Best Nursing Homes in Montana

Overview of Heritage Living Center

Heritage Living Center is a 40-bed assisted living facility offering skilled nursing, short-term rehab, respite care, long-term care, and memory care at 5982 Tongue River Rd, Ashland, Rosebud County, Montana. Administrator is Sable Kerzmann. Offers 24-hour staffing and rehabilitation services with communal dining, outdoor courtyard with gazebo, therapy gym, and salon services. Does not accept Medicaid or Medicare.

Ashland is in Rosebud County in southeastern Montana. Northern Cheyenne health resources are nearby.

Seven inspections from 2016 to 2024 document 27 total deficiencies, averaging 3.9 per year, 33 percent better than Montana average of 5.8.

January 4, 2024, renewal identified 5 deficiencies: no annual disaster plan review documentation or drill, insufficient administrator continuing education hours for 2023, residents not provided copies of service plans, no electronic call systems in resident rooms or bathrooms, no staff training records on skin integrity and pressure sore prevention.

July 13, 2022, renewal found 2 deficiencies: no annual disaster plan review with staff, no written agreement for off-site evacuation point. July 9, 2021, renewal identified 6 deficiencies: laundry rooms lacked clothing covers, medication technician activities exceeded scope, emergency call system design not meeting standards, missing fire drill documentation, disaster plan unchanged since 2014, missing service plan for readmitted resident. August 12, 2020, renewal found 2 deficiencies: 14 of 16 incident reports lacked notification to provider and legal representative, 4 of 5 resident files missing annual practitioner orders for medication self-administration.

July 18, 2019, renewal identified 4 deficiencies: 3 of 6 staff files lacked Heimlich maneuver, first aid, and CPR training, 6 resident rooms without emergency call systems, no fire drill documentation, no annual disaster plan review. July 5, 2018, renewal found 4 deficiencies: kitchen garbage containers lacked lids, missing current administrator job description, no disposition documentation for resident personal possessions and medications, no annual practitioner orders for medication self-administration. February 3, 2016, renewal found 4 deficiencies: policy manual outdated since 2013, missing disposition records, no freezer temperature monitoring log.

No fines or license suspensions documented.

Chronic pattern shows recurring emergency preparedness and resident care documentation deficiencies spanning 8 years without demonstrated improvement.

Emergency preparedness procedures, disaster plan review processes, medication administration protocols, and resident notification procedures warrant direct review.

Families should speak with administrators regarding compliance measures and corrective actions implemented since 2024 inspection before enrollment.

Overview of Libby of Cascadia, LLC Dba Libby Care Center

Libby of Cascadia, LLC Dba Libby Care Center is a 101-bed skilled nursing and rehabilitation facility at 308 East Third Street, Libby, Lincoln County, Montana, offering 24-hour nursing care, rehabilitation services, respite care, and memory care. The facility does not accept Medicaid or Medicare. Its overall rating is not publicly disclosed. The administrator is BettyJean Youngblood.

The facility received a 2023 Silver Achievement in Quality award from the American Health Care Association and National Center for Assisted Living. Walk score for the location is 76.

Libby is located in Lincoln County in northwest Montana near the Idaho border. Cabinet Peaks Medical Center and Community Hospital are the primary nearby acute-care resources.

Regulatory compliance documentation is essential for informed placement decisions.

Families should contact the Montana Department of Public Health and Human Services for official inspection and licensing documentation before making placement decisions.

Overview of Mount Ascension Transitional Care of Cascadia

Mount Ascension Transitional Care of Cascadia is a 108-bed skilled nursing and rehabilitation facility at PO Box 3007, Helena, Lewis and Clark County, Montana, offering 24-hour skilled nursing care, rehabilitation services, memory care, private and semi-private rooms, and on-site rehabilitation gym. The facility offers transitional care and long-term care. The facility does not accept Medicaid or Medicare. Walk score for the location is 94, indicating a pedestrian-friendly urban setting where most services are accessible without a vehicle.

Helena is the capital and largest city of Montana, located in Lewis and Clark County. Providence St. Patrick Hospital and St. Peter’s Hospital are the primary nearby acute-care resources.

Families should contact the Montana Department of Public Health and Human Services for official inspection and licensing documentation before making placement decisions.

Overview of Sheridan Memorial Nursing Home

Sheridan Memorial Nursing Home is a 35-bed long-term care facility at 440 W Laurel Ave, Plentywood, Sheridan County, Montana. Operated by a subsidized facility district. The facility offers memory care and respite care; it does not accept Medicaid or Medicare and does not offer 24-hour staffing or rehabilitation services.

Nursing care averages 7 hours 32 minutes per resident per day, highest ranked among Montana facilities. Staffing shows RN hours at 1 hour 34 minutes per day (68 percent above state average), nurse aide hours at 4 hours 26 minutes per day (75 percent above state average), and LPN hours at 10 minutes per day (67 percent below state average). Weekend staffing totals 4 hours 59 minutes per day, 43 percent above state average. Walk score is 60.

Plentywood is located in Sheridan County in northeastern Montana near the North Dakota and Canadian borders. Sheridan Memorial Hospital is the primary nearby acute-care resource.

Four health inspections through July 2025 yielded 21 total citations, ranked 9th of 26 Montana nursing facilities. Citations per inspection average 5.25 versus state average of 5.72. No critical citations in past 3 years versus state average of 0.3; 2 serious citations versus state average of 2.2; 19 moderate citations versus state average of 26.5; 0 minor citations versus state average of 0.7. Primary deficiency categories: Quality of Life and Care (5), Abuse Neglect and Exploitation (5), Pharmacy Services (5), Resident Rights (3), Infection Control (1), Administration (1).

Most recent inspection July 30, 2025, identified 4 citations: Administration moderate (corrected), Infection Control moderate (corrected), Pharmacy moderate (corrected), Quality of Care serious (corrected).

Pharmacy and quality of care citations mean families should ask about medication management protocols, corrective actions, and resident care standards before enrollment.

Pioneer Care and Rehabilitation is a private-company-operated 87-bed skilled nursing and rehabilitation facility in Dillon, Montana, in Beaverhead County. The facility offers skilled nursing, memory care, and rehabilitation services. Medicare, Medicaid, and private pay are welcome. Occupancy stands at 26 percent, well below Montana’s 61.7 percent average indicating broad current availability. 24-hour staffing exists.

CMS grades the facility 1 star, with all four sub-ratings well below Montana’s average. Across 12 complaint-driven inspections since May 2023, the facility averaged 20.3 deficiencies annually, 250 percent above Montana’s 5.8 average. Serious findings include an August 2024 elopement wherein a resident with a known elopement history took a vehicle from the facility parking lot, sustained injury, and was hospitalized; a December 2024 medication error in which failure to crush a resident’s medications as ordered caused aspiration pneumonia and hospitalization; and a May 2025 complaint investigation citing a dual fentanyl patch administration error, failure to report abuse allegations, and a fall resulting in a fractured hip. Nurse hours run 3h 15m per resident daily, 17 percent below Montana’s average, placing the facility 29th of 34 state SNFs. No fines or immediate jeopardy findings noted. As a rural facility in Beaverhead County, it’s among the few skilled nursing options in Dillon.

The community fits residents seeking skilled nursing or memory care in rural southwestern Montana. Its geographic access to long-term care options is limited.

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.

Based in Cut Bank, Montana, Northern Pines Rehabilitation and Nursing provides care through a 41-bed layout and is currently in its second year of local operation. The facility handles multiple financial arrangements by accepting Medicare, Medicaid, and private pay options. If you are planning a visit, the neighborhood is moderately pedestrian-friendly, so family members can take care of a few small errands on foot without always needing to drive.

Typical stays at this facility average about 360 days, meaning the daily workload is evenly divided between multi-month residential care and short-term post-hospital therapy. A 24-hour staffing schedule is in place to handle routine medical checks and personal care needs. Under this setup, the clinical team coordinates on-site physical, occupational, and speech therapy sessions alongside specialized wound care treatments.

Public health documentation shows how the property manages its recurring state regulatory reviews. Inspection records verify that the building and nursing operations meet all local licensing rules, which keeps the home’s long-term cumulative citations-per-inspection rate at zero.

Prospective residents receive daily meals planned around standard nutritional and medical guidelines. The day-to-day schedule pairs these dining options and continuous nursing supervision with standard laundry care, room cleaning, and flexible visiting hours for families.

The Charly Bello Family Limited owns Valle Vista Rehabilitation and Nursing LLC, 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.