Elkhorn Healthcare and Rehabilitation

Nursing Home

Elkhorn Healthcare and Rehabilitation

474 Hwy 282, Clancy, MT 59634 View Map
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Overview of Elkhorn Healthcare and Rehabilitation

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Montana average: 2.9/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Montana average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Montana average: 3.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
2/5
Montana average: 3.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 1m per day

This home provides 33% less nursing time per resident than the state average.

Montana average: 4h 32m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 31m per day 56m per day 41m per day
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 23m per day 30m per day 52m per day
Nurse Aide Info Nurse aide hours per resident per day. 1h 50m per day 2h 32m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 20m per day 3h 29m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 4m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 20m per day 41m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 70

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Montana average
Occupancy rate 91.4%
Residents per day (avg) 65
Occupancy rate
91.4%
Residents per day (avg)
65

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

34% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

28% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

38% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Finances and operations

Proprietary home
Other
Home revenue
$8.3M
Operating loss
-$40.2K
Proprietary home Other
Home revenue
$8,280,929.00
Operating loss
$-40,214.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
31% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.8M
Total costs $8.3M
Bed community size
70-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 0 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

License Status
Current
Facility Type
Long Term Care
License Date
February 10, 2025
License Expiration
January 10, 2028

Additional licensing details

License number: 13591

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

Programs & Activities

Specific Programs
Short-Term Rehab, Long-Term Care, 24/7 Nursing Care, Assistance with Daily Living, Respite Care, Speech Therapy, Physical Therapy, Occupational Therapy, Wound Care, Tracheostomy Care, Orthopedic Rehab, Post-Surgical Care, Pulmonary Care, Bariatric Care, Oncology Care, Hospice Care

What does this home offer?

Minimum age icon
Minimum age icon

Minimum Age: 55

Building type icon
Building type icon

Building Type: Single story building

Compare Nursing Homes around Lincoln

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

Nursing Homes 24/7 care needed

Clancy
70
No
0
DODGE, JENIFER
91.4%
$8,184,796.00
$2,564,731.00
31.3%
64.80
4/5
3.0147
5/5
1/5
2/5
15
-45%
-33%
+48%
Big Sky Healthcare Community
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Big Sky
-
No
39
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Central Montana Nursing and Rehabilitation Center
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

RC

Respite Care

Lewistown
62
No
39
CENTRAL MONTANA SNF OPERATIONS HOLDINGS LLC
35.5%
$1,022,755.00
$288,519.00
28.2%
-
-
-
-
-
-
-
-
-
-42%
Eastern Montana Veterans Home
SNF

Nursing Homes 24/7 care needed

Glendive
80
No
18
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Elkhorn Healthcare and Rehabilitation

Address 1.1 miles from city center — 8.36 miles to nearest hospital (VA Sleep Center)

Address 474 Hwy 282, Clancy, MT 59634

Calculate Travel Distance to Elkhorn Healthcare and Rehabilitation

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

59
Total Staff
54
Employees
5
Contractors
18,509
Total Hours (Quarter)
23
Avg Staff/Day
8.8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse510.3 No
Licensed Practical Nurse59.9 No
Certified Nursing Assistant2210 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
44 staff
9.9hs shift avg
Physicians & Practitioners
2 staff
8hs shift avg
Therapy Services
8 staff
6.8hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
6.9hs shift avg
Dietary Services
2 staff
7.5hs shift avg
Other Services
1 staff
8hs shift avg
Contractor Analysis
10.2%
of total hours from contractors
1,890 contractor hours this quarter
Occupational Therapy Aide: 1 Certified Nursing Assistant: 2 Respiratory Therapy Technician: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant202226,53491100%10
Medication Aide/Technician4041,93991100%10.4
Licensed Practical Nurse5051,8949099%9.9
Registered Nurse5051,4988998%10.3
Physical Therapy Aide2029406774%7.8
Nurse Aide in Training7079367582%8.5
Other Dietary Services Staff2028368695%7.5
Nurse Practitioner1015847380%8
Administrator1015126470%8
Clinical Nurse Specialist1015126470%8
Mental Health Service Worker1015126470%8
RN Director of Nursing1014806066%8
Qualified Social Worker1014156066%6.9
Speech Language Pathologist1013816066%6.4
Occupational Therapy Aide0112614246%6.2
Respiratory Therapy Technician2131704044%4.3
Occupational Therapy Assistant0111041314%8

Health Inspection History

Inspections
Total health inspections 3

Montana average 5.1


Last Health inspection on Dec 2024

Total health citations 15
Citations per inspection
5

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 15 citations resulted from standard inspections; and 1 of 15 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Montana average

Montana average: 0.3


Serious Health citations More info 0
100% better than Montana average

Montana average: 2.2

0 critical citations More info Montana average: 0.3

0 serious citations More info Montana average: 2.2

15 moderate citations More info Montana average: 26.5

0 minor citations More info Montana average: 0.7
Citations history (last 3 years)
Abuse/Neglect moderate citation Dec 19, 2024
Corrected

Infection Control moderate citation Dec 19, 2024
Corrected

Nutrition moderate citation Dec 19, 2024
Corrected

Care Planning moderate citation Dec 19, 2024
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Part of: Eduro Healthcare
Resident Census by Payment Source
64 Total Residents
Medicare 1 (1.6%)
Medicaid 51 (79.7%)
Private Pay/Other 12 (18.8%)
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.2
9% worse than Montana average

Montana average: 11.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.3
7% worse than Montana average

Montana average: 21.8

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.3%
35% worse than Montana average

Montana average: 19.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 24.5%
18% worse than Montana average

Montana average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.2%
24% better than Montana average

Montana average: 25.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.6%
62% better than Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.7%
57% better than Montana average

Montana average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.7%
39% better than Montana average

Montana average: 2.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.0%
In line with Montana average

Montana average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 18.0%
283% worse than Montana average

Montana average: 4.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 40.0%
109% worse than Montana average

Montana average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.0%
In line with Montana average

Montana average: 93.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.9%
5% worse than Montana average

Montana average: 93.7%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.01
20% better than Montana average

Montana average: 1.27

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.30
40% better than Montana average

Montana average: 2.17

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 50.0%
35% worse than Montana average

Montana average: 76.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Montana average

Montana average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 48.3%
35% worse than Montana average

Montana average: 73.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.7%
38% worse than Montana average

Montana average: 19.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 18.4%
23% worse than Montana average

Montana average: 15.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.0%
160% worse than Montana average

Montana average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 21.9%
59% worse than Montana average

Montana average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 42.9%
15% worse than Montana average

Montana average: 50.6%

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Financial Aid for Montana Seniors

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Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled, Montana resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural state; limited providers in some areas.

Montana Community First Choice

MT CFC

Age 65+ or disabled, Montana resident, Medicaid- eligible.

~$1,732/month (individual, Medicaid threshold).

$2,000 (individual).

Less intensive than waiver; rural focus.

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled, Montana resident, enrolled in Medicare Part D, income below limit.

~$2,510/month (individual), ~$3,380/month (couple).

Not assessed.

Covers up to $38.75/month premium; statewide via AAAs.

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled, Montana resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

10 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Montana SCSEP

Age 55+, unemployed, low-income, Montana resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Montana resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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