Data / Nursing homes / Couve Financial Services LLC
Couve Financial Services LLC: 41 nursing homes, $1,995,785 in fines in the last 3 years
CMS lists Couve Financial Services LLC as an owner or manager of 41 nursing homes in 6 states, and those homes were fined $1,995,785 across 83 fines in the three years to October 1, 2026. 10 of them are rated one star, and the average overall rating is 2.4 of 5. Together they have 3,835 certified beds and 1,354 health citations in that time, 126 of them with actual harm or immediate jeopardy.
SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.
- Facilities
- 41, of which 6 owned and 41 managed
- States
- 6
- Certified beds
- 3,835
- Average overall rating
- 2.4 of 5
- One star facilities
- 10
- Special focus facilities
- 0
- Fines
- $1,995,785 across 83 fines
- Payment denials
- 0
- Health citations
- 1,354, of which 126 with actual harm or immediate jeopardy
- Latest survey
- August 28, 2026
Facilities
Ranked by fines, then by lowest star rating. Each row links to the facility page and to its Medicare Care Compare record.
| Facility | City | State | Role | Stars | Beds | Fines | Fine total | Citations | Latest survey | Source |
|---|---|---|---|---|---|---|---|---|---|---|
| Palisade Healthcare Center | Garretson | SD | Operational or managerial control | 1 | 55 | 5 | $249,546 | 26 | April 16, 2026 | medicare.gov |
| North Cascades Health and Rehabilitation | Bellingham | WA | Operational or managerial control | 2 | 122 | 5 | $249,520 | 96 | August 6, 2026 | medicare.gov |
| Riverview Healthcare Center | Flandreau | SD | Indirect owner, Operational or managerial control | 1 | 63 | 6 | $166,076 | 44 | August 28, 2026 | medicare.gov |
| Firesteel Healthcare Center | Mitchell | SD | Operational or managerial control | 1 | 125 | 6 | $153,308 | 39 | July 30, 2026 | medicare.gov |
| Shepherd of the Valley Rehabilitation and Wellness | Casper | WY | Operational or managerial control | 1 | 192 | 6 | $114,055 | 33 | July 30, 2026 | medicare.gov |
| Royal Park Health and Rehabilitation | Spokane | WA | Operational or managerial control | 3 | 164 | 4 | $111,830 | 56 | May 5, 2026 | medicare.gov |
| Shelton Health and Rehabilitation | Shelton | WA | Operational or managerial control | 2 | 76 | 4 | $92,591 | 64 | August 13, 2026 | medicare.gov |
| Aspen Meadows Health and Rehabilitation Center | Billings | MT | Operational or managerial control | 2 | 90 | 2 | $91,549 | 38 | August 13, 2026 | medicare.gov |
| Independence Health and Rehabilitation | Independence | OR | Indirect owner, Operational or managerial control | 2 | 80 | 3 | $69,876 | 31 | July 31, 2026 | medicare.gov |
| Canterbury House | Auburn | WA | Operational or managerial control | 2 | 100 | 1 | $68,159 | 51 | January 16, 2026 | medicare.gov |
| Seattle Medical Post Acute Care | Seattle | WA | Operational or managerial control | 2 | 103 | 6 | $66,173 | 67 | July 13, 2026 | medicare.gov |
| Granite Rehabilitation and Wellness | Cheyenne | WY | Operational or managerial control | 2 | 146 | 2 | $59,018 | 21 | August 7, 2026 | medicare.gov |
| Worland Health and Rehabilitation | Worland | WY | Operational or managerial control | 1 | 87 | 3 | $57,971 | 18 | July 7, 2026 | medicare.gov |
| Pahrump Health and Rehabilitation | Pahrump | NV | Operational or managerial control | 3 | 120 | 2 | $40,427 | 23 | December 19, 2025 | medicare.gov |
| Wheatcrest Hills Healthcare Center | Britton | SD | Operational or managerial control | 3 | 60 | 4 | $37,553 | 14 | August 19, 2026 | medicare.gov |
| Laramie Health and Rehabilitation | Laramie | WY | Operational or managerial control | 2 | 105 | 1 | $35,880 | 21 | June 3, 2026 | medicare.gov |
| Livingston Health & Rehabilitation Center | Livingston | MT | Operational or managerial control | 1 | 115 | 2 | $35,069 | 45 | August 20, 2026 | medicare.gov |
| Wind River Rehabilitation and Wellness | Riverton | WY | Operational or managerial control | 2 | 81 | 1 | $25,984 | 25 | May 21, 2026 | medicare.gov |
| Mountain View Health and Rehabilitation | Carson City | NV | Operational or managerial control | 2 | 146 | 1 | $25,675 | 49 | January 15, 2026 | medicare.gov |
| Portland Health and Rehabilitation | Portland | OR | Operational or managerial control | 2 | 105 | 1 | $24,827 | 39 | February 27, 2026 | medicare.gov |
| Hot Springs Health & Rehabilitation Center | Hot Springs | MT | Operational or managerial control | 4 | 40 | 1 | $22,614 | 23 | February 10, 2026 | medicare.gov |
| Fountain Springs Healthcare | Rapid City | SD | Operational or managerial control | 3 | 90 | 2 | $22,526 | 15 | February 12, 2026 | medicare.gov |
| Enumclaw Health and Rehabilitation | Enumclaw | WA | Operational or managerial control | 1 | 92 | 2 | $17,888 | 55 | August 14, 2026 | medicare.gov |
| Thermopolis Rehabilitation and Wellness | Thermopolis | WY | Operational or managerial control | 3 | 60 | 1 | $17,761 | 12 | August 20, 2026 | medicare.gov |
| Laurel Health & Rehabilitation Center | Laurel | MT | Operational or managerial control | 1 | 79 | 1 | $17,665 | 49 | July 30, 2026 | medicare.gov |
| Polson Health & Rehabilitation Center | Polson | MT | Operational or managerial control | 4 | 70 | 1 | $17,404 | 13 | November 17, 2025 | medicare.gov |
| Village Health Care | Gresham | OR | Operational or managerial control | 2 | 106 | 2 | $16,231 | 37 | June 5, 2026 | medicare.gov |
| Rawlins Rehabilitation and Wellness | Rawlins | WY | Operational or managerial control | 3 | 62 | 1 | $14,433 | 8 | August 7, 2025 | medicare.gov |
| Windsor Health and Rehabilitation | Salem | OR | Operational or managerial control | 1 | 100 | 1 | $13,592 | 36 | July 13, 2026 | medicare.gov |
| Buena Vista Healthcare | Colville | WA | Operational or managerial control | 5 | 40 | 1 | $13,104 | 24 | June 13, 2026 | medicare.gov |
| Gardnerville Health & Rehabilitation Center | Gardnerville | NV | Operational or managerial control | 1 | 60 | 1 | $13,065 | 56 | August 5, 2026 | medicare.gov |
| The Dalles Health and Rehabilitation | The Dalles | OR | Indirect owner, Operational or managerial control | 4 | 121 | 1 | $9,347 | 17 | July 10, 2026 | medicare.gov |
| Prairie View Healthcare Center | Woonsocket | SD | Operational or managerial control | 2 | 42 | 1 | $8,512 | 16 | August 27, 2026 | medicare.gov |
| Milton Freewater Health and Rehabilitation | Milton Freewater | OR | Indirect owner, Operational or managerial control | 2 | 70 | 1 | $8,278 | 17 | January 15, 2026 | medicare.gov |
| Sage View Care Center | Rock Springs | WY | Operational or managerial control | 3 | 82 | 1 | $8,278 | 8 | January 15, 2026 | medicare.gov |
| Frontier Rehabilitation and Extended Care | Longview | WA | Indirect owner, Operational or managerial control | 2 | 140 | 0 | $0 | 24 | August 3, 2026 | medicare.gov |
| Hillsboro Health and Rehabilitation | Hillsboro | OR | Operational or managerial control | 3 | 78 | 0 | $0 | 29 | August 21, 2026 | medicare.gov |
| Americana Health and Rehabilitation | Longview | WA | Operational or managerial control | 4 | 74 | 0 | $0 | 20 | November 21, 2025 | medicare.gov |
| La Grande Post Acute Rehab | La Grande | OR | Indirect owner, Operational or managerial control | 4 | 76 | 0 | $0 | 32 | July 23, 2026 | medicare.gov |
| Missoula Health & Rehabilitation Center | Missoula | MT | Operational or managerial control | 4 | 53 | 0 | $0 | 27 | March 26, 2026 | medicare.gov |
| Transitional Care Of Seattle | Seattle | WA | Operational or managerial control | 4 | 165 | 0 | $0 | 36 | January 30, 2026 | medicare.gov |
By state
| State | Facilities | Fine total |
|---|---|---|
| Washington | 10 | $619,265 |
| Oregon | 8 | $142,151 |
| Wyoming | 8 | $333,380 |
| Montana | 6 | $184,301 |
| South Dakota | 6 | $637,521 |
| Nevada | 3 | $79,167 |
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.