Hot Springs Health & Rehabilitation Center
Hot Springs, Sanders County, Montana · CCN 275069 · For-profit (Corporation) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)
CMS rates Hot Springs Health & Rehabilitation Center 4 of 5 overall as of August 2026. 40 certified beds, 31 residents a day on average. 23 citations on record from the current inspection cycles, 2 involving actual harm; 1 fine totalling $22,614.
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 | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 2.7028 hours per resident per day |
|---|---|
| Registered nurses | 0.93875 hours per resident per day |
| Weekend total | 2.41354 hours per resident per day |
| Nursing staff turnover | 45.2% (registered nurses 42.9%) |
| Administrators who left | 1 |
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 |
|---|---|---|---|
| 2026-02-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-13 |
| 2026-02-10 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-13 |
| 2026-02-10 | 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. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-13 |
| 2024-12-19 | 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 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-19 | 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 2025-01-31 |
| 2024-12-19 | 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. Administration Deficiencies · tag F0837 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-19 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-19 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-19 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · tag F0711 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-19 | 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 2025-01-31 |
| 2024-12-19 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-31 |
| 2024-12-19 | 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 2025-01-31 |
| 2024-12-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-31 |
| 2024-03-26 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-26 |
| 2023-12-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-01-11 |
| 2023-12-07 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-01-03 |
| 2023-12-07 | 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 2023-12-29 |
| 2023-12-07 | 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 2024-01-21 |
| 2023-12-07 | 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 · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-14 |
| 2023-12-07 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-21 |
| 2023-12-07 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-21 |
| 2023-12-07 | 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 2024-01-16 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2023-12-07 | Fine | $22,614 |
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 |
|---|---|---|---|
| Montana Associates, LLC Organization | 5% or greater security interest | — | 2023-08-31 |
| Couve Financial Services LLC Organization | adp of the snf | — | 2025-07-28 |
| Couve Healthcare Consulting LLC Organization | adp of the snf | — | 2025-04-08 |
| Montana Associates, LLC Organization | adp of the snf | — | 2025-06-17 |
| Pnw 12 Opco Management LLC Organization | adp of the snf | — | 2025-04-08 |
| Pnw 12 Snf Consulting LLC Organization | adp of the snf | — | 2025-04-08 |
| Pacific Northwest 12 Leased Operations Holdings LLC Organization | direct ownership interest | — | 2023-08-31 |
| Ch Pnw 12 Holdings LLC Organization | indirect ownership interest | — | 2023-08-31 |
| Witzcorp Pnw 12 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 |
| Pnw 12 Opco Management LLC Organization | operational/managerial control | — | 2023-08-31 |
| Pnw 12 Snf Consulting LLC Organization | operational/managerial control | — | 2023-08-31 |
| Cheeks, Donald Individual | adp of the snf | — | 2023-08-31 |
| Harlow, William Individual | adp of the snf | — | 2023-08-31 |
| Hohn, James Individual | adp of the snf | — | 2023-08-31 |
| Hovet, Hethar 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 |
| Herzka, Yisroel 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 |
| Harlow, William Individual | operational/managerial control | — | 2023-08-31 |
| Hovet, Hethar 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 Hot Springs 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 Sanders County.