WHITEFISH CARE AND REHABILITATION
1305 E 7TH ST, WHITEFISH, MT 59937 · CCN 275132
SFF Candidate
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 100
- Avg residents/day
- 90.3
- Phone
- 4068623557
Inspection history vs Montana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Montana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-13 | 28 | 11.5 | 9.5 | +16.5 worse |
| 2 | 2024-03-14 | 33 | 10.0 | 9.8 | +23.0 worse |
| 3 | 2023-03-02 | 22 | 9.2 | 9.3 | +12.8 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 8 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 7 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.55 | 79.0% |
| RN staffing (reported) | 0.79 | 68.4% |
| Total nurse staffing (adjusted) | 2.99 | — |
Fines & penalties
- Total fines
- $364,572
- Number of fines
- 4
- Number of penalties
- 5
- Payment denials
- 1
Chain
- Chain
- SWEETWATER CARE
- Facilities in chain
- 9
- Chain avg overall
- 2.80 / 5
Inspection citations (83)1 immediate jeopardy9 actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-10-22 · Health · corrected 2025-12-24
Potential for more than minimal harm
- DF0584Honor 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.2025-10-22 · Health · corrected 2025-12-24
Potential for more than minimal harm
- EF0675Honor each resident's preferences, choices, values and beliefs.2025-10-22 · Health · corrected 2025-12-24
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-10-22 · Health · corrected 2025-12-24
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-10-22 · Health · corrected 2025-12-24
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-22 · Health · corrected 2025-12-24
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2025-10-22 · Health · corrected 2025-12-15
Actual harm
- GF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-10-22 · Health · corrected 2025-11-15
Actual harm
- DF0791Provide or obtain dental services for each resident.2025-10-22 · Health · corrected 2025-11-15
Potential for more than minimal harm
- DF0887Educate 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.2025-10-22 · Health · corrected 2025-12-24
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-10-22 · Health · corrected 2025-12-24
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-09 · Health · corrected 2025-10-22
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-09-09 · Health · corrected 2025-10-22
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-09 · Health · corrected 2025-10-22
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0578Honor 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.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0584Honor 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.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0585Honor 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.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0693Ensure 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.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- FF0887Educate 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.2025-03-13 · Health · corrected 2025-04-02
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-23 · Health · corrected 2025-04-02
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-01-23 · Health · corrected 2025-02-17
Immediate jeopardy
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-23 · Health · corrected 2025-02-17
Potential for more than minimal harm
- GF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-23 · Health · corrected 2025-02-17
Actual harm
- EF0760Ensure that residents are free from significant medication errors.2025-01-23 · Health · corrected 2025-04-02
Potential for more than minimal harm
- FF0838Conduct 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.2025-01-23 · Health · corrected 2025-02-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-01-23 · Health · corrected 2025-02-17
Potential for more than minimal harm
- FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-01-23 · Health · corrected 2025-02-17
Potential for more than minimal harm
- FF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-01-23 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-11-20 · Health · corrected 2025-01-09
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-20 · Health · corrected 2025-01-09
Potential for more than minimal harm
- EF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-11-20 · Health · corrected 2025-01-09
Potential for more than minimal harm
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-11-20 · Health · corrected 2025-01-09
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-11-20 · Health · corrected 2025-01-09
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-11-20 · Health · corrected 2025-01-09
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-11-20 · Health · corrected 2025-01-09
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-11-20 · Health · corrected 2025-01-09
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-11-20 · Health · corrected 2025-01-09
Potential for more than minimal harm
- EF0926Have policies on smoking.2024-11-20 · Health · corrected 2025-01-09
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-23 · Health · corrected 2024-10-26
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2024-10-23 · Health · corrected 2024-10-26
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-23 · Health · corrected 2024-12-18
Actual harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-08 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-14 · Health · corrected 2024-04-26
Potential for more than minimal harm
- EF0584Honor 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.2024-03-14 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0585Honor 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.2024-03-14 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-03-14 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-14 · Health · corrected 2024-04-26
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-14 · Health · corrected 2024-04-26
Potential for more than minimal harm
- DF0758Implement 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.2024-03-14 · Health · corrected 2024-04-26
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-03-14 · Health · corrected 2024-04-26
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-03-14 · Health · corrected 2024-04-26
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2024-03-14 · Health · corrected 2024-04-26
Potential for more than minimal harm
- EF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-08-29 · Health · corrected 2023-09-13
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-08-29 · Health · corrected 2023-09-13
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-24 · Health · corrected 2023-06-14
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-24 · Health · corrected 2023-06-20
Actual harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-24 · Health · corrected 2023-06-20
Potential for more than minimal harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-02 · Health · corrected 2023-03-22
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-03-02 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-02 · Health · corrected 2023-03-23
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-02 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-02 · Health · corrected 2023-03-23
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-02 · Health · corrected 2023-03-22
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-02 · Health · corrected 2023-03-24
Actual harm
- GF0692Provide enough food/fluids to maintain a resident's health.2023-03-02 · Health · corrected 2023-03-24
Actual harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-02 · Health · corrected 2023-03-24
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-03-02 · Health · corrected 2023-03-24
Potential for more than minimal harm
- GF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2023-03-02 · Health · corrected 2023-03-24
Actual harm
- DF0760Ensure that residents are free from significant medication errors.2023-03-02 · Health · corrected 2023-03-24
Potential for more than minimal harm
- FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-03-02 · Health · corrected 2023-03-24
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-03-02 · Health · corrected 2023-03-24
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-02 · Health · corrected 2023-03-24
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-03-02 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-03-02 · Health · corrected 2023-03-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GAMETT, JAMES | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2019-07-01 |
| SWEETWATER CARE OPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-07-01 |
| GAMETT, JAMES | Individual | CORPORATE OFFICER | — | 2019-07-01 |
| HOLT, JORDAN | Individual | W-2 MANAGING EMPLOYEE | — | 2019-07-01 |
Other facilities in WHITEFISH
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.