Montana average 5.1
Last Health inspection on Apr 2025

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Sapphire Lutheran Homes is a 40-bed independent living facility and memory care community operated by a nonprofit Christian organization at 501 N 10th, Hamilton, Ravalli County, Montana, offering independent living and memory support services with 24-hour staffing, respite care, housekeeping and maintenance services, physical social and spiritual wellness activities, community gathering areas, library, and game rooms. The campus features views of the Bitterroot Mountains and comprises 64 individual homes with one- and two-bedroom apartments offering meals and scheduled activities in a secure environment. The facility does not accept Medicaid or Medicare and does not offer rehabilitation services.
Hamilton is the county seat of Ravalli County in the Bitterroot Valley of western Montana. Marcus Daly Memorial Hospital is the primary nearby acute-care resource.
Inspection records span a single documented visit on November 6, 2015, yielding 2 deficiencies, 66 percent better than Montana average of 5.8. The November 6, 2015, renewal inspection identified 2 deficiencies: no documentation that policies and procedures had been reviewed annually by administrator or medical director; food storage violations with cans and boxes on floors of walk-in freezer, refrigerator, and dry storage room, and uncovered food in baking sheet and plate in refrigerator. No complaint investigations or enforcement actions appear in the available record.
Documentation of annual policy review and food storage practices require verification.
Families should ask administrators directly about current annual policy review procedures and food safety protocols before enrollment.
Sapphire Lutheran Homes is administrated by Cole Harden.
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.
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total deficiencies
| 2 | 21 | This facility has 90% fewer total deficiencies than a typical Montana nursing home (2 vs. MT avg 21).↓ 90% better |
|
Deficiencies per year
| 0.2 | 1.9 | This facility has 89% fewer deficiencies per year than a typical Montana nursing home (0.2 vs. MT avg 1.9).↓ 89% better |
|
Deficiencies per inspection
| 0.5 | 4.2 | This facility has 88% fewer deficiencies per inspection than a typical Montana nursing home (0.5 vs. MT avg 4.2).↓ 88% better |
Inspections
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total inspections
| 4 | 5 | This facility has 20% fewer total inspections than a typical Montana nursing home (4 vs. MT avg 5).↓ 20% better |
Montana average 5.1
Last Health inspection on Apr 2025
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.
16 of 24 citations resulted from standard inspections; 7 of 24 resulted from complaint investigations; and 1 of 24 came from combined inspections (standard and complaint).
Montana average: 0.3
Montana average: 2.2
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
| Certified Nursing Assistant | 37 | 0 | 37 | 11,617 | 92 | 100% | 9.3 |
| Registered Nurse | 8 | 0 | 8 | 4,576 | 92 | 100% | 10.7 |
| Nurse Aide in Training | 13 | 0 | 13 | 2,667 | 91 | 99% | 7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 845 | 65 | 71% | 8.1 |
| Administrator | 2 | 0 | 2 | 673 | 66 | 72% | 5.5 |
| Licensed Practical Nurse | 2 | 0 | 2 | 535 | 54 | 59% | 9.5 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 450 | 60 | 65% | 7.5 |
Includes penalties issued in 2024
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 (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 8, 2024 · $23K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
0.0 miles from city center
Estimated distance in miles from Hamilton's city center to Sapphire Lutheran Homes's address, calculated via Google Maps.
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Sapphire Lutheran Homes is located in Hamilton, Montana.
Here are the financial assistance programs available to residents in Montana.
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
| The Living Centre |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Stevensville (Main Street) | 50
Facility
50
MT AVG
70
Rank
#63 / 106 |
61.3%
Facility
61.3%
MT AVG
61.7%
Rank
#18 / 35 | -1% | 4.87
Facility
4.87
MT AVG
4.53
Rank
#10 / 34 | -41% | +8% | $37.5k
Facility
$37.5k
MT AVG
$83.8k
Rank
#21 / 35 | 15
Facility
15
MT AVG
29.7
Rank
#4 / 35 | 2.5
Facility
2.5
MT AVG
5.7
Rank
#3 / 35 | 2 | 37 | A+ |
38
Facility
38
MT AVG
43
Rank
#90 / 159 | Living Centre Limited | $5.9M
Facility
$5.9M
MT AVG
$6.3M
Rank
#18 / 31 | $4.2M
Facility
$4.2M
MT AVG
$2.8M
Rank
#16 / 31 | 71.1%
Facility
71.1%
MT AVG
45.6%
Rank
#4 / 31 | 275125 | ||||
| Timbers And Reflections At The Grandview At Benefis |
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.
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. | Great Falls | 71
Facility
71
MT AVG
70
Rank
#45 / 106 | - | - | 4.36
Facility
4.36
MT AVG
4.53
Rank
#11 / 34 | +8% | -4% | $0
Facility
$0
MT AVG
$83.8k
Rank
#1 / 35 | 21
Facility
21
MT AVG
29.7
Rank
#10 / 35 | 5.3
Facility
5.3
MT AVG
5.7
Rank
#14 / 35 | - | 25 | A+ |
26
Facility
26
MT AVG
43
Rank
#109 / 159 | - | - | - | - | 275157 | ||||
| Kindred Transitional Care & Rehab – Park Place |
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.
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. | Great Falls | 189
Facility
189
MT AVG
70
Rank
#3 / 106 | - | - | 3.79
Facility
3.79
MT AVG
4.53
Rank
#15 / 34 | +13% | -16% | $104.1k
Facility
$104.1k
MT AVG
$83.8k
Rank
#32 / 35 | 43
Facility
43
MT AVG
29.7
Rank
#26 / 35 | 5.4
Facility
5.4
MT AVG
5.7
Rank
#17 / 35 | 6 | 140 | - |
46
Facility
46
MT AVG
43
Rank
#73 / 159 | Reid Crickmore | $11.5M
Facility
$11.5M
MT AVG
$6.3M
Rank
#5 / 31 | $4.7M
Facility
$4.7M
MT AVG
$2.8M
Rank
#14 / 31 | 40.8%
Facility
40.8%
MT AVG
45.6%
Rank
#30 / 31 | 275030 | ||||
| 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
Facility
40
MT AVG
70
Rank
#70 / 106 | - | - | 7.33
Facility
7.33
MT AVG
4.53
Rank
#2 / 34 | -23% | +62% | $22.8k
Facility
$22.8k
MT AVG
$83.8k
Rank
#16 / 35 | 24
Facility
24
MT AVG
29.7
Rank
#14 / 35 | 4.8
Facility
4.8
MT AVG
5.7
Rank
#10 / 35 | 1 | 40 | - |
82
Facility
82
MT AVG
43
Rank
#13 / 159 | - | - | - | - | 275073 | ||||
| Yellowstone River Nursing and Rehabilitation |
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 (East Central) | 160
Facility
160
MT AVG
70
Rank
#6 / 106 | - | - | 3.57
Facility
3.57
MT AVG
4.53
Rank
#18 / 34 | +50% | -21% | $141.5k
Facility
$141.5k
MT AVG
$83.8k
Rank
#23 / 35 | 49
Facility
49
MT AVG
29.7
Rank
#29 / 35 | 6.1
Facility
6.1
MT AVG
5.7
Rank
#25 / 35 | 5 | 2 | - |
67
Facility
67
MT AVG
43
Rank
#33 / 159 | Sarah Caldwell | $7.6M
Facility
$7.6M
MT AVG
$6.3M
Rank
#14 / 31 | $4.6M
Facility
$4.6M
MT AVG
$2.8M
Rank
#15 / 31 | 60.4%
Facility
60.4%
MT AVG
45.6%
Rank
#12 / 31 | 275029 |
Sapphire Lutheran Homes has a walk score of 82. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to MT state health department records, Sapphire Lutheran Homes's license number is 13294.
According to MT state health department records, Sapphire Lutheran Homes's license expires on December 11, 2026.
Cole Harden is the administrator of Sapphire Lutheran Homes.
Sapphire Lutheran Homes has 40 beds.
Yes — there are 6 photos of Sapphire Lutheran Homes in the photo gallery on this page.
Sapphire Lutheran Homes is located at 501 N 10th.
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