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Nursing homeFAID #7488

Hot Springs Health & Rehabilitation Center

600 1ST AVE N, HOT SPRINGS, MT, 59845
(406) 741-2992
40 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
40
CMS facility ID
275069
Care type
Nursing home
County
Sanders
Facility name
Hot Springs Health & Rehabilitation Center
Street address
600 1ST AVE N
City / state / ZIP
Hot Springs, MT 59845
Phone
(406) 741-2992

Hot Springs Health & Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Hot Springs, Montana. It is licensed for 40 beds — below the median for skilled nursing facilities in Montana (75 beds).

It is one of 1 senior care facility in Hot Springs and 62 skilled nursing facilities across Montana. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Hot Springs Health & Rehabilitation Center 51 times across 8 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $22,614 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Evergreen Healthcare Group
Ownership type
For profit - Corporation

Registered owners & officers

Ch Pnw 12 Holdings Llc
Indirect owner — since 2023
Cheeks, Donald
Governing body · Operational control · Additional disclosable party — since 2023
Couve Financial Services Llc
Operational control · Additional disclosable party — since 2023
Couve Healthcare Consulting Llc
Operational control · Additional disclosable party — since 2023
Harlow, William
Operational control · Additional disclosable party — since 2023
Herzka, Yisroel
Indirect owner — since 2023
Hohn, James
Governing body · Additional disclosable party — since 2023
Hovet, Hethar
Operational control · Additional disclosable party — since 2023
Montana Associates, Llc
Security-interest holder · Additional disclosable party — since 2023
Pacific Northwest 12 Leased Operations Holdings Llc
Direct owner — since 2023
Pnw 12 Opco Management Llc
Operational control · Additional disclosable party — since 2023
Pnw 12 Snf Consulting Llc
Operational control · Additional disclosable party — since 2023
Spielman, Shimon
Operational control · Additional disclosable party — since 2023
Witzcorp Pnw 12 Llc
Indirect owner — since 2023
Yenowitz, Yitzchok
Indirect owner · Operational control · Additional disclosable party — since 2023

Regulatory standing

Licensed / certified since
1977-09-01
CMS overall rating
4 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
$22,614 total
Last standard inspection
2026-02-10
Nurse staffing
2.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$434 per day (≈ $13,190/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
88% Medicaid · 5% Medicare · 7% private/other
Occupancy
90% (fiscal year 2023)
Vs. state median
22% above the MT median of $355/day — full state cost breakdown

Services & coverage

Licensed beds
40
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-02-10Health inspection3 citations
F-0584
D · No harm found
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.
Corrected 2026-02-13
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-13
F-0700
D · No harm found
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.
Corrected 2026-02-13
2024-12-19Health inspection11 citations
F-0578
E · No harm found
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 2025-01-31
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-01-31
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-31
F-0657
F · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-01-31
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-31
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-31
F-0711
E · No harm found
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-01-31
F-0761
E · No harm found
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.
Corrected 2025-01-31
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-31
F-0837
F · No harm found
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.
Corrected 2025-01-31
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-01-31
5 earlier / fire-safety inspections (37 citations)
2024-03-26Health inspectionComplaint-triggered1 citation
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-26
2023-12-07Health inspectionComplaint-triggered8 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-21
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-14
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-01-21
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-21
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-01-16
F-0684
G · Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-11
F-0760
G · Actual harm
Ensure that residents are free from significant medication errors.
Corrected 2024-01-03
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-12-29
2026-02-10Fire-safety inspection5 citations
K-0325
D · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2026-02-19
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-02-19
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-02-19
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-19
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-02-19
2024-12-19Fire-safety inspection9 citations
K-0222
D · No harm found
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 2025-01-31
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-01-31
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-01-31
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-31
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-01-31
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-01-31
K-0912
D · No harm found
Have power receptacles that are properly grounded.
Corrected 2025-01-31
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-31
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-01-31
2023-12-07Fire-safety inspection14 citations
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-01-22
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2024-01-22
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2024-01-22
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-01-22
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-01-22
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-22
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-01-22
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-22
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-01-22
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-01-22
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-01-22
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-01-22
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-22
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-01-22

Federal penalties

2023-12-07Fine$22,614
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 275069.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 51 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered