Heritage Living Center
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Ashland, MT
Heritage Living Center
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Ashland, MT
Overview of Heritage Living Center
Ashland, Montana sits in rural Rosebud County, and Heritage Living Center has served the area as a 40-bed nursing home administered by Sable Kerzmann. Reaching it means planning for a drive. The neighborhood carries a Walk Score of 3, placing it firmly in car-dependent territory, with few errands possible on foot.
Care here runs on two tracks; the first being short-term rehabilitation, which supports residents recovering from surgery, illness, or injury, while a second long-term rehab option exists for those whose needs extend further. Respite care gives families a break option, and staffing runs around the clock. Daily routines include communal dining, salon services, and an outdoor courtyard, with a regular slate of organized activities rounding out the calendar.
Montana’s Department of Public Health and Human Services, Quality Assurance Division oversees inspections statewide, and for Heritage Living Center those reviews have centered on emergency preparedness and staffing credentials, the kind of operational areas regulators commonly examine at nursing homes across the state.
For families weighing options in a rural stretch of southeastern Montana, Heritage Living Center offers structured rehabilitation and nursing care close to the Northern Cheyenne community, built for residents who need real clinical support rather than a lighter-touch living arrangement.
40-bed community Rank #68 / 103Bed count — State benchmarkedThis home is ranked 68th out of 103 homes we track in Montana for bed count. Shows this facility's certified or reported bed count compared to other Montana facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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.
1 year in operation Rank #62 / 91Years in operation — State benchmarkedThis home is ranked 62nd out of 91 homes we track in Montana for years in operation. Shows how long this facility has been in operation compared to other Montana facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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: 3 / 100 Rank #145 / 149Walk Score — State benchmarkedThis home is ranked 145th out of 149 homes we track in Montana for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Montana facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
Facility TypeAssisted Living Facility
StatusCurrent
IssuanceMay 2, 2025
ExpirationMay 1, 2028
License Number13400
Heritage Living Center is administered by Sable Kerzmann.
Rehabilitation Services
Respite Care
24-Hour Staffing
Pets not allowed
Dining
Activities
Courtyard
Salon
Activities
Specific ProgramsShort-Term Rehab, Long-Term Rehab, Additional Services
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
These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability.
27 deficiencies
7 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, 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
2 Worse
Metrics worse than Montana average:
• Total deficiencies (17% above)
• Deficiencies per inspection (18% above) 0 Better No metrics in this bucket.
• Total deficiencies (17% above)
• Deficiencies per inspection (18% above) 0 Better No metrics in this bucket.
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
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Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 27 | 23 | This facility has 17% more total deficiencies than a typical Montana nursing home (27 vs. MT avg 23).↑ 17% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.9 | 3.3 | This facility has 18% more deficiencies per inspection than a typical Montana nursing home (3.9 vs. MT avg 3.3).↑ 18% worse |
Inspections
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 7 | 7 | This facility has total inspections in line with the Montana average (7 vs. MT avg 7).— At avg |
Places of interest near Heritage Living Center
0.0 miles from city center
Estimated distance in miles from Ashland's city center to Heritage Living Center's address, calculated via Google Maps.
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Compare Nursing Homes around the area
Info below is compiled from CMS reports & the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Montana average is: 47.0% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Libby of Cascadia, LLC dba Libby Care Center | NH SNF | Libby | 101
Facility
101
MT AVG
70
Rank
#24 / 103 |
75.5%
Facility
75.5%
MT AVG
65.6%
Rank
#12 / 30 | +15% | 3.37
Facility
3.37
MT AVG
4.53
Rank
#26 / 30 | -7% | -26% | $22.7k
Facility
$22.7k
MT AVG
$83.8k
Rank
#13 / 31 | 18
Facility
18
MT AVG
29.7
Rank
#8 / 31 | 4.5
Facility
4.5
MT AVG
5.7
Rank
#8 / 31 | 2 | 76 | - |
76
Facility
76
MT AVG
45
Rank
#19 / 149 | Cascadia Montana Operations LLC | $9.0MFiscal year ending 12/2023
Facility
$9.0MFiscal year ending 12/2023
MT AVG
$8.2M
Rank
#6 / 18 | $4.2MFiscal year ending 12/2023
Facility
$4.2MFiscal year ending 12/2023
MT AVG
$3.7M
Rank
#7 / 18 | 46.9%Fiscal year ending 12/2023
Facility
46.9%Fiscal year ending 12/2023
MT AVG
47%
Rank
#8 / 18 | 275040 | ||||
| Valle Vista Rehabilitation and Nursing LLC | NH HOS RC SNF | Lewistown | 101
Facility
101
MT AVG
70
Rank
#24 / 103 |
52.8%
Facility
52.8%
MT AVG
65.6%
Rank
#20 / 30 | -19% | 3.63
Facility
3.63
MT AVG
4.53
Rank
#17 / 30 | -39% | -20% | $0
Facility
$0
MT AVG
$83.8k
Rank
#1 / 31 | 15
Facility
15
MT AVG
29.7
Rank
#4 / 31 | 3.8
Facility
3.8
MT AVG
5.7
Rank
#4 / 31 | - | 53 | - |
79
Facility
79
MT AVG
45
Rank
#15 / 149 | Charly Bello Family Limited Partnership | $4.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $2.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 49.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 275021 | ||||
| Eureka of Cascadia, LLC dba Mountain View of Cascadia | NH SNF | Eureka | 49
Facility
49
MT AVG
70
Rank
#62 / 103 |
95.7%
Facility
95.7%
MT AVG
65.6%
Rank
#2 / 30 | +46% | 3.42
Facility
3.42
MT AVG
4.53
Rank
#26 / 30 | +2% | -25% | $0
Facility
$0
MT AVG
$83.8k
Rank
#1 / 31 | 13
Facility
13
MT AVG
29.7
Rank
#3 / 31 | 4.3
Facility
4.3
MT AVG
5.7
Rank
#6 / 31 | - | 47 | - |
58
Facility
58
MT AVG
45
Rank
#48 / 149 | Dianna Carvey | $3.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $2.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 62%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 275084 | ||||
| Logan Health – Conrad – LTC | NH | Conrad | 59
Facility
59
MT AVG
70
Rank
#59 / 103 |
68.1%
Facility
68.1%
MT AVG
65.6%
Rank
#17 / 30 | +4% | 5.01
Facility
5.01
MT AVG
4.53
Rank
#6 / 30 | +8% | +11% | $27.0k
Facility
$27.0k
MT AVG
$83.8k
Rank
#14 / 31 | 42
Facility
42
MT AVG
29.7
Rank
#18 / 31 | 8.4
Facility
8.4
MT AVG
5.7
Rank
#29 / 31 | 1 | 40 | - |
57
Facility
57
MT AVG
45
Rank
#51 / 149 | - | - | - | - | 275119 |
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.
How long has Heritage Living Center been in business?
Heritage Living Center has been operating for approximately 1 year, based on available licensing and registration records.
Are pets allowed at Heritage Living Center?
No, Heritage Living Center has a no-pet policy.
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.
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