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Nursing HomeMedicaid Investigative

Livingston Health & Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

510 S 14th St, Livingston, MT 59047115 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 9 Google reviews

5
4
3
2
1
Livingston Health & Rehabilitation Center Nursing Home in Livingston, MT — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (13 vs median 9.0)
  • High staff turnover (72%)

Below average in MT · Below recommended RN staffing · Very high staff turnover · $17,404 in fines

Source: Medicare data

What this means for your family

While the facility is praised for its cleanliness and dedicated staff, the reports of delayed call button responses are a significant concern. When touring, specifically ask about current staffing ratios on weekends and evenings to ensure your loved one will receive timely assistance.

Google Reviews

Google Reviews

9 reviews on Google
Livingston Health & Rehabilitation Center receives polarized feedback, with some families praising the staff's compassion and dedication, while others report serious concerns regarding neglect and responsiveness. While recent positive reviews highlight a clean environment and effective rehabilitation, critical reports mention significant delays in call button response times.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Compassionate and dedicated nursing staff
  • Clean and well-maintained facility
  • Effective rehabilitation care

Concerns

  • Slow response times to call buttons (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.02023(1)1.02024(1)4.22025(5)3.02026(2)

Distribution · 9 analyzed

5
5
4
0
3
0
2
1
1
3

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback online; how do you incorporate that family input into your daily operations?
  • 2With the current staffing levels, what systems do you have in place to ensure that call buttons are answered promptly for residents who need assistance?
  • 3Given the recent health inspection findings, what specific steps has the leadership team taken to improve compliance and care quality over the last year?
  • 4I see that rehabilitation is a strong point here; how do you integrate those therapy goals into the resident's daily routine and activities?
  • 5Since the facility maintains a 115-resident capacity, how do you ensure that each resident receives personalized attention and meaningful social engagement throughout the week?
  • 6In the event of a sudden change in a resident's health, what is your protocol for communicating with family members and coordinating with local medical specialists?

Personalized based on this facility's data


Key Review Excerpts

I cannot express the gratitude I have for the entire staff for the care and compassion and dedication they gave to my Mother. She was treated with respect and care and there were a few CNA’s and RN’s that went above and beyond to see that her needs were met.

Long-term resident's family · 2025★★★★★

My mom was placed there after a medical issue to regain her strength. They did nothing to help her. Took hours to respond to her call button. Their actions are nothing but negligence.

Rehab patient's family · 2024☆☆☆☆

I was pleasantly surprised at how friendly the staff are and how clean the facility was appeared to be a great place for Mom.

Family member · 2025☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.71hrs
94%
Registered nurses for medical care
Total Nursing
3.31hrs
81%
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility26.5%
Worse than Avg
Here
26.5%
US
15.4%
MT
20.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility14.1%
Worse than Avg
Here
14.1%
US
12.1%
MT
5.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.1%
Worse than Avg
Here
88.1%
US
95.5%
MT
93.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.9%
Worse than Avg
Here
20.9%
US
14.4%
MT
19.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
19.5%
MT
16.4%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility10.4%
Worse than Avg
Here
10.4%
US
4.9%
MT
6.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility62.4%
Worse than Avg
Here
62.4%
US
81.8%
MT
79.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility65.9%
Worse than Avg
Here
65.9%
US
79.7%
MT
73.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.3%
Worse than Avg
Here
4.3%
US
1.6%
MT
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Above state avg (11.3)
20 complaint-triggered
$17,404 in fines

Families have filed multiple complaints triggering investigations, with recurring concerns about abuse and neglect reporting, accident hazards, and fire safety systems. The facility shows persistent problems across all survey periods, with violations appearing in abuse prevention (reported across multiple years), safety hazards, and building safety systems. While the provider has correction plans for all deficiencies, the pattern of repeated issues in critical areas like resident protection and safety warrants careful consideration.

Nov 18, 2025Complaint
6
0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0600Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0609Minimal · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0657Minimal · PatternCorrected

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.

Jun 5, 2025Routine
19
0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0761Potential for harm · PatternCorrected

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 drugs.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Jun 5, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 31, 2024Complaint
9
0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0802Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0657Potential for harm · PatternCorrected

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.

0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

Jul 3, 2024Routine
19
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0225Potential for harm · IsolatedCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Jul 3, 2024Complaint
1
0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Federal Penalties

Fine

Dec 31, 2024

$17,404

Ownership & Operations

Who Operates This Facility

Owner / Operator

Livingston Health & Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Evergreen Healthcare Group

Chain Size

43 facilities nationwide

Chain avg rating: 2.3/5 · Rank 26 of 41

Ownership & Management

Owners

Livingston Snf Operations LLC

Owner · Organization

Pacific Northwest Snf Operations Holdings (mt) LLC

Owner · Organization

Ch Pacific Northwest Holdings LLC

Owner (parent company) · Organization

Pacific Northwest Snf Operations Holdings, LLC

Owner (parent company) · Organization

Witzcorp Global LLC

Owner (parent company) · Organization

Herzka, Yisroel

Owner (parent company)

Yenowitz, Yitzchok

Owner (parent company)

Key personnel

Cheeks, DonaldManaging Control - Governing BodyJohnson, RebeccaManaging Control - Governing BodySpielman, ShimonOfficer / DirectorCouve Financial Services LLCManagerCouve Healthcare Consulting LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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