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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.
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.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative 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.
$2.7M*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.
$1.4M*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.
51.2%*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.
$8.6M*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.
$4.5M*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.
52%*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.
$9.9M*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.
$5.7M*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.
57.8%*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.
$6.1M*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.8M*Fiscal year ending 08/2021These 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 08/2021These 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.
$1.2M*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.
57%*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.
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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
Continental Care and Rehabilitation is a nursing home in the Meaderville neighborhood of Butte, Montana, offering memory care, respite care, and skilled nursing. Skilled nursing means licensed nurses are on site around the clock, while memory care provides a secured setting with supervision for someone at risk of wandering.
Respite care is available for a short stay when a family’s usual caregiver needs to travel or recover. The community may be a good fit for someone who needs memory support or for a family arranging temporary care. Rehabilitation services are also available for residents recovering or working to maintain function.
Total nurse staffing is 4 hours and 38 minutes per resident each day, representing the total daily nursing time assigned per resident. Staff are available at any time, including overnight.
The home has 100 beds. Payment options include Medicare, Medicaid, and private pay: Medicare covers short term skilled care after a hospital stay rather than long term residence, Medicaid can help when savings may not cover a long stay, and private pay means paying directly for care. Jason Bell serves as the administrator.
Overview of Northern Pines Rehabilitation and Nursing
Administered by Granger Davis, Northern Pines Rehabilitation and Nursing offers nursing home, hospice, respite, and skilled nursing care in Cut Bank, Montana. Skilled nursing services are also available around the clock, ensuring residents have access to care at all times. The community also accommodates those with life-limiting conditions through hospice care.
The community has 41 beds, in a variety of private and semi-private rooms. Occupancy is at 97.6%, with an average length of stay of 360 days. Moreover, short-term rehabilitation is available for residents who need focused recovery services, along with occupational, physical, and speech therapy.
Total nurse staffing is 3 hours and 48 minutes per resident per day, representing the daily nursing time allocated to each resident. Wound care is also available. The community also accepts Medicare, Medicaid, and private pay, allowing several options to cover care costs.
Overview of Skyline Heights Nursing and Rehabilitation
Overlooking Billings, Montana, Skyline Heights Healthcare (Formerly Valley Health Care Center) is an exceptional community that offers comprehensive skilled care services, including long-term care, short-term care, and various recovery therapies. Residents at Skyline Heights Healthcare can enjoy various activities and services designed to enhance their quality of life, including rehabilitation therapies, social services, and personalized care plans. With 24/7 professional support, the community is well-equipped to care for individuals with complex medical conditions or those recovering from surgery, illness, or injury.
Skyline Heights Healthcare strives to provide compassionate, personalized care tailored to each resident’s needs. Their goal is to create a comfortable and healing environment where every individual feels respected and valued. The community offers a range of amenities and programs, such as physical, occupational, and speech therapies, cardiac care, stroke recovery, wound care, and advanced therapy modalities. Additionally, they provide essential services like dental care, dialysis, hospice care, and podiatry services, ensuring comprehensive support for all residents.
Overview of Yellowstone River Nursing and Rehabilitation
Yellowstone River Nursing & Rehabilitation is a senior living community located in Billings, Montana, offering 24/7 skilled care, including long term care, short-term care and various rehab therapies. They provide a range of services to enhance the quality of life for their residents, emphasizing individual wellness and recovery. Seniors at Yellowstone River can enjoy personalized care in a supportive environment designed to meet their specific needs.
Yellowstone River Nursing & Rehabilitation aims to offer comprehensive and compassionate care to their residents. They provide various amenities and programs, including skilled nursing for pain management, medication, and hygiene, as well as rehabilitation therapy with physical, occupational, and speech therapists. Their goal is to help residents regain independence and improve their overall well-being, whether they require long or short-term care.
Pioneer Care and Rehabilitation provides nursing home, memory care, respite care, and skilled nursing in Dillon, MT. Nursing home and skilled nursing include licensed nursing on site around the clock. Memory care is provided in a secured setting with supervision for a resident at risk of wandering.
Respite care offers a short stay when a usual caregiver needs to travel or recover. Several care levels, along with respite care, may suit a resident whose needs could grow over time or a family caregiver who needs short term support. Short stays are available when ongoing care is not needed.
The community has 87 beds, with total nurse staffing of 4 hours and 22 minutes per resident per day. That figure represents the daily nursing time allocated to each resident. Rehabilitation services are available alongside skilled nursing, so residents can receive rehabilitation as part of their care at the community.
Resident centered activities provide organized opportunities to take part in daily programming, and social services are also available. Payment options include Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay allows a family to pay directly.
Zachary Degn serves as the administrator. A Walk Score of 77 out of 100 means the area is very walkable, with most errands possible on foot. A resident who no longer drives may still be able to get out independently.
Overview of Mt. Ascension Transitional Care of Cascadia
Mt. Ascension Transitional Care of Cascadia in Helena offers nursing home and skilled nursing care. Skilled nursing includes licensed nursing care on site around the clock, which may suit someone who needs ongoing clinical support or rehabilitation services.
The community has 108 beds, with 3 hours and 30 minutes of nursing time allocated to each resident per day. Medicare, Medicaid, and private pay are accepted.
Wibaux County Nursing Home is a nursing home in Wibaux, MT, offering nursing care, skilled nursing, memory care, palliative care, respite care, and adult day care. Nursing care and skilled nursing provide licensed nursing support on site around the clock, while memory care offers a secured setting with supervision for someone at risk of wandering. Palliative care supports end of life needs, and respite care provides a short stay when a family caregiver needs to travel or recover. Adult day care provides care during daytime hours for someone who returns home afterward.
The community has 40 beds and opened in 1975. Private rooms accommodate one resident, while semi-private rooms provide a shared room arrangement. Total nurse staffing is 3h 54m per resident per day, representing the daily hands-on nursing time allocated per resident.
Rehabilitation services are available at the community, so a resident can receive therapy without arranging outside transportation. Salon services provide on-site hair and grooming appointments, and the remodeled dining room has space for large groups and activities. Tina Bertelsen serves as the administrator.
Medicaid and private pay are accepted, giving families the option to use Medicaid coverage or pay directly for care. A Walk Score of 30 places the area in a car-dependent setting, so most errands require a car or a ride; a resident who no longer drives would need transportation for those trips. The range of ongoing and short-term services may be a good fit for a family seeking nursing or memory care while also needing temporary support for a caregiver.
Overview of Mount Ascension Transitional Care of Cascadia
Helena sits at the center of Montana’s government and economy, and Mount Ascension Transitional Care of Cascadia occupies a highly walkable stretch of that city, carrying a Walk Score of 94. Most daily errands do not require a car. The 108-bed skilled nursing and rehabilitation facility has been open about two years. Providence St. Patrick Hospital and St. Peter’s Hospital sit nearby, giving residents ready access to acute care when needed.
Two tracks run through the building: transitional care for residents working back toward independence, and long-term nursing care for those who need it indefinitely. Staffing runs around the clock, with reported nursing care averaging just over three hours per resident each day, spread across registered nurses, licensed practical nurses, and nurse aides. An on-site rehabilitation gym supports the physical and occupational therapy that short-term residents typically need after surgery, illness, or injury.
Rooms are available in private and semi-private layouts. Medicare, Medicaid, and private pay are all accepted, which opens multiple routes to covering the cost of a stay, whether brief or extended. That combination, skilled nursing paired with active rehabilitation and broad payment coverage, points to a facility built for residents moving between hospital discharge and either home or longer-term nursing care, all within a compact, walkable corner of Helena.
Overview of Mount Ascension Transitional Care of Cascadia
Mount Ascension provides one of the most trusted nursing homes in Lincoln. Specializing in transitional care, the center consists of professional staff committed to providing seniors with a safe and comfortable environment. With its professional approach, the nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors through the exceptional care delivered by the compassionate staff.
They provide state-of-the-art features that cater to short-term or long-term care nursing home residents; they are also guaranteed to feel comfortable and know that they belong in a home that offers 24-hour nursing care with specialized programs such as therapies in a resort-like community.
Located on East Broadway Street in Helena, Montana, Cooney Healthcare and Rehabilitation is a nursing home that has served the community for 5 years. The single-story facility accepts Medicare, Medicaid, and private pay, giving families several options to cover short-term rehabilitation and ongoing skilled nursing care. The 90-bed home has an occupancy rate of 81%.
Residents stay an average of 94 days, which is a combination of post-acute rehabilitation and longer-term skilled nursing care. Daily nurse staffing averages 2 hours and 24 minutes per resident. This includes 51 minutes of registered nurse care, 1 hour and 26 minutes of care from nurse aides, and 25 minutes of care provided by licensed practical or vocational nurses.
The neighborhood has a Walk Score of 37, making it somewhat walkable. Most errands require a vehicle, but a few nearby services are within walking distance. The location is best for families who drive and prefer a quieter residential area over a busier urban setting.
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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