Nursing home
Hot Springs Health & Rehabilitation Center
600 1St Ave N, Hot Springs, MT 59845 · Map
For profit - Corporation · Part of Evergreen Healthcare Group (41 facilities) · 40 certified beds
Hot Springs Health & Rehabilitation Center is a Medicare-certified nursing home in Hot Springs, Montana. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.23 hours per resident per day, below the Montana average of 3.97. Its most recent inspection on Dec 19, 2024 cited 11 deficiencies.
- 1 fine totaling $22,614In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hot Springs Health & Rehabilitation Center compares
This facility vs. the Montana and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Montana avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.23 | 3.97 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.77 | 0.94 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.08 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 55.9% | 55.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 11.3 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 10, 2026 inspection was corrected by February 13, 2026
Penalties in CMS records: 1 fine totaling $22,614, 1 total penalty.
What inspectors found at Hot Springs Health & Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 10, 2026 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Feb 10, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 10, 2026 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Dec 19, 2024 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Dec 19, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 19, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Dec 19, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 19, 2024 · Full report (PDF) - Potential for harm
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · Dec 19, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Dec 19, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 19, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 19, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 600 1St Ave N
Hot Springs, MT 59845 - CMS certification #
- 275069
- Ownership
- For profit - Corporation
- Certified beds
- 40
- Avg residents/day
- 30.2
- Provider type
- Medicare and Medicaid
- First certified
- 1977-09-01
- Chain
- Evergreen Healthcare Group (41 facilities)
- Setting
- Rural
Part of Evergreen Healthcare Group
Evergreen Healthcare Group operates 41 nursing facilities across the United States. View all Evergreen Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hot Springs Health & Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Clark Fork Valley Hospital, Plains. 13.8 miles away, straight line.
- Nearest Medicare nursing home
- Clark Fork Valley Nursing Home, Plains. 13.8 miles away, straight line.
- Nearest home health agency office
- Logan Health Home Care, Kalispell. 43.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Family Health Pharmacy & Gift. 27.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 59845 as rural (rural area).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 59845.
Clark Fork Valley Hospital Hospice, office in Plains, 13.8 miles away, straight line - Nearest geriatric medicine practice
- Montana Stillwater Health PLLC, Missoula. 57.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Sanders County, MT, risk to homes is greater than 62% of communities in Montana and 85% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively moderate, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Hot Springs Health & Rehabilitation Center a good nursing home?
CMS gives Hot Springs Health & Rehabilitation Center an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hot Springs Health & Rehabilitation Center staffed?
Hot Springs Health & Rehabilitation Center reports 3.23 total nurse hours per resident per day, compared with the Montana average of 3.97.
Has Hot Springs Health & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Hot Springs Health & Rehabilitation Center have?
Hot Springs Health & Rehabilitation Center is certified for 40 beds.