Federal inspection record · CMS data as of October 1, 2026
Hot Springs Health & Rehabilitation Center
600 1st Ave N, Hot Springs, MT · (406) 741-2992
- Certified beds
- 40
- Residents per day
- 30
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1977
1
How this home got 4 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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Montana homes
Hot Springs Health & Rehabilitation Center carries 41 inspection points. That is fewer than 76% 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
23 health citations on record since 2023. 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 (2)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Resident Rights5E
- D
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
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning4F
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care4D
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide activities to meet all resident's needs.
Administration2F
- F
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1E
- E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Pharmacy Service1E
- 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.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-02-10
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-12-19
11 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-12-07
9 health deficiencies · 14 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 34 min of nursing staff time a day, 55 min of it from a registered nurse.
This home
2 h 34 min
Montana average
4 h 1 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
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
$22,614 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-07 | Fine | $22,614 |
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 days0.1 pts worse | 1.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 3.0 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts worse | 93.9% | 96.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.1 pts worse | 90.9% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts worse | 7.9% | 4.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.5 pts better | 3.8% | 6.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 7.1% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.4 pts better | 7.0% | 15.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.9 pts better | 7.8% | 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 worsened0.5 pts better | 15.6% | 16.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts better | 17.4% | 18.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 1.2% | 2.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.9% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts worse | 22.2% | 22.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.8 pts better | 2.4% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine38.2 pts worse | 45.9% | 84.1% | 82.3% |
·
Who owns and runs it
28 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 |
|---|---|---|---|
| Ch Pnw 12 Holdings LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Cheeks, Donald | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Cheeks, Donald | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Cheeks, Donald | Adp Of The SNF · Individual | 0% | 7 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 |
| Harlow, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Harlow, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Herzka, Yisroel | Indirect Ownership Interest · Individual | 0% | 75 facilities |
| Hohn, James | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Hohn, James | Adp Of The SNF · Individual | 0% | 3 facilities |
| Hovet, Hethar | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hovet, Hethar | Adp Of The SNF · Individual | 0% | 1 facilities |
| Montana Associates, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Montana Associates, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pacific Northwest 12 Leased Operations Holdings LLC | Direct Ownership Interest · Organization | 0% | 8 facilities |
| Pnw 12 Opco Management LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Pnw 12 Opco Management LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Pnw 12 SNF Consulting LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Pnw 12 SNF Consulting LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Witzcorp Pnw 12 LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Yenowitz, Yitzchok | Indirect Ownership Interest · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
·
Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems9F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Meet requirements for the installation and maintenance of electrical systems.
- D
Have power receptacles that are properly grounded.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Smoke7F
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Emergency Preparedness5F
- F
Address subsistence needs for staff and patients.
- F
List the names and contact information of those in the facility.
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
- F
Conduct risk assessment and an All-Hazards approach.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Egress3D
- 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.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Clark Fork Valley Nursing Home
Plains, MT
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 53 min
- Fines
- $62,871
-
Polson Health & Rehabilitation Center
Polson, MT · Evergreen Healthcare Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 57 min
- Fines
- $17,404
-
St Luke Community Nursing Home
Ronan, MT
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 13 min
- Fines
- $44,252