ASPEN MEADOWS HEALTH AND REHABILITATION CENTER – Nursing Home, BILLINGS, Montana
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
5 substantiated complaints
Last cited survey: 26 March 2026 · 100 health and 45 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
3155 AVE C
BILLINGS, MT 59102
Phone: (406) 656-8818
Compare to MT average
See how this facility compares to the MT state average among rated nursing homes (73 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | MT average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 2 | 3.08 | 4 |
| Health inspection | 3 | 2.86 | 3 |
| Staffing | 2 | 3.6 | 5 |
| Quality measures | 1 | 3.26 | 4 |
| Certified beds | 90 | 85.7 | — |
| Citations on file (health + fire) | 149 | ~6.6 health* | — |
- BILLINGS REHABILITATION AND NURSING LLC
- RIVER RIDGE REHABILITATION AND NURSING LLC — 2★ overall
- SKYLINE HEIGHTS NURSING AND REHABILITATION — 1★ overall
- ST JOHN'S LUTHERAN HOME — 4★ overall
- YELLOWSTONE RIVER NURSING AND REHABILITATION — 1★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| - | ADP OF THE SNF | Organization | - | 03/20/2025 |
| - | INDIRECT OWNERSHIP INTEREST | Organization | 1.00 | 08/31/2023 |
| - | INDIRECT OWNERSHIP INTEREST | Individual | 1.00 | 08/31/2023 |
| WITZCORP GLOBAL LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 25.00 | 08/31/2023 |
| WITZCORP GLOBAL LLC | ADP OF THE SNF | Organization | - | 08/31/2023 |
| WITZCORP GLOBAL LLC | INDIRECT OWNERSHIP INTEREST | Organization | 66.50 | 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | Organization | - | 03/20/2025 |
| - | INDIRECT OWNERSHIP INTEREST | Organization | 3.00 | 08/31/2023 |
| LOWE, LEONOR | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 08/31/2023 |
| LOWE, LEONOR | MANAGING CONTROL - GOVERNING BODY | Individual | - | 08/31/2023 |
| LOWE, LEONOR | ADP OF THE SNF | Individual | - | 08/31/2023 |
| - | INDIRECT OWNERSHIP INTEREST | Individual | 3.00 | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | - | 03/20/2025 |
| SEVERA, LARRY A | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 08/31/2023 |
| SEVERA, LARRY A | ADP OF THE SNF | Individual | - | 08/31/2023 |
| - | INDIRECT OWNERSHIP INTEREST | Organization | 2.25 | 08/31/2023 |
| NAUMANN, TERESA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 08/31/2023 |
| NAUMANN, TERESA | ADP OF THE SNF | Individual | - | 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | ADP OF THE SNF | Organization | - | 03/20/2025 |
| JOHNSON, REBECCA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 08/31/2023 |
| JOHNSON, REBECCA | MANAGING CONTROL - GOVERNING BODY | Individual | - | 08/31/2023 |
| JOHNSON, REBECCA | ADP OF THE SNF | Individual | - | 08/31/2023 |
| - | INDIRECT OWNERSHIP INTEREST | Organization | 2.25 | 08/31/2023 |
| JENSEN, SHELDON L | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 08/31/2023 |
| JENSEN, SHELDON L | ADP OF THE SNF | Individual | - | 08/31/2023 |
| ASPEN MEADOWS SNF OPERATIONS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 08/31/2023 |
| ASPEN MEADOWS SNF OPERATIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 08/31/2023 |
| ASPEN MEADOWS SNF OPERATIONS, LLC | ADP OF THE SNF | Organization | - | 03/20/2025 |
| ASPEN MEADOWS SNF OPERATIONS, LLC | DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 08/31/2023 |
| YENOWITZ, YITZCHOK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 25.00 | 08/31/2023 |
| YENOWITZ, YITZCHOK | CORPORATE OFFICER | Individual | - | 08/31/2023 |
| YENOWITZ, YITZCHOK | OPERATIONAL/MANAGERIAL CONTROL | Individual | 100.00 | 08/31/2023 |
| YENOWITZ, YITZCHOK | ADP OF THE SNF | Individual | - | 08/31/2023 |
| YENOWITZ, YITZCHOK | INDIRECT OWNERSHIP INTEREST | Individual | 25.00 | 08/31/2023 |
| MONTANA SNF CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 08/31/2023 |
| MONTANA SNF CONSULTING LLC | ADP OF THE SNF | Organization | - | 03/20/2025 |
| HERZKA, YISROEL E | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 66.50 | 08/31/2023 |
| HERZKA, YISROEL E | ADP OF THE SNF | Individual | - | 08/31/2023 |
| HERZKA, YISROEL E | INDIRECT OWNERSHIP INTEREST | Individual | 66.50 | 08/31/2023 |
| SPIELMAN, SHIMON | CORPORATE OFFICER | Individual | - | 08/31/2023 |
| SPIELMAN, SHIMON | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 08/31/2023 |
| SPIELMAN, SHIMON | ADP OF THE SNF | Individual | - | 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 66.50 | 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | ADP OF THE SNF | Organization | - | 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | 66.50 | 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (MT) LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 08/31/2023 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (MT) LLC | DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 08/31/2023 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
145 citations on file · Latest survey: 26 March 2026 · 100 health · 45 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-03-26 | F686 | G — Actual harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2026-03-26 | F677 | D — Minimal harm, isolated | Health | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2026-03-26 | F655 | E — Minimal harm, pattern | Health | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| 2026-03-26 | F610 | E — Minimal harm, pattern | Health | Respond appropriately to all alleged violations. |
| 2026-03-26 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2026-03-26 | F600 | G — Actual harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2026-03-26 | F585 | D — Minimal harm, isolated | Health | 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. |
| 2026-03-26 | F563 | D — Minimal harm, isolated | Health | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. |
| 2025-09-10 | F725 | E — Minimal harm, pattern | Health | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| 2025-09-10 | F725 | E — Minimal harm, pattern | Health | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| 2025-09-10 | F725 | E — Minimal harm, pattern | Health | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| 2025-09-10 | F554 | D — Minimal harm, isolated | Health | Allow residents to self-administer drugs if determined clinically appropriate. |
| 2025-09-10 | F554 | D — Minimal harm, isolated | Health | Allow residents to self-administer drugs if determined clinically appropriate. |
| 2025-09-10 | F554 | D — Minimal harm, isolated | Health | Allow residents to self-administer drugs if determined clinically appropriate. |
| 2025-04-10 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-04-10 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-04-10 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-04-10 | F756 | D — Minimal harm, isolated | Health | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| 2025-04-10 | F756 | D — Minimal harm, isolated | Health | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| 2025-04-10 | F756 | D — Minimal harm, isolated | Health | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-04-10 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2025-04-10 | K761 | E — Minimal harm, pattern | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2025-04-10 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2025-04-10 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2025-04-10 | K761 | E — Minimal harm, pattern | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2025-04-10 | K761 | E — Minimal harm, pattern | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2024-04-11 | K374 | E — Minimal harm, pattern | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2024-04-11 | K911 | E — Minimal harm, pattern | Fire Safety | Meet requirements for the installation and maintenance of electrical systems. |
| 2024-04-11 | K222 | E — Minimal harm, pattern | Fire Safety | 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. |
| 2024-04-11 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-04-11 | K355 | D — Minimal harm, isolated | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2024-04-11 | K374 | E — Minimal harm, pattern | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2024-04-11 | K911 | E — Minimal harm, pattern | Fire Safety | Meet requirements for the installation and maintenance of electrical systems. |
| 2024-04-11 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-04-11 | K355 | D — Minimal harm, isolated | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2024-04-11 | K355 | D — Minimal harm, isolated | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2024-04-11 | K911 | E — Minimal harm, pattern | Fire Safety | Meet requirements for the installation and maintenance of electrical systems. |
| 2024-04-11 | K222 | E — Minimal harm, pattern | Fire Safety | 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. |
| 2024-04-11 | K222 | E — Minimal harm, pattern | Fire Safety | 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. |
| 2024-04-11 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| Quality of Resident Care Rating | 1 |
| Quality of Resident Care Rating (Long Stay) | 1 |
| Quality of Resident Care Rating (Short Stay) | 3 |
| Staffing Rating | 2 |
| RN Staffing Rating | 3 |
| Reported CNA Staffing Hours per Resident per Day | 1.89155 |
| Reported LPN Staffing Hours per Resident per Day | 0.69735 |
| Reported RN Staffing Hours per Resident per Day | 0.49963 |
| Reported Licensed Staffing Hours per Resident per Day | 1.19699 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.51967 |
| Casemix CNA Staffing Hours per Resident per Day | 1.91492 |
| Casemix LPN Staffing Hours per Resident per Day | 0.67461 |
| Casemix RN Staffing Hours per Resident per Day | 0.30887 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.89841 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.03923 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.7496 |
| Adjusted RN Staffing Hours per Resident per Day | 0.53707 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.78337 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-06-13 |
Date of Standard Health Survey (Cycle 2) | 2018-04-23 |
Total Number of Health Deficiencies (Cycle 1) | 10 |
Number of Standard Health Deficiencies (Cycle 1) | 7 |
Number of Complaint Health Deficiencies (Cycle 1) | 3 |
Health Deficiency Score (Cycle 1) | 84 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 84 |
Total Number of Health Deficiencies (Cycle 2) | 19 |
Number of Standard Health Deficiencies (Cycle 2) | 15 |
Number of Complaint Health Deficiencies (Cycle 2) | 4 |
Health Deficiency Score (Cycle 2) | 259 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 259 |
Date of Standard Health Survey (Cycle 3) | 2016-12-01 |
Total Number of Health Deficiencies (Cycle 3) | 5 |
Number of Standard Health Deficiencies (Cycle 3) | 5 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 28 |
Total Health Score (Cycle 3) | 28 |
Total Weighted Health Survey Score | 77 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 26 |
Number of Substantiated Complaints | 5 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 47658 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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