Elder Care Record

Montana › Flathead County › Kalispell

Kalispell Rehabilitation and Nursing LLC

171 Heritage Way, Kalispell, MT 59901

CCN 275025 · For-profit, limited liability company · 140 certified beds

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Kalispell Rehabilitation and Nursing LLC is a For-profit, limited liability company nursing home in Kalispell, Montana, certified for 140 beds and caring for about 91 residents a day.

CMS gives it 1 of 5 stars overall, below the Montana median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.

Inspectors recorded 85 health deficiencies across the three most recent survey cycles (30, 23, 32 by cycle, most recent first), 10 of them at the actual-harm or immediate-jeopardy level. That is 60.7 per 100 beds, more than the state median of 40.0.

CMS lists 4 penalties in the period covered: fines totalling $320K.

Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Montana median of 3.9; nursing staff turnover is 38.7%.

CMS flags that the facility is a Special Focus Facility candidate.

85health deficiencies, 3 survey cycles10 at actual harm or worse
$320Kfines listed by CMS4 penalties in period
3.3nurse hours per resident per daystate median 3.9
65%occupancy (residents ÷ beds)91 residents a day

Compared with county, state and nation

MeasureThis facilityFlathead Co. medianMontana medianUS average
Overall star rating1333.0
Health citations, 3 cycles85312728.7
Citations per 100 beds60.728.240.026.8
Total nurse hours per resident day3.34.43.93.9
RN hours per resident day0.50.90.90.7
Nursing staff turnover38.7%42.9%53.4%45.8%
Fines listed$320,155$93,899$27,013—

County and state figures are medians across facilities (6 in the county, 61 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)30
Cycle 223
Cycle 332

Dark bar: this facility. Grey bar: Montana average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Mar 2026, 16 Jan 2025.

Severity mix: J ×2 G ×8 D ×45 E ×20 F ×9 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
17 Jun 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation20 Jul 2026
17 Jun 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation20 Jul 2026
17 Jun 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation20 Jul 2026
12 Mar 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey30 May 2026
12 Mar 2026F0688Provide 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.GComplaint investigation13 Apr 2026
12 Mar 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard survey13 Apr 2026
12 Mar 2026F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey13 Apr 2026
12 Mar 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey13 Apr 2026
12 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Apr 2026
12 Mar 2026F0584Honor 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.EStandard survey13 Apr 2026
12 Mar 2026F0880Provide and implement an infection prevention and control program.EStandard survey13 Apr 2026
12 Mar 2026F0551Give the resident's representative the ability to exercise the resident's rights.DStandard survey13 Apr 2026
12 Mar 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey13 Apr 2026
12 Mar 2026F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey13 Apr 2026
12 Mar 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey13 Apr 2026
12 Mar 2026F0610Respond appropriately to all alleged violations.DStandard survey13 Apr 2026
12 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey13 Apr 2026
12 Mar 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey30 May 2026
12 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey13 Apr 2026
12 Mar 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey13 Apr 2026
12 Mar 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey13 Apr 2026
12 Mar 2026F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey13 Apr 2026
17 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation23 Jan 2026
17 Dec 2025F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.GComplaint investigation23 Jan 2026
17 Dec 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint investigation23 Jan 2026
17 Dec 2025F0584Honor 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.EComplaint investigation23 Jan 2026
17 Dec 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation23 Jan 2026
17 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation23 Jan 2026
17 Dec 2025F0679Provide activities to meet all resident's needs.EComplaint investigation23 Jan 2026
17 Dec 2025F0641Ensure each resident receives an accurate assessment.DComplaint investigation23 Jan 2026
16 Jan 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey20 Feb 2025
16 Jan 2025F0880Provide and implement an infection prevention and control program.FStandard survey20 Feb 2025
16 Jan 2025F0584Honor 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.EStandard survey20 Feb 2025
16 Jan 2025F0585Honor 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.EStandard survey20 Feb 2025
16 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation20 Feb 2025
16 Jan 2025F0697Provide safe, appropriate pain management for a resident who requires such services.EStandard survey20 Feb 2025
16 Jan 2025F0791Provide or obtain dental services for each resident.EStandard survey20 Feb 2025
16 Jan 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey20 Feb 2025
16 Jan 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey20 Feb 2025
16 Jan 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey20 Feb 2025
16 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey20 Feb 2025
16 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey20 Feb 2025
16 Jan 2025F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard survey20 Feb 2025
16 Jan 2025F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation20 Feb 2025
16 Jan 2025F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard survey20 Feb 2025
16 Jan 2025F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard survey20 Feb 2025
28 Aug 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.JComplaint investigation27 Sep 2024
28 Aug 2024F0760Ensure that residents are free from significant medication errors.JComplaint investigation27 Nov 2024
28 Aug 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation27 Nov 2024
28 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation27 Nov 2024
28 Aug 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation27 Nov 2024
28 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation27 Sep 2024
28 Aug 2024F0610Respond appropriately to all alleged violations.DComplaint investigation27 Sep 2024
5 Jun 2024F0584Honor 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.EComplaint investigation3 Jul 2024
5 Jun 2024F0679Provide activities to meet all resident's needs.EComplaint investigation3 Jul 2024
5 Jun 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation3 Jul 2024
5 Jun 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation3 Jul 2024
5 Jun 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation3 Jul 2024
9 Apr 2024F0584Honor 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.EComplaint investigation7 May 2024
9 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation7 May 2024
9 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation7 May 2024
31 Jan 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation19 Feb 2024
31 Jan 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation29 Jan 2024
31 Jan 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation19 Feb 2024
21 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey29 Jan 2024
21 Dec 2023F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey29 Jan 2024
21 Dec 2023F0880Provide and implement an infection prevention and control program.FStandard survey29 Jan 2024
21 Dec 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard survey29 Jan 2024
21 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey29 Jan 2024
21 Dec 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey29 Jan 2024
21 Dec 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey29 Jan 2024
21 Dec 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey29 Jan 2024
21 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey29 Jan 2024
21 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey29 Jan 2024
21 Dec 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey29 Jan 2024
21 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey29 Jan 2024
21 Dec 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey29 Jan 2024
21 Dec 2023F0791Provide or obtain dental services for each resident.DStandard survey29 Jan 2024
21 Dec 2023F0584Honor 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.CStandard survey29 Jan 2024
12 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation2 Nov 2023
12 Oct 2023F0578Honor 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.DComplaint investigation3 Nov 2023
12 Oct 2023F0585Honor 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.DComplaint investigation3 Nov 2023
12 Oct 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation2 Nov 2023
30 Aug 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation20 Sep 2023
30 Aug 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation20 Sep 2023

Penalties

DateTypeAmountDetail
12 Mar 2026Fine$205,400
17 Dec 2025Fine$52,728
28 Aug 2024Fine$52,716
12 Oct 2023Fine$9,311

Staffing

Total nursing3.28 h
Nurse aides2.13 h
LPN0.61 h
RN0.54 h
Weekend total2.94 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 38.7%, RNs 37.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMontana medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.1%18.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%1.1%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.6%3.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.6%0.6%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.5%16.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.5%5.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay22.0%19.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. CMS groups this facility with 19 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked.

OrganisationRole in the CMS recordInterestSince
Cashmer LLCDirect ownership interestNOT APPLICABLE07/01/2023
Cottonwood Healthcare LLCOperational/managerial controlNOT APPLICABLE07/01/2023
Professional Business Advisors LLCOperational/managerial controlNOT APPLICABLE07/01/2023
Wipfli LLPOperational/managerial controlNOT APPLICABLE07/01/2023
Cottonwood Healthcare LLCAdp of the snfNOT APPLICABLE05/07/2025
Professional Business Advisors LLCAdp of the snfNOT APPLICABLE05/07/2025
Wipfli LLPAdp of the snfNOT APPLICABLE05/07/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Flathead County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Immanuel Skilled Care CenterKalispell1555452113.5—31 Dec 2025
Brendan HouseKalispell1103353128.2$93K17 Jul 2025
Montana Veterans Home N Habuse iconColumbia Falls1053251514.3$94K19 Aug 2025
Lakeview Rehabilitation and Nursing LLCBigfork————13——7 May 2026
Whitefish Care and RehabilitationSFFWhitefish100———7777.0$373K12 Mar 2026

All 6 facilities in Flathead County

Questions and answers

How many deficiencies has Kalispell Rehabilitation and Nursing LLC been cited for?

85 health deficiencies across the three most recent survey cycles, 10 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.

Has Kalispell Rehabilitation and Nursing LLC been fined?

Yes. CMS lists fines totalling $320K in the period covered.

How does staffing at Kalispell Rehabilitation and Nursing LLC compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.

Who operates Kalispell Rehabilitation and Nursing LLC?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cashmer LLC, Cottonwood Healthcare LLC and Professional Business Advisors LLC. Individual owners and managers are not listed on this site.

When was Kalispell Rehabilitation and Nursing LLC last inspected?

The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 12 Mar 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.