Immanuel Skilled Care Center
Kalispell, Montana · CCN 275129
19 surveys since 2011, 14 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 188
- Surveys
- 19
- Harm or worse
- 14
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 155
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Flathead · rural
- Medicare-certified since
- 1989
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 5
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 19 not-for-profit facilities in Montana.
Last survey on record
Dec 31, 2025
313 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.37 | 4.37 |
| Registered-nurse hours per resident day | 0.89 | — |
| Annual nurse turnover | 40.2% | 46.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1676.2% | E314.3% | F29.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6582×
Ensure services provided by the nursing facility meet professional standards of quality.
- F8802×
Provide and implement an infection prevention and control program.
- F5541×
Allow residents to self-administer drugs if determined clinically appropriate.
- F5781×
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.
In the surveyor’s words
From the most serious findings on record at Immanuel Skilled Care Center, in the surveyor’s own words.
- Actual harm, isolatedF689Jan 19, 2023
Based on interview and record review, facility staff failed to follow a transfer order while transferring a resident, for 1 (#65) of 1 sampled resident. This deficient practice resulted in the resident's displacement of orthopedic hardware. Findings include: During an interview on 1/19/23 at 8:18 a.m., resident #65 stated on 12/21/22, staff member M was in her room doing therapy and assisted her to the restroom. Staff member M helped her transfer to the toilet from her wheelchair using a gait belt. After helping her get on the toilet, staff member M stated he had to go to a meeting, and he would ask the CNAs to get her off the toilet when she was finished. Two CNAs came to transfer her off the toilet to her wheelchair. […]
- No harm, potential for more than minimal, widespreadF812Dec 31, 2025
Based on observation, interview, and record review, the facility failed to ensure kitchen personnel had a process in place for documentation of weekly deep cleaning of the ovens; and failed to ensure areas surrounding the fryer and griddle were cleaned daily (end of shift). These deficient practices had the potential to increase the risk of foodborne illnesses for anyone receiving food, or having food prepared, from the facility kitchen. Findings include:1. Kitchen OvensDuring an observation and interview on 12/30/25 at 2:17 p.m., staff member C stated the ovens in the kitchen had been cleaned about a month ago. Staff member C opened the oven furthest away from the flat top griddle. […]
- No harm, potential for more than minimal, widespreadF880Oct 24, 2024
Based on observation, interview, and record review, the facility: - failed to ensure an enhanced barrier precautions door sign was posted to notify all staff of the infection control precautions, and have gowns readily available for use during a tube feeding, for 1 (#361); - failed to ensure staff member R adhered to standard precautions during medication administration via a tube feeding, by placing medications to be administered on an unclean surface without a protective barrier in place, for 1 (#361); - failed to ensure staff member S and Q adhered to proper infection prevention practices related to hand hygiene during donning and doffing of gloves, for 2 (#s 42 and 370); - failed to ensure staff members G and K adhered to proper hand hygiene prior to entering and exiting resident… […]
- No harm, potential for more than minimal, widespreadF880Feb 3, 2022
Based on observation, interview, and record review, the facility failed to dispose of expired hand sanitizer, update an infection prevention and control plan annually, and ensure the contaminated floor was cleaned and disinfected for 1 (#57) of 1 sampled resident. This deficient practice had the potential to increase the risk of infection in the facility. Findings include: 1. During an observation on [DATE] at 3:12 p.m., the following locations contained expired Purell hand sanitizer: -One dispenser across from room [ROOM NUMBER], expired ,d+[DATE], -One dispenser in family room near the door, expired ,d+[DATE], and -Two dispensers near the sink outside of treatment room [ROOM NUMBER] near The Retreat guest suites, expired ,d+[DATE] and ,d+[DATE]. […]
- No harm, potential for more than minimal, widespreadF887Feb 3, 2022
Based on interview and record review, the facility failed to document staff declinations and education regarding the COVID-19 vaccine for 5 (Q, R, S, T, and U) of 5 sampled staff members. Findings include: On 2/2/22 at 10:40 a.m., surveyors submitted a request to staff member B for COVID-19 vaccine declinations and education given to staff. The five staff members (Q, R, S, T, and U) were randomly chosen by the surveyor, and were noted to be unvaccinated on the facility COVID-19 vaccination listing. During an interview on 2/2/22 at 4:47 p.m., staff member A stated there was no education written down, or declinations for the COVID-19 vaccine documented for the five COVID-19 unvaccinated staff requested. […]
Read 34 findings in full →The most serious and the most recent: 34 of 188 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 31, 2025Standard5 findings
- Aug 20, 2025Complaint2 findings
- Oct 24, 2024Standard11 findings
- Mar 5, 2024Complaint3 findings
- Jan 19, 2023Standard and complaint4 findings · 1 harm
- Feb 3, 2022Standard11 findings
- Feb 20, 2020Standard2 findings
- Sep 12, 2019Complaint13 findings
Show the 11 earlier surveys
- Feb 5, 2019Standard and complaint20 findings · 3 harm
- May 17, 2018Standard and complaint23 findings · 3 harm
- Jun 29, 2017Standard13 findings · 2 harm
- Apr 26, 2017Complaint9 findings
- Oct 20, 2016Standard12 findings · 2 harm
- Jul 30, 2015Standard5 findings
- Aug 14, 2014Standard and complaint14 findings · 1 harm
- Aug 28, 2013—17 findings · 2 harm
- May 23, 2013—1 finding
- Sep 27, 2012—18 findings
- Aug 4, 2011—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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