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Nursing Home in Montana

Sapphire Lutheran Homes

Sign for Sapphire Lutheran Homes campus Entrance of Sapphire Lutheran Homes with landscaping Exterior view of a senior living facility with landscaping Sapphire Lutheran Homes Sapphire Lutheran Homes Sapphire Lutheran Homes Sapphire Lutheran Homes Sapphire Lutheran Homes Residents and staff in costumes during a festive event Residents interacting with a miniature pony outdoors Residents enjoying a holiday event around a decorated Christmas tree

Nursing Home in Montana

Sapphire Lutheran Homes

501 N 10th, Hamilton, MT 59840- View map
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Overview of Sapphire Lutheran Homes
Sapphire Lutheran Homes in Hamilton, Montana is a Christian-based, non-profit independent living center dedicated to enhancing the quality of life for its community of senior citizens. The campus offers a magnificent view of the Bitterroot Mountains and is comprised of 64 individual homes with one- and two-bedroom apartments. Residents can enjoy exceptional meals, scheduled activities, and a secure, homelike environment.
(406) 363-2800
(406) 363-2800

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 40

This home is administrated by HARDEN, COLE.

Bed community size
40-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
2 years in operation
A newer community that may feature more recent facilities and programs.

About this community

License Details

Facility TypeRetirement Homes
StatusCurrent
IssuanceDecember 12, 2023
ExpirationDecember 11, 2026

Additional Licensing Details

License Number13294

Ownership & Operating Entity

Sapphire Lutheran Homes is administrated by Harden, Cole.

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

7 amenities
Housekeeping And Maintenance Services
Physical
Social
And Spiritual Wellness Activities
Community Gathering Areas
A Library
And Game Rooms
ActivitiesResidents may choose from a variety of scheduled activities, including regular exercise sessions.

Dining & Nutrition

Food DescriptionResidents can prepare their own meals or enjoy exceptional meals served in the dining room.
Meals IncludedYes
Meals Per Day2
Meal ScheduleTwo daily meals served restaurant style

Contact Sapphire Lutheran Homes

Inspection History

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.

4 visits/inspections

Show Inspection Reports

Latest inspection

Date November 6, 2015
Renewal

2 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Montana average: 21 deficiencies

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

5 facilities compared · CMS & MT Dept. of Health data · Updated Apr 2026

Filter by care type
Eureka of Cascadia, LLC dba Mountain View of Cascadia
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Eureka
49
69.3%
+12%
3.56
+30%
-21%
0
13
4.3
0
47
-
-
Carvey, Dianna
$3.7M
$1.5M
40.8%
275084
Avantara Billings
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Billings
160
65.6%
+6%
3.57
+23%
-21%
3
49
6.1
5
105
A+
72
Caldwell, Sarah
$7.6M
$3.5M
46.8%
275029
Sapphire Lutheran Homes
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hamilton
40
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Central Montana Nursing and Rehabilitation Center
-
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Lewistown
62
35.5%
-42%
-
-
-
-
-
-
0
0
0.0
0
-
-
39
Central Montana Snf Operations Holdings Llc
$1.0M
$0.3M
28.2%
275064
Libby of Cascadia, LLC dba Libby Care Center
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Libby
101
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Eureka of Cascadia, LLC dba Mountain View of Cascadia Eureka of Cascadia, LLC dba Mountain View of Cascadia
Overall Rating:
Type of care: NH AL
Community: Eureka
Bed Count: 49
Occupancy: 69.3%
Occupancy vs State Avg: +12%
Nurse hrs per resident/day: 3.6
Health Insp Rating:
Staffing Rating:
QM Rating:
RN share vs State Avg : +30%
Staffing vs State Avg: -21%
Citations: 13
Citations per Inspection: 4.3
Avg Residents/Day: 46.50
Operator: Carvey, Dianna
Home Revenue: $3,688,314.00
Payroll Costs: $1,503,855.00
Payroll %: 40.8%
CCN: 275084
Avantara Billings Avantara Billings
Overall Rating:
Type of care: NH AL
Community: Billings
Bed Count: 160
Occupancy: 65.6%
Occupancy vs State Avg: +6%
Nurse hrs per resident/day: 3.6
Health Insp Rating:
Staffing Rating:
QM Rating:
RN share vs State Avg : +23%
Staffing vs State Avg: -21%
Number of Fines: 3
Citations: 49
Citations per Inspection: 6.1
Severe Citations: 5
Avg Residents/Day: 104.80
Operator: Caldwell, Sarah
Home Revenue: $7,573,930.00
Payroll Costs: $3,542,199.00
Payroll %: 46.8%
CCN: 275029
Sapphire Lutheran Homes
Type of care: NH AL
Community: Hamilton
Bed Count: 40
Citations per Inspection: 0.0
Central Montana Nursing and Rehabilitation Center Central Montana Nursing and Rehabilitation Center
Type of care: AL MC NH RC
Community: Lewistown
Bed Count: 62
Occupancy: 35.5%
Occupancy vs State Avg: -42%
Citations per Inspection: 0.0
Operator: Central Montana Snf Operations Holdings Llc
Home Revenue: $1,022,755.00
Payroll Costs: $288,519.00
Payroll %: 28.2%
CCN: 275064
Libby of Cascadia, LLC dba Libby Care Center Libby of Cascadia, LLC dba Libby Care Center
Type of care: NH AL
Community: Libby
Bed Count: 101
Citations per Inspection: 0.0
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Guides for Better Senior Living

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Financial Aid for Montana Seniors

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Big Sky Waiver

Montana Medicaid Big Sky Waiver

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

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

MT Specifics: Rural state; limited providers in some areas.

Montana Community First Choice

MT CFC

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

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

Asset Limits: $2,000 (individual).

MT Specifics: Less intensive than waiver; rural focus.

Big Sky Rx

Montana Big Sky Rx

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

Income Limits (2025): ~$2,510/month (individual), ~$3,380/month (couple).

Asset Limits: Not assessed.

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

Medicare Savings Program (MSP)

Montana Medicare Savings Program

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

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

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

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

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

Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.

Asset Limits: Not assessed; need-based.

MT Specifics: 10 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Montana SCSEP

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

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

MT Specifics: Priority for veterans, rural residents; AARP partnership.

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

Montana VA Aid and Attendance/Housebound

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

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

MT Specifics: High veteran demand in rural areas.

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    Author: Jeremy Clerc
     Updated on Mar 20, 2026
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