Missoula Health & Rehabilitation Center

Name: Missoula Health & Rehabilitation Center
Address: 3018 RATTLESNAKE DR, Missoula, MT, 59802, US
Telephone: 4065490988

3018 Rattlesnake Dr, Missoula, MT 59802 · Missoula County · 53 certified beds · avg 37 residents/day · certified since Jan 1, 1967

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.61

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.

All citations in the current public record (27)

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
Mar 26, 2026	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.
Mar 26, 2026	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.
Mar 26, 2026	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.
Mar 26, 2026	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.
Mar 26, 2026	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.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 13, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 13, 2025	E · Potential for harm, repeated	The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Feb 13, 2025	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.
Feb 13, 2025	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.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 13, 2025	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.
Feb 13, 2025	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.
Feb 13, 2025	D · Potential for harm, one-off	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.
Feb 13, 2025	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Feb 13, 2025	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.
Feb 15, 2024	F · Potential for harm, facility-wide	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.
Feb 15, 2024	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.
Feb 15, 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.
Feb 15, 2024	E · Potential for harm, repeated	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs.
Feb 15, 2024	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.
Feb 15, 2024	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.
Feb 15, 2024	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. · from a complaint
Feb 15, 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.
Feb 15, 2024	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (12 → 6).

Year	Citations	Worst severity that year
2024	9	F
2025	12	E
2026	6	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)	4.61	4.82	3.95	top 50% in Montana; top 20% in the U.S.
Registered Nurse hours	0.74	1.17	0.69	bottom 21% in Montana; top 32% in the U.S.
Weekend total nurse staffing	4.17	4.26	3.50	top 43% in Montana; top 18% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.71	0.48	bottom 3% in Montana; bottom 22% in the U.S.
Total nursing staff turnover (%)	50.0	54.8	45.8	top 36% in Montana; bottom 38% in the U.S.
RN turnover (%)	50.0	48.3	42.9	top 47% in Montana; bottom 39% 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 3.96, RN 0.64, weekend 3.58. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

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
Missoula SNF Operations LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	08/31/2023
Montana SNF Consulting LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Pacific Northwest Opco Management LLC	Organization	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
Rich, Karrie	Individual	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	04/01/2025
Couve Healthcare Consulting LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Couve Healthcare Consulting LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2025
Fischer, Doris	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Fischer, Doris	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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you learn each resident's personal preferences and make sure staff actually follow them?"
"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
Riverside Health & Rehabilitation	2.0 mi	Missoula, MT	★★★☆☆	3/5
Village Health & Rehabilitation	4.5 mi	Missoula, MT	★★★☆☆	3/5

Compare this facility with the 2 closest →

All facilities in Missoula →

Facility data as of CMS processing date 2026-08-01. CCN 275035.

The Care File

Visit checklist — Missoula Health & Rehabilitation Center

3018 Rattlesnake Dr, Missoula, MT 59802 · 4065490988

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you learn each resident's personal preferences and make sure staff actually follow them?"
☐ "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 275035 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)