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Skilled nursing facility · CMS certified · CCN 275129

Immanuel Skilled Care Center

185 Crestline Ave, Kalispell, MT 59901 · Flathead County · one of 61 skilled nursing facilities in Montana
CMS High Performing · Medicare's High Performing icon, the gold trophy on Care Compare: five-star buildings with clean recent inspections and no recent change of ownership.
Its Medicare cost report, line by line ↓
155
certified beds
5 / 5
overall CMS rating
Nonprofit
ownership type
68.6%
occupancy, Oct 2026: 106 residents a day · Montana 69.3%
1.23
case mix, 0.87x the national average
4.37
nurse hours per resident day · Montana 4.05
What if · this building’s own numbers
Medicare cost report, FY2025, and the state rate file

Every slider starts where this building’s FY2025 Medicare cost report left it. Drag occupancy, the Medicaid rate or the costs, and see what the change does to revenue, cost and operating income.

00.0%
00%
$000
$000
$000
0.00
From this change, a year
+$000,000
profit from patient care, before rent, loan interest and depreciation
Where that leaves the building, a year
Patient revenue
$00,000,000
Cost to run it
$00,000,000
Profit from patient care (EBITDAR)
$0,000,000 to $0,000,000

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How Immanuel Skilled Care Center compares

Better than most of Flathead County on 4 of 8 lines.

Occupancy, Oct 202668.6%Behind mostHigher than 1 of the 4 other buildings in Flathead County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 77.7%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.37Mid-packHigher than 2 of the 4 other buildings in Flathead County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.97. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating5 / 5Better than mostHigher than all 3 other buildings in Flathead County

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating4 / 5Better than mostHigher than all 3 other buildings in Flathead County

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Better than mostHigher than 2 of the 3 other buildings in Flathead County, level with 1

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Better than mostHigher than all 3 other buildings in Flathead County

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.88Mid-packHigher than 2 of the 4 other buildings in Flathead County

Registered nurse hours for each resident, each day. The middle of the set: 0.94. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited25Behind mostFewer than 2 of the 5 other buildings in Flathead County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 18. Source: CMS Provider Information, Oct 2026 file.

Better than most of Montana on 6 of 8 lines.

Occupancy, Oct 202668.6%Behind mostHigher than 28 of the 58 other buildings in Montana

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 70.0%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.37Better than mostHigher than 43 of the 57 other buildings in Montana

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.84. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating5 / 5Better than mostHigher than 50 of the 58 other buildings in Montana, level with 8

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating4 / 5Better than mostHigher than 39 of the 58 other buildings in Montana, level with 13

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Better than mostHigher than 47 of the 58 other buildings in Montana, level with 11

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Better than mostHigher than 32 of the 58 other buildings in Montana, level with 15

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.88Better than mostHigher than 30 of the 57 other buildings in Montana

Registered nurse hours for each resident, each day. The middle of the set: 0.85. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited25Behind mostFewer than 5 of the 60 other buildings in Montana

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 12. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Montana
Net margin00.0%

Opens with a free account

Medicaid share of days00.0%

Opens with a free account

Medicaid rate$000

Opens with a free account

Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Immanuel Skilled Care Center
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Street View
185 Crestline Ave, Kalispell, MT
Map around Immanuel Skilled Care Center
Map · Flathead County
Flathead County, Montana
6 skilled nursing facilities; average overall rating 2.8, Montana 2.9.
See how Flathead County compares ›
Cost report, against Montana
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Montana. The rank counts from the top: 1st is the highest figure among Montana's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2025 (the year ending 2025-06-30), against the middle Montana building.

Line
This building
Rank in state
Montana median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
69.2%
31
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
8.3%
43
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
63.2%
38
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$371
41
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$394
42
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$17
43
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
4.9%
41

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating5 / 5 · state 2.9
Health inspection4 / 5 · state 2.8
Staffing5 / 5 · state 3.5
RN hours per resident per day0.88 · state 0.92
Overall rating, last 8 quarters
053Q3’243Q4’243Q1’253Q2’252Q3’255Q4’254Q1’265Q2’26latest
up 2 stars over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingMontananationrecent quarters
Needed more help with daily activities13.1%better than state18.5%13.5%2025Q2: 21.9%2025Q3: 15.6%2025Q4: 12.2%2026Q1: 15.6%2026Q2: 9.3%
21.9% → 9.3%
Q2’25 to Q2’26
Catheter inserted and left in0.9%better than state2.0%0.7%2025Q2: 2.8%2025Q3: 2.3%2025Q4: 1.2%2026Q1: 0.0%2026Q2: 0.0%
2.8% → 0.0%
Q2’25 to Q2’26
Urinary tract infection0.6%better than state3.0%1.5%2025Q2: 6.4%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 2.4%
6.4% → 2.4%
Q2’25 to Q2’26
Fall with major injury6.0%worse than state4.4%3.2%2025Q2: 1.2%2025Q3: 2.3%2025Q4: 6.0%2026Q1: 7.8%2026Q2: 8.2%
1.2% → 8.2%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)0.4%better than state1.2%1.5%2025Q2: 0.0%2025Q3: 0.9%2025Q4: 0.8%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Ability to walk independently worsened18.8%worse than state16.1%12.7%2025Q2: 13.4%2025Q3: 21.4%2025Q4: 17.0%2026Q1: 23.3%2026Q2: 14.9%
13.4% → 14.9%
Q2’25 to Q2’26
Pressure ulcers3.9%better than state6.2%4.5%2025Q2: 8.6%2025Q3: 6.0%2025Q4: 2.6%2026Q1: 3.6%2026Q2: 3.4%
8.6% → 3.4%
Q2’25 to Q2’26
Given an antipsychotic19.5%better than state20.7%15.4%2025Q2: 16.7%2025Q3: 20.0%2025Q4: 21.7%2026Q1: 21.0%2026Q2: 15.9%
16.7% → 15.9%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Dec 2025
last standard survey
25
deficiencies cited · Montana avg 13.1
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Montana
state rate files
$291
median daily rate across the Montana buildings in our rate book, Jul 2026 file
Montana rates and what changed ›
Flathead County
buildingbedsoverallImmanuel Skilled Care Center1555 / 5Montana Veterans Home N H1053 / 5Brendan House1102 / 5Kalispell Rehabilitation and Nursing LLC1401 / 5Lakeview Rehabilitation and Nursing LLCWhitefish Care and Rehabilitation100
All Montana buildings in Flathead County ›
Also in Kalispell, MT
2 other certified skilled nursing facilities in Kalispell
buildingbedsoverallBrendan House1102 / 5Kalispell Rehabilitation and Nursing LLC1401 / 5
Montana at a glance
61
buildings
4,997
licensed beds
69%
occupancy
57%
for-profit
Montana market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyBrendan HouseKalispell · 0.5 mi1102 / 5over 85%Kalispell Rehabilitation and Nursing LLCKalispell · 0.7 mi1401 / 5under 70%Montana Veterans Home N HColumbia Falls · 12.2 mi1053 / 570-85%Whitefish Care and RehabilitationWhitefish · 13.4 mi100over 85%Lakeview Rehabilitation and Nursing LLCBigfork · 14.9 miPolson Health & Rehabilitation CenterPolson · 37.3 mi704 / 570-85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Immanuel Skilled Care Center?
Immanuel Skilled Care Center in Kalispell, MT carries an overall CMS rating of 5 out of 5 stars in the Oct 2026 CMS file.
Is Immanuel Skilled Care Center a CMS High Performing nursing home?
Yes. Immanuel Skilled Care Center in Kalispell, MT carries Medicare's High Performing icon, the gold trophy on Care Compare, given to five-star buildings with clean recent inspections and no recent change of ownership.
How many beds does Immanuel Skilled Care Center have?
Immanuel Skilled Care Center is certified for 155 beds in the Oct 2026 CMS file.
How full is Immanuel Skilled Care Center?
CMS's reported average residents put Immanuel Skilled Care Center's occupancy in the 70-85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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