Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
HOT SPRINGS HEALTH & REHABILITATION CENTER
HOT SPRINGS, MT · 40 certified beds · Last Life Safety survey February 10, 2026
CMS Certification Number 275069 · first certified September 1977
Ownership
Operated by EVERGREEN HEALTHCARE GROUP · For profit - Corporation
- Ownership changed August 31, 2023 (change of ownership)from EVERGREEN AT HOT SPRINGS LLC
Position within MT
28 citations — more than 87% of the 61 certified nursing homes in MT. Compared within MT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 5 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was February 2026. Facilities in MT are typically surveyed 12–13 months after the last one (median 12), measured over 104 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
5 of the 28 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 28 Life Safety citations above. The Physical Environment Index
- F-0584 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.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in MT, and nationally. Surveyors differ markedly between states, so the MT figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 28 |
| Median facility in MT | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 7, 2023 | 14 |
| December 19, 2024 | 9 |
| February 10, 2026 | 5 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 3 | 2026-02-10 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 3 | 2026-02-10 |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 3 | 2026-02-10 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 2 | 2024-12-19 |
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2026-02-10 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2023-12-07 |
| E-0015 | Address subsistence needs for staff and patients. | 1 | 2023-12-07 |
| E-0041 | Implement emergency and standby power systems. | 1 | 2023-12-07 |
What the citations cover
- Gas, Vacuum, and Electrical Systems Deficiencies 9
- Smoke Deficiencies 7
- Emergency Preparedness Deficiencies 5
- Egress Deficiencies 3
- Other 4
| Category | Citations |
|---|---|
| Gas, Vacuum, and Electrical Systems Deficiencies | 9 |
| Smoke Deficiencies | 7 |
| Emergency Preparedness Deficiencies | 5 |
| Egress Deficiencies | 3 |
| Miscellaneous Deficiencies | 3 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
February 10, 2026 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. | Deficient, Provider has date of correction (February 19, 2026) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (February 19, 2026) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (February 19, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (February 19, 2026) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (February 19, 2026) |
December 19, 2024 — 9 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0222 | 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. | Deficient, Provider has date of correction (January 31, 2025) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (January 31, 2025) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (January 31, 2025) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Waiver has been granted (January 31, 2025) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (January 31, 2025) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (January 31, 2025) |
| K-0912 | Have power receptacles that are properly grounded. | Deficient, Provider has date of correction (January 31, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 31, 2025) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (January 31, 2025) |
December 7, 2023 — 14 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (January 22, 2024) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (January 22, 2024) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (January 22, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (January 22, 2024) |
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (January 22, 2024) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (January 22, 2024) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (January 22, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (January 22, 2024) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (January 22, 2024) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (January 22, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (January 22, 2024) |
| K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Deficient, Provider has date of correction (January 22, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 22, 2024) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (January 22, 2024) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.