Evergreen Livingston Health & Rehab
Nursing Home Facility
510 S 14th St, Livingston, MT 59047

Livingston Health and Rehabilitation Center provides a continuum of care that includes professional nursing care, rehabilitative therapy and support services to residents enabling them to maintain their independence.
Operated by Evergreen Healthcare Group, which runs 38 communities in our directory.
With 115 beds, Evergreen Livingston Health & Rehab is one of the larger communities in the area, senior care communities in Livingston average about 60 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 52% of its licensed beds, so availability is more likely here than at busier communities nearby.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in June 2025 and recorded 15 deficiencies.
Residents receive about 3.4 hours of nursing care per day on average, including 0.9 hours from a registered nurse. Nursing staff turnover over the past year was about 70%, which is high and can affect continuity of care.
The community is located in Park County, MT.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 40 problems at Evergreen Livingston Health & Rehab. 2 findings involved harm to a resident. 20 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $17,404.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
Show 7 more
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, one or a few residents
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Minimal harm or the potential for it, a pattern
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Minimal harm or the potential for it, a pattern
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Evergreen Livingston Health & Rehab offers assisted living, nursing home care, respite care, and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 115
- Occupancy 52%
- Nursing hours per resident/day 3.4
- Annual staff turnover 70%
- Last health inspection June 2025
Resident & family reviews
To maximize corporate profits perhaps the staff to resident ratio is deplorable. Since it is not set by any state standard, the staff has a high turnover because although they care for their residents, there aren't enough of them or enough time to really provide good care.
Their food service problems include constant menu substitutions (looks good to visitors but not what is really served...fresh fruit and leafy greens, dried fruit are on the menu but cakes and desserts are the rule.) Lots of pork products every day even for low salt diets. A lot of artificial sweeteners. Too cheap to provide condiments like mayonnaise or ketchup, the staff have been buying them on their own to provide for the residents.
While there I was subjected to two drug errors that could have killed me but sent me to the hospital twice, regardless. Was threatened by a nurse that I had to take the meds.
Was harassed in my room daily when a $496 bill was due when Medicare and Medicaid were already covering $4850 of the $5280 bill already. Their business office person in the hallway outside my room in the presence of my guest and in hearing of other residents screamed and yelled at me about my personal information and finances 3 separate times. My filed complaints of abuse yielded a threat to transfer me out to another facility 80 miles from my home.
by marie snyder, Jun 2012