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35 For-Profit Nursing Homes in Montana

35 of the 61 Medicare-certified nursing homes in Montana (57%) are for-profit, and all are listed below. 2 of the 34 graded homes earn an A and 8 earn a D or F. They average 3.47 nursing hours per resident per day, 0.58 hours below the 4.05 for every home in Montana. Southwest Montana Veterans Home in Butte grades highest at A (90 out of 100).

How for-profit homes in Montana compare

This group set against every nursing home in Montana, from the current CMS release.

Nursing hours per resident per day

3.47

All homes in Montana: 4.05

Worse than the local average

Nurse staff turnover

57.3%

All homes in Montana: 54.8%

Worse than the local average

Average ElderGrade score

68.3/100

All homes in Montana: 72.4/100

Worse than the local average

Grade spread

B
C
D

2 grade A, 15 grade B, 9 grade C, 8 grade D,

The best-graded for-profit home in Montana is Southwest Montana Veterans Home in Butte, MT, grade A, 90/100.

Every for-profit nursing home in Montana

Showing 1 to 20 of 35, best-graded first.

A

90/100

Southwest Montana Veterans Home

Butte, MT · Silver Bow County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
54%
Serious cites
0

Southwest Montana Veterans Home in Butte runs 4.34 nurse hours per resident day, roughly 13% above the national average, and that staffing shows up in the numbers CMS cares about. Turnover is the weak spot: 53.9% of staff leave annually, well above the 45.8% national figure, and weekend coverage drops about 12% below weekday levels, worth asking about if your visits would fall on Saturdays or Sundays. The inspection record shows 18 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was recent and the home earns strong marks on health and quality measures.

A

88/100

The Living Centre

Stevensville, MT · Ravalli County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
5.49 /day
Staff turnover
48%
Serious cites
0

The Living Centre runs 5.49 nurse hours per resident per day, roughly 42% above the national average of 3.86, and CMS gives it five stars for both staffing and quality measures. Weekend coverage dips about 8% below its own weekday level, and turnover sits at 48.2%, a bit worse than the 45.8% national figure. The harder part is the inspection record: 10 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus two fines totaling $37,525. A recent inspection in February 2026 and a four-star health inspection rating suggest the home is being watched closely, but those harm-level and abuse findings are the kind families should ask about directly.

B

83/100

Valley View Home

Glasgow, MT · Valley County

CMS 4/596 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
40%
Serious cites
0

Valley View Home runs on 3.98 nurse hours per resident day, a bit above the national average, though weekend coverage drops about 12% below what the home staffs on weekdays. Staff turnover sits at 40%, better than the 45.8% typical nationally. The inspection record is the strong point: a recent June 2025 survey and a five-star inspection rating. But 15 deficiencies are on file, including one at the harm level and two tied to abuse, plus a $16,614 fine, real problems even at a home whose overall numbers look steady.

B

82/100

Missoula Health & Rehabilitation Center

Missoula, MT · Missoula County

CMS 4/553 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
50%
Serious cites
0

Missoula Health & Rehabilitation Center runs on 3.96 nurse hours per resident day, a bit above the national average of 3.86, roughly 3% more. Weekend coverage dips about 10% below weekday levels, and staff turnover sits at 50%, higher than the 45.8% national figure, which matters for how well residents know their caregivers. The current record shows 27 deficiencies, but none at the harm or jeopardy level and none abuse-related. Its last inspection was March 2026, and it holds a 4/5 on health inspections, a 3/5 on quality measures, and a 4/5 on staffing under corporate ownership.

B

81/100

Mountain View Of Cascadia

Eureka, MT · Lincoln County

CMS 4/549 bedsFor-profitMedicaid
Nurse hours
2.84 /day
Staff turnover
53%
Serious cites
0

Mountain View Of Cascadia runs 49 certified beds in Eureka under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 2.84 hours per resident per day, roughly 26% under the national average, and weekends dip about 12% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. Annual turnover of 53.3% tops the national rate of 45.8%, though the inspection record is cleaner than that might suggest: 13 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Quality measures score well; direct care hours are where the gap shows.

B

80.5/100

Valle Vista Rehabilitation And Nursing Llc

Lewistown, MT · Fergus County

CMS 4/5101 bedsFor-profitMedicaid
Nurse hours
3.15 /day
Staff turnover
43%
Serious cites
0

Valle Vista runs lean on nursing hours, 3.15 per resident day against a national average of 3.86, and weekends drop about 22% below its own weekday coverage. That's the pattern families notice when a call button goes unanswered on a Sunday. Turnover sits at 42.5%, slightly better than the 45.8% national figure, and the health inspection record is strong: 16 deficiencies on file, none at the harm level, though two are abuse-related. The last full inspection was May 2025, so the picture is recent. For-profit LLC ownership out of Lewistown, 101 beds. The low-harm record and high quality scores are real; the thin weekend staffing is the thing to ask about directly.

B

80/100

Libby Care Center

Libby, MT · Lincoln County

CMS 5/5101 bedsFor-profitMedicaid
Nurse hours
3.01 /day
Staff turnover
36%
Serious cites
0

Libby Care Center runs lean on nursing hours: 3.01 per resident day, roughly 22% under the national average of 3.86, and weekends drop about another 9% below its own weekday coverage. That's the number to watch if your family member needs help with daily tasks or monitoring. Turnover, though, sits at 35.7%, better than the national 45.8%, so the staff who are there tend to stay. The inspection record is mixed, a 4-star health inspection rating and a recent survey in mid-2025, but 18 deficiencies on file, two of them harm-level and one abuse-related, plus a $22,720 fine. Quality measures score well; staffing is where the gaps show.

B

79.5/100

Continental Care And Rehabilitation

Butte, MT · Silver Bow County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
60%
Serious cites
0

Continental Care runs a 100-bed for-profit operation in Butte, and the staffing numbers cut both ways. Nurses put in 4.03 hours per resident day, comfortably over the 3.86 national figure, yet weekends drop roughly 16% below the home's own weekday coverage, so the hours look better on paper than they may feel on a Saturday. The bigger concern is retention: 60.2% annual turnover against a 45.8% national average means a lot of unfamiliar faces. Inspectors cited 50 deficiencies on the current record, including two at harm or jeopardy level and one tied to abuse, with a $59,180 fine and a May 2025 inspection.

B

79/100

Elkhorn Healthcare And Rehabilitation

Clancy, MT · Jefferson County

CMS 2/570 bedsFor-profitMedicaid
Nurse hours
2.73 /day
Staff turnover
41%
Serious cites
0

Elkhorn Healthcare and Rehabilitation runs 70 certified beds in Clancy under corporate ownership, and its nurse staffing sits at 2.73 hours per resident day, roughly 29% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover at 41.3% is slightly better than the 45.8% national figure, and the 26 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level. The last inspection was February 2026.

B

79/100

Crest Nursing Home

Butte, MT · Silver Bow County

CMS 5/5103 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
53%
Serious cites
0

Crest Nursing Home sits in Butte with 103 certified beds, run by a for-profit corporation. The inspection record is genuinely strong, a five-star health inspection rating, no deficiencies at the harm or jeopardy level, and a recent survey from May 2026. But look at the staffing numbers and a different picture shows up. At 3.33 nurse hours per resident day, it runs about 14% under the national average, weekends drop roughly 8% below its own weekday level, and turnover hits 53.2% against a national 45.8%. Eleven deficiencies sit on the current record, one abuse-related. Strong survey results, thinner hands on deck.

B

76.5/100

Polson Health & Rehabilitation Center

Polson, MT · Lake County

CMS 4/570 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
50%
Serious cites
0

Polson Health & Rehabilitation Center runs 70 certified beds under for-profit LLC ownership, and its last inspection came in November 2025. The staffing picture is thinner than it looks at first: 3.13 nurse hours per resident day sits about 19% under the national average of 3.86, and weekends drop roughly 16% below the home's own weekday coverage. Turnover runs at 50%, higher than the 45.8% national figure. On paper the inspection history reads well enough at 4 of 5 stars, but the current record carries 15 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single $17,404 fine.

B

74/100

Village Health & Rehabilitation

Missoula, MT · Missoula County

CMS 3/5193 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
55%
Serious cites
0

Village Health & Rehabilitation runs 3.99 nurse hours per resident day, just above the national average of 3.86, and weekends drop roughly 14% below its own weekday staffing. The bigger concern is turnover at 55.2%, nearly ten points above the national 45.8%, which matters for whether caregivers know residents' routines. On the record: 25 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $27,846. The most recent inspection was August 2025, so the picture is current. Quality and staffing star ratings both sit at 4/5, while inspections land at 3/5, the split tells you where the trouble concentrates.

B

74/100

Copper Ridge Health And Rehabilitation Center

Butte, MT · Silver Bow County

CMS 4/5186 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
46%
Serious cites
0

Copper Ridge runs 186 beds in Butte under corporate ownership, and its inspection record is the strongest part of the picture, a recent April 2026 survey and decent marks on health inspections and quality measures. The staffing side is where it thins out. At 3.33 nurse hours per resident day, it sits about 14 percent under the national average, and weekends drop roughly another 12 percent below its own weekday coverage. Turnover lands right at the national rate of 45.8 percent. Twenty-eight deficiencies are on record, two at harm or jeopardy level and three tied to abuse, with $9,311 in fines. One inspection alone doesn't tell you how a place runs on a Tuesday night.

B

74/100

Riverside Health & Rehabilitation

Missoula, MT · Missoula County

CMS 3/572 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
63%
Serious cites
0

Riverside Health & Rehabilitation runs 72 certified beds in Missoula under for-profit partnership ownership, and its nurse staffing sits at 3.99 hours per resident day, about 3% above the national average. That edge narrows on weekends, though, when coverage drops roughly 11% below the home's own weekday level. The bigger concern is turnover: 62.8% annually against a national average of 45.8%, meaning well over half the nursing staff leaves each year. Its current record carries 33 deficiencies, including two at the harm or jeopardy level and two abuse-related, plus one $35,139 fine. The most recent inspection was January 15, 2026. Quality and staffing measures both rate 4 out of 5 stars, but health inspections sit at 2, the gap between how the place scores on paper and what surveyors actually found.

B

71.5/100

Park Place Transitional Care And Rehabilitation

Great Falls, MT · Cascade County

CMS 2/5189 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
36%
Serious cites
0

Park Place runs 189 beds in Great Falls under for-profit LLC ownership, and the direct-care hours come in around 3.46 per resident day, roughly 10% under the national average, with weekends thinner still, about 18% below its own weekdays. Turnover sits at 36.2%, which is actually better than the 45.8% national figure, so the staffing picture isn't purely a retention problem. What stands out more is the inspection record: 36 deficiencies, five at harm or jeopardy level, three tied to abuse, and eight fines totaling $187,272, with the most recent inspection in April 2026.

B

71.5/100

Awe Kualawaache Care Center

Crow Agency, MT · Big Horn County

CMS 4/540 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
62%
Serious cites
0

Awe Kualawaache Care Center runs 4.08 nurse hours per resident day, about 6% above the national average, and it holds a 5-star health inspection rating with a survey completed in May 2025. The catch is consistency: weekend staffing drops roughly 17% below its own weekday level, and 61.5% of staff turn over each year against a national average of 45.8%. Eighteen deficiencies sit on the current record, none at the harm level, though two are abuse-related. The quality measure rating of 1 out of 5 is the other weak spot, and it's the piece that most clashes with the strong inspection history.

B

70/100

Ivy At Deer Lodge

Deer Lodge, MT · Powell County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
57%
Serious cites
0

Ivy At Deer Lodge runs 60 certified beds under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 7% below its own weekday coverage, and annual turnover hits 56.8% against a national 45.8%, so the people showing up are often new. The bigger problem is the record: 38 deficiencies, six at harm or jeopardy level, three tied to abuse, and $112,620 in fines across three penalties, with the last inspection in December 2025. A 1/5 health inspection score against a 4/5 staffing score tells you the care hours may be there, but the outcomes and oversight aren't.

C

69.5/100

The Valley Health And Rehab

Hamilton, MT · Ravalli County

CMS 2/558 bedsFor-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
n/a
Serious cites
0

Valley Health and Rehab is a for-profit, LLC-owned home with 58 certified beds in Hamilton. Its 29 deficiencies include four tied to abuse and three serious enough to put residents in harm's way, and two fines totaling $28,644 sit on the record. That inspection history is the real story here, the 2-star health inspection rating reflects it. Nurse staffing averages 3.70 hours per resident day, about 4% under the national figure, and weekends run roughly 8% thinner than weekdays, so coverage dips when it's already below average. The 3-star quality measure score offers some balance, but this record deserves close questions before you decide.

C

69/100

Hot Springs Health & Rehabilitation Center

Hot Springs, MT · Sanders County

CMS 4/540 bedsFor-profitMedicaid
Nurse hours
2.70 /day
Staff turnover
45%
Serious cites
0

Hot Springs Health & Rehabilitation Center runs 40 certified beds under corporate ownership, and its staffing numbers are the first thing to notice: 2.70 nurse hours per resident day against a national average of 3.86, roughly 30% lower. Weekend coverage drops about 11% below the home's own weekday level, so the thinnest shifts are the ones families tend to visit. Turnover sits at 45.2%, essentially tracking the national average, and the current record shows 23 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $22,614. The most recent inspection was February 10, 2026.

C

67/100

Northern Pines Rehabilitation And Nursing

Cut Bank, MT · Glacier County

CMS 2/541 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
60%
Serious cites
0

Northern Pines runs on 3.11 nurse hours per resident day, roughly 19% under the national average, and weekends dip about 10% below its own weekday levels. That thinner coverage shows up elsewhere: 51 deficiencies on the current record, including 3 at harm or jeopardy level and 6 tied to abuse, plus six fines totaling $105,044. Staff turnover sits at 60% against a national 45.8%, so the people providing most of the hands-on care keep changing. The last inspection was January 15, 2026, and the health inspection rating is 2 out of 5. A for-profit limited liability company owns the 41-bed home. Ask about weekend coverage and what's changed since the abuse findings.

Frequently asked questions

How many for-profit nursing homes are there in Montana?
There are 35 for-profit Medicare-certified nursing homes in Montana, 57% of the 61 nursing homes there.
Are for-profit nursing homes better staffed?
In Montana they average 3.47 total nursing hours per resident per day, against 4.05 for all nursing homes in Montana, a difference of -0.58 hours. Staff turnover averages 57.3% against 54.8%.
Which for-profit nursing home grades best in Montana?
Southwest Montana Veterans Home in Butte, MT, grade A, 90 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 34 graded for-profit homes in Montana, 2 grade A and 8 grade D or F.
Do for-profit nursing homes in Montana accept Medicaid?
35 of the 35 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Montana