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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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
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.
$5.2M*Fiscal year ending 06/2022These 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 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
39.1%*Fiscal year ending 06/2022These 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.
$1.5M*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.
43.7%*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.
$4.2M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$1.6M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
38.2%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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
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.
Located in Anaconda, Montana, the Community Nursing Home of Anaconda offers a 62-bed facility that holds licenses from Medicare, Medicaid, and the Veterans Administration. Beyond its impressive credentials, this establishment has garnered positive reviews, with a reception area that radiates cleanliness and comfort. The atmosphere is a testament to the warmth of senior living, amplified by a friendly staff. Operating as a nonprofit nursing home, it becomes a choice for residents seeking a welcoming and dependable abode.
This facility’s commitment extends beyond its inviting ambiance. It serves as a beacon for individuals in need of assurance, even offering nursing home insurance coverage. Moreover, the Community Nursing Home of Anaconda operates in adherence to nursing home rules and regulations, ensuring a secure and compliant environment. Here, residents can find not only a home but also a reliable sanctuary that resonates with the essence of community.
Overview of Riverside Nursing and Rehabilitation Center
Riverside Nursing and Rehabilitation Center is the epitome of excellence when it comes to senior living care, as evidenced by its outstanding nursing home quality measures. Within this extraordinary community, exceptional standards are upheld to ensure that residents receive the utmost care and support they deserve. The ambiance exudes warmth and comfort, creating a welcoming environment that feels like home.
The dedicated team of professionals utilizes state-of-the-art equipment to deliver personalized treatment plans, all while maintaining the highest nursing home quality measures. These measures serve as a testament to the community’s commitment to providing superior care and achieving optimal outcomes for its residents. In addition to top-notch medical services, Riverside goes above and beyond to ensure resident satisfaction. The community values transparency and encourages open communication by actively seeking and addressing nursing home reviews. This commitment to ongoing improvement allows Riverside to continuously enhance its services, ensuring that residents receive the highest level of care and comfort.
Overview of Kindred Transitional Care & Rehab – Park Place
Kindred Transitional Care & Rehab, Park Place provides nursing home, nursing care, and skilled nursing in Great Falls, MT. These services include licensed nursing care on site around the clock, supporting residents who need ongoing clinical care.
The community has 189 beds, so it is organized to serve a larger resident population. Total nurse staffing is 3h 45m per resident per day, representing the total staffing time allocated to each resident each day.
Medicare, Medicaid, and private pay are accepted. Medicare can cover short-term skilled care after a hospital stay, Medicaid can help cover care for eligible residents, and private pay means the resident or family pays directly. Kindred Transitional Care & Rehab, Park Place may be a good fit for a resident who needs ongoing licensed nursing care and daily clinical oversight.
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.
Formerly known as Parkview Healthcare Community, Billings Nursing and Rehab center is dedicated to making the facility a home with an inviting atmosphere that makes its residents feel welcomed into a home-like environment. The senior living home is supported and managed by professional caregivers who understand the unique needs of their residents — committed to fulfilling their holistic needs.
The Billings Nursing and Rehab community is the ideal home for residents and their families seeking to lead a more purposeful life. The senior living community offers a range of services such as transportation, housekeeping, and social activities.
Livingston Health and Rehab Center provides nursing home, memory care, respite care, and skilled nursing in Livingston, MT. Nursing home care supports residents who need ongoing nursing oversight and help with daily needs, while skilled nursing provides licensed nursing care on site around the clock. Memory care offers a secured setting with supervision for someone at risk of wandering, and respite care provides a short stay when a family caregiver needs time away or recovery.
The range of care types may make Livingston Health and Rehab Center a good fit for a resident whose needs change over time and who may be able to move between care levels without leaving the community. The center has 115 beds, giving families a clear sense of its capacity when considering whether its scale suits their preferences. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover an eligible stay. Total nurse staffing is 3h 1m per resident per day, representing the recorded daily nursing time allocated per resident. A Walk Score of 64 places the area in the somewhat walkable band, so some errands can be completed on foot and a resident who no longer drives may be able to reach nearby destinations independently. Darren Bake serves as the administrator.
Eagle Cliff Healthcare Community offers nursing home, assisted living, hospice care, respite care, and skilled nursing in Billings, MT. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident maintains a private living space, while skilled nursing and nursing home care provide licensed nursing care on site around the clock.
Hospice care supports residents receiving end-of-life care, and respite care offers a short stay for someone whose usual caregiver needs time away. These care options may suit a resident whose needs change over time or a family seeking temporary support while a primary caregiver travels or recovers.
The community has 129 beds and offers private and semi-private rooms, with the latter suited to someone who wants to share a room. Medicare, Medicaid, and private pay are accepted, and total nurse staffing is 3h 46m per resident per day, representing the daily hands-on nurse time allocated to each resident.
Plentywood, Montana sits in the state’s far northeastern corner, close enough to the North Dakota and Canadian borders that geography shapes daily life. Sheridan Memorial Nursing Home occupies 440 W Laurel Ave here, a 35-bed nursing home offering hospice care, in a neighborhood rated moderately walkable at a Walk Score of 60. Sheridan Memorial Hospital sits nearby, giving the facility a built-in acute-care backup.
Staffing is where this facility’s numbers stand out. Total nursing care runs 7 hours and 32 minutes per resident each day. Nurse aides account for the largest share of that time at 4 hours and 10 minutes, registered nurses contribute 1 hour and 9 minutes, and licensed practical nurses add 26 minutes. Weekend coverage holds close to weekday levels at 4 hours and 57 minutes. Residents also have a functioning resident council, a group that meets regularly to weigh in on policies, care quality, and the day’s activities.
State inspections here have centered on a familiar set of categories: medication management, infection control, staffing and staff credentials, and resident rights. Taken on their own terms, the reported nurse aide and total nursing hours run well above what many Montana facilities report.
For a resident who needs consistent, hands-on nursing support day to day, the staffing hours here are the clearest signal of what daily life looks like. Plentywood’s small-town setting and nearby hospital round out a picture of a facility built around direct care rather than a wide amenity list.
Benefis Extended Care Center is situated in Great Falls, Montana, and is dedicated to providing exceptional care and support to senior residents in need of skilled nursing services.
They have skilled nurses, therapists, and licensed care professionals who are committed to guiding each resident through a personalized therapy plan, helping them regain their independence. Whether recovering from a hospital visit or requiring ongoing medical support, Benefis Extended Care Center is devoted to assisting individuals in achieving their personal goals and facilitating a speedy recovery.
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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