CCN 275111 · Yellowstone County, Montana
Laurel Health & Rehabilitation Center
820 3rd Ave, Laurel, MT 59044
Laurel Health & Rehabilitation Center is a 79-bed for-profit nursing home in Laurel, Montana, first certified for Medicare or Medicaid in 1985. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 61.5 residents a day, about 78% of its certified beds. HUD's healthcare database shows 2 FHA-insured Section 232 loans for a project matching this facility, most recently $6.7 million in November 2020 (223(a)(7) refinance of a 223(f) loan), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 79
- Average residents per day
- 61.5 (77.8% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Laurel SNF Operations LLC
- Certified since
- Jun 1, 1985
- Chain or affiliated group
- Evergreen Healthcare Group (43 facilities, chain average 2.4 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Montana median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 13 at 1, 15 at 2, 8 at 3, 12 at 4, 11 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.24 | 3.86 | 3.68 |
| RN hours per resident per day | 0.56 | 0.90 | 0.58 |
| Weekend nurse hours per resident per day | 2.76 | ||
| Nursing staff turnover | 67.6% | 53.4% | 44.9% |
| Occupancy (residents / beds) | 77.8% | 68.9% | 85.7% |
| Fines reported by CMS | 1 totaling $7,163 | ||
| Health deficiencies, latest standard survey | 31 (Jan 29, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Laurel Health & Rehabilitation Center does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Couve Financial Services LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Couve Healthcare Consulting LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Laurel SNF Operations LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Montana SNF Consulting LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Pacific Northwest Opco Management LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Mansfield, JameIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Rodenberger, MonicaIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Severa, LarryIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Spielman, ShimonIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Yenowitz, YitzchokIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Aug 31, 2023 | Laurel SNF Operations LLC | Evergreen at Laurel LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Nov 30, 2020 | 223(a)(7) refinance of a 223(f) loanHUD project name: Laurel Health and Rehabilitation Center, 79 beds. Lender at endorsement: Berkadia Commercial Mortgage LLC | $6,747,200 | Ended Aug 31, 2023Prepayment | 09322047 |
| Mar 18, 2014 | 223(f) refinance or purchaseHUD project name: Laurel Health & Rehabilitation Center, 79 beds. Lender at endorsement: Keybank National Association | $7,545,600 | Ended Nov 30, 2020Prepayment | 09322030 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.