Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.40 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Aspen Meadows Health and Rehabilitation
BILLINGS, MT
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.40 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 26, 2026 cited 8 deficiencies.
View inspection evidenceCMS-published records list 91 ownership or control parties.
CMS records show an ownership change effective August 2023.
View ownership evidenceCMS groups this facility with a chain covering 44 facilities across 6 states or territories.
View chain evidenceCMS records show a $67,525 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
24 currently connected nursing homes share this CMS organization identity with CH PACIFIC NORTHWEST HOLDINGS LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 2023
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 31, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 3 across MT.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, WA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 21 across MT, NV, OR, SD, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, WA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 34 across MT, NV, OR, SD, WA, WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 39 across CA, MT, NV, OR, SD, WA, WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 3 across MT.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 20, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 24 across MT, NV, OR, SD, WA, WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 2023
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 3 across MT.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, WA.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Private equity company
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across MT.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across MT.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 21 across MT, NV, OR, SD, WA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, WA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 846 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 44 | 2.5 | 3.3 |
| Mon Jun | 43 | 2.4 | 3.3 |
| Fri May | 43 | 2.4 | 3.3 |
| Wed Apr | 43 | 2.4 | 3.3 |
| Sun Mar | 41 | 2.3 | 3.1 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Ensure that residents are free from significant medication errors.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 2, 2026)
Allow residents to self-administer drugs if determined clinically appropriate.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 9, 2025)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 9, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 19, 2025)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 19, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 19, 2025)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 19, 2025)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 19, 2025)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 19, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 19, 2025)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2025)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2025)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2025)
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2025)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2024)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2024)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 20, 2024)
Penalties & enforcement
Published fine amount: $67,525.00
Published fine amount: $47,658.00
Questions to ask
Facility history
11 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
CMS recorded a $67,525 civil monetary penalty.
CMS · Recorded event date · View related evidence
8 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $47,658 civil monetary penalty.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: ASPEN MEADOWS SNF OPERATIONS, LLC.
EMPRES AT BILLINGS LLC → ASPEN MEADOWS SNF OPERATIONS, LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.795 | 3.221 |
| RN categories | 0.362 | 0.509 |
Contract staff accounted for 20.1% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.095 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.503 | 0.509 | 0.708 | 2.175 | 9.8% | 91 |
| 2025Q3 | 3.479 | 0.423 | 0.69 | 2.173 | 13.3% | 92 |
| 2025Q4 | 3.52 | 0.5 | 0.697 | 2.02 | 12.5% | 92 |
| 2026Q1 | 3.63 | 0.404 | 0.841 | 2.095 | 20.1% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.