Immanuel Skilled Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

58.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 305 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 73.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 198 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.58 therapist hours per resident per day in 2026Q1 — more than 87% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 155 beds and averages 106.3 residents a day — about 69% occupied, or roughly 49 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.37 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.89 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.55 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.16 hrs/resident/day on weekends vs 4.45 on weekdays — 6% thinner on weekends. RN hours go from 0.98 to 0.69 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · F2025-12-31 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure kitchen personnel had a process in place for documentation of weekly deep cleaning of the ovens; and failed to ensure areas surrounding the fryer and griddle were cleaned daily (end of shift). These deficient practices had the potential to increase the risk of foodborne illnesses for anyone receiving food, or having food prepared, from the facility kitchen. Findings include:1. Kitchen OvensDuring an observation and interview on 12/30/25 at 2:17 p.m., staff member C stated the ovens in the kitchen had been cleaned about a month ago. Staff member C opened the oven furthest away from the flat top griddle. The oven had dark brown, burnt food, and grease splatter covering both doors, burnt food chunks below the doors, and baked on grease splatter on all sides of the oven. Staff member C opened the oven closest to the flat top griddle, which also had the same baked on, burnt food, and grease splatter on both doors, all sides of the oven, and burnt food chunks below the doors. Staff member C stated she did…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-31 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, staff member E failed to uphold infection control precautions for 1 (#29) resident, to include failing to use enhanced barrier precautions (EBP) while performing the treatment to an open skin tear for a resident with a known MDRO; placing wound care supplies onto an unclean surface during wound care; and failing to perform hand hygiene before entering a resident's room and donning clean gloves; failed to ensure staff member J followed EBP while administering medications in a gastrostomy tube for 1 (#66) out of 23 sampled residents. The facility also failed to ensure cleaning and a cleaning log was completed for a CoaguChek XS System for 1 (#10) of 1 resident utilizing the CoaguChek XS System. These deficient practices had the potential to increase the risk of communicable diseases within the facility. Findings include: 1. During an observation and interview on 12/30/25 at 9:39 a.m., resident #29 was holding a blood-soaked tissue on his left forearm. Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-31 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to identify and implement a care plan for concerns related to a resident's diagnosis of Post Traumatic Stress Disorder (PTSD), and or the triggers for the PTSD, for the provision of trauma-informed care, for 1 (#111) of 23 sampled residents. Findings include:A review of resident #111's diagnoses list in the EMR showed Post-traumatic stress disorder, unspecified, with a date of 7/14/2025.A review of a facility document titled, Trauma Informed Care Assessment-PTSD 5, with an effective date of 11/24/24, for resident #111, showed: PTSD SCREENREAD. Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire, a physical or sexual assault or abuse, an earthquake or flood, a war, seeing someone be killed or seriously injured, having a loved one die through homicide or suicide.1. Have you ever experienced this kind of event? . The yes box was checked.A review of resident #111's comprehensive care plan failed to show that he had PTSD or any…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-31 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, facility nursing staff failed to document blood pressure readings before administering a blood pressure medication with provider orders to hold the medication, if the resident's blood pressure was under 110/60 mmHg, for 1 (#95) of 23 sampled residents. This deficient practice had the potential to cause the resident to become hypotensive. Findings include:A review of a provider order in resident #95's EHR, dated 9/5/25, and ordered by staff member F, showed: Medication: Labetalol HCL Oral Tablet 100 mg, DAW Give 50 mg by mouth in the morning for hypertension Hold for pressure below 110/60. [sic]A review of another provider order in resident #95's EHR, dated 9/5/25, and ordered by staff member F, showed: Medication: Labetalol HCL Oral Tablet, Give 25 mg by mouth at bedtime for HTN Hold for pressure below 110/60. [sic]A review of resident #95's blood pressure recordings in her EHR, showed 152 blood pressure readings were not recorded from 10/2/25 through 12/25/25. Resident #95 should have had two blood pressure readings recorded each day from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-31 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure pain medications were offered or given prior to ambulation, and non-pharmacological pain interventions were present and used for 1 (#112) of 23 sampled residents, and the resident stated her pain would sometimes make her cry. Findings include:During an observation and interview on 12/29/25 at 4:07 p.m., resident #112 stated she was having terrible pain in her hands. She stated she had arthritis and staff members would make her do exercises even though she was having immense pain. She stated she had gotten up with staff twice today and both times she experienced pain. She also stated staff members would haul you out of bed at 5:00 a.m. sometimes, which she stated she did not prefer. She explained while staff members took her to the dining room, she had to grab a bar while standing and she winced while explaining the process with her hands. She stated the CNAs would sometimes tell the nurse that she needed an aspirin, but resident #112 stated the communication did not always happen. Resident #112 did not…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-20 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to report their investigative findings of a facility reported incident to the State Survey Agency in a timely manner for 7 (#s 1, 2, 3, 4, 5, 6 and 7) of 13 sampled residents. Findings include:1. Review of a facility-reported incident, dated 12/4/24, involved an allegation of an injury of unknown origin, where a 2.5 cm bruise was noted on resident #2's right deltoid. Review of the facility-reported incident findings, submitted on 12/13/24, showed resident #2 is on a blood thinner, is at high risk for bruising, and the bruise was noted on the deltoid where the blood pressure cuff would be placed. Resident #2 had blood pressure checks every morning by unit staff and 5 days a week with therapy.2. Review of a facility-reported incident, dated 12/11/24, involved an allegation of an injury of unknown origin, where a skin assessment revealed resident #4 had a 12 cm x 11cm bruise in various stages of healing on the resident's right lower rib cage extending to the right iliac crest. Resident #4 has a diagnosis of dementia, was unable…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · D2025-08-20 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record review, the facility failed to ensure a resident is free from physical restraints, failed to identify a seatbelt as a restraint, failed to assess for safety for the use of a physical restraint prior to the placement of the restraint, and failed to ensure the use of a physical restraint was used to treat a resident's medical symptoms for 1 (#5) of 13 sampled residents. This deficient practice caused the resident to be restrained to her wheelchair by a seatbelt without a clinical rationale. Findings include:During an observation on 8/18/25 at 3:42 p.m., resident #5 was seated in her wheelchair in a small room near the dining area on the memory care unit. Resident #5 was observed to have a seatbelt in use in her wheelchair. During an interview on 8/18/25 at 3:44 p.m., staff member D stated resident #5 had a seatbelt on. Staff member D stated, she believed resident #5 could remove the seatbelt independently. During an interview on 8/18/25 at 3:55 p.m., staff member E stated she noticed resident #5 was wearing a seatbelt. Staff member E stated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-10-24 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility: - failed to ensure an enhanced barrier precautions door sign was posted to notify all staff of the infection control precautions, and have gowns readily available for use during a tube feeding, for 1 (#361); - failed to ensure staff member R adhered to standard precautions during medication administration via a tube feeding, by placing medications to be administered on an unclean surface without a protective barrier in place, for 1 (#361); - failed to ensure staff member S and Q adhered to proper infection prevention practices related to hand hygiene during donning and doffing of gloves, for 2 (#s 42 and 370); - failed to ensure staff members G and K adhered to proper hand hygiene prior to entering and exiting resident rooms, for 6 (#s 29, 68, 70, 73, 77, and 88) of 37 sampled residents; and, - failed to ensure staff member C was performing infection tracking, surveillance, and ensuring staff member H maintained infection control practices while transporting laundry. Findings include: 1. During an observation on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-24 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to develop a person-centered, comprehensive care plan for 6 (#s 9, 10, 32, 52, 53, and 100) of 37 sampled residents. Findings include: 1. During an interview on 10/22/24 at 9:22 a.m., resident #9 stated she had constant pain, and some days were better than others. Review of resident #9's electronic medical record showed she had diagnoses of Fibromyalgia, Rheumatoid Arthritis, and Chronic Pain Syndrome. Review of resident #9's medication administration record, dated 8/1/24 - 10/24/24, showed resident #9 received oxycodone, 10 milligrams, every four hours, as needed for pain, and methadone, 10 milligrams, twice daily, for pain. Review of resident #9's comprehensive care plan showed no focus, goals, or interventions for pain, opioid pain medication, or non-pharmacological approaches. 2. During an observation and interview, on 10/22/24 at 3:20 p.m., resident #10 was in her room sitting in a recliner. Resident #10 had on two liters of oxygen via nasal canula. Resident #10 stated she wore oxygen all the time.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-24 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure residents were safe to self-administer medications before leaving the medications at the bedside, causing an increased potential for medications not being taken as the physician ordered, for 3 (#s 9, 23, and 48) of 37 sampled residents. Findings include: 1. During an observation and interview, on 10/22/24 at 8:44 a.m., resident #48 was seated in a chair, next to her bedside table, waiting for her breakfast to be delivered. A medication cup with several pills was on the bedside table. Resident #48 stated the nurses sometimes left the medications for her to take on her own, if she had not received her food/meal when nursing staff were in her room to pass medications. During an interview on 10/23/24 at 8:33 a.m., staff member Q stated medications were not left at a residents' bedside for self-administering medication unless it was determined by an assessment, and they were safe to self-administer them. She stated if medications were seen at the bedside of a resident, then there was a self-administration…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 34 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MT