Heritage Living Center
Assisted Living · Montana, MT

Heritage Living Center

Assisted Living · Montana, MT

Overview of Heritage Living Center

Heritage Living Center is a 40-bed assisted living facility offering skilled nursing, short-term rehab, respite care, long-term care, and memory care at 5982 Tongue River Rd, Ashland, Rosebud County, Montana. Administrator is Sable Kerzmann. Offers 24-hour staffing and rehabilitation services with communal dining, outdoor courtyard with gazebo, therapy gym, and salon services. Does not accept Medicaid or Medicare.

Ashland is in Rosebud County in southeastern Montana. Northern Cheyenne health resources are nearby.

Seven inspections from 2016 to 2024 document 27 total deficiencies, averaging 3.9 per year, 33 percent better than Montana average of 5.8.

January 4, 2024, renewal identified 5 deficiencies: no annual disaster plan review documentation or drill, insufficient administrator continuing education hours for 2023, residents not provided copies of service plans, no electronic call systems in resident rooms or bathrooms, no staff training records on skin integrity and pressure sore prevention.

July 13, 2022, renewal found 2 deficiencies: no annual disaster plan review with staff, no written agreement for off-site evacuation point. July 9, 2021, renewal identified 6 deficiencies: laundry rooms lacked clothing covers, medication technician activities exceeded scope, emergency call system design not meeting standards, missing fire drill documentation, disaster plan unchanged since 2014, missing service plan for readmitted resident. August 12, 2020, renewal found 2 deficiencies: 14 of 16 incident reports lacked notification to provider and legal representative, 4 of 5 resident files missing annual practitioner orders for medication self-administration.

July 18, 2019, renewal identified 4 deficiencies: 3 of 6 staff files lacked Heimlich maneuver, first aid, and CPR training, 6 resident rooms without emergency call systems, no fire drill documentation, no annual disaster plan review. July 5, 2018, renewal found 4 deficiencies: kitchen garbage containers lacked lids, missing current administrator job description, no disposition documentation for resident personal possessions and medications, no annual practitioner orders for medication self-administration. February 3, 2016, renewal found 4 deficiencies: policy manual outdated since 2013, missing disposition records, no freezer temperature monitoring log.

No fines or license suspensions documented.

Chronic pattern shows recurring emergency preparedness and resident care documentation deficiencies spanning 8 years without demonstrated improvement.

Emergency preparedness procedures, disaster plan review processes, medication administration protocols, and resident notification procedures warrant direct review.

Families should speak with administrators regarding compliance measures and corrective actions implemented since 2024 inspection before enrollment.

(406) 784-2840
Bed community size
40-bed community Rank #70 / 106Bed count — State benchmarkedThis home is ranked 70th out of 106 homes in Montana. Shows this facility's certified or reported bed count compared to other Montana SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation Rank #57 / 88Years in operation — State benchmarkedThis home is ranked 57th out of 88 homes in Montana. Shows how long this facility has been in operation compared to other Montana SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 3 / 100 Rank #148 / 159Walk Score — State benchmarkedThis home is ranked 148th out of 159 homes in Montana. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Montana SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

License Details

Facility TypeAssisted Living Facility
StatusCurrent
IssuanceMay 2, 2025
ExpirationMay 1, 2028
License Number13400

Ownership & Operating Entity

Heritage Living Center is administrated by Sable Kerzmann.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Nursing Services
24-Hour Staffing

Amenities & Lifestyle

Communal Dining Space
Activity Area
Outdoor Courtyard With Gazebo
Therapy Gym
Salon Services
Engaging Social Activities
ActivitiesAt Heritage, we are committed to keeping our guests happy by offering daily opportunities for entertainment and socialization. With a diverse and engaging calendar of activities, we ensure that both long-term care and short-term care stays are filled with meaningful experiences and enjoyable events.
Specific ProgramsShort-Term Rehab, Long-Term Rehab, Additional Services

Dining & Nutrition

Food DescriptionSavor a variety of delicious dishes crafted by our certified dietary manager and cooks. From Southern classics like fried okra and biscuits with gravy to lighter fare like pasta, chicken, and fresh greens, there’s something for every taste.

Contact Heritage Living Center

Inspection History

In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.

Since 2016 · 10 years of data 27 deficiencies 9 inspections

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2016 vs. Montana state average
Overall vs. MT average 3 Worse Metrics worse than Montana average:
• Total deficiencies (29% above)
• Deficiencies per year (29% above)
• Total inspections (80% above)
1 Better Metrics better than Montana average:
• Deficiencies per inspection (29% below)
Latest Inspection January 4, 2024 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMT Averagevs. MT Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 2721 This facility has 29% more total deficiencies than a typical Montana assisted living residence (27 vs. MT avg 21).↑ 29% worse
Deficiencies per year Info Average deficiencies per year since 2016. 2.72.1 This facility has 29% more deficiencies per year than a typical Montana assisted living residence (2.7 vs. MT avg 2.1).↑ 29% worse
Deficiencies per inspection Info Average deficiencies per inspection. 34.2 This facility has 29% fewer deficiencies per inspection than a typical Montana assisted living residence (3 vs. MT avg 4.2).↓ 29% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMT Averagevs. MT Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 95 This facility has 80% more total inspections than a typical Montana assisted living residence (9 vs. MT avg 5).↑ 80% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on January 4, 2024, identified several deficiencies including incomplete disaster plan review, insufficient administrator continuing education, missing resident service plan copies, lack of electronic call systems in resident rooms, and inadequate staff training on skin integrity. Earlier inspections also noted recurring issues with disaster plan reviews, emergency call systems, medication administration documentation, and staff training. Prior reports cited deficiencies related to emergency preparedness, medication management, and documentation of resident care plans. Complaint investigations were not listed in the available reports. The pattern of findings suggests ongoing challenges with emergency preparedness and resident care documentation, with no clear improvement trend over time.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Places of interest near Heritage Living Center

Address 0.0 miles from city center Info Estimated distance in miles from Ashland's city center to Heritage Living Center's address, calculated via Google Maps.

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Financial Assistance for
Assisted Living in Montana

Heritage Living Center is located in Ashland, Montana.
Here are the financial assistance programs available to residents in Montana.

Get Financial aid guidance

Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled
General Montana resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MT

Rural state; limited providers in some areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Home modifications ($1,500 avg.) Meals ($6/meal)

Montana Community First Choice

MT CFC

Age 65+ or disabled
General Montana resident, Medicaid- eligible.
Income Limits ~$1,732/month individual, Medicaid threshold
Asset Limits $2,000 individual
MT

Less intensive than waiver; rural focus.

Benefits
Personal care (up to 40 hours/month) Homemaker services Respite (varies)

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled
General Montana resident, enrolled in Medicare Part D, income below limit.
Income Limits (2025) ~$2,510/month (individual), ~$3,380/month (couple).
Asset Limits Not assessed.
MT

Covers up to $38.75/month premium; statewide via AAAs.

Benefits
Prescription drug premium assistance (~$465/year) Reducing out-of-pocket costs

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled
General Montana resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MT

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
MT

10 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Montana resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MT

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

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The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.

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Heritage Living Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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Frequently Asked Questions about Heritage Living Center

Is Heritage Living Center in a walkable area?

Heritage Living Center has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Heritage Living Center?

According to MT state health department records, Heritage Living Center's license number is 13400.

When does Heritage Living Center's license expire?

According to MT state health department records, Heritage Living Center's license expires on May 1, 2028.

Who is the administrator of Heritage Living Center?

Sable Kerzmann is the administrator of Heritage Living Center.

How many beds does Heritage Living Center have?

Heritage Living Center has 40 beds.

Are there photos of Heritage Living Center?

Yes — there are 11 photos of Heritage Living Center in the photo gallery on this page.

What is the address of Heritage Living Center?

Heritage Living Center is located at 5982 Tongue River Rd PO BOX 598.

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