Hot Springs Health & Rehabilitation Center
600 1st Ave N · Hot Springs, MT · 59845 · 4067412992
40 certified beds For profit - Corporation Chain: Evergreen Healthcare Group
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 2.78 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 1 · $22,614 |
Inspection citations (23 in the current record)
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Potential for harm · D February 10, 2026
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.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · E February 10, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 10, 2026
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.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · E December 19, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected January 31, 2025 · Resident Rights
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Potential for harm · D December 19, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · F December 19, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · E December 19, 2024
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected January 31, 2025 · Nursing and Physician Services
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Potential for harm · E December 19, 2024
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.
Corrected January 31, 2025 · Pharmacy Service
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Potential for harm · F December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 31, 2025 · Nutrition and Dietary
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Potential for harm · F December 19, 2024
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.
Corrected January 31, 2025 · Administration
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Potential for harm · F December 19, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 31, 2025 · Administration
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Potential for harm · D March 26, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 26, 2024 · Resident Rights
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Actual harm · G December 7, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 11, 2024 · Quality of Life and Care
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Actual harm · G December 7, 2023
Ensure that residents are free from significant medication errors.
Corrected January 3, 2024 · Pharmacy Service
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Potential for harm · D December 7, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 21, 2024 · Resident Rights
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Potential for harm · D December 7, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 14, 2024 · Resident Rights
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Potential for harm · D December 7, 2023
Provide activities to meet all resident's needs.
Corrected January 16, 2024 · Quality of Life and Care
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Potential for harm · E December 7, 2023
Provide and implement an infection prevention and control program.
Corrected December 29, 2023 · Infection Control
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Potential for harm · D December 7, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 7, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 7, 2023 | Fine | $22,614 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275069 · certified since September 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.