SNF
MISSOULA HEALTH & REHABILITATION CENTER
CCN: 275035 · MISSOULA, MT 59802 · Missoula County
Overview
- Address
- 3018 RATTLESNAKE DR, MISSOULA, MT 59802
- Phone
- 4065490988
- Certified beds
- 53
- Avg daily residents
- 37 (70% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1967-01-01
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.54 | 3.32 | 4.12 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.59 | 0.58 | 0.69 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.89 | 0.74 | 1.03 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.06 | 2.00 | 2.40 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.48 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.14 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.07
hrs / resident / day
RN (weekend)
0.39
hrs / resident / day
Total nurse (adjusted, weekend)
3.58
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
56.5%
annual
RN turnover
50.0%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.18
higher acuity than avg
Case-Mix Index Ratio
0.85
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-02-13 | 12 | 12 | 0 | 56 | 1 | 56 |
| Cycle 2/3 (prior) | 2024-02-15 | 9 | 9 | 1 | 64 | 1 | 64 |
Total weighted health score
58.0
lower is better
Deficiencies (34)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
34 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0584 | 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. | E | 2025-02-13 | 2025-03-26 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-02-13 | 2025-03-26 |
| 0675 | Honor each resident's preferences, choices, values and beliefs. | E | 2025-02-13 | 2025-03-26 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-02-13 | 2025-03-26 |
| 0679 | Provide activities to meet all resident's needs. | D | 2025-02-13 | 2025-03-26 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2025-02-13 | 2025-03-26 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-02-13 | 2025-03-26 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-02-13 | 2025-03-26 |
| 0791 | Provide or obtain dental services for each resident. | D | 2025-02-13 | 2025-03-26 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-02-13 | 2025-03-26 |
| 0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-02-13 | 2025-03-26 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-02-13 | 2025-03-26 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-15 | 2024-03-26 |
| 0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2024-02-15 | 2024-03-26 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-02-15 | 2024-03-26 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-02-15 | 2024-03-26 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-02-15 | 2024-03-26 |
| 0761 | 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. | F | 2024-02-15 | 2024-03-26 |
| 0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | 2024-02-15 | 2024-03-26 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-02-15 | 2024-03-26 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-02-15 | 2024-03-26 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-02-16 | 2023-03-27 |
| 0584 | 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 | 2023-02-16 | 2023-03-27 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-02-16 | 2023-02-16 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-02-16 | 2023-03-27 |
| 0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2023-02-16 | 2023-03-27 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-02-16 | 2023-03-27 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-02-16 | 2023-02-16 |
| 0700 | 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. | D | 2023-02-16 | 2023-03-27 |
| 0732 | Post nurse staffing information every day. | D | 2023-02-16 | 2023-03-27 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-02-16 | 2023-03-27 |
| 0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2023-02-16 | 2023-03-27 |
| 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | 2023-02-16 | 2023-03-27 |
| 0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2023-02-16 | 2023-03-27 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 4.1% Medicaid 58.1% Other 37.8%
Operating performance
Operating Margin
-9.4%
Total Margin
-5.9%
Occupancy Rate
80.3%
Cost per Resident Day
$23
Revenue & costs
Net Patient Revenue
$1.5M
Total Costs
$138K
Net Income
-$89K
Balance sheet
Total Assets
$394K
Total Liabilities
$483K
Fund Balance
-$89K
Current Ratio
0.81
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: EVERGREEN HEALTHCARE GROUP
- Chain ID
846- Facilities in chain
- 41
- Legal business name
- MISSOULA SNF OPERATIONS LLC
Chain-average star ratings (for peer context)
Overall
2.3
Health
2.3
Staffing
3.1
QM
3.1
Owner / manager organizations (7)
| Organization | Role | Association |
|---|---|---|
| CH PACIFIC NORTHWEST HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/31/2023 |
| WITZCORP GLOBAL LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
| MISSOULA SNF OPERATIONS LLC | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
| MONTANA SNF CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
Owner / manager individuals (7)
| Name | Role | Association |
|---|---|---|
| CHEEKS, DONALD | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
| FISCHER, DORIS | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
| HOHN, JAMES | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
| RICH, KARRIE | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
| SPIELMAN, SHIMON | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
| YENOWITZ, YITZCHOK | OPERATIONAL/MANAGERIAL CONTROL | since 08/31/2023 |
| SPIELMAN, SHIMON | CORPORATE OFFICER | since 08/31/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $23 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.81 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 58.1% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 4.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-89,430 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $1,472,825 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 80.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -9.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $393,613 | metrics.total_assets |
| Cost Report | Total Costs ($) | $137,797 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-89,430 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $483,043 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -5.9% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.03311 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.39798 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.69084 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.12193 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.57633 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 37.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.73617 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.00074 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.58026 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.31718 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.92374 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.3 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.1 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 846 | Chain ID |
| Provider Information | Chain Name | EVERGREEN HEALTHCARE GROUP | Chain Name |
| Provider Information | City/Town | MISSOULA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 275035 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Missoula | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1967-01-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 46.8929 | Latitude |
| Provider Information | Legal Business Name | MISSOULA SNF OPERATIONS LLC | Legal Business Name |
| Provider Information | Location | 3018 RATTLESNAKE DR,MISSOULA,MT,59802 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -113.97 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 53 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 41 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.17513 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.85299 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 3018 RATTLESNAKE DR | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | MISSOULA HEALTH & REHABILITATION CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 310 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 56 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 12 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-02-13 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 56 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 12 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 9 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-02-15 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 64 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 64 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 9 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.38750 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 50.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.48116 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.88761 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.06026 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.13967 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.59355 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.54142 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MT | State |
| Provider Information | Telephone Number | 4065490988 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.07266 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 56.5 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 58.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 59802 | ZIP Code |