WHITEFISH CARE AND REHABILITATION

Special Focus Facility · Flathead · MT · For profit - Corporation · SWEETWATER CARE chain · 100 certified beds · CCN 275132 · SWEETWATER WHITEFISH OPCO LLC


WHITEFISH CARE AND REHABILITATION operates 100 certified beds in WHITEFISH, Montana. Its Medicare and Medicaid certification dates to 1989-09-01. It averages 92.2 residents a day.

What harm was found in the violations cited at WHITEFISH CARE AND REHABILITATION?

CMS lists 77 health-inspection deficiencies for WHITEFISH CARE AND REHABILITATION, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-12.

Survey dateTagDeficiencySeverity
2026-03-12F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G
2026-03-12F0761Ensure 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.F
2026-03-12F0627, F0656, F0657, F0699Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care or services that was trauma informed and/or culturally competent.E
2026-03-12F0578, F0582, F0585, F0605, F0628, F0655, F0689, F0745Honor 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide medically-related social services to help each resident achieve the highest possible quality of life.D
2025-10-22F0692, F0726Provide enough food/fluids to maintain a resident's health. / 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.G
2025-10-22F0550, F0675, F0919Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor each resident's preferences, choices, values and beliefs. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2025-10-22F0584, F0677, F0686, F0689, F0791, F0887Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide or obtain dental services for each resident. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D
2025-09-09F0609, F0610, F0657Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-03-13F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.F
2025-03-13F0658, F0880, F0883Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2025-03-13F0550, F0554, F0578, F0584, F0585, F0657, F0677, F0693, F0759, F0760Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Honor 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. / 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. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors.D
2025-01-23F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J
2025-01-23F0695Provide safe and appropriate respiratory care for a resident when needed.G
2025-01-23F0838, F0940, F0945Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.F
2025-01-23F0658, F0760, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program.E
2025-01-23F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-11-20F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F
2024-11-20F0623, F0638, F0640, F0867, F0926Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assure that each resident’s assessment is updated at least once every 3 months. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Have policies on smoking.E
2024-11-20F0552, F0641, F0660, F0740Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure each resident receives an accurate assessment. / Plan the resident's discharge to meet the resident's goals and needs. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D
2024-10-23F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-10-23F0610Respond appropriately to all alleged violations.E
2024-10-23F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-05-08F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-03-14F0801, F0880Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Provide and implement an infection prevention and control program.F
2024-03-14F0584, F0695, F0881Honor 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. / Provide safe and appropriate respiratory care for a resident when needed. / Implement a program that monitors antibiotic use.E
2024-03-14F0550, F0585, F0641, F0658, F0758Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D
2023-08-29F0602Protect each resident from the wrongful use of the resident's belongings or money.E
2023-08-29F0697Provide safe, appropriate pain management for a resident who requires such services.D

Why was WHITEFISH CARE AND REHABILITATION fined 4 times?

DateTypeAmount
2026-03-12Fine$82,250
2025-09-09Fine$95,148
2025-01-23Fine$91,314
2024-10-23Fine$104,780

Has WHITEFISH CARE AND REHABILITATION had payment denied by Medicare?

Payment denial startLength in days
2025-11-2034

How is WHITEFISH CARE AND REHABILITATION staffed relative to the MT average?

MeasureThis facilityMT average
Total nurse staffing hours per resident per day3.342844.04638
Total nursing staff turnover (%)82.154.8
Average number of residents per day92.256.7

Who owns WHITEFISH CARE AND REHABILITATION, and what chain is it in?

WHITEFISH CARE AND REHABILITATION is registered with CMS as For profit - Corporation, operates under the legal business name SWEETWATER WHITEFISH OPCO LLC and belongs to the SWEETWATER CARE chain.

RoleOwnerAssociation date
5% OR GREATER INDIRECT OWNERSHIP INTERESTSWEETWATER CARE OPCO LLCsince 07/01/2019
W-2 MANAGING EMPLOYEEHOLT, JORDANsince 07/01/2019
CORPORATE OFFICERGAMETT, JAMESsince 07/01/2019

Were you or a family member harmed at WHITEFISH CARE AND REHABILITATION?