Aspen Meadows Health And Rehabilitation Center

Name: Aspen Meadows Health And Rehabilitation Center: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Billings, Yellowstone County, Montana · CCN 275140 · For-profit (Corporation) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)

CMS rates Aspen Meadows Health And Rehabilitation Center 2 of 5 overall as of August 2026. 90 certified beds, 66 residents a day on average. 36 citations on record from the current inspection cycles, 4 involving actual harm; 2 fines totalling $115,183.

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	★★☆☆☆ 2 of 5
Health inspections	★★★☆☆ 3 of 5
Staffing	★★☆☆☆ 2 of 5
Quality measures	★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay	1 / 1 of 5

Staffing

Total nurse staffing	3.62981 hours per resident per day
Registered nurses	0.4044 hours per resident per day
Weekend total	3.22125 hours per resident per day
Nursing staff turnover	76.2% (registered nurses 83.3%)
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 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	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-02
2026-03-26 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-02
2026-03-26	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 2026-04-02
2026-03-26 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-02
2026-03-26 complaint survey	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 · tag F0655	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-02
2026-03-26	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-02
2026-03-26 complaint survey	Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · tag F0563	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-02
2026-03-26	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-02
2026-03-26 complaint survey	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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-02
2026-03-26 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 2026-04-02
2026-03-26	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 2026-04-02
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 2026-04-02
2026-03-26	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 2026-04-02
2026-03-26 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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-02
2026-03-26	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-02
2026-03-26	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-02
2025-09-10 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 2025-10-09
2025-09-10 complaint survey	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-10-09
2025-04-10	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · tag F0622	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-19
2025-04-10	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 · tag F0655	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-19
2025-04-10	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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-19
2025-04-10	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 2025-05-19
2025-04-10	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 2025-05-19
2025-04-10	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-19
2025-04-10	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 2025-05-19
2025-01-16 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 2025-02-28
2025-01-16 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 2025-02-28
2025-01-16 complaint survey	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 · tag F0655	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-02-28
2025-01-16 complaint survey	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-02-28
2025-01-16 complaint survey	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 2025-02-28
2024-10-21 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2024-11-24
2024-04-11 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	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-05-20
2024-04-11	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	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-05-20
2024-04-11	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 2024-05-20
2024-04-11 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 2024-05-20
2024-04-11	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 2024-05-20

Fines and payment denials

Date	Penalty	Amount
2026-03-26	Fine	$67,525
2024-10-21	Fine	$47,658

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
Aspen Meadows Snf Operations, LLC Organization	adp of the snf	—	2025-03-20
Ch Pacific Northwest Holdings LLC Organization	adp of the snf	—	2023-08-31
Couve Financial Services LLC Organization	adp of the snf	—	2025-03-20
Couve Healthcare Consulting LLC Organization	adp of the snf	—	2025-03-20
Montana Snf Consulting LLC Organization	adp of the snf	—	2025-03-20
Pacific Northwest Opco Management LLC Organization	adp of the snf	—	2025-03-20
Witzcorp Global LLC Organization	adp of the snf	—	2023-08-31
Aspen Meadows 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
Pacific Northwest Snf Operations Holdings LLC Organization	indirect ownership interest	—	2023-08-31
Witzcorp Global LLC Organization	indirect ownership interest	—	2023-08-31
Aspen Meadows Snf Operations, LLC Organization	operational/managerial control	—	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
Montana Snf Consulting LLC Organization	operational/managerial control	—	2023-08-31
Pacific Northwest Opco Management LLC Organization	operational/managerial control	—	2023-08-31
Herzka, Yisroel Individual	adp of the snf	—	2023-08-31
Jensen, Sheldon Individual	adp of the snf	—	2023-08-31
Johnson, Rebecca Individual	adp of the snf	—	2023-08-31
Lowe, Leonor Individual	adp of the snf	—	2023-08-31
Naumann, Teresa Individual	adp of the snf	—	2023-08-31
Severa, Larry 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
Yenowitz, Yitzchok Individual	corporate officer	—	2023-08-31
Herzka, Yisroel Individual	indirect ownership interest	—	2023-08-31
Yenowitz, Yitzchok Individual	indirect ownership interest	—	2023-08-31
Johnson, Rebecca Individual	managing control - governing body	—	2023-08-31
Lowe, Leonor Individual	managing control - governing body	—	2023-08-31
Jensen, Sheldon Individual	operational/managerial control	—	2023-08-31
Johnson, Rebecca Individual	operational/managerial control	—	2023-08-31
Lowe, Leonor Individual	operational/managerial control	—	2023-08-31
Naumann, Teresa Individual	operational/managerial control	—	2023-08-31
Severa, Larry 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 Aspen Meadows Health And 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 Yellowstone County.