Missoula Health & Rehabilitation 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.

43.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 44 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 52.0% 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 25 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 0.40 therapist hours per resident per day in 2026Q1 — more than 69% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 53 beds and averages 36.5 residents a day — about 69% occupied, or roughly 16 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 3.96 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 is below 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 3.58 hrs/resident/day on weekends vs 4.11 on weekdays — 13% thinner on weekends. RN hours go from 0.79 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% 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.

27 citations, most serious first. The 10 most serious are shown; the remaining 17 are one tap away and print in full.

• Potential for harm · Fcited before2026-03-26 · 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 maintain sanitary conditions in the kitchen by ensuring staff with facial hair wore beard coverings while working in the kitchen. The deficient practice had the potential to affect all residents who received food prepared in the facility's kitchen by increasing the risk of hair contamination in the food. Findings include:During an observation on 3/23/26 at 1:56 p.m., staff member L was observed with facial hair and was not wearing a beard cover while working in the kitchen.During an interview and observation on 3/25/26 at 11:51 a.m., staff member M was observed working in the kitchen with facial hair and was not wearing a beard cover. Staff member M stated he should have been wearing a beard covering because of his facial hair.During an interview on 3/25/26 at 11:53 a.m., staff member L stated staff with facial hair are required to wear beard coverings while working in the kitchen.Review of the facility's policy titled, Personal Hygiene Standards, updated June 2021, showed, .2. The following standards have…

  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 before2026-03-26 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  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 temperatures were monitored daily by staff for a refrigerator that contained stored medications and vaccines. This failure placed residents who had or used refrigerated medications and vaccines at risk for experiencing adverse effects. Findings include: During an observation and interview on 3/26/26 at 8:51 a.m., staff member Q stated the two refrigerators in the provider office were used to store medications and supplements. Staff member Q stated the night shift nurse was supposed to check the refrigerator temperatures during their shift. Staff member Q stated he could see some temperatures were missing from the log sheets with daily temperature monitoring displayed on both refrigerators. The refrigerator had multiple types of medications and biologicals, including Tubersol (for tuberculin skin testing) boxes and influenza vaccine (FLUAD) boxes.Review of a facility document titled, Temperature Log for Refrigerator - Fahrenheit, dated 3/26, showed two pages of logs for temperatures for March 2026. One…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  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, the facility failed to ensure it had an effective process in place for the most current code status on POLST (Physician Orders for Life-Sustaining Treatment) forms and advance directives to be readily accessible in the electronic medical record, and available to staff, in the event of an emergency, for 2 (#s 30 and 31) of 22 sampled residents. Findings include:During an interview on [DATE] at 1:16 p.m., staff member R stated resident POLST forms and advance directives were kept at the nurses station in hard copy only. Staff member R stated the forms were not kept in the electronic medical record because of the need to have them available and to update for recent changes, in case of an emergent situation.During an observation and interview on [DATE] at 1:26 p.m., staff member S walked to the nurses station and requested to use the binder which held resident POLST forms and advance directives. Staff member S stated she did have to come up to the nurses station to…

  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
• Potential for harm · D2026-03-26 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the Brief Interview for Mental Status (BIMS) was completed correctly on the Minimum Data Set Assessment, and failed to conduct the required staff assessment for the resident's mental status when the resident was unable to participate in the Brief Interview for Mental Status (BIMS) for 1 (#7) of 22 sampled residents. The failure resulted in an inaccurate representation of the resident's cognitive status and placed the resident at risk for inappropriate care planning and interventions. Findings Include:During an interview on 3/25/26 at 2:07 p.m., staff member D stated resident #7 was Out of it, when he was admitted to the facility. Staff member D said that when she completed Section C, the Brief Interview for Mental Status (BIMS), resident #7 either didn't respond to the interview questions or the resident provided nonsensical responses during the entire interview. Staff member D stated that a staff assessment should have been completed due to resident #7's inability to meaningfully participate.Review of resident #7's…

  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 · D2026-03-26 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 timely assessment, implementation of appropriate wound care orders, and coordinated follow-up after a skin concern was initially identified by the therapy department for 1 (#7) of 22 sampled residents. This failure resulted in delayed assessment and treatment of a developing pressure injury, placing the resident at risk for worsening skin breakdown and impaired healing. Findings include:During an observation on 3/23/26 at 2:48 p.m., resident #7 was observed in his room, seated in his wheelchair in a reclined position. During an observation on 3/24/26 at 4:44 p.m., resident #7 was observed in his room, asleep in his wheelchair in a reclined position. During an observation on 3/25/26 at 1:40 p.m., resident #7 was observed in the common area in his wheelchair in a reclined position. During an interview on 3/25/26 at 10:12 a.m., staff member B stated that when a skin concern was identified, the wound nurse is responsible for assessing and staging (determining severity) the wound, notifying the provider,…

  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 · D2026-03-26 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 follow professional standards and practices to ensure a resident's electronic medical record contained accurate information for the administration of a medication for 1 (#44) of 22 sampled residents. Findings include:Review of resident #44's list of physician orders showed: .Order: busPIRone HCI Oral Tablet 15 MG (Buspirone HCI), Directions: Give 1.5 tablet by mouth two times a day, Category: Pharmacy, Status: Active, Start Date: 3/18/26, Revision date: 3/23/26.Supply Date Dispensed: 3/18/26, Date Received: 3/18/26, Status: on hand, Medication: busPIRone HCI 15 MG Tablet, Directions: Take 1 & 1/2 tablet (22.5 MG) by mouth twice daily for hypertension.During an interview on 3/25/26 at 7:56 a.m., resident #44 stated her medications were previously messed up, but the staff had straightened them out. Resident #44 stated that Buspirone is for her anxiety. During an interview on 3/25/26 at 7:59 a.m., staff member B stated that when a resident arrives at the facility, the ADON enters the medication orders, and the…

  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 · E2025-02-13 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  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 maintain a comfortable temperature for 5 (#s 1, 9, 20, 26, and 89) of 14 sampled residents throughout the facility; and failed to repair the sheet metal covering on a base board heater in a community area. This deficient practice had the potential to cause cold induced stress, and injure a resident ambulating in the affected area. Findings include: 1. During an observation on 2/12/25 at 3:50 p.m., the base board heater at the end of the North Hall, by the nurses' station, had sheet metal that was detached, and a sharp edge was protruding out on both ends of the heater. During an interview on 2/13/25 at 9:38 a.m., staff member C stated the protruding sheet metal on the base board heater was a tripping hazard for residents. A review of a facility policy titled, Preventative Maintenance, with a published date of July 2008, showed: Policy Statement: This manual defines and establishes procedures for the implementation of the Center's preventative maintenance program. The intent of this program is to establish a…

  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
• Potential for harm · E2025-02-13 · tag F0675 — failed to support quality of life — pattern
  Honor each resident's preferences, choices, values and beliefs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to honor a resident's activity preference for going outside when the weather was comfortable, for 2 (#s 9 and 24) of 14 sampled residents. This deficient practice increased the risk of the resident's of a decline in mood or well-being. Findings include: During an interview on 2/11/25 at 8:22 a.m., NF1 stated she had asked facility staff shortly after resident #24 was admitted to the facility, when would she be able to go outside, and was told resident #24 could go out with the smokers. The smokers went outside five times a day. NF1 further stated the residents could go months and months without going outside. During an interview on 2/11/25 at 2:21 p.m., resident #9 stated she had not been outside the facility except to go to appointments. Resident #9 stated, I would like to go outside when it's not cold and they haven't taken us outside, they're busy. A review of resident #9's Annual MDS assessment, with an ARD of 3/15/24, showed section F: Preferences for Customary Routine & Activities, . How important is it to you to go…

  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 · D2025-02-13 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to complete a comprehensive assessment of a resident's needs, strengths, goals, life history, and preferences within 14 days of admission, for 1 (#89) of 14 sampled residents. Findings include: Review of resident #89's medical record showed resident #89 was admitted to the facility on [DATE]. The ARD for the completion of the comprehensive admission MDS assessment was 1/27/25. The comprehensive admission MDS assessment was open and showed 'in progress.' This assessment should have been completed and submitted within 14 days of the resident's admission to the facility. The comprehensive admission MDS was 15 days late as of the last day of the survey period. During an interview on 2/12/25 at 1:39 p.m., staff member H stated she completed admission assessments within 14 days of a resident's admission.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility staff failed to provide regular showers for 4 (#s 9, 20, 26, and 89) of 14 sampled residents, which made the residents feel dirty and or upset. Findings include: 1. a. During an observation and interview on 2/10/25 at 12:05 p.m., resident #9 was lying in her bed eating her lunch. Resident #9 was in her nightgown, and her hair looked greasy and unkempt. Resident #9 stated she had not had a shower in quite a few days. During an observation on 2/12/25 at 11:03 a.m., resident #9's hair was greasy and matted to her head. During an observation and interview on 2/12/25 at 3:19 p.m., resident #9 was in her bed, and her hair was wet and pulled back in a ponytail. Resident #9 stated, I am supposed to get a shower every three days, but it doesn't always happen. Sometimes it's once a week or longer. I just went two weeks without a shower. It made me feel dirty, and my head was itchy. b. During an observation and interview, on 2/10/25 at 12:12 p.m., resident #20 was sitting on the side of her bed. Resident #20's hair looked greasy…

  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

“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.

Part of a chain

This home belongs to EVERGREEN HEALTHCARE GROUP — 44 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 39 rows in the source record cover these 17 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.

9 organizational owners 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.

This home reported $88K paid to related parties (affiliated landlords or management companies) in its most recent 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 2023. 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, FY2023). 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