Hot Springs Health & Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 600 1st Ave N, Hot Springs, MT 59845
- CCN
- 275069
- Ownership type
- For-profit, corporation
- Certified beds
- 40
- Residents per day
- 31
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Hot Springs Health & Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 10 Feb 2026. The latest survey cycle has 3 health citations. The median for nursing homes in Montana is 9. CMS lists 1 fine of $22,614 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Sanders County median | Montana median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 61 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Montana median |
|---|---|---|---|
| Cycle 1 (latest) | 10 Feb 2026 | 3 | 9 |
| Cycle 2 | 19 Dec 2024 | 11 | 10 |
| Cycle 3 | No date | 9 | 7 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Feb 2026 | F0584 | 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. | D | Standard survey | 13 Feb 2026 |
| 10 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 13 Feb 2026 |
| 10 Feb 2026 | F0700 | 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. | D | Standard survey | 13 Feb 2026 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Dec 2024 | F0578 | 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. | E | Standard survey | 31 Jan 2025 |
| 19 Dec 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 31 Jan 2025 |
| 19 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Jan 2025 |
| 19 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | F | Standard survey | 31 Jan 2025 |
| 19 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 31 Jan 2025 |
| 19 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 31 Jan 2025 |
| 19 Dec 2024 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard survey | 31 Jan 2025 |
| 19 Dec 2024 | F0761 | 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. | E | Standard survey | 31 Jan 2025 |
| 19 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 Jan 2025 |
| 19 Dec 2024 | F0837 | 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. | F | Standard survey | 31 Jan 2025 |
| 19 Dec 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 31 Jan 2025 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Mar 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 26 Apr 2024 |
| 7 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 21 Jan 2024 |
| 7 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 14 Jan 2024 |
| 7 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Jan 2024 |
| 7 Dec 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 16 Jan 2024 |
| 7 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 11 Jan 2024 |
| 7 Dec 2023 | F0760 | Ensure that residents are free from significant medication errors. | G | Standard survey | 3 Jan 2024 |
| 7 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Dec 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 7 Dec 2023 | Fine | $22,614 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Montana median | Montana average (CMS) |
|---|---|---|---|
| All nurse staff | 2.70 | 3.90 | 4.05 |
| Registered nurses (RN) | 0.94 | 0.90 | 0.98 |
| Licensed practical nurses (LPN) | 0.19 | 0.50 | |
| Nurse aides | 1.58 | 2.57 | |
| All nurse staff, weekends | 2.41 | 3.40 | 3.59 |
- Nurse staff turnover in a year
- 45.2%
- Nurse staff turnover, Montana median
- 53.4%
- RN turnover in a year
- 42.9%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.6% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.9% | 3.9% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.3% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.1% | 19.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Hot Springs SNF Operations LLC
- Chain
- Evergreen Healthcare Group (44 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pacific Northwest 12 Leased Operations Holdings LLC | Direct ownership interest | 31 Aug 2023 | |
| CH PNW 12 Holdings LLC | Indirect ownership interest | 31 Aug 2023 | |
| Witzcorp PNW 12 LLC | Indirect ownership interest | 31 Aug 2023 | |
| Montana Associates, LLC | 5% or greater security interest | 31 Aug 2023 | |
| Couve Financial Services LLC | Operational/managerial control | 31 Aug 2023 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| PNW 12 Opco Management LLC | Operational/managerial control | 31 Aug 2023 | |
| PNW 12 SNF Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| Couve Financial Services LLC | Adp of the snf | 28 Jul 2025 | |
| Couve Healthcare Consulting LLC | Adp of the snf | 8 Apr 2025 | |
| Montana Associates, LLC | Adp of the snf | 17 Jun 2025 | |
| PNW 12 Opco Management LLC | Adp of the snf | 8 Apr 2025 | |
| PNW 12 SNF Consulting LLC | Adp of the snf | 8 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Sanders County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Clark Fork Valley Nursing Home | Plains | 4 of 5 | 2 | $62,871 | 9 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Montana Department of Public Health and Human Services: certification complaint formThe complaint page of the State Survey Agency for Montana, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Hot Springs Health & Rehabilitation Center (CCN 275069). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/hot-springs-health-rehabilitation-center-hot-springs-mt-275069/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Hot Springs Health & Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 10 Feb 2026. It was a standard survey. It gave 3 citations. The standard survey before the last one was on 19 Dec 2024.
- Who operates Hot Springs Health & Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Evergreen Healthcare Group. The CMS ownership file names 4 organisations for operational or managerial control. This site does not show the names of persons.
- Is Hot Springs Health & Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Montana as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.