ElderGrade
F

35.3/100

Poor

Aspen Meadows Health And Rehabilitation Center

3155 Ave C, Billings, MT 59102

CMS 2/5 stars #5 of 7 in Yellowstone County (406) 656-8818
Certified beds
90
Occupancy
73%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $115,183 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 76%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

11.3/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -12 for 4 actual-harm citation(s) in the last 3 years
  • -6.7 for 36 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.04 total nurse hours per resident per day (national median 3.77)
  • 0.4 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 76% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $115,183 in federal fines across 2 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.63 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.40 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.22 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 76.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 36 citations

Last standard health inspection: March 26, 2026 (4 months ago).

G Mar 26, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

G Mar 26, 2026 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm to a resident

G Mar 26, 2026 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Actual harm to a resident

E Mar 26, 2026 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

E Mar 26, 2026 F0655 From a complaint

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

No actual harm, potential for more than minimal harm

D Mar 26, 2026 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D Mar 26, 2026 F0563 From a complaint

Resident Rights Deficiencies

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

No actual harm, potential for more than minimal harm

D Mar 26, 2026 F0582

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of EVERGREEN HEALTHCARE GROUP, which operates 44 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
ASPEN MEADOWS SNF OPERATIONS, LLC Organization DIRECT OWNERSHIP INTEREST
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (MT) LLC Organization DIRECT OWNERSHIP INTEREST
CH PACIFIC NORTHWEST HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
WITZCORP GLOBAL LLC Organization INDIRECT OWNERSHIP INTEREST
HERZKA, YISROEL Individual INDIRECT OWNERSHIP INTEREST
YENOWITZ, YITZCHOK Individual INDIRECT OWNERSHIP INTEREST
JOHNSON, REBECCA Individual MANAGING CONTROL - GOVERNING BODY
LOWE, LEONOR Individual MANAGING CONTROL - GOVERNING BODY
SPIELMAN, SHIMON Individual CORPORATE OFFICER
YENOWITZ, YITZCHOK Individual CORPORATE OFFICER
ASPEN MEADOWS SNF OPERATIONS, LLC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

Write a review

No family reviews yet for Aspen Meadows Health And Rehabilitation Center. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Aspen Meadows Health And Rehabilitation Center

What is the ElderGrade for Aspen Meadows Health And Rehabilitation Center? +

Aspen Meadows Health And Rehabilitation Center holds an ElderGrade of F (35.3 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Aspen Meadows Health And Rehabilitation Center? +

Residents receive an average of 3.63 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Aspen Meadows Health And Rehabilitation Center been cited for harming residents? +

Yes. 4 of the 36 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Aspen Meadows Health And Rehabilitation Center accept Medicaid? +

Yes, Aspen Meadows Health And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.