Livingston Health & Rehabilitation Center

510 S 14th St · Livingston, MT · 59047 · 4062220672

115 certified beds For profit - Corporation Chain: Evergreen Healthcare Group

  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

69% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 88
Staffing 20% 61
Federal penalties 15% 73
Trend 10% 82
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.313.48 min · 4.1 strong
RN hours / resident-day0.710.55–0.75
Weekend hours / resident-day3.12≈ weekday level
Nursing turnover / year69%median 45%
Fines (3-yr window)1 · $17,404

Inspection citations (39 in the current record)

  • Potential for harm · D November 18, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 18, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 18, 2025 · found via complaint

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

    Corrected December 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 18, 2025 · found via complaint

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

    Corrected December 3, 2025 · Quality of Life and Care

  • No harm found · B November 18, 2025 · found via complaint

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

    Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • No harm found · B November 18, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 5, 2025 · found via complaint

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

    Corrected July 22, 2025 · Quality of Life and Care

  • Potential for harm · D June 5, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected July 22, 2025 · Resident Rights

  • Potential for harm · D June 5, 2025

    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.

    Corrected July 22, 2025 · Resident Rights

  • Potential for harm · D June 5, 2025

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

    Corrected July 22, 2025 · Quality of Life and Care

  • Potential for harm · E June 5, 2025

    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.

    Corrected July 22, 2025 · Pharmacy Service

  • Potential for harm · F June 5, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 22, 2025 · Infection Control

  • Potential for harm · D June 5, 2025

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

    Corrected July 22, 2025 · Infection Control

  • Actual harm · G December 31, 2024 · found via complaint

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

    Corrected January 28, 2025 · Quality of Life and Care

  • Actual harm · G December 31, 2024 · found via complaint

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

    Corrected February 3, 2025 · Quality of Life and Care

  • Potential for harm · E December 31, 2024 · found via complaint

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

    Corrected February 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E December 31, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected February 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 31, 2024 · found via complaint

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

    Corrected February 3, 2025 · Resident Rights

  • Potential for harm · E December 31, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F December 31, 2024 · found via complaint

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

    Corrected February 3, 2025 · Nursing and Physician Services

  • Potential for harm · F December 31, 2024 · found via complaint

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

    Corrected February 3, 2025 · Nutrition and Dietary

  • Potential for harm · F December 31, 2024 · found via complaint

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

    Corrected February 3, 2025 · Nutrition and Dietary

  • Potential for harm · D July 3, 2024

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

    Corrected August 9, 2024 · Resident Rights

  • Potential for harm · D July 3, 2024

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

    Corrected August 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 3, 2024

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

    Corrected August 9, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 31, 2024Fine$17,404

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275047 · certified since August 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.