Federal inspection record · CMS data as of October 1, 2026
Aspen Meadows Health And Rehabilitation Center
3155 Ave C, Billings, MT · (406) 656-8818
- Certified beds
- 90
- Residents per day
- 65
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 27, 1992
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Montana.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Montana homes
Aspen Meadows Health And Rehabilitation Center carries 94 inspection points. That is fewer than 34% of Montana's 59 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Montana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31.5 pts
- 4★ 31.5–49.25 pts
- 3★ 49.25–84.75 pts
- 2★ 84.75–135.38 pts
- 1★ over 135.38 pts
Bars show every rated home in Montana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that residents are free from significant medication errors.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Rights9E
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning8E
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care5E
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Pharmacy Service5E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control2D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2026-03-26
18 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2025-04-10
15 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-04-11
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 45 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 45 min
Montana average
4 h 1 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 74% of nursing staff and 70% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$91,549 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-26 | Fine | $43,891 |
| 2024-10-21 | Fine | $47,658 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.2 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 2.4 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.5 pts worse | 85.2% | 96.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13.3 pts worse | 80.7% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3 pts worse | 7.4% | 4.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.3 pts worse | 9.6% | 6.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.8 pts better | 3.6% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts worse | 20.1% | 15.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts better | 19.2% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.6 pts better | 0.0% | 0.6% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened16.3 pts worse | 32.4% | 16.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.2 pts worse | 27.7% | 18.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts worse | 3.0% | 2.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts better | 1.0% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.1 pts worse | 35.2% | 22.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 6.9% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine46.2 pts worse | 37.9% | 84.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.7 pts worse | 17.8% | 13.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.3% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine47.3 pts worse | 29.4% | 76.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission15.3 pts worse | 35.5% | 20.2% | 23.4% |
·
Who owns and runs it
38 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aspen Meadows SNF Operations, LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Aspen Meadows SNF Operations, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Aspen Meadows SNF Operations, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ch Pacific Northwest Holdings LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Ch Pacific Northwest Holdings LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Couve Financial Services LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Couve Financial Services LLC | Adp Of The SNF · Organization | 0% | 41 facilities |
| Couve Healthcare Consulting LLC | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Herzka, Yisroel | Indirect Ownership Interest · Individual | 0% | 75 facilities |
| Herzka, Yisroel | Adp Of The SNF · Individual | 0% | 75 facilities |
| Jensen, Sheldon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jensen, Sheldon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Johnson, Rebecca | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Johnson, Rebecca | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Johnson, Rebecca | Adp Of The SNF · Individual | 0% | 5 facilities |
| Lowe, Leonor | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Lowe, Leonor | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Lowe, Leonor | Adp Of The SNF · Individual | 0% | 6 facilities |
| Montana SNF Consulting LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Montana SNF Consulting LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Naumann, Teresa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Naumann, Teresa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pacific Northwest Opco Management LLC | Operational/Managerial Control · Organization | 0% | 29 facilities |
| Pacific Northwest Opco Management LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Pacific Northwest SNF Operations Holdings (Mt) LLC | Direct Ownership Interest · Organization | 0% | 4 facilities |
| Pacific Northwest SNF Operations Holdings LLC | Indirect Ownership Interest · Organization | 0% | 16 facilities |
| Severa, Larry | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Severa, Larry | Adp Of The SNF · Individual | 0% | 3 facilities |
| Spielman, Shimon | Corporate Officer · Individual | 0% | 48 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Witzcorp Global LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Witzcorp Global LLC | Adp Of The SNF · Organization | 0% | 21 facilities |
| Yenowitz, Yitzchok | Indirect Ownership Interest · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Corporate Officer · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Meet requirements for the installation and maintenance of electrical systems.
Egress2E
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous1E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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Other homes nearby
-
Skyline Heights Nursing And Rehabilitation
Billings, MT · Eduro Healthcare · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 3 min
- Fines
- $481,582
-
Yellowstone River Nursing And Rehabilitation
Billings, MT · Eduro Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 19 min
- Fines
- $127,566
-
St John's Lutheran Home
Billings, MT
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 37 min
- Fines
- $0