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Immanuel Skilled Care Center
185 Crestline Ave, Kalispell, MT 59901 (opens Google Maps) · Flathead County · (406) 752-9622· 155 certified beds · avg 106 residents/day · certified since Sep 1, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Dec 31, 2025
0
Serious findings on record
$0
Fines, last 3 years
5.00
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
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. F-0812
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. F-0880
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. F-0656
View all 21 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 31, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Dec 31, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Dec 31, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Dec 31, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Dec 31, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Aug 20, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0609 |
| Aug 20, 2025 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint · F-0604 |
| Oct 24, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Oct 24, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Oct 24, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Oct 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Oct 24, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0655 |
| Oct 24, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Oct 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 24, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Oct 24, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0693 |
| Oct 24, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0699 |
| Mar 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0578 |
| Mar 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| Mar 5, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0623 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
All citationsSerious citations (G–L)
2024
All citations: 14
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMontana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.00
Montana average: 4.82
U.S. average: 3.95
Registered Nurse hours
This facility: 1.02
Montana average: 1.17
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.77
Montana average: 4.26
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.37 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Immanuel Skilled Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 34 parties CMS has on file for this facility; 14 are not displayed. The full list is in the CMS Ownership dataset.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 34 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 275129.