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Why trust this guide?
Our editorial team analyzed 36 nursing homes in MT using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MT
Avg Overall CMS Rating:2.9/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Montana. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:3.2/ 5The average Staffing Rating across all CMS-certified nursing homes in Montana. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Montana. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
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.
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.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
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.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$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.
$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.
$4.0M*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.
$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.
48.7%*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.
$5.5M*Fiscal year ending 12/2015These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.6M*Fiscal year ending 12/2015These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
46.3%*Fiscal year ending 12/2015These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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Rank badges are statewide: each community is ranked against every MT community we track that reports that metric, not just the 36 on this page.
Settling at the tranquil community of Butte, MT, Southwest Montana Veteran’s Home offers skilled care and rehabilitation. Focusing on veterans and their spouses, the community features state-of-the-art amenities for a more comfortable environment. The community commits to enhancing the veterans’ quality of life, employing specialized rehab programs including physical, occupational, and speech therapies.
Southwest Montana Veteran’s Home aims to nurture the veterans’ and their loved ones’ potential and nourish their abilities and self-esteem. Activities are carefully curated to cater to its residents’ interests encouraging them to remain active and engaged. With a team of dedicated and well-trained professionals available around the clock, the community ensures a comfortable and safe residence. Residents enjoy a blissful and secure stay with wonderful amenities such as elegant dining halls, spacious suites, a therapy gym, and various spaces for entertainment.
The Living Centre has spent 12 years in Stevensville, Montana, operating out of a 50-bed building at 63 Main St. 31 of those beds are filled, putting occupancy at 61%. It’s not in a walkable stretch of town; a Walk Score of 38 means a handful of errands might be doable on foot, but most trips are going to mean getting in a car.
Residents get physical therapy through the facility’s rehab services, there’s a doctor on staff, and staffing runs around the clock. Home care is also offered as a separate service line. On the nursing side, residents receive close to five hours of total nursing care each day, and just over an hour of that comes specifically from registered nurses, with nurse aides covering roughly three and a half hours of daily hands-on care.
There’s a library, a spa, and a dining room, plus the Indulge Salon, a named on-site program for residents who want salon services without leaving the building. The activity calendar rotates through musical performances, games, and fitness sessions, so there’s more than one way for residents to fill their days. For families sorting out how to pay, The Living Centre accepts Medicare, Medicaid, and private pay, which covers most of the common paths people use to fund a nursing home stay.
On the regulatory side, state inspections here have tended to focus on a handful of recurring areas: environmental and hazardous materials safety, care planning and documentation, resident rights and protections, and fall and injury prevention. That’s a fairly standard set of focus areas across nursing homes generally, not something unique to this facility.
What all of this points to is a mid-sized nursing home built around rehabilitation and consistent nursing oversight, with a rounded set of daily amenities and broad payment flexibility layered on top. For a family looking at short-term rehab or longer-term nursing care with multiple ways to cover the cost, that combination is the clearest signal the community offers.
Overview of Libby of Cascadia, LLC DBA Libby Care Center
Set on East Third Street in Libby, Montana, Libby of Cascadia, LLC DBA Libby Care Center runs as a 101-bed nursing home in a stretch of town rated very walkable, with a Walk Score of 76. Most errands here don’t require a car. Right now the building holds 77 residents, a 76 percent occupancy rate that leaves some room to spare.
Nursing coverage runs deep for a home this size. Residents receive an average of 3 hours and 19 minutes of nursing care per day, spread across registered nurses, licensed practical nurses, and nurse aides. Rehabilitation services are available on-site, and an in-house rehab gym means therapy sessions happen inside the building rather than at an outside clinic.
Staff describe the approach as individualized attention and care, structuring routines around each resident instead of running everyone through the same schedule. Combined with steady nursing hours, that points to a home built for residents who need consistent clinical support alongside room to work toward mobility and recovery.
Coverage options extend to Medicare, Medicaid, and private pay, which gives families flexibility as they plan for either short-term rehabilitation or longer nursing care. Between the walkable setting and the on-site therapy space, this is a home organized around keeping care close and consistent.
Overview of Valle Vista Rehabilitation and Nursing
The Charly Bello Family Limited owns Valle Vista Rehabilitation and Nursing, a 101-bed skilled nursing home that opened two years ago in Lewistown, Montana. To accommodate different financial situations, the administration handles billing through Medicare, Medicaid, and private pay. For visitors, the surrounding neighborhood features an excellent walkability score of 79 out of 100, meaning family members can easily visit the property and reach nearby local spots completely on foot.
Data regarding local placement habits shows an average stay of 156 days, indicating that the building’s operational footprint heavily emphasizes short-term post-hospital recovery over permanent, multi-year residential stays. A 24-hour staffing schedule is maintained to manage clinical routines, delivering an average of 3 hours and 22 minutes of total nursing care per resident each day. This daily coverage combines the efforts of registered nurses, licensed practical nurses, and nurse aides to handle personal care tasks and clinical monitoring.
Records show how the property manages its initial years of regulatory compliance. While historical oversight records have focused on routine operational themes like infection control, medication documentation, and food safety, the facility manages these areas through standard building protocols, keeping its overall cumulative citations-per-inspection rate at zero.
Older adults have access to targeted short-term rehabilitation services and temporary respite care setups. The kitchen designs daily menus around basic nutritional and personal medical guidelines. The day-to-day routine coordinates these dining plans and clinical therapy sessions with regular housekeeping chores, laundry assistance, and open visiting times for family members.
Crest Nursing Home is a skilled nursing community in Butte, Montana. It is owned and operated by Christina Jayne Penn Management. The 103-bed home accepts Medicare, Medicaid, and private pay, providing families with multiple coverage options, whether a resident needs short-term rehabilitation or ongoing nursing care. The facility has a current occupancy rate of 43%. Residents stay for an average of 138 days, including post-acute rehab residents and those settling in for longer-term care.
Daily nursing support is attentive. Total nursing care averages 3 hours and 23 minutes per resident each day. There’s also a dedicated nursing aide support of roughly 2 hours and 52 minutes daily. This level of direct, hands-on care provides the foundation for rehabilitation and ongoing management of chronic disease.
The home’s location in Butte is car-dependent. Families should plan to drive for most visits and errands, but the surrounding area has convenient access to local services.
Dining includes a variety of meals designed to meet residents’ dietary needs. A chef and a dietitian oversee the menu. Alternative food items are available at each meal to accommodate different preferences and dietary needs. Residents also receive snacks three times daily.
Amenities on-site include a library, outdoor patio, guest Wi-Fi, private rooms, recreational lounge areas, and on-site laundry and housekeeping services. These help residents stay comfortable and connected to visiting family.
Overview of Eureka of Cascadia, LLC DBA Mountain View of Cascadia
Eureka of Cascadia, LLC DBA Mountain View of Cascadia is a 49-bed community at 10 Mountain View Drive in Eureka, Montana. It is owned by Dianna Carvey and accepts Medicare, Medicaid, and private pay, providing several routes for residents and families managing rehabilitation stays and longer-term care.
The community’s focus is rehabilitation and recovery support. Daily nursing care averages 3 hours 34 minutes per resident, with registered nurses providing 1 hour 4 minutes of that care, nurse aides contributing 1 hour 43 minutes, and licensed practical nurses adding 2 minutes. This mix of staffing mirrors an attentive approach to daily support, with nursing leadership and trained aides working together all day. An in-house rehabilitation gym bolsters residents working toward functional goals, whether following surgery, injury, or hospitalization. Individualized attention and care form part of the facility’s approach to daily life, and 24-hour staffing ensures support is there whenever occupants need it. The community runs at about 69 percent occupancy, with an average length of stay around 253 days, a pattern typical of settings that serve short-term rehabilitation and residents staying longer. The surrounding area scores 58 on walkability, so while some daily errands are walkable, most trips need a car.
The home’s mountain location offers a quieter setting away from busier commercial corridors, which some families find captivating when proximity to downtown amenities is less prioritized.
Copper Ridge Health and Rehab has established itself as a reliable cornerstone for comprehensive care, offering a wide spectrum of services from around-the-clock nursing to personalized physical therapy and physician oversight. Since its inception in 1974, this community has continuously evolved, embracing renovations and enhancements to keep pace with evolving standards. Housing a vibrant community of around 100 individuals, Copper Ridge has forged strong bonds with both local and out-of-state healthcare providers, ensuring a network of support that goes beyond its walls.
Residents are welcomed into the embrace of private rooms, relish deliciously crafted daily meals, and enjoy a genuine sense of belonging that turns their stay into a true homecoming. Notably, Copper Ridge’s commitment to transparency and accountability is shown through their adherence to nursing home quality measures. Situated in Butte, Montana, Copper Ridge Health and Rehab is not just a place of care, but a community that nurtures and uplifts seniors.
Overview of Missoula Health and Rehabilitation Center
Missoula Health and Rehabilitation Center has been part of its Rattlesnake Dr neighborhood for 17 years now, a 49-bed nursing home tucked into a stretch of Missoula where you pretty much need a car to get anywhere. Right now it’s running at 80 percent occupancy, and the average resident stays close to six months, 179 days to be exact.
The clinical side of things centers on rehabilitation. Residents have access to rehabilitation services, respite care, and short-term rehab, the kind of support that matters whether someone’s recovering from a hip replacement or settling in for longer-term nursing care. Nursing staff put in an average of 4 hours and 15 minutes of total nursing care per resident each day, which gives a sense of how much hands-on attention is built into the daily rhythm here. A wellness program rounds out the picture.
Coverage-wise, the facility takes Medicare, Medicaid, and private pay, so families have options no matter where they are in figuring out how to fund care. Rebecca Davis administers the facility, and Karrie Holt holds the Executive Director role.
Montana’s Department of Public Health and Human Services, Quality Assurance Division, handles inspections statewide, and here those inspections have tended to circle back to medication management, infection control, and food service rather than anything tied to direct hands-on resident care.
Put together, this is a smaller nursing home built around rehabilitation and sustained nursing support, the kind of place suited to someone who needs real clinical attention day to day, not just a place to land.
Logan Health – Conrad – LTC is a 59-bed long-term care facility in Conrad, Montana, operated as part of a critical access hospital and care center run by a subsidized facility district. Vicki Newmiller serves as administrator. The facility offers memory care, respite care, and rehabilitation services, and staffing runs around the clock. Nursing care averages 5 hours and 30 minutes per resident per day.
The neighborhood is moderately walkable, with a Walk Score of 57, meaning some errands can be handled on foot alongside a mix of nearby amenities. The facility currently has 40 of its 59 beds occupied, a 67 percent occupancy rate. Because Logan Health operates the adjoining critical access hospital, residents have direct access to hospital-level resources not typical of a standalone nursing home, including an emergency room, laboratory services, imaging services, TeleStroke services, and a helipad for medical transport.
State inspections of Logan Health – Conrad – LTC have centered on themes including medication management, infection prevention and control, staffing and staff credentials, care planning and documentation, dietary and food service, resident rights and protections, and fall and injury prevention.
This setting suits residents who need ongoing nursing-level care with the added reassurance of on-site hospital resources, particularly those who may require rapid access to emergency, diagnostic, or transport services alongside day-to-day long-term care.
A place of solace for veterans and their spouses, Eastern Montana Veterans Home located on Montana Avenue, Glendive, MT, provides skilled care, rehabilitation, and an Alzheimer’s support group. Prioritizing its residents’ welfare, the community features a wide range of care including physical, occupational, and speech therapies. With a team of kind, compassionate, and licensed professionals, the community promises to deliver top-notch care and support.
Eastern Montana Veterans Home goes above and beyond in providing high-quality care to ensure veterans regain their confidence and wellness to live independently. The community conducts social activities for residents to remain active and happy during their stay within the grounds. Amenities include a spacious living area, an occupational therapy kitchen, and a lobby for the veterans and their family members’ leisure and welfare.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Montana
What's the difference between assisted living and a nursing home in Montana?
Assisted living in Montana is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Montana Medicaid cover nursing home care?
Yes — Montana Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 36 nursing homes in Montana. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Montana?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Montana, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Montana?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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