Livingston Health & Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 510 S 14th St, Livingston, MT 59047
- CCN
- 275047
- Ownership type
- For-profit, corporation
- Certified beds
- 115
- Residents per day
- 60
- 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 Livingston Health & Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 5 Jun 2025. The latest survey cycle has 15 health citations. The median for nursing homes in Montana is 9. CMS lists 1 fine of $17,404 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 | Montana median | US average (CMS) |
|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 2.8 |
| Staffing rating | 2 | 4.0 | 2.9 |
| Quality measure rating | 1 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 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) | 5 Jun 2025 | 15 | 9 |
| Cycle 2 | 3 Jul 2024 | 18 | 10 |
| Cycle 3 | No date | 7 | 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 | C0 |
Survey cycle 1 (latest): 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Jun 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 18 Jul 2026 |
| 29 Jun 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Jul 2026 |
| 29 Jun 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 18 Jul 2026 |
| 18 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 3 Dec 2025 |
| 18 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | B | Complaint investigation | 3 Dec 2025 |
| 18 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 3 Dec 2025 |
| 18 Nov 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | Complaint investigation | 3 Dec 2025 |
| 18 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 3 Dec 2025 |
| 18 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Dec 2025 |
| 5 Jun 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 22 Jul 2025 |
| 5 Jun 2025 | 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 | 22 Jul 2025 |
| 5 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 Jul 2025 |
| 5 Jun 2025 | 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 | 22 Jul 2025 |
| 5 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 22 Jul 2025 |
| 5 Jun 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 Jul 2025 |
Survey cycle 2: 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Jul 2025 |
| 31 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 3 Feb 2025 |
| 31 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 3 Feb 2025 |
| 31 Dec 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 3 Feb 2025 |
| 31 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. | E | Complaint investigation | 3 Feb 2025 |
| 31 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 28 Jan 2025 |
| 31 Dec 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 3 Feb 2025 |
| 31 Dec 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 3 Feb 2025 |
| 31 Dec 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Complaint investigation | 3 Feb 2025 |
| 31 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 3 Feb 2025 |
| 3 Jul 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 9 Aug 2024 |
| 3 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 9 Aug 2024 |
| 3 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 9 Aug 2024 |
| 3 Jul 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 9 Aug 2024 |
| 3 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 9 Aug 2024 |
| 3 Jul 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 9 Aug 2024 |
| 3 Jul 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 9 Aug 2024 |
| 3 Jul 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 9 Aug 2024 |
Survey cycle 3: 7 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 |
|---|---|---|---|---|---|
| 8 Jun 2023 | 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 | 20 Jul 2023 |
| 8 Jun 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Jul 2023 |
| 8 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 Jul 2023 |
| 8 Jun 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 20 Jul 2023 |
| 8 Jun 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 20 Jul 2023 |
| 8 Jun 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Standard survey | 20 Jul 2023 |
| 8 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 20 Jul 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 |
|---|---|---|---|
| 31 Dec 2024 | Fine | $17,404 |
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 | 3.38 | 3.90 | 4.05 |
| Registered nurses (RN) | 0.88 | 0.90 | 0.98 |
| Licensed practical nurses (LPN) | 0.40 | 0.50 | |
| Nurse aides | 2.11 | 2.57 | |
| All nurse staff, weekends | 3.28 | 3.40 | 3.59 |
- Nurse staff turnover in a year
- 69.6%
- Nurse staff turnover, Montana median
- 53.4%
- RN turnover in a year
- 70.0%
- 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 | 26.0% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.6% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.3% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.8% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.2% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.0% | 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
- Livingston SNF Operations LLC
- Chain
- Evergreen Healthcare Group (44 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Livingston SNF Operations LLC | Direct ownership interest | 31 Aug 2023 | |
| Pacific Northwest SNF Operations Holdings (Mt) LLC | Direct ownership interest | 31 Aug 2023 | |
| CH Pacific Northwest Holdings LLC | Indirect ownership interest | 31 Aug 2023 | |
| Pacific Northwest SNF Operations Holdings LLC | Indirect ownership interest | 31 Aug 2023 | |
| Witzcorp Global LLC | Indirect ownership interest | 31 Aug 2023 | |
| Couve Financial Services LLC | Operational/managerial control | 31 Aug 2023 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| Livingston SNF Operations LLC | Operational/managerial control | 31 Aug 2023 | |
| Montana SNF Consulting LLC | Operational/managerial control | 31 Aug 2023 | |
| Pacific Northwest Opco Management LLC | Operational/managerial control | 31 Aug 2023 | |
| CH Pacific Northwest Holdings LLC | Adp of the snf | 31 Aug 2023 | |
| Couve Financial Services LLC | Adp of the snf | 12 Feb 2026 | |
| Couve Healthcare Consulting LLC | Adp of the snf | 31 Mar 2025 | |
| Livingston SNF Operations LLC | Adp of the snf | 11 Jun 2025 | |
| Montana SNF Consulting LLC | Adp of the snf | 31 Mar 2025 | |
| Pacific Northwest Opco Management LLC | Adp of the snf | 27 Mar 2025 | |
| Witzcorp Global LLC | Adp of the snf | 31 Aug 2023 |
The site shows organisations only. It does not show the names of persons.
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 Livingston Health & Rehabilitation Center (CCN 275047). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/livingston-health-rehabilitation-center-livingston-mt-275047/
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 Livingston Health & Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 29 Jun 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 3 Jul 2024.
- Who operates Livingston 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 5 organisations for operational or managerial control. This site does not show the names of persons.
- Is Livingston 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.