Laurel Health & Rehabilitation Center

Name: Laurel Health & Rehabilitation Center
Address: 820 3RD AVE, Laurel, MT, 59044, US
Telephone: 4066288251

820 3rd Ave, Laurel, MT 59044 · Yellowstone County · 79 certified beds · avg 62 residents/day · certified since Jun 1, 1985

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

1/5

Health inspection rating (on-site)

Serious findings on record

$7,163

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: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 · Oct 12, 2023 · F-0760 · triggered by a complaint

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: Apr 15, 2023 (Past Non-Compliance)

All citations in the current public record (41)

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
Jan 29, 2026	F · Potential for harm, facility-wide	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Jan 29, 2026	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.
Jan 29, 2026	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.
Jan 29, 2026	F · Potential for harm, facility-wide	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jan 29, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Jan 29, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jan 29, 2026	E · Potential for harm, repeated	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
Jan 29, 2026	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.
Jan 29, 2026	E · Potential for harm, repeated	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.
Jan 29, 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.
Jan 29, 2026	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
Jan 29, 2026	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jan 29, 2026	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.
Jan 29, 2026	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.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jan 29, 2026	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.
Jan 29, 2026	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.
Jan 29, 2026	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.
Jan 29, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
May 6, 2025	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. · from a complaint
May 6, 2025	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. · from a complaint
May 6, 2025	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 19, 2024	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Dec 19, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Dec 19, 2024	D · Potential for harm, one-off	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 19, 2024	C · Minimal risk, facility-wide	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.
Dec 19, 2024	C · Minimal risk, facility-wide	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Feb 14, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Feb 14, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Feb 14, 2024	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 accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 7, 2023	D · Potential for harm, one-off	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.
Oct 12, 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. · from a complaint
Oct 12, 2023	E · Potential for harm, repeated	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. · from a complaint
Oct 12, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Oct 12, 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
Oct 12, 2023	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

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 23).

Year	Citations	Serious (G–L)	Worst severity that year
2023	7	1	G ▲
2024	8	0	F
2025	3	0	F
2026	23	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)

1 fine totaling $7,163.

Date	Type	Amount / length
Oct 12, 2023	Fine	$7,163

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 19% in Montana; bottom 44% in the U.S.
Registered Nurse hours	0.64	1.17	0.69	bottom 10% in Montana; top 44% in the U.S.
Weekend total nurse staffing	3.12	4.26	3.50	bottom 16% in Montana; bottom 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.71	0.48	bottom 16% in Montana; top 50% in the U.S.
Total nursing staff turnover (%)	67.6	54.8	45.8	bottom 21% in Montana; bottom 8% in the U.S.
RN turnover (%)	69.2	48.3	42.9	bottom 14% in Montana; bottom 12% 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 3.24, RN 0.56, weekend 2.76. Staffing rating: 2/5.

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: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
CH Pacific Northwest Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Herzka, Yisroel	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Pacific Northwest SNF Operations Holdings (mt) LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	08/31/2023
Pacific Northwest SNF Operations Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Witzcorp Global LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Yenowitz, Yitzchok	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
CH Pacific Northwest Holdings LLC	Organization	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	02/12/2026
Couve Healthcare Consulting LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Couve Healthcare Consulting LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/19/2025
Herzka, Yisroel	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Johnson, Rebecca	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/31/2023
Johnson, Rebecca	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Laurel SNF Operations LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Laurel SNF Operations LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/29/2025
Lowe, Leonor	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/31/2023
Lowe, Leonor	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Mansfield, Jame	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Mansfield, Jame	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023

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 systems do you use to prevent medication errors, and what happens when one occurs?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"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
St John's Lutheran Home	11.1 mi	Billings, MT	★★★★☆	3/5
Aspen Meadows Health and Rehabilitation Center	11.5 mi	Billings, MT	★★☆☆☆	3/5
Yellowstone River Nursing and Rehabilitation	11.6 mi	Billings, MT	★☆☆☆☆	1/5
Skyline Heights Nursing and Rehabilitation	12.0 mi	Billings, MT	★☆☆☆☆	1/5	SFF
Billings Rehabilitation and Nursing LLC	14.7 mi	Billings, MT	★★☆☆☆	2/5
River Ridge Rehabilitation and Nursing LLC	18.3 mi	Billings, MT	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Laurel →

Facility data as of CMS processing date 2026-08-01. CCN 275111.

The Care File

Visit checklist — Laurel Health & Rehabilitation Center

820 3rd Ave, Laurel, MT 59044 · 4066288251

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $7,163

Most serious findings on record:

▲ Oct 12, 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:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "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 275111 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)