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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D14 | E9 | F3 |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Nov 17, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Nov 17, 2025 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Sep 12, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 12, 2024 | Health | Health Standard | 7 | Actual harm | — | Open → |
| May 20, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 30, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Aug 30, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 12, 2024 | Civil money penalty (fine) | $17,404 | — | 275049|Fine|118007 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D14 | E9 | F3 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Nov 17, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 9, 2025 | |
| Nov 17, 2025 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 9, 2025 | |
| Nov 17, 2025 | K-0355 |
“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 |
|---|---|---|---|---|---|
| Pacific Northwest 12 Leased Operations Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Polson SNF Operations LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Ch Pnw 12 Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Witzcorp Pnw 12 LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Donald Cheeks | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Yisroel Herzka | 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 |
|---|---|---|---|---|---|
| Pacific Northwest 12 Leased Operations Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Polson SNF Operations LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Ch Pnw 12 Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Witzcorp Pnw 12 LLC | Organization | Indirect owner |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Missoula Health & Rehabilitation Center 3018 Rattlesnake Dr, Missoula, MT 59802 CCN 275035 | 53 | Mar 26, 2026 | 27 | — | |
| Livingston Health & Rehabilitation Center 510 S 14th St, Livingston, MT 59047 CCN 275047SFF Candidate |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| St Luke Community Nursing Home 107 6th Ave S W, Ronan, MT 59864 CCN 275093 | 15.7 km | 75 | May 7, 2026 | 211 harm | $44k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 275049 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 275049 | 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
| Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Dec 9, 2025 |
| Nov 17, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 19, 2025 |
| Nov 17, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Past non-compliance Sep 21, 2025 | Complaint |
| Nov 17, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Past non-compliance Sep 21, 2025 | Complaint |
| Sep 12, 2024 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 14, 2024 |
| Sep 12, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 15, 2024 |
| Sep 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 15, 2024 |
| Sep 12, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 15, 2024 |
| Sep 12, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 15, 2024 |
| Sep 12, 2024 | 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 Oct 14, 2024 |
| Sep 12, 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 Oct 14, 2024 |
| Sep 12, 2024 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 14, 2024 |
| Sep 12, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Sep 12, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 14, 2024 |
| Sep 12, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Oct 14, 2024 |
| May 20, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 20, 2024 | Complaint |
| May 20, 2024 | 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 Jun 20, 2024 | Complaint |
| Nov 6, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 6, 2023 | Complaint |
| Aug 30, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 29, 2023 |
| Aug 30, 2023 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 29, 2023 |
| Aug 30, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 29, 2023 |
| Aug 30, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 29, 2023 |
| Aug 30, 2023 | K-0754 | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 29, 2023 |
| Aug 30, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 29, 2023 |
| Aug 30, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 29, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.49 (case-mix index 1.19).
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Aug 31, 2023 |
| Donald Cheeks | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Yisroel Herzka | 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 |
| Pnw 12 Opco Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Pnw 12 SNF Consulting LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Polson SNF Operations 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 |
| Joann Ensuncho | 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 |
| Thomas Wright | 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 |
| Yitzchok Yenowitz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 31, 2023 |
| Couve Financial Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 9, 2025 |
| Couve Healthcare Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Pnw 12 Opco Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Pnw 12 SNF Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Polson SNF Operations LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Donald Cheeks | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Joann Ensuncho | 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 |
| Shimon Spielman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Thomas Wright | 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 |
| 115 |
| Aug 20, 2026 |
816 harm13 open |
| $35k |
| 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 |