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Why trust this guide?
Our editorial team analyzed 42 nursing homes in MT using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MT
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-ranked to lowest-ranked based on our 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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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 and care-type specific: each nursing home is ranked against every other MT nursing home we track that reports that metric, not just the 42 on this page. See how we rank facilities
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.
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.
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 Libby of Cascadia, LLC DBA Libby Care Center
Libby of Cascadia DBA Libby Care Center stands in Libby, MT, with skilled nursing and nursing home care licensed there. Skilled nursing is the level for a resident whose medical needs do not pause. Staffing is available through every hour of the day, and rehabilitation services are listed for a resident whose care includes therapy.
Capacity runs up to 101 beds, and Medicare, Medicaid, and private pay all work here. Medicare pays for the short skilled course a resident qualifies for, Medicaid steps in once savings will not carry the stay, and private funds do what neither reaches.
Nursing time comes to 3 hours and 22 minutes for each resident, each day. Bettyjean Youngblood is the administrator. All of it suits a person needing continuing nursing, with therapy available in the same place.
Overview of Valle Vista Rehabilitation and Nursing
In Lewistown, MT, Valle Vista Rehabilitation and Nursing is licensed for hospice care, respite care, nursing home care, and skilled nursing. Nurses hold the overnight here as well as the day shifts. Hospice carries a person once treatment has stopped changing the outcome. Respite is the short booking, and the reason is often the caregiver’s own health, with a recovery window nobody planned around.
Those together answer a nursing need: a short stay or a stretch of relief for whoever has been doing the caregiving at home. Short-term rehabilitation covers a resident recovering from illness, injury, or a procedure. A fractured wrist arrives with weight-bearing limits that no kitchen counter at home will enforce.
Valle Vista holds 101 beds. Medicare, Medicaid, and private pay all work here. Somebody admitted for a few skilled weeks under Medicare can still be here eight months later on Medicaid, in the same room, with only the payer changed.
Nursing time weighs in at 3 hours and 38 minutes a resident. The administrator is Wendy Anderson.
Overview of Eureka of Cascadia, LLC DBA Mountain View of Cascadia
Eureka of Cascadia DBA Mountain View of Cascadia is a nursing home in Eureka, MT offering skilled nursing care. Licensed nurses are on site around the clock for residents who need ongoing clinical support. With 49 beds, the community may be a good fit for someone who prefers a smaller setting where staff and residents can get to know each other.
Occupancy is 96 percent, so most beds are in use and availability may be limited. Total nurse staffing is 3 hours and 25 minutes per resident each day, representing the daily nursing time allocated to each resident. Medicare, Medicaid and private pay are accepted, and Heather Baird serves as the administrator.
Residents can receive rehabilitation at the community through its rehabilitation gym rather than arranging transportation elsewhere. An activities program offers organized activities for residents to take part in.
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.
Gallatin Rest Home provides nursing home and skilled nursing care in Bozeman, MT. Skilled nursing means licensed nursing care is available on site around the clock. Nursing home care provides a residential setting for people who need ongoing nursing support.
The home has 69 beds. Payment options include Medicare, which covers short term skilled care after a hospital stay rather than long term residence, Medicaid for families whose savings may not cover a long stay, and private pay for direct payment. Darcel Vaughn serves as the administrator.
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.
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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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 42 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
Nursing Homes in Montana at a glance
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.
National Average:3.0/ 5
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