Cycle 1
Health 2025-12-31 · Fire 2025-12-31
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Kalispell, MT
Immanuel Skilled Care Center
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
185 Crestline Ave, Kalispell, MT
(406) 752-9622
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
155
Certified beds
Average residents
112
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.76
Registered nurse staffing · state 0.94 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.51 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.90
All reported nurse hours · state 3.97 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.57
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.60
Weekend registered nurse coverage · state 0.69 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.87
CMS adjusted RN staffing hours
Adjusted total hours
4.46
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,602
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.57
Composite VBP score used to determine payment impact.
Payment multiplier
0.9966
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.81
Baseline 16.12% · Performance 20.13% · Measure score 2.81 · Achievement 2.81 · Improvement 0
Healthcare-associated infections
6.48
Baseline 4.72% · Performance 5.90% · Measure score 6.48 · Achievement 6.48 · Improvement 0
Total nurse turnover
4.36
Baseline 54.02% · Performance 45.87% · Measure score 4.36 · Achievement 4.36 · Improvement 2.30
Adjusted total nurse staffing
3.78
Baseline 4.17 hours · Performance 4.15 hours · Measure score 3.78 · Achievement 3.78 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.35% |
10.72%
3.4 pts better
|
No Different than the National Rate · Eligible stays 302 · Observed rate 3.97% · Lower 95% interval 5.13% |
| Discharge to community | 58.81% |
50.57%
8.2 pts better
|
Better than the National Rate · Eligible stays 305 · Observed rate 56.39% · Lower 95% interval 53.62% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 87.56% |
95.27%
7.7 pts worse
|
Numerator 190 · Denominator 217 |
| Falls with major injury | 1.84% |
0.77%
1.1 pts worse
|
Numerator 4 · Denominator 217 |
| Discharge self-care score | 74.19% |
53.69%
20.5 pts better
|
Numerator 115 · Denominator 155 |
| Discharge mobility score | 60% |
50.94%
9.1 pts better
|
Numerator 93 · Denominator 155 |
| Pressure ulcers or injuries, new or worsened | 1.84% |
2.29%
0.4 pts better
|
Numerator 4 · Denominator 217 · Adjusted rate 2.73% |
| Healthcare-associated infections requiring hospitalization | 5.9% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 194 · Observed rate 4.12% · Lower 95% interval 3.91% |
| Staff COVID-19 vaccination coverage | 9.96% |
8.2%
1.8 pts better
|
Numerator 23 · Denominator 231 |
| Staff flu vaccination coverage | 15.72% |
42%
26.3 pts worse
|
Numerator 36 · Denominator 229 |
| Discharge function score | 70.32% |
56.45%
13.9 pts better
|
Numerator 109 · Denominator 155 |
| Transfer of health information to provider | 92.45% |
95.95%
3.5 pts worse
|
Numerator 49 · Denominator 53 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 132 · Denominator 132 |
| Resident COVID-19 vaccinations up to date | 28.44% |
25.2%
3.2 pts better
|
Numerator 31 · Denominator 109 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.3
0.1 pts worse
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.2
0.1 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
94.4%
5.3 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.9% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
93.7%
5.2 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
4.2%
2.1 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.1% · Q3 1.2% · Q4 2.3% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.0% |
4.7%
0.7 pts better
|
11.4%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 8.5% · Q3 2.6% · Q4 2.4% · 4Q avg 4.0% |
| Percentage of long-stay residents who lose too much weight | 6.4% |
5.9%
0.5 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.1% · Q3 11.8% · Q4 6.1% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.0% |
17.4%
8.4 pts better
|
19.6%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 11.0% · Q3 7.7% · Q4 8.3% · 4Q avg 9.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.0% |
20.6%
2.6 pts better
|
16.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 17.5% · Q3 16.1% · Q4 19.7% · 4Q avg 18.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.0% |
19.7%
6.3 pts worse
|
16.3%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.9% · Q2 31.3% · Q3 13.4% · Q4 21.4% · 4Q avg 26.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.2% |
19.8%
2.4 pts worse
|
14.9%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 29.1% · Q3 21.9% · Q4 15.6% · 4Q avg 22.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% |
2.6%
0.1 pts worse
|
1.0%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 2.8% · Q4 2.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
2.9%
0.2 pts better
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 3.6% · Q3 6.4% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.9% |
25.4%
2.5 pts worse
|
19.8%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 26.1% · Q3 27.2% · Q4 30.3% · 4Q avg 27.9% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
6.4%
1.4 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.1% · Q3 8.6% · Q4 6.0% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
78.7%
16.9 pts better
|
81.7%
13.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.4% · Q2 96.7% · Q3 94.3% · Q4 96.0% · 4Q avg 95.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.0% |
15.0%
2 pts worse
|
12.0%
5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.0% · Observed 15.6% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.6%
0.2 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 1.1% · Q3 0.0% · Q4 0.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.4% |
73.8%
23.6 pts better
|
79.7%
17.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.7% |
19.4%
5.3 pts worse
|
23.9%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.7% · Observed 20.8% · Expected 20.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-24 · Fire 2024-10-24
14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-10-26 · Fire 2023-10-26
0 health deficiencies
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-31
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-31
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-31
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-31
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-31
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-31
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-01-27
F · Potential for more than minimal harm
2024-10-24
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-11-26
F · Potential for more than minimal harm
2024-10-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-26
F · Potential for more than minimal harm
2024-10-24
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-26
F · Potential for more than minimal harm
2023-10-26
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-16
F · Potential for more than minimal harm
2023-10-26
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-11-30
E · Potential for more than minimal harm
2023-10-26
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-11-16
D · Potential for more than minimal harm
2023-10-26
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-16
D · Potential for more than minimal harm
2023-10-26
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-10-26
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-11-16
D · Potential for more than minimal harm
2023-10-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-16
D · Potential for more than minimal harm
2023-10-26
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-11-16
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-31
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-27
E · Potential for more than minimal harm
2025-12-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-31
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-31
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-27
D · Potential for more than minimal harm
2025-12-31
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-01-27
E · Potential for more than minimal harm
2025-08-20
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-17
D · Potential for more than minimal harm
2025-08-20
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-09-15
F · Potential for more than minimal harm
2024-10-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-26
E · Potential for more than minimal harm
2024-10-24
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-10-24
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-03-05
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2024-03-25
D · Potential for more than minimal harm
2024-03-05
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-25
D · Potential for more than minimal harm
2024-03-05
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-25
Penalties and ownership
What sits behind the stars
Ownership
Cronk, Jason
Operational/Managerial Control · Individual
Cronk, Jason
Corporate Director · Individual
Immanuel Lutheran Corporation
Operational/Managerial Control · Organization
Schiffert, Martin
Operational/Managerial Control · Individual
Waldenberg, Teryn
Corporate Director · Individual
Weideman, Michael
Operational/Managerial Control · Individual
Wilton, Carla
Corporate Director · Individual
Nearby options
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3-star overall rating with 3-star inspections with $35,815 in total fines with 16 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
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Kalispell, MT
1-star overall rating with 1-star inspections with Special Focus status with $326,610 in total fines with 24 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Montana Veterans Home N H
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3-star overall rating with 2-star inspections with abuse icon flag with $142,240 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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