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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D18 | E7 | F2 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 26, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 26, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Feb 13, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 13, 2025 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Feb 15, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 15, 2024 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D18 | E7 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 26, 2026 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 13, 2026 | |
| Mar 26, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 13, 2026 | |
| Mar 26, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
43 facilities in 6 states. CMS chain ID 846.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Missoula SNF Operations LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Pacific Northwest SNF Operations Holdings (Mt) LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Ch Pacific Northwest Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Montana SNF Consulting LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Pacific Northwest Opco Management LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Pacific Northwest SNF Operations Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Witzcorp Global LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Yisroel Herzka | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Karrie Rich | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Yitzchok Yenowitz | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Missoula SNF Operations LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Pacific Northwest SNF Operations Holdings (Mt) LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Ch Pacific Northwest Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Montana SNF Consulting LLC | Organization | Indirect owner |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Livingston Health & Rehabilitation Center 510 S 14th St, Livingston, MT 59047 CCN 275047SFF CandidateAbuse icon | 115 | Aug 20, 2026 | 816 harm13 open |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Riverside Health & Rehabilitation 1301 E Broadway, Missoula, MT 59802 CCN 275126 | 3.2 km | 72 | Jun 17, 2026 | 541 harm | $35k | |
| Village Health & Rehabilitation 2651 South Ave W, Missoula, MT 59804 CCN 275043 | 7.2 km | 193 | Nov 19, 2025 | 402 harm | $28k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 275035 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 275035 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Apr 13, 2026 |
| Mar 26, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 13, 2026 |
| Mar 26, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 13, 2026 |
| Mar 26, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 13, 2026 |
| Feb 13, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 26, 2025 |
| Feb 15, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 26, 2024 |
| Feb 15, 2024 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 26, 2024 |
| Feb 15, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2024 | Complaint |
| Feb 15, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2024 |
| Feb 15, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2024 |
| Feb 15, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 26, 2024 |
| Feb 15, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | F · Potential harm Widespread | Corrected Mar 26, 2024 |
| Feb 15, 2024 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 26, 2024 |
| Feb 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 26, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.66 (case-mix index 1.16).
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Aug 31, 2023 |
| Pacific Northwest Opco Management LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Pacific Northwest SNF Operations Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Witzcorp Global LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Yisroel Herzka | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Karrie Rich | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Yitzchok Yenowitz | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Donald Cheeks | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 31, 2023 |
| James Hohn | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 31, 2023 |
| Couve Financial Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Couve Healthcare Consulting LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Missoula SNF Operations LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Montana SNF Consulting LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Pacific Northwest Opco Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Donald Cheeks | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Doris Fischer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| James Hohn | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Karrie Rich | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Shimon Spielman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Yitzchok Yenowitz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Shimon Spielman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 31, 2023 |
| Ch Pacific Northwest Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Couve Financial Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Couve Healthcare Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Missoula SNF Operations LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 19, 2025 |
| Montana SNF Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 19, 2025 |
| Pacific Northwest Opco Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 27, 2025 |
| Witzcorp Global LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Donald Cheeks | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Doris Fischer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Yisroel Herzka | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| James Hohn | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Steven Palmieri | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Karrie Rich | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Shimon Spielman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Yitzchok Yenowitz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| $35k |
| Polson Health & Rehabilitation Center 9 14th Ave W, Polson, MT 59860 CCN 275049 | 70 | Nov 17, 2025 | 281 harm | $17k |
| Hot Springs Health & Rehabilitation Center 600 1st Ave N, Hot Springs, MT 59845 CCN 275069 | 40 | Feb 10, 2026 | 512 harm | $23k |
| Laurel Health & Rehabilitation Center 820 3rd Ave, Laurel, MT 59044 CCN 275111 | 79 | Jul 30, 2026 | 702 harm | $18k |
| Aspen Meadows Health and Rehabilitation Center 3155 Ave C, Billings, MT 59102 CCN 275140 | 90 | Aug 13, 2026 | 504 harm2 open | $92k |