42.4/100
Below average
510 S 14Th St, Livingston, MT 59047
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.
2 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.
$17,404 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 70%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: June 5, 2025 (1 year ago).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, minimal potential
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, minimal potential
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
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...
No actual harm, potential for more than minimal harm
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 |
|---|---|---|---|
| LIVINGSTON 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 | — |
| CHEEKS, DONALD | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| JOHNSON, REBECCA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SPIELMAN, SHIMON | Individual | CORPORATE OFFICER | — |
| COUVE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| COUVE HEALTHCARE CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
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Livingston Health & Rehabilitation Center holds an ElderGrade of D (42.4 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.38 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 37 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.
Yes, Livingston Health & 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.