Livingston Health & Rehabilitation Center

Name: Livingston Health & Rehabilitation Center
Address: 510 S 14TH ST, Livingston, MT, 59047, US
Telephone: 4062220672

510 S 14th St, Livingston, MT 59047 · Park County · 115 certified beds · avg 60 residents/day · certified since Aug 1, 1974

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

2/5

Health inspection rating (on-site)

Serious findings on record

$17,404

Fines, last 3 years

3.01

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · 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 · Dec 31, 2024 · F-0692 · triggered by a complaint

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

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 28, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Dec 31, 2024 · F-0697 · triggered by a complaint

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

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: Feb 3, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (40)

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
Jun 29, 2026	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
Jun 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
Jun 29, 2026	D · Potential for 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
Nov 18, 2025	E · Potential for harm, repeated	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
Nov 18, 2025	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
Nov 18, 2025	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
Nov 18, 2025	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. · from a complaint
Nov 18, 2025	B · Minimal risk, 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
Nov 18, 2025	B · Minimal risk, repeated	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. · from a complaint
Jun 5, 2025	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.
Jun 5, 2025	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.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jun 5, 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.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 5, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jun 5, 2025	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. · from a complaint
Dec 31, 2024	▲ G · Actual harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Dec 31, 2024	▲ G · Actual harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Dec 31, 2024	F · Potential for harm, facility-wide	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
Dec 31, 2024	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint
Dec 31, 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. · from a complaint
Dec 31, 2024	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
Dec 31, 2024	E · Potential for harm, repeated	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
Dec 31, 2024	E · Potential for harm, repeated	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. · from a complaint
Dec 31, 2024	D · Potential for harm, one-off	The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint
Jul 3, 2024	E · Potential for harm, repeated	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
Jul 3, 2024	E · Potential for harm, repeated	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.
Jul 3, 2024	E · Potential for harm, repeated	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Jul 3, 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.
Jul 3, 2024	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.
Jul 3, 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.
Jul 3, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 3, 2024	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Jun 8, 2023	F · Potential for harm, facility-wide	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jun 8, 2023	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.
Jun 8, 2023	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.
Jun 8, 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.
Jun 8, 2023	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.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	7	0	F
2024	17	2	G ▲
2025	13	0	F
2026	3	0	D

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 $17,404.

Date	Type	Amount / length
Dec 31, 2024	Fine	$17,404

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)	3.01	4.82	3.95	bottom 2% in Montana; bottom 14% in the U.S.
Registered Nurse hours	0.78	1.17	0.69	bottom 26% in Montana; top 29% in the U.S.
Weekend total nurse staffing	2.92	4.26	3.50	bottom 3% in Montana; bottom 27% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.76	0.71	0.48	top 31% in Montana; top 13% in the U.S.
Total nursing staff turnover (%)	69.6	54.8	45.8	bottom 19% in Montana; bottom 6% in the U.S.
RN turnover (%)	70.0	48.3	42.9	bottom 12% 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 3.38, RN 0.88, weekend 3.28. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5

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
Livingston SNF Operations LLC	Organization	Direct 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
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	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	03/31/2025
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	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Johnson, Rebecca	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Livingston SNF Operations LLC	Organization	Operational/Managerial Control	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.

"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"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)

No other Medicare-certified nursing homes within 20 miles in the current records.

All facilities in Livingston →

Facility data as of CMS processing date 2026-08-01. CCN 275047.

The Care File

Visit checklist — Livingston Health & Rehabilitation Center

510 S 14th St, Livingston, MT 59047 · 4062220672

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $17,404

Most serious findings on record:

▲ Dec 31, 2024 (F-0692, Actual harm, one-off): The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
▲ Dec 31, 2024 (F-0697, Actual harm, one-off): The facility did not provide safe and appropriate pain management for a resident who needed it.

Questions for the administrator:

☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "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 275047 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)