Best Nursing Homes in Montana

Updated Apr 2026

We analyzed 149 homes in Montana

Sources: CMS Centers for Medicare and Medicaid Services, and Montana Department of Health, Office of Aging and Long Term Care.

Government Data for Nursing Homes in Montana: Salaries, Revenues, Occupancy Rates, Ownership.

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Video Tour: Top-rated Nursing Homes facilities in Montana.

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Billings Bozeman Butte Great Falls Helena Lincoln Missoula

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The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.

13 facilities compared · CMS & MT Dept. of Health data

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Timbers And Reflections At The Grandview At Benefis		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). 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.	Great Falls	71 Facility 71 MT AVG 89 Rank #46 / 106	- Facility - MT AVG 61.7%	-	4.36 Facility 4.36 MT AVG 4.53 Rank #11 / 34				+8%	-4%	$0 Facility $0 MT AVG $83.8k Rank #1 / 35	21 Facility 21 MT AVG 29.7 Rank #10 / 35	5.3 Facility 5.3 MT AVG 5.7 Rank #14 / 35	- Facility - MT AVG 2.6	26	A+	26 Facility 26 MT AVG 44 Rank #109 / 159	-	- Facility - MT AVG $6.3M	- Facility - MT AVG $2.8M	- Facility - MT AVG 45.6%	275157
Southwest Montana Veteran’s 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).	Butte	60 Facility 60 MT AVG 89 Rank #60 / 106	70.7% Facility 70.7% MT AVG 61.7% Rank #14 / 35	+15%	6.78 Facility 6.78 MT AVG 4.53 Rank #3 / 34				+62%	+50%	$9.1k Facility $9.1k MT AVG $83.8k Rank #12 / 35	18 Facility 18 MT AVG 29.7 Rank #8 / 35	6.0 Facility 6.0 MT AVG 5.7 Rank #22 / 35	1 Facility 1 MT AVG 2.6	49	-	14 Facility 14 MT AVG 44 Rank #128 / 159	-	$8.9M Facility $8.9M MT AVG $6.3M Rank #11 / 31	$5.3M Facility $5.3M MT AVG $2.8M Rank #8 / 31	59.6% Facility 59.6% MT AVG 45.6% Rank #15 / 31	275156
Kindred Transitional Care & Rehab – Park Place		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). 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.	Great Falls	189 Facility 189 MT AVG 89 Rank #3 / 106	44.3% Facility 44.3% MT AVG 61.7% Rank #22 / 35	-28%	3.79 Facility 3.79 MT AVG 4.53 Rank #15 / 34				+13%	-16%	$208.1k Facility $208.1k MT AVG $83.8k Rank #32 / 35	43 Facility 43 MT AVG 29.7 Rank #26 / 35	5.4 Facility 5.4 MT AVG 5.7 Rank #17 / 35	6 Facility 6 MT AVG 2.6	141	-	46 Facility 46 MT AVG 44 Rank #73 / 159	Reid Crickmore	$11.5M Facility $11.5M MT AVG $6.3M Rank #5 / 31	$4.7M Facility $4.7M MT AVG $2.8M Rank #14 / 31	40.8% Facility 40.8% MT AVG 45.6% Rank #30 / 31	275030
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 Facility 70 MT AVG 89 Rank #48 / 106	91.4% Facility 91.4% MT AVG 61.7% Rank #2 / 35	+48%	3.01 Facility 3.01 MT AVG 4.53 Rank #32 / 34				-45%	-33%	$0 Facility $0 MT AVG $83.8k Rank #1 / 35	15 Facility 15 MT AVG 29.7 Rank #4 / 35	5.0 Facility 5.0 MT AVG 5.7 Rank #11 / 35	- Facility - MT AVG 2.6	65	-	0 Facility 0 MT AVG 44 Rank #153 / 159	Jenifer Dodge	$8.3M Facility $8.3M MT AVG $6.3M Rank #12 / 31	$3.9M Facility $3.9M MT AVG $2.8M Rank #17 / 31	46.7% Facility 46.7% MT AVG 45.6% Rank #28 / 31	275056
Copper Ridge Health and Rehab		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). 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.	Butte (Nettie Street)	186 Facility 186 MT AVG 89 Rank #4 / 106	33.7% Facility 33.7% MT AVG 61.7% Rank #30 / 35	-45%	3.45 Facility 3.45 MT AVG 4.53 Rank #21 / 34				+20%	-24%	$19.5k Facility $19.5k MT AVG $83.8k Rank #14 / 35	27 Facility 27 MT AVG 29.7 Rank #16 / 35	3.9 Facility 3.9 MT AVG 5.7 Rank #5 / 35	3 Facility 3 MT AVG 2.6	62	-	34 Facility 34 MT AVG 44 Rank #97 / 159	Brian Ramos	$10.5M Facility $10.5M MT AVG $6.3M Rank #7 / 31	$5.4M Facility $5.4M MT AVG $2.8M Rank #7 / 31	51.2% Facility 51.2% MT AVG 45.6% Rank #23 / 31	275060
The Living Centre		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). 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.	Stevensville (Main Street)	50 Facility 50 MT AVG 89 Rank #63 / 106	61.3% Facility 61.3% MT AVG 61.7% Rank #18 / 35	-1%	4.87 Facility 4.87 MT AVG 4.53 Rank #10 / 34				-41%	+8%	$37.5k Facility $37.5k MT AVG $83.8k Rank #21 / 35	15 Facility 15 MT AVG 29.7 Rank #4 / 35	2.5 Facility 2.5 MT AVG 5.7 Rank #3 / 35	2 Facility 2 MT AVG 2.6	38	A+	38 Facility 38 MT AVG 44 Rank #90 / 159	Living Centre Limited	$5.9M Facility $5.9M MT AVG $6.3M Rank #18 / 31	$4.2M Facility $4.2M MT AVG $2.8M Rank #16 / 31	71.1% Facility 71.1% MT AVG 45.6% Rank #4 / 31	275125
Benefis Extended Care Center		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). 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.	Great Falls	146 Facility 146 MT AVG 89 Rank #8 / 106	- Facility - MT AVG 61.7%	-	3.12 Facility 3.12 MT AVG 4.53 Rank #30 / 34				-10%	-31%	$81.9k Facility $81.9k MT AVG $83.8k Rank #26 / 35	42 Facility 42 MT AVG 29.7 Rank #24 / 35	6.0 Facility 6.0 MT AVG 5.7 Rank #22 / 35	3 Facility 3 MT AVG 2.6	87	-	58 Facility 58 MT AVG 44 Rank #48 / 159	-	- Facility - MT AVG $6.3M	- Facility - MT AVG $2.8M	- Facility - MT AVG 45.6%	275012
Mt. Ascension Transitional Care of Cascadia		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).	Helena	108 Facility 108 MT AVG 89 Rank #16 / 106	55.6% Facility 55.6% MT AVG 61.7% Rank #19 / 35	-10%	3.33 Facility 3.33 MT AVG 4.53 Rank #27 / 34				+13%	-26%	$121.5k Facility $121.5k MT AVG $83.8k Rank #30 / 35	51 Facility 51 MT AVG 29.7 Rank #31 / 35	5.7 Facility 5.7 MT AVG 5.7 Rank #19 / 35	6 Facility 6 MT AVG 2.6	75	-	30 Facility 30 MT AVG 44 Rank #103 / 159	Shane Brady	$9.3M Facility $9.3M MT AVG $6.3M Rank #9 / 31	$4.7M Facility $4.7M MT AVG $2.8M Rank #12 / 31	51.2% Facility 51.2% MT AVG 45.6% Rank #23 / 31	275044
Yellowstone River Nursing 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). 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.	Billings (East Central)	160 Facility 160 MT AVG 89 Rank #6 / 106	1.3% Facility 1.3% MT AVG 61.7% Rank #35 / 35	-98%	3.57 Facility 3.57 MT AVG 4.53 Rank #18 / 34				+50%	-21%	$61.2k Facility $61.2k MT AVG $83.8k Rank #23 / 35	49 Facility 49 MT AVG 29.7 Rank #29 / 35	6.1 Facility 6.1 MT AVG 5.7 Rank #25 / 35	5 Facility 5 MT AVG 2.6	2	-	67 Facility 67 MT AVG 44 Rank #33 / 159	Sarah Caldwell	$7.6M Facility $7.6M MT AVG $6.3M Rank #14 / 31	$4.6M Facility $4.6M MT AVG $2.8M Rank #15 / 31	60.4% Facility 60.4% MT AVG 45.6% Rank #12 / 31	275029
Skyline Heights Nursing 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).	Billings (Colton Heights Apartments)	150 Facility 150 MT AVG 89 Rank #7 / 106	54.1% Facility 54.1% MT AVG 61.7% Rank #20 / 35	-12%	2.99 Facility 2.99 MT AVG 4.53 Rank #32 / 34				-18%	-34%	$565.1k Facility $565.1k MT AVG $83.8k Rank #35 / 35	74 Facility 74 MT AVG 29.7 Rank #35 / 35	8.2 Facility 8.2 MT AVG 5.7 Rank #30 / 35	11 Facility 11 MT AVG 2.6	71	-	57 Facility 57 MT AVG 44 Rank #51 / 159	Anna Preciado	$6.3M Facility $6.3M MT AVG $6.3M Rank #17 / 31	$3.8M Facility $3.8M MT AVG $2.8M Rank #18 / 31	59.9% Facility 59.9% MT AVG 45.6% Rank #13 / 31	275020
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 (Montana Avenue)	80 Facility 80 MT AVG 89 Rank #42 / 106	70.0% Facility 70.0% MT AVG 61.7% Rank #15 / 35	+13%	5.23 Facility 5.23 MT AVG 4.53 Rank #8 / 34				-27%	+16%	$70.5k Facility $70.5k MT AVG $83.8k Rank #25 / 35	29 Facility 29 MT AVG 29.7 Rank #18 / 35	5.8 Facility 5.8 MT AVG 5.7 Rank #20 / 35	5 Facility 5 MT AVG 2.6	50	-	18 Facility 18 MT AVG 44 Rank #121 / 159	-	$7.4M Facility $7.4M MT AVG $6.3M Rank #15 / 31	$5.0M Facility $5.0M MT AVG $2.8M Rank #10 / 31	67.8% Facility 67.8% MT AVG 45.6% Rank #6 / 31	275144
Billings Nursing and Rehab	-	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). HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. 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.	Billings (South Side)	100 Facility 100 MT AVG 89 Rank #27 / 106	73.0% Facility 73.0% MT AVG 61.7% Rank #10 / 35	+18%	3.15 Facility 3.15 MT AVG 4.53 Rank #30 / 34	-	-	-	+27%	-30%	$211.8k Facility $211.8k MT AVG $83.8k Rank #33 / 35	45 Facility 45 MT AVG 29.7 Rank #28 / 35	5.6 Facility 5.6 MT AVG 5.7 Rank #18 / 35	3 Facility 3 MT AVG 2.6	80	-	56 Facility 56 MT AVG 44 Rank #57 / 159	-	$3.9M Facility $3.9M MT AVG $6.3M Rank #22 / 31	$2.1M Facility $2.1M MT AVG $2.8M Rank #24 / 31	53.9% Facility 53.9% MT AVG 45.6% Rank #20 / 31	275120
Central Montana Nursing and Rehabilitation Center	-	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). 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. 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 Facility 62 MT AVG 89 Rank #57 / 106	35.5% Facility 35.5% MT AVG 61.7% Rank #28 / 35	-42%	- Facility - MT AVG 4.53	-	-	-	-	-	- Facility - MT AVG $83.8k	- Facility - MT AVG 29.7	- Facility - MT AVG 5.7	- Facility - MT AVG 2.6	-	-	39 Facility 39 MT AVG 44 Rank #85 / 159	Central Montana Snf Operations Holdings LLC	$1.1M Facility $1.1M MT AVG $6.3M Rank #31 / 31	$563.8k Facility $563.8k MT AVG $2.8M Rank #31 / 31	53.4% Facility 53.4% MT AVG 45.6% Rank #21 / 31	275064

Nursing Home Explorer

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

CMS data
5 weighted categories
Updated quarterly

Full methodology

Weighting overview

35%
Care Quality
20%
Staffing
20%
Regulatory
20%
Operational
5%
Environment

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

Includes
Overall Rating
Health Inspection
QM Rating
Long-Stay QM
Short-Stay QM

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

Includes
Nurse Hrs/Res/Day
RN vs State
Total Nurse Staff Hrs vs State
RN Turnover

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

Includes
Citations
Citations/Inspection
Severe Citations
Fines
Accreditations

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

Includes
Occupancy vs State
Avg Length of Stay
Revenue
Payroll %
Years in Operation
Admin Tenure

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

Includes
Walk Score
BBB Rating

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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 15 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.

Best Nursing Homes in Montana

Where in Montana are you looking?

Compare Nursing Homes around Montana

Eastern Montana Veterans Home

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Billings Nursing and Rehab

Contact Billings Nursing and Rehab

Cooney Healthcare and Rehabilitation

Contact Cooney Healthcare and Rehabilitation

Central Montana Nursing and Rehabilitation Center

Contact Central Montana Nursing and Rehabilitation Center

Big Sky Healthcare Community

Contact Big Sky Healthcare Community

St. James Healthcare Transitional Care Unit (TCU)

Contact St. James Healthcare Transitional Care Unit (TCU)