Nursing Care Index

Laurel Health & Rehabilitation Center

Laurel, Yellowstone County, Montana · CCN 275111 · For-profit (Corporation) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)

CMS rates Laurel Health & Rehabilitation Center 1 of 5 overall as of August 2026. 79 certified beds, 62 residents a day on average. 41 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $7,163.

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★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay2 / 5 of 5

Staffing

Total nurse staffing3.23637 hours per resident per day
Registered nurses0.56326 hours per resident per day
Weekend total2.76199 hours per resident per day
Nursing staff turnover67.6% (registered nurses 69.2%)
Administrators who left2

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.

SurveyFindingSeverityStatus
2026-01-29 Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · tag F0865
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-03-06
2026-01-29 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
2026-03-06
2026-01-29 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-03-06
2026-01-29 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-03-06
2026-01-29 Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · tag F0565
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-06
2026-01-29 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
2026-03-06
2026-01-29
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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-06
2026-01-29 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-06
2026-01-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-06
2026-01-29 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
2026-03-06
2026-01-29
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-01-29 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · tag F0627
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-01-29 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · tag F0628
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-01-29 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
2026-03-06
2026-01-29 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
2026-03-06
2026-01-29 Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · tag F0685
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-01-29 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
2026-03-06
2026-01-29 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-01-29 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-01-29 Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · tag F0699
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-01-29 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-01-29 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
2026-03-06
2026-01-29 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2025-05-06
complaint survey
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
2025-05-23
2025-05-06
complaint survey
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
2025-05-23
2025-05-06
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 Past Non-Compliance
2025-04-22
2024-12-19 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · tag F0851
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-01-28
2024-12-19
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-01-28
2024-12-19 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
2025-01-28
2024-12-19 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-01-28
2024-12-19 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · tag F0625
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-01-28
2024-02-14
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-26
2024-02-14
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-26
2024-02-14
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 Past Non-Compliance
2024-01-08
2023-12-07 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
2024-01-02
2023-12-07 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
2024-01-02
2023-10-12
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2023-04-15
2023-10-12
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-26
2023-10-12
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-26
2023-10-12
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 Past Non-Compliance
2023-05-17
2023-10-12
complaint survey
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-26

Fines and payment denials

DatePenaltyAmount
2023-10-12Fine$7,163

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.

NameRoleShareSince
Ch Pacific Northwest Holdings LLC
Organization
adp of the snf2023-08-31
Couve Financial Services LLC
Organization
adp of the snf2026-02-12
Couve Healthcare Consulting LLC
Organization
adp of the snf2025-03-19
Laurel Snf Operations LLC
Organization
adp of the snf2025-04-29
Montana Snf Consulting LLC
Organization
adp of the snf2025-03-19
Pacific Northwest Opco Management LLC
Organization
adp of the snf2025-03-19
Witzcorp Global LLC
Organization
adp of the snf2023-08-31
Pacific Northwest Snf Operations Holdings (Mt) LLC
Organization
direct ownership interest2023-08-31
Ch Pacific Northwest Holdings LLC
Organization
indirect ownership interest2023-08-31
Pacific Northwest Snf Operations Holdings LLC
Organization
indirect ownership interest2023-08-31
Witzcorp Global LLC
Organization
indirect ownership interest2023-08-31
Couve Financial Services LLC
Organization
operational/managerial control2023-08-31
Couve Healthcare Consulting LLC
Organization
operational/managerial control2023-08-31
Laurel Snf Operations LLC
Organization
operational/managerial control2023-08-31
Montana Snf Consulting LLC
Organization
operational/managerial control2023-08-31
Pacific Northwest Opco Management LLC
Organization
operational/managerial control2023-08-31
Herzka, Yisroel
Individual
adp of the snf2023-08-31
Johnson, Rebecca
Individual
adp of the snf2023-08-31
Lowe, Leonor
Individual
adp of the snf2023-08-31
Mansfield, Jame
Individual
adp of the snf2023-08-31
Rodenberger, Monica
Individual
adp of the snf2023-08-31
Severa, Larry
Individual
adp of the snf2023-08-31
Spielman, Shimon
Individual
adp of the snf2023-08-31
Yenowitz, Yitzchok
Individual
adp of the snf2023-08-31
Herzka, Yisroel
Individual
indirect ownership interest2023-08-31
Yenowitz, Yitzchok
Individual
indirect ownership interest2023-08-31
Johnson, Rebecca
Individual
managing control - governing body2023-08-31
Lowe, Leonor
Individual
managing control - governing body2023-08-31
Mansfield, Jame
Individual
operational/managerial control2023-08-31
Rodenberger, Monica
Individual
operational/managerial control2023-08-31
Severa, Larry
Individual
operational/managerial control2023-08-31
Spielman, Shimon
Individual
operational/managerial control2023-08-31
Yenowitz, Yitzchok
Individual
operational/managerial control2023-08-31

What changed

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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 Yellowstone County.