10, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 10, 2026	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Dec 19, 2024	F · Potential for harm, facility-wide	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Dec 19, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 19, 2024	F · Potential for harm, facility-wide	The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.
Dec 19, 2024	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Dec 19, 2024	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Dec 19, 2024	E · Potential for harm, repeated	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Dec 19, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 26, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Dec 7, 2023	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 7, 2023	▲ G · Actual harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Dec 7, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 7, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Dec 7, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Dec 7, 2023	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 7, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 7, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	2	G ▲
2024	12	0	F
2026	3	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $22,614.

Date	Type	Amount / length
Dec 7, 2023	Fine	$22,614

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Montana avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.66	4.82	3.95	bottom 21% in Montana; bottom 44% in the U.S.
Registered Nurse hours	1.27	1.17	0.69	top 33% in Montana; top 8% in the U.S.
Weekend total nurse staffing	3.26	4.26	3.50	bottom 29% in Montana; bottom 45% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.70	0.71	0.48	top 40% in Montana; top 16% in the U.S.
Total nursing staff turnover (%)	45.2	54.8	45.8	top 25% in Montana; bottom 49% in the U.S.
RN turnover (%)	42.9	48.3	42.9	top 39% in Montana; bottom 49% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.70, RN 0.94, weekend 2.41. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
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
Pacific Northwest 12 Leased Operations Holdings LLC	Organization	Direct 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
Cheeks, Donald	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Cheeks, Donald	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Couve Financial Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Couve Financial Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/28/2025
Couve Healthcare Consulting LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Couve Healthcare Consulting LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/08/2025
Harlow, William	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Harlow, William	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Hohn, James	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/31/2023
Hohn, James	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Hovet, Hethar	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Hovet, Hethar	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Montana Associates, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	08/31/2023
Montana Associates, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/17/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who owns and governs this facility, and how long has the current administrator been here?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Clark Fork Valley Nursing Home	13.8 mi	Plains, MT	★★★★☆	4/5

Compare this facility with the 1 closest →

All facilities in Hot Springs →

Facility data as of CMS processing date 2026-08-01. CCN 275069.

The Care File

Visit checklist — Hot Springs Health & Rehabilitation Center

600 1st Ave N, Hot Springs, MT 59845 · 4067412992

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $22,614

Most serious findings on record:

▲ Dec 7, 2023 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Dec 7, 2023 (F-0760, Actual harm, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who owns and governs this facility, and how long has the current administrator been here?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 275069 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)