Best Nursing Homes in Montana

Why trust this guide? Our editorial team analyzed 31 nursing homes in Montana using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MT

Reviewed by

Dr. Jordan Weiss

Last updated

Jun 2026

We analyzed

31 homes

Other senior care options in Montana:

Assisted Living Memory Care Independent Living

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

Billings Bozeman Butte Great Falls Helena Lincoln Missoula

Compare Nursing Homes around Montana

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

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


Timbers And Reflections At The Grandview At Benefis		NH AL MC	Great Falls	71 Facility 71 MT AVG 70 Rank #45 / 106	-	-	4.36 Facility 4.36 MT AVG 4.53 Rank #11 / 38				+8%	-4%	$0 Facility $0 MT AVG $83.8k Rank #1 / 39	21 Facility 21 MT AVG 29.7 Rank #10 / 39	5.3 Facility 5.3 MT AVG 5.7 Rank #15 / 39	-	25	A+	26 Facility 26 MT AVG 43 Rank #109 / 159	-	-	-	-	275157
Southwest Montana Veteran’s Home		NH	Butte	60 Facility 60 MT AVG 70 Rank #60 / 106	70.7% Facility 70.7% MT AVG 61.7% Rank #15 / 39	+15%	6.78 Facility 6.78 MT AVG 4.53 Rank #3 / 38				+62%	+50%	$0 Facility $0 MT AVG $83.8k Rank #1 / 39	18 Facility 18 MT AVG 29.7 Rank #8 / 39	6.0 Facility 6.0 MT AVG 5.7 Rank #25 / 39	1	51	-	14 Facility 14 MT AVG 43 Rank #128 / 159	-	$7.4M Facility $7.4M MT AVG $6.3M Rank #15 / 35	$5.1M Facility $5.1M MT AVG $2.8M Rank #10 / 35	68.5% Facility 68.5% MT AVG 45.6% Rank #16 / 35	275156
Kindred Transitional Care & Rehab – Park Place		NH NC	Great Falls	189 Facility 189 MT AVG 70 Rank #3 / 106	44.3% Facility 44.3% MT AVG 61.7% Rank #25 / 39	-28%	3.79 Facility 3.79 MT AVG 4.53 Rank #15 / 38				+13%	-16%	$104.1k Facility $104.1k MT AVG $83.8k Rank #32 / 39	43 Facility 43 MT AVG 29.7 Rank #27 / 39	5.4 Facility 5.4 MT AVG 5.7 Rank #18 / 39	6	140	-	46 Facility 46 MT AVG 43 Rank #73 / 159	Reid Crickmore	$17.1M Facility $17.1M MT AVG $6.3M Rank #5 / 35	$4.6M Facility $4.6M MT AVG $2.8M Rank #18 / 35	27% Facility 27% MT AVG 45.6% Rank #34 / 35	275030
Elkhorn Healthcare and Rehabilitation		NH HC RC	Clancy	70 Facility 70 MT AVG 70 Rank #47 / 106	91.4% Facility 91.4% MT AVG 61.7% Rank #2 / 39	+48%	3.01 Facility 3.01 MT AVG 4.53 Rank #35 / 38				-45%	-33%	$0 Facility $0 MT AVG $83.8k Rank #1 / 39	15 Facility 15 MT AVG 29.7 Rank #4 / 39	5.0 Facility 5.0 MT AVG 5.7 Rank #12 / 39	-	64	-	0 Facility 0 MT AVG 43 Rank #153 / 159	Jenifer Dodge	$6.9M Facility $6.9M MT AVG $6.3M Rank #16 / 35	$3.0M Facility $3.0M MT AVG $2.8M Rank #21 / 35	43.6% Facility 43.6% MT AVG 45.6% Rank #32 / 35	275056
Hillside Health & Rehabilitation	-	NH PC RC	Missoula (South 39Th Street)	95 Facility 95 MT AVG 70 Rank #30 / 106	-	-	-	-	-	-	-	-	-	-	-	-	-	-	39 Facility 39 MT AVG 43 Rank #85 / 159		$3.6M Facility $3.6M MT AVG $6.3M Rank #28 / 35	$1.5M Facility $1.5M MT AVG $2.8M Rank #25 / 35	42.2% Facility 42.2% MT AVG 45.6% Rank #1 / 35	275027
Copper Ridge Health and Rehab		NH MC	Butte (Nettie Street)	186 Facility 186 MT AVG 70 Rank #4 / 106	33.7% Facility 33.7% MT AVG 61.7% Rank #33 / 39	-45%	3.45 Facility 3.45 MT AVG 4.53 Rank #21 / 38				+20%	-24%	$9.3k Facility $9.3k MT AVG $83.8k Rank #11 / 39	27 Facility 27 MT AVG 29.7 Rank #16 / 39	3.9 Facility 3.9 MT AVG 5.7 Rank #5 / 39	3	67	-	34 Facility 34 MT AVG 43 Rank #97 / 159	Brian Ramos	$8.8M Facility $8.8M MT AVG $6.3M Rank #7 / 35	$4.6M Facility $4.6M MT AVG $2.8M Rank #8 / 35	52.4% Facility 52.4% MT AVG 45.6% Rank #24 / 35	275060
The Living Centre		NH AL IL	Stevensville (Main Street)	50 Facility 50 MT AVG 70 Rank #63 / 106	61.3% Facility 61.3% MT AVG 61.7% Rank #19 / 39	-1%	4.87 Facility 4.87 MT AVG 4.53 Rank #10 / 38				-41%	+8%	$37.5k Facility $37.5k MT AVG $83.8k Rank #20 / 39	15 Facility 15 MT AVG 29.7 Rank #4 / 39	2.5 Facility 2.5 MT AVG 5.7 Rank #3 / 39	2	37	A+	38 Facility 38 MT AVG 43 Rank #90 / 159	Living Centre Limited	$6.0M Facility $6.0M MT AVG $6.3M Rank #22 / 35	$3.4M Facility $3.4M MT AVG $2.8M Rank #20 / 35	56.7% Facility 56.7% MT AVG 45.6% Rank #4 / 35	275125
Livingston Health and Rehab Center		NH MC NC RC	Livingston (South 14Th Street)	115 Facility 115 MT AVG 70 Rank #14 / 106	38.3% Facility 38.3% MT AVG 61.7% Rank #30 / 39	-38%	3.83 Facility 3.83 MT AVG 4.53 Rank #15 / 38				-21%	-15%	$17.4k Facility $17.4k MT AVG $83.8k Rank #15 / 39	33 Facility 33 MT AVG 29.7 Rank #22 / 39	8.3 Facility 8.3 MT AVG 5.7 Rank #35 / 39	2	44	-	64 Facility 64 MT AVG 43 Rank #37 / 159	-	$1.4M Facility $1.4M MT AVG $6.3M Rank #33 / 35	$657.8k Facility $657.8k MT AVG $2.8M Rank #32 / 35	47.2% Facility 47.2% MT AVG 45.6% Rank #19 / 35	275047
Yellowstone River Nursing and Rehabilitation		NH	Billings (East Central)	160 Facility 160 MT AVG 70 Rank #6 / 106	-	-	3.57 Facility 3.57 MT AVG 4.53 Rank #18 / 38				+50%	-21%	$141.5k Facility $141.5k MT AVG $83.8k Rank #36 / 39	49 Facility 49 MT AVG 29.7 Rank #30 / 39	6.1 Facility 6.1 MT AVG 5.7 Rank #28 / 39	5	2	-	67 Facility 67 MT AVG 43 Rank #33 / 159	Sarah Caldwell	$7.4M Facility $7.4M MT AVG $6.3M Rank #18 / 35	$4.1M Facility $4.1M MT AVG $2.8M Rank #19 / 35	55.1% Facility 55.1% MT AVG 45.6% Rank #12 / 35	275029
Skyline Heights Nursing and Rehabilitation		NH HC	Billings (Colton Heights Apartments)	150 Facility 150 MT AVG 70 Rank #7 / 106	54.1% Facility 54.1% MT AVG 61.7% Rank #23 / 39	-12%	2.99 Facility 2.99 MT AVG 4.53 Rank #35 / 38				-18%	-34%	$419.0k Facility $419.0k MT AVG $83.8k Rank #39 / 39	74 Facility 74 MT AVG 29.7 Rank #39 / 39	8.2 Facility 8.2 MT AVG 5.7 Rank #34 / 39	11	76	-	57 Facility 57 MT AVG 43 Rank #51 / 159	Anna Preciado	$6.0M Facility $6.0M MT AVG $6.3M Rank #21 / 35	$2.5M Facility $2.5M MT AVG $2.8M Rank #22 / 35	42.3% Facility 42.3% MT AVG 45.6% Rank #13 / 35	275020
Eastern Montana Veterans Home		NH	Glendive (Montana Avenue)	80 Facility 80 MT AVG 70 Rank #41 / 106	70.0% Facility 70.0% MT AVG 61.7% Rank #16 / 39	+13%	5.23 Facility 5.23 MT AVG 4.53 Rank #8 / 38				-27%	+16%	$57.5k Facility $57.5k MT AVG $83.8k Rank #25 / 39	29 Facility 29 MT AVG 29.7 Rank #19 / 39	5.8 Facility 5.8 MT AVG 5.7 Rank #23 / 39	5	50	-	18 Facility 18 MT AVG 43 Rank #121 / 159	-	$6.8M Facility $6.8M MT AVG $6.3M Rank #19 / 35	$2.2M Facility $2.2M MT AVG $2.8M Rank #12 / 35	32.7% Facility 32.7% MT AVG 45.6% Rank #6 / 35	275144
Billings Nursing and Rehab	-	NH HC NC RC	Billings (South Side)	100 Facility 100 MT AVG 70 Rank #26 / 106	73.0% Facility 73.0% MT AVG 61.7% Rank #11 / 39	+18%	3.15 Facility 3.15 MT AVG 4.53 Rank #33 / 38	-	-	-	+27%	-30%	$62.8k Facility $62.8k MT AVG $83.8k Rank #27 / 39	45 Facility 45 MT AVG 29.7 Rank #29 / 39	5.6 Facility 5.6 MT AVG 5.7 Rank #19 / 39	3	79	-	56 Facility 56 MT AVG 43 Rank #57 / 159	-	$3.0M Facility $3.0M MT AVG $6.3M Rank #26 / 35	$1.4M Facility $1.4M MT AVG $2.8M Rank #28 / 35	45% Facility 45% MT AVG 45.6% Rank #21 / 35	275120
Valle Vista Rehabilitation and Nursing LLC		NH HC NC RC	Lewistown	101 Facility 101 MT AVG 70 Rank #24 / 106	43.6% Facility 43.6% MT AVG 61.7% Rank #26 / 39	-29%	3.37 Facility 3.37 MT AVG 4.53 Rank #25 / 38				-39%	-26%	$0 Facility $0 MT AVG $83.8k Rank #1 / 39	15 Facility 15 MT AVG 29.7 Rank #4 / 39	3.8 Facility 3.8 MT AVG 5.7 Rank #4 / 39	-	54	-	79 Facility 79 MT AVG 43 Rank #15 / 159	Charly Bello Family Limited Partnership	$2.5M Facility $2.5M MT AVG $6.3M Rank #31 / 35	$1.2M Facility $1.2M MT AVG $2.8M Rank #31 / 35	47.8% Facility 47.8% MT AVG 45.6% Rank #33 / 35	275021
Libby of Cascadia, LLC dba Libby Care Center		NH	Libby	101 Facility 101 MT AVG 70 Rank #24 / 106	76.4% Facility 76.4% MT AVG 61.7% Rank #9 / 39	+24%	3.32 Facility 3.32 MT AVG 4.53 Rank #28 / 38				-7%	-27%	$22.7k Facility $22.7k MT AVG $83.8k Rank #16 / 39	18 Facility 18 MT AVG 29.7 Rank #8 / 39	4.5 Facility 4.5 MT AVG 5.7 Rank #9 / 39	2	77	-	76 Facility 76 MT AVG 43 Rank #19 / 159	Cascadia Montana Operations LLC	$9.0M Facility $9.0M MT AVG $6.3M Rank #4 / 35	$4.2M Facility $4.2M MT AVG $2.8M Rank #17 / 35	46.9% Facility 46.9% MT AVG 45.6% Rank #35 / 35	275040
Sheridan Memorial Nursing Home		NH HC	Plentywood	35 Facility 35 MT AVG 70 Rank #78 / 106	-	-	7.54 Facility 7.54 MT AVG 4.53 Rank #1 / 38				-16%	+66%	$15.9k Facility $15.9k MT AVG $83.8k Rank #13 / 39	21 Facility 21 MT AVG 29.7 Rank #10 / 39	5.3 Facility 5.3 MT AVG 5.7 Rank #15 / 39	2	25	-	60 Facility 60 MT AVG 43 Rank #43 / 159	-	-	-	-	275070

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Overview of Continental Care and Rehabilitation

Administered by Jason Bell, Continental Care and Rehabilitation operates a 100-bed full-service facility at 2400 Continental Drive in Butte, Montana. The business office accepts Medicare, Medicaid, and private pay options to cover resident billing. For visitors, the surrounding Meaderville neighborhood is mostly car-dependent, meaning family members will generally need a personal vehicle to travel to the property or manage errands.

The building runs at a 65 percent occupancy rate, drawing on decades of operation to handle both temporary post-hospital recovery tracks and permanent residential stays. To manage daily medical needs, the clinical staff provides an average of 3 hours and 38 minutes of total nursing care per resident each day. This 24-hour setup relies on on-site registered nurses and nurse aides to handle routine health checks, mobility support, and direct personal care.

While historical inspection reports have noted standard operational and environmental compliance items, the administration addresses these areas through regular maintenance and procedural updates, keeping the home’s long-term cumulative citations-per-inspection rate at zero.

Families have access to tiered care options that include assisted living support, skilled nursing, and on-site physical, occupational, and speech therapy. The campus features shared community dining spaces and integrated health tracking. The daily routine pairs these specialized clinical services and rehabilitation loops with housekeeping assistance, laundry care, and open visiting hours.

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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 31 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.