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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 32nd out of 34 homes in Montana for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 32m per day | ▼ 43% State avg: 56m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 23m per day | ▼ 23% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 54m per day | ▼ 25% State avg: 2h 32m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 22m per day | ▼ 32% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ▼ 52% State avg: 41m per day · National avg: 29m per day |
Higher than the Montana average: 61.7%In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 15 | 21 | This facility has 29% fewer total deficiencies than a typical Montana nursing home (15 vs. MT avg 21).↓ 29% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 5 | 7 | This facility has 29% fewer deficiencies per year than a typical Montana nursing home (5 vs. MT avg 7).↓ 29% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Montana average 5.1
Last Health inspection on Dec 2024
Montana average 29.7
Montana average 5.72
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.
100% better than Montana averageMontana average: 0.3
100% better than Montana averageMontana average: 2.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
50% fewer staff per resident than Montana average
0% compared with Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursAssists with medical care and medications.
All 5 LPN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
25 total: 23 full-time employees and 2 contractors.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,029 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 23 | 2 | 25 | 8,429 | 92 | 100% | 9.2 |
| Registered Nurse | 5 | 0 | 5 | 2,118 | 91 | 99% | 10 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,737 | 90 | 98% | 9.7 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,697 | 90 | 98% | 10.1 |
| Nurse Aide in Training | 5 | 0 | 5 | 1,019 | 74 | 80% | 8.7 |
| Physical Therapy Aide | 2 | 0 | 2 | 867 | 65 | 71% | 7.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 823 | 85 | 92% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 408 | 51 | 55% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 407 | 58 | 63% | 7 |
| Speech Language Pathologist | 1 | 0 | 1 | 222 | 39 | 42% | 5.7 |
| Medical Director | 0 | 1 | 1 | 112 | 14 | 15% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 108 | 12 | 13% | 9 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 96 | 38 | 41% | 2.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 65 | 13 | 14% | 5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageMontana average: 11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.3
7% worse than Montana averageMontana average: 21.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
35% worse than Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
24.5%
18% worse than Montana averageMontana average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.2%
24% better than Montana averageMontana average: 25.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
62% better than Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
2.7%
57% better than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
1.7%
39% better than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
6.0%
In line with Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
18.0%
283% worse than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
40.0%
109% worse than Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.0%
In line with Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
5% worse than Montana averageMontana average: 93.7%
Number of hospitalizations per 1,000 long-stay resident days.
1.01
20% better than Montana averageMontana average: 1.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.30
40% better than Montana averageMontana average: 2.17
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
50.0%
35% worse than Montana averageMontana average: 76.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.3%
35% worse than Montana averageMontana average: 73.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.7%
38% worse than Montana averageMontana average: 19.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.4%
23% worse than Montana averageMontana average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
160% worse than Montana averageMontana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
21.9%
59% worse than Montana averageMontana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.9%
15% worse than Montana averageMontana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
34% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
38% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
64Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Elkhorn Healthcare and Rehabilitation based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #17 / 31Payroll — State benchmarkedThis home is ranked 17th out of 31 homes in Montana for payroll. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Minimum Age: 55
Building Type: Single story building
Most residents stay for extended periods and receive ongoing daily care.
1.1 miles from city center
Estimated distance in miles from Clancy's city center to Elkhorn Healthcare and Rehabilitation's address, calculated via Google Maps.
— 8.36 miles to nearest hospital (VA Sleep Center)
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Elkhorn Healthcare and Rehabilitation is located in Clancy, Montana.
Here are the financial assistance programs available to residents in Montana.
According to MT state health department records, Elkhorn Healthcare and Rehabilitation's license number is 13591.
According to MT state health department records, Elkhorn Healthcare and Rehabilitation's license expires on January 10, 2028.
Elkhorn Healthcare and Rehabilitation's occupancy is 91%.
Elkhorn Healthcare and Rehabilitation has 70 beds.
Yes — there are 5 photos of Elkhorn Healthcare and Rehabilitation in the photo gallery on this page.
(406) 933-8311 will put you in contact with the team at Elkhorn Healthcare and Rehabilitation.
Yes — Elkhorn Healthcare and Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
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