Missoula Health & Rehabilitation Center
Missoula, Missoula County, Montana · CCN 275035 · For-profit (Corporation) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)
CMS rates Missoula Health & Rehabilitation Center 4 of 5 overall as of August 2026. 53 certified beds, 37 residents a day on average. 27 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 2 of 5 |
Staffing
| Total nurse staffing | 3.95855 hours per resident per day |
|---|---|
| Registered nurses | 0.6384 hours per resident per day |
| Weekend total | 3.57539 hours per resident per day |
| Nursing staff turnover | 50% (registered nurses 50%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-04-13 |
| 2026-03-26 | 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 · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-13 |
| 2026-03-26 | 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 · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-13 |
| 2026-03-26 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-13 |
| 2026-03-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-13 |
| 2026-03-26 | 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 · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-13 |
| 2025-02-13 | 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 · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · tag F0675 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | 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 · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | 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 · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | 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 · tag F0849 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2025-02-13 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2024-02-15 | 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 · tag F0761 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-03-26 |
| 2024-02-15 | 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 · tag F0585 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-26 |
| 2024-02-15 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-26 |
| 2024-02-15 | 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 · tag F0800 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-26 |
| 2024-02-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-26 |
| 2024-02-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-26 |
| 2024-02-15 complaint survey |
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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-26 |
| 2024-02-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-26 |
| 2024-02-15 | 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 · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-26 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Ch Pacific Northwest Holdings LLC Organization | adp of the snf | — | 2023-08-31 |
| Couve Financial Services LLC Organization | adp of the snf | — | 2025-04-01 |
| Couve Healthcare Consulting LLC Organization | adp of the snf | — | 2025-04-01 |
| Missoula Snf Operations LLC Organization | adp of the snf | — | 2025-06-19 |
| Montana Snf Consulting LLC Organization | adp of the snf | — | 2025-06-19 |
| Pacific Northwest Opco Management LLC Organization | adp of the snf | — | 2025-05-27 |
| Witzcorp Global LLC Organization | adp of the snf | — | 2023-08-31 |
| Missoula Snf Operations LLC Organization | direct ownership interest | — | 2023-08-31 |
| Pacific Northwest Snf Operations Holdings (Mt) LLC Organization | direct ownership interest | — | 2023-08-31 |
| Ch Pacific Northwest Holdings LLC Organization | indirect ownership interest | — | 2023-08-31 |
| Montana Snf Consulting LLC Organization | indirect ownership interest | — | 2023-08-31 |
| Pacific Northwest Opco Management LLC Organization | indirect ownership interest | — | 2023-08-31 |
| Pacific Northwest Snf Operations Holdings LLC Organization | indirect ownership interest | — | 2023-08-31 |
| Witzcorp Global LLC Organization | indirect ownership interest | — | 2023-08-31 |
| Couve Financial Services LLC Organization | operational/managerial control | — | 2023-08-31 |
| Couve Healthcare Consulting LLC Organization | operational/managerial control | — | 2023-08-31 |
| Missoula Snf Operations LLC Organization | operational/managerial control | — | 2023-08-31 |
| Montana Snf Consulting LLC Organization | operational/managerial control | — | 2023-08-31 |
| Pacific Northwest Opco Management LLC Organization | operational/managerial control | — | 2023-08-31 |
| Cheeks, Donald Individual | adp of the snf | — | 2023-08-31 |
| Fischer, Doris Individual | adp of the snf | — | 2023-08-31 |
| Herzka, Yisroel Individual | adp of the snf | — | 2023-08-31 |
| Hohn, James Individual | adp of the snf | — | 2023-08-31 |
| Palmieri, Steven Individual | adp of the snf | — | 2023-08-31 |
| Rich, Karrie Individual | adp of the snf | — | 2023-08-31 |
| Spielman, Shimon Individual | adp of the snf | — | 2023-08-31 |
| Yenowitz, Yitzchok Individual | adp of the snf | — | 2023-08-31 |
| Spielman, Shimon Individual | corporate officer | — | 2023-08-31 |
| Herzka, Yisroel Individual | indirect ownership interest | — | 2023-08-31 |
| Rich, Karrie Individual | indirect ownership interest | — | 2023-08-31 |
| Yenowitz, Yitzchok Individual | indirect ownership interest | — | 2023-08-31 |
| Cheeks, Donald Individual | managing control - governing body | — | 2023-08-31 |
| Hohn, James Individual | managing control - governing body | — | 2023-08-31 |
| Cheeks, Donald Individual | operational/managerial control | — | 2023-08-31 |
| Fischer, Doris Individual | operational/managerial control | — | 2023-08-31 |
| Hohn, James Individual | operational/managerial control | — | 2023-08-31 |
| Rich, Karrie Individual | operational/managerial control | — | 2023-08-31 |
| Spielman, Shimon Individual | operational/managerial control | — | 2023-08-31 |
| Yenowitz, Yitzchok Individual | operational/managerial control | — | 2023-08-31 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Missoula Health & Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Missoula County.