CareWitness
Federal record · CMS Care Compare · CCN 275069 · Processed JUN 1 2026
CareWitnessMontanaHot SpringsNursing HomesHot Springs Health & Rehabilitation Center

Hot Springs Health & Rehabilitation Center

600 1St Ave N, Hot Springs, MT, 59845

Type
Nursing home
Medicare/Medicaid certified · CCN 275069

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall4 / 5
Health inspections4 / 5
Staffing4 / 5
Quality measures3 / 5

Facility & Staffing

Ownership
For profit - Corporation · Chain: Evergreen Healthcare Group
Certified beds
40 · avg 31 residents/day
Total nursing staff turnover
57.6%near the Montana averageMontana avg: 55.6% · National avg: 46.1% · per CMS Care Compare
RN turnover
50%near the Montana averageMontana avg: 49.3% · National avg: 43.3% · per CMS Care Compare
Administrators who left
1 departednear the Montana averageMontana avg: 0.4 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
1 fine · $22,614 total

Medicare certification

CMS Certification Number
275069
Certified beds
40 beds · avg 31 residents/day
Ownership type
For profit - Corporation
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Hot Springs Snf Operations Llc
Chain affiliation
Evergreen Healthcare Group

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlcReal-estate trust in ownership

Chain affiliation

Part of the Evergreen Healthcare Group chain — 43 facilities across 6 states. Chain-wide average overall rating 2.4 / 5.

Parent entity

Pacific Northwest 12 Leased Operations Holdings Llc

Disclosed owners (24 on record)

  • Couve Financial Services Llc

    Adp of The Snf · since 2025

  • Montana Associates, LlcREIT

    Adp of The Snf · since 2025

  • Couve Healthcare Consulting Llc

    Adp of The Snf · since 2025

  • Pnw 12 Opco Management Llc

    Adp of The Snf · since 2025

  • Pnw 12 Snf Consulting Llc

    Adp of The Snf · since 2025

  • ch Pnw 12 Holdings LlcHolding

    Indirect Ownership Interest · 67% · since 2023

+ 18 additional owners on the federal record.

Recent change of ownership

August 2023 (2 years ago) · acquired from Hot Springs Health And Rehabilitation Center

Transaction type: Change of Ownership

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.

Federal inspection record

23 health citations on file3 from complaints1 federal fine totalling $23K

Recent health-deficiency citations (most recent 8 of 23)

  • D0700·Feb 10, 2026

    Quality of Life and Care Deficiencies

    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

  • E0656·Feb 10, 2026

    Resident Assessment and Care Planning Deficiencies

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • D0584·Feb 10, 2026

    Resident Rights Deficiencies

    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.

  • F0867·Dec 19, 2024

    Administration Deficiencies

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  • F0837·Dec 19, 2024

    Administration Deficiencies

    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.

  • F0812·Dec 19, 2024

    Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • E0761·Dec 19, 2024

    Pharmacy Service Deficiencies

    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.

  • E0711·Dec 19, 2024

    Nursing and Physician Services Deficiencies

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20231 fine · $23K

Most recent events

  • Dec 7, 2023Fine · $23K

Fire-safety citations

28 Life-Safety-Code citations on file. Most recent: Feb 10, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Hot Springs Health & Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.