Aspen Meadows Health and Rehabilitation Center
3155 Ave C, Billings, MT 59102
Aspen Meadows Health and Rehabilitation Center is a nursing home in Billings, Montana. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionMarch 26, 2026 (7 months ago)
- Health citations since April 11, 202438 (Montana average 31)
- Fines in the past three years2, $91,549 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Fine
CMS changed the fine from March 26, 2026 from $67,525 to $43,891.
Health inspection on August 13, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on August 21, 2026.
CMS has cited this home for F0655 4 times since 2025.
Citation F0697. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate pain management for a resident who requires such services.
CMS lists it as corrected on August 21, 2026.
CMS update of May 27, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Health inspection on March 26, 2026
16 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
19 of 61 Montana homes (31%) got a citation at the actual harm level in 2026.
CMS fine of $43,891 on March 26, 2026.
Show the 16 citations
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on April 2, 2026.
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on April 2, 2026.
CMS has cited this home for F0686 2 times since 2024.
Citation F0760. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on April 2, 2026.
CMS has cited this home for F0760 2 times since 2025.
Citation F0610. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Respond appropriately to all alleged violations.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on April 2, 2026.
Citation F0655. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on April 2, 2026.
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on April 2, 2026.
Citation F0563. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on April 2, 2026.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on April 2, 2026.
Citation F0585. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS lists it as corrected on April 2, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on April 2, 2026.
CMS has cited this home for F0609 2 times since 2024.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on April 2, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on April 2, 2026.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 2, 2026.
CMS has cited this home for F0656 2 times since 2025.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on April 2, 2026.
CMS has cited this home for F0677 3 times since 2025.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on April 2, 2026.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on April 2, 2026.
Fire safety inspection on March 26, 2026
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 2, 2026.
CMS has cited this home for K0353 2 times since 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 2, 2026.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on April 2, 2026.
CMS has cited this home for K0222 2 times since 2024.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on April 2, 2026.
Citation K0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on April 2, 2026.
CMS has cited this home for K0921 2 times since 2025.
CMS update of March 25, 2026
Ownership
CMS lists this home under a new chain.
CMS update of February 25, 2026
Fine
CMS changed the fine from October 21, 2024 from $73,320 to $47,658.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Health inspection on September 10, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0725. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on October 9, 2025.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on October 9, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of June 25, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health citation
CMS removed citation F0623 from the health inspection on April 11, 2024.
Health inspection on April 10, 2025
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation F0622. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
CMS lists it as corrected on May 19, 2025.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on May 19, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 19, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on May 19, 2025.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on May 19, 2025.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on May 19, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 19, 2025.
Fire safety inspection on April 10, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on May 19, 2025.
Citation K0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on May 19, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Staffing
Total nurse staffing reported to CMS went from 3.6 to 3.2 hours per resident per day.
Health inspection on January 16, 2025
5 citationsCMS lists this as a complaint inspection.
Show the 5 citations
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on February 28, 2025.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on February 28, 2025.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on February 28, 2025.
Citation F0726. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS lists it as corrected on February 28, 2025.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on February 28, 2025.
Health inspection on October 21, 2024
1 citationCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
20 of 61 Montana homes (33%) got a citation at the actual harm level in 2024.
CMS fine of $47,658 on October 21, 2024.
Show the 1 citation
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on November 24, 2024.
CMS update of September 26, 2024
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of June 26, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
Ownership
CMS ownership records list new owners for this home.
Health inspection on April 11, 2024
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on May 20, 2024.
Citation F0623. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on May 20, 2024.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on May 20, 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on May 20, 2024.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS lists it as corrected on May 20, 2024.
Fire safety inspection on April 11, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0222. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on May 20, 2024.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 20, 2024.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on May 20, 2024.
Citation K0911. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on May 20, 2024.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on May 20, 2024.
CMS update of February 29, 2024
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS star ratings
- 2 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 1 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (406) 656-8818
- Last standard health inspection
- March 26, 2026 (7 months ago)
- Certified beds
- 90
- Residents per day, on average
- 65.3
- Ownership type
- For profit - Corporation
- Legal business name
- Aspen Meadows SNF Operations, LLC
- Chain
- Evergreen Healthcare Group
- Takes part in
- Medicare and Medicaid
More health citations than the Montana average (38 vs 31).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ASPEN MEADOWS SNF OPERATIONS, LLCDirect ownership interest · not applicable · since 08/31/2023
- PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (MT) LLCDirect ownership interest · not applicable · since 08/31/2023
- CH PACIFIC NORTHWEST HOLDINGS LLCIndirect ownership interest · not applicable · since 08/31/2023
- PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLCIndirect ownership interest · not applicable · since 08/31/2023
- WITZCORP GLOBAL LLCIndirect ownership interest · not applicable · since 08/31/2023
Show 14 more
- HERZKA, YISROELIndirect ownership interest · not applicable · since 08/31/2023
- YENOWITZ, YITZCHOKIndirect ownership interest · not applicable · since 08/31/2023
- ASPEN MEADOWS SNF OPERATIONS, LLCOperational/managerial control · not applicable · since 08/31/2023
- COUVE FINANCIAL SERVICES LLCOperational/managerial control · not applicable · since 08/31/2023
- COUVE HEALTHCARE CONSULTING LLCOperational/managerial control · not applicable · since 08/31/2023
- MONTANA SNF CONSULTING LLCOperational/managerial control · not applicable · since 08/31/2023
- PACIFIC NORTHWEST OPCO MANAGEMENT LLCOperational/managerial control · not applicable · since 08/31/2023
- JENSEN, SHELDONOperational/managerial control · not applicable · since 08/31/2023
- JOHNSON, REBECCAOperational/managerial control · not applicable · since 08/31/2023
- LOWE, LEONOROperational/managerial control · not applicable · since 08/31/2023
- NAUMANN, TERESAOperational/managerial control · not applicable · since 08/31/2023
- SEVERA, LARRYOperational/managerial control · not applicable · since 08/31/2023
- SPIELMAN, SHIMONOperational/managerial control · not applicable · since 08/31/2023
- YENOWITZ, YITZCHOKOperational/managerial control · not applicable · since 08/31/2023
Questions
When was Aspen Meadows Health and Rehabilitation Center last inspected?
CMS lists March 26, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Aspen Meadows Health and Rehabilitation Center have?
CMS lists 38 health citations since April 11, 2024. CMS also calls these deficiencies.
Has Aspen Meadows Health and Rehabilitation Center been fined?
CMS lists 2 fines in the past three years, $91,549 in total.
What is the CMS star rating of Aspen Meadows Health and Rehabilitation Center?
Its CMS overall star rating is 2 of 5.
Is Aspen Meadows Health and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.