Starfile

Starfile / Montana

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.

CycleInspection dateThis facilityMontana avgNational avgvs state
12025-03-132811.59.5+16.5 worse
22024-03-143310.09.8+23.0 worse
32023-03-02229.29.3+12.8 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care8
Resident assessment and care planning3
Nursing and physician services1
Resident rights7
Pharmacy service2
Environmental1
Infection control4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.5579.0%
RN staffing (reported)0.7968.4%
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

  1. 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

  2. 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

  3. EF0675Honor each resident's preferences, choices, values and beliefs.2025-10-22 · Health · corrected 2025-12-24

    Potential for more than minimal harm

  4. 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

  5. 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

  6. 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

  7. GF0692Provide enough food/fluids to maintain a resident's health.2025-10-22 · Health · corrected 2025-12-15

    Actual harm

  8. 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

  9. DF0791Provide or obtain dental services for each resident.2025-10-22 · Health · corrected 2025-11-15

    Potential for more than minimal harm

  10. 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

  11. 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

  12. 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

  13. DF0610Respond appropriately to all alleged violations.2025-09-09 · Health · corrected 2025-10-22

    Potential for more than minimal harm

  14. 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

  15. 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

  16. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-03-13 · Health · corrected 2025-04-02

    Potential for more than minimal harm

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-13 · Health · corrected 2025-04-02

    Potential for more than minimal harm

  25. DF0760Ensure that residents are free from significant medication errors.2025-03-13 · Health · corrected 2025-04-02

    Potential for more than minimal harm

  26. EF0880Provide and implement an infection prevention and control program.2025-03-13 · Health · corrected 2025-04-02

    Potential for more than minimal harm

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

  32. GF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-23 · Health · corrected 2025-02-17

    Actual harm

  33. EF0760Ensure that residents are free from significant medication errors.2025-01-23 · Health · corrected 2025-04-02

    Potential for more than minimal harm

  34. 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

  35. EF0880Provide and implement an infection prevention and control program.2025-01-23 · Health · corrected 2025-02-17

    Potential for more than minimal harm

  36. 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

  37. 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

  38. 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

  39. 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

  40. 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

  41. 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

  42. DF0641Ensure each resident receives an accurate assessment.2024-11-20 · Health · corrected 2025-01-09

    Potential for more than minimal harm

  43. 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

  44. 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

  45. 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

  46. 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

  47. EF0926Have policies on smoking.2024-11-20 · Health · corrected 2025-01-09

    Potential for more than minimal harm

  48. 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

  49. EF0610Respond appropriately to all alleged violations.2024-10-23 · Health · corrected 2024-10-26

    Potential for more than minimal harm

  50. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-23 · Health · corrected 2024-12-18

    Actual harm

  51. 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

  52. 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

  53. 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

  54. 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

  55. DF0641Ensure each resident receives an accurate assessment.2024-03-14 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  56. 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

  57. 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

  58. 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

  59. 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

  60. FF0880Provide and implement an infection prevention and control program.2024-03-14 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  61. EF0881Implement a program that monitors antibiotic use.2024-03-14 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  62. 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

  63. 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

  64. 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

  65. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-24 · Health · corrected 2023-06-20

    Actual harm

  66. 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

  67. 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

  68. 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

  69. 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

  70. 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

  71. 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

  72. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-02 · Health · corrected 2023-03-22

    Actual harm

  73. 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

  74. GF0692Provide enough food/fluids to maintain a resident's health.2023-03-02 · Health · corrected 2023-03-24

    Actual harm

  75. 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

  76. 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

  77. 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

  78. DF0760Ensure that residents are free from significant medication errors.2023-03-02 · Health · corrected 2023-03-24

    Potential for more than minimal harm

  79. 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

  80. 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

  81. 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

  82. FF0880Provide and implement an infection prevention and control program.2023-03-02 · Health · corrected 2023-03-24

    Potential for more than minimal harm

  83. 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

OwnerTypeRolePercentSince
GAMETT, JAMESIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2019-07-01
SWEETWATER CARE OPCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-07-01
GAMETT, JAMESIndividualCORPORATE OFFICER2019-07-01
HOLT, JORDANIndividualW-2 MANAGING EMPLOYEE2019-07-01

Other facilities in WHITEFISH

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.