Immanuel Skilled Care Center
185 Crestline Ave, Kalispell, MT 59901 · Flathead County · 155 certified beds · avg 106 residents/day · certified since Sep 1, 1989
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
5.00
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: 5/5
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.
All citations in the current public record (21)
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 |
|---|---|---|
| Dec 31, 2025 | 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 31, 2025 | 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 31, 2025 | 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 31, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Dec 31, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Aug 20, 2025 | E · Potential for harm, repeated | 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 |
| Aug 20, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Oct 24, 2024 | F · Potential for harm, facility-wide | 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. |
| Oct 24, 2024 | 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. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 24, 2024 | D · Potential for 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. |
| Oct 24, 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. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Oct 24, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Mar 5, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 5, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Mar 5, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 14 | 0 | F |
| 2025 | 7 | 0 | F |
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)
No fines or payment denials in the published 3-year window.
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) | 5.00 | 4.82 | 3.95 | top 36% in Montana; top 13% in the U.S. |
| Registered Nurse hours | 1.02 | 1.17 | 0.69 | bottom 48% in Montana; top 15% in the U.S. |
| Weekend total nurse staffing | 4.77 | 4.26 | 3.50 | top 29% in Montana; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.71 | 0.48 | top 41% in Montana; top 16% in the U.S. |
| Total nursing staff turnover (%) | 40.2 | 54.8 | 45.8 | top 15% in Montana; top 37% in the U.S. |
| RN turnover (%) | 33.3 | 48.3 | 42.9 | top 20% in Montana; top 33% 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 4.37, RN 0.89, weekend 4.16. Staffing rating: 5/5.
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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cronk, Jason | Individual | Corporate Director | NOT APPLICABLE | 05/05/2013 |
| Cronk, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/05/2013 |
| Engellant, Daren | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2021 |
| Engellant, Daren | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2021 |
| Erfle, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2020 |
| Erfle, John | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2020 |
| Habel, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2021 |
| Habel, David | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2021 |
| Heim, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2017 |
| Heim, James | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2017 |
| Immanuel Lutheran Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/17/1953 |
| Immanuel Lutheran Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 09/17/1953 |
| Kirk, Andrew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2023 |
| Kirk, Andrew | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2023 |
| Langohr, Callie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2020 |
| Langohr, Callie | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2020 |
| Nelson, Douglas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2021 |
| Nelson, Douglas | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2021 |
| Nelson, Seth | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2021 |
| Nelson, Seth | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "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 |
|---|---|---|---|---|---|
| Brendan House | 0.5 mi | Kalispell, MT | ★★★☆☆ | 3/5 | |
| Kalispell Rehabilitation and Nursing LLC | 0.7 mi | Kalispell, MT | ★☆☆☆☆ | 1/5 | SFF |
| Montana Veterans Home N H | 12.2 mi | Columbia Falls, MT | ★★★☆☆ | 2/5 | abuse |
| Whitefish Care and Rehabilitation | 13.4 mi | Whitefish, MT | —/5 | SFF | |
| Lakeview Rehabilitation and Nursing LLC | 14.9 mi | Bigfork, MT | —/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 275129.