Nursing homes › Montana › Livingston Health & Rehabilitation Center
510 S 14Th St, Livingston, MT 59047 · 4062220672 · 115 certified beds
Per CMS filings, this facility is affiliated with Evergreen Healthcare Group, a group operating 44 facilities in 6 states. Group record: average rating 2.5/5, 10 abuse citation icons, 4 facilities on the Special Focus list, $2,156,851 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 3.38 (Montana median: 3.87). RN hours: 0.88. Weekend total: 3.28. Nursing staff turnover: 70%.
All-time on record: 37 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-18 | Respond appropriately to all alleged violations. | E | complaint | corrected 2025-12-03 |
| 2025-11-18 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2025-12-03 |
| 2025-11-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-12-03 |
| 2025-11-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-12-03 |
| 2025-11-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | B | complaint | corrected 2025-12-03 |
| 2025-11-18 | 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 | corrected 2025-12-03 |
| 2025-06-05 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-07-22 |
| 2025-06-05 | 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 | Health | corrected 2025-07-22 |
| 2025-06-05 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2025-07-22 |
| 2025-06-05 | 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 | Health | corrected 2025-07-22 |
| 2025-06-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-07-22 |
| 2025-06-05 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-07-22 |
| 2025-06-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-07-22 |
| 2024-12-31 | Provide enough food/fluids to maintain a resident's health. | G | complaint | corrected 2025-01-28 |
| 2024-12-31 | Provide safe, appropriate pain management for a resident who requires such services. | G | complaint | corrected 2025-02-03 |
| 2024-12-31 | 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 | corrected 2025-02-03 |
| 2024-12-31 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | complaint | corrected 2025-02-03 |
| 2024-12-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2025-02-03 |
| 2024-12-31 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2025-02-03 |
| 2024-12-31 | Respond appropriately to all alleged violations. | E | complaint | corrected 2025-02-03 |
| 2024-12-31 | 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 | corrected 2025-02-03 |
| 2024-12-31 | Prepare residents for a safe transfer or discharge from the nursing home. | D | complaint | corrected 2025-02-03 |
| 2024-07-03 | Respond appropriately to all alleged violations. | E | complaint | corrected 2024-08-09 |
| 2024-07-03 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-08-09 |
| 2024-07-03 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Health | corrected 2024-08-09 |
| 2024-07-03 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-08-09 |
| 2024-07-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-08-09 |
| 2024-07-03 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-08-09 |
| 2024-07-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-08-09 |
| 2024-07-03 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2024-08-09 |
| 2023-06-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Health | corrected 2023-07-20 |
| 2023-06-08 | Provide and implement an infection prevention and control program. | F | Health | corrected 2023-07-20 |
| 2023-06-08 | 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 | Health | corrected 2023-07-20 |
| 2023-06-08 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-07-20 |
| 2023-06-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-07-23 |
| 2023-06-08 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-07-20 |
| 2023-06-08 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2023-07-20 |
| Date | Type | Amount |
|---|---|---|
| 2024-12-31 | Fine | $17,404 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LIVINGSTON SNF OPERATIONS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (MT) LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/31/2023 |
| WITZCORP GLOBAL LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/31/2023 |
| HERZKA, YISROEL | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 08/31/2023 |
| CHEEKS, DONALD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/31/2023 |
| JOHNSON, REBECCA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | Corporate Officer | Individual | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| LIVINGSTON SNF OPERATIONS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| MONTANA SNF CONSULTING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| CHEEKS, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| JOHNSON, REBECCA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| MITCHELL, LAUREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| RICH, KARRIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 275047. Corrections: data@carerecords.org.