Show Inspection Reports
Total health inspections
3
Montana average 5.1
Last Health inspection on Dec 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Montana
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Elkhorn Healthcare and Rehabilitation
Nursing Home in Montana
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Elkhorn Healthcare and Rehabilitation
Overview of Elkhorn Healthcare and Rehabilitation
Situated at the tranquil community of Clancy, MT, Elkhorn Healthcare and Rehabilitation provides skilled care, rehabilitation, and long- and short-term care. With the seniors’ wellness in mind, the community specializes in rehabilitation including occupational, physical, and speech therapy. Elkhorn Healthcare and Rehabilitation commits to delivering top-tier care and support for its residents.
Elkhorn Healthcare and Rehabilitation values the individuality of its residents, providing them with care plans created for their unique needs. With a team of kind, compassionate, and highly trained professionals, residents receive the utmost care and assistance they deserve. Necessities are provided, however, the community encourages to bring personal items for better comfort and familiarity. Community amenities include an elegant dining hall and spacious lobby.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
70
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.4%
Residents per day (avg)
65
Occupancy rate
91.4%
Residents per day (avg)
65
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
19 days
Private pay
28% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
38% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Privately-owned community
Home revenue
$8.3M
Operating loss
-$40.2K
Privately-owned community
Home revenue
$8.3M
Operating loss
-$40.2K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.3M
70-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 0 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeLong Term Care
StatusCurrent
IssuanceFebruary 10, 2025
ExpirationJanuary 10, 2028
License Number13591
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Specific ProgramsShort-Term Rehab, Long-Term Care, 24/7 Nursing Care, Assistance with Daily Living, Respite Care, Speech Therapy, Physical Therapy, Occupational Therapy, Wound Care, Tracheostomy Care, Orthopedic Rehab, Post-Surgical Care, Pulmonary Care, Bariatric Care, Oncology Care, Hospice Care
What does this home offer?
Minimum Age: 55
Building Type: Single story building
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.
4 visits/inspections
2 visits/inspections triggered by complaints
Results
3 with issues
1 without issues
Latest inspection
Date
December 19, 2024
Complaint Investigation15 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Montana average: 21 deficiencies
Health Inspection History
Inspections
Total health citations
15
Montana average 29.7
Citations per inspection
5
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 15 citations resulted from standard inspections; and 1 of 15 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Montana averageMontana average: 0.3
Serious Health citations
0
0
100% better than Montana averageMontana average: 2.2
0 critical citations
0 serious citations
15 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 19, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 19, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 19, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 19, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 19, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 19, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Dec 19, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Dec 19, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Lincoln The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Filter by care type
Elkhorn Healthcare and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Clancy
70
91.4%
+48%
3.01
-33%
0
15
5.0
0
65
0
Dodge, Jenifer
$8.2M
$2.6M
31.3%
275056
Big Sky Healthcare Community
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Big Sky
-
-
-
-
-
0
0
0.0
0
-
39
-
-
-
-
-
Central Montana Nursing and Rehabilitation 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.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Lewistown
62
35.5%
-42%
-
-
0
0
0.0
0
-
39
Central Montana Snf Operations Holdings Llc
$1.0M
$0.3M
28.2%
275064
Eastern Montana Veterans Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Glendive
80
-
-
-
-
0
0
0.0
0
-
18
-
-
-
-
-
Places of interest near Elkhorn Healthcare and Rehabilitation
1.1 miles from city center — 8.36 miles to nearest hospital (VA Sleep Center)
Calculate Travel Distance to Elkhorn Healthcare and Rehabilitation
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
59
Employees
54
Contractors
5
Staff to resident ratio
0.92:1
48% worse than Montana averageMontana average ratio: 1.77:1
Avg staff/day
23
Average shift
8.8 hours
0% compared with Montana averageMontana average: 8.6 hours
Total staff hours (quarter)
18,509
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
10.2%
1,890 contractor hours this quarter
Certified Nursing Assistant: 2
Occupational Therapy Aide: 1
Respiratory Therapy Technician: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 20 | 2 | 22 | 6,534 | 91 | 100% | 10 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,939 | 91 | 100% | 10.4 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,894 | 90 | 99% | 9.9 |
| Registered Nurse | 5 | 0 | 5 | 1,498 | 89 | 98% | 10.3 |
| Physical Therapy Aide | 2 | 0 | 2 | 940 | 67 | 74% | 7.8 |
| Nurse Aide in Training | 7 | 0 | 7 | 936 | 75 | 82% | 8.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 836 | 86 | 95% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 584 | 73 | 80% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 415 | 60 | 66% | 6.9 |
| Speech Language Pathologist | 1 | 0 | 1 | 381 | 60 | 66% | 6.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 261 | 42 | 46% | 6.2 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 170 | 40 | 44% | 4.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
22 Certified Nursing Assistant
% of Days
100%
4 Medication Aide/Technician
% of Days
100%
5 Licensed Practical Nurse
% of Days
99%
5 Registered Nurse
% of Days
98%
2 Physical Therapy Aide
% of Days
74%
7 Nurse Aide in Training
% of Days
82%
2 Other Dietary Services Staff
% of Days
95%
1 Nurse Practitioner
% of Days
80%
1 Administrator
% of Days
70%
1 Clinical Nurse Specialist
% of Days
70%
1 Mental Health Service Worker
% of Days
70%
1 RN Director of Nursing
% of Days
66%
1 Qualified Social Worker
% of Days
66%
1 Speech Language Pathologist
% of Days
66%
1 Occupational Therapy Aide
% of Days
46%
3 Respiratory Therapy Technician
% of Days
44%
1 Occupational Therapy Assistant
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
64 residents
Residents by payment source
Medicare
1 resident (1.6%)
Medicaid
51 residents (79.7%)
Private pay or other
12 residents (18.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
9% worse than Montana averageMontana average: 11.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.3
7% worse than Montana averageMontana average: 21.8
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
35% worse than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
24.5%
Percent of long-stay residents whose ability to move independently worsened
24.5%
18% worse than Montana averageMontana average: 20.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.2%
24% better than Montana averageMontana average: 25.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
62% better than Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.7%
Percent of long-stay high risk residents with pressure ulcers
2.7%
57% better than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.7%
Percent of long-stay residents with a urinary tract infection
1.7%
39% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.0%
Percent of long-stay residents who lose too much weight
6.0%
In line with Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
18.0%
Percent of long-stay residents who have depressive symptoms
18.0%
283% worse than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
40.0%
Percent of long-stay residents who received an antipsychotic medication
40.0%
109% worse than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.0%
In line with Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
5% worse than Montana averageMontana average: 93.7%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.01
Number of hospitalizations per 1,000 long-stay resident days.
1.01
20% better than Montana averageMontana average: 1.27
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.30
40% better than Montana averageMontana average: 2.17
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
50.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
50.0%
35% worse than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.3%
35% worse than Montana averageMontana average: 73.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.7%
38% worse than Montana averageMontana average: 19.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
18.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.4%
23% worse than Montana averageMontana average: 15.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
160% worse than Montana averageMontana average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
21.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
21.9%
59% worse than Montana averageMontana average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
42.9%
Rate of successful return to home or community from a skilled nursing facility.
42.9%
15% worse than Montana averageMontana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Elkhorn Healthcare and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
91.4%
↑ 1.7pp vs 2022
Net Income
-$40.2K
↓ ~$177.3K vs 2022
Total Payroll
$3.9M
↑ ~$170.0K vs 2022
Profit Margin
-0.5%
↓ 2.5pp vs 2022
Loading trend charts...
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