All states › Montana › Hot Springs › Hot Springs Health & Rehabilitation Center
600 1st Ave N Hot Springs, MT 59845 · Sanders County
CMS certification number 275069 · See this home on Medicare Care Compare
Is Hot Springs Health & Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Hot Springs Health & Rehabilitation Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Montana average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.57 hours per resident per day at Hot Springs Health & Rehabilitation Center, below the Montana median of 3.77 (US median: 3.72). About 0.91 of those hours are from registered nurses. On weekends it falls to 2.18 hours, 15% below its all-week average. Ask how weekends are staffed. 56.7% of nursing staff left within a year (Montana median 55.5%).
About this nursing home
Paying for care at Hot Springs Health & Rehabilitation Center: Medicare and Medicaid
Hot Springs Health & Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Montana's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 10, 2026 and found 3 deficiencies. In total, inspectors issued 23 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 23 citations at Hot Springs Health & Rehabilitation Center across 4 inspection dates, 3 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on December 7, 2023. The most common areas cited were quality of life and care (5) and resident rights (5). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, December 7, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.
February 10, 2026 · 3 citations
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DHonor 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.
DTry 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.
December 19, 2024 · 11 citations
FDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FEstablish 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.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EHonor 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.
EEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
EEnsure 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.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 26, 2024 · 1 citation · includes complaint inspection
DKeep residents' personal and medical records private and confidential.
December 7, 2023 · 8 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GEnsure that residents are free from significant medication errors.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide activities to meet all resident's needs.
Questions to ask on a tour of Hot Springs Health & Rehabilitation Center
- Inspectors cited the home at the actual-harm level on December 7, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 7, 2023. How are staff trained, and how are concerns reported?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $22,614 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 7, 2023 | Fine | $22,614 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 4/5 | 2/5 |
Add this rating badge to your websiteFree. Shows Hot Springs Health & Rehabilitation Center's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Hot Springs Health & Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
13.8 mi
Clark Fork Valley Hospital PlainsEmergency roomMedian ER visit 2h 28m for patients treated and sent home
-
24.6 mi
St Joseph Medical Center PolsonEmergency roomMedian ER visit 1h 57m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Hot Springs Health & Rehabilitation Center › All nursing homes in Hot Springs ›
Compare Hot Springs Health & Rehabilitation Center with the 3 closest homes side by side ›
Other Evergreen Healthcare Group nursing homes in Montana
- Missoula Health & Rehabilitation Center · Missoula · 4 stars
- Polson Health & Rehabilitation Center · Polson · 4 stars
- Aspen Meadows Health and Rehabilitation Center · Billings · 2 stars
- Livingston Health & Rehabilitation Center · Livingston · 1 stars
- Laurel Health & Rehabilitation Center · Laurel · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 43 Evergreen Healthcare Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.