Montana Best Medicaid Nursing Homes 2026

Nurse hours

5.40 /day

Staff turnover

45%

Serious cites

0

St. John's Lutheran Home runs on 5.40 nurse hours per resident day, roughly 40% more than the national average of 3.86, and that staffing depth is what carries the rest of its record. Weekend coverage dips about 8% below its own weekday level, and turnover sits at 44.6%, essentially matching the national rate of 45.8%. The trade-off shows up in its inspection history: 33 deficiencies on the current record, two of them abuse-related, though none rose to the level of actual harm or jeopardy. Its most recent inspection was in July 2025, so the picture is reasonably current. As a nonprofit, it isn't answering to shareholders, and the quality measure rating suggests the clinical care generally holds up.

Nurse hours

4.42 /day

Staff turnover

33%

Serious cites

0

St Luke Community Nursing Home runs on 4.42 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 32.6% sits well below the 45.8% national figure, both signs of a stable, well-staffed floor. The tradeoff shows up in inspections: 18 deficiencies on the current record, two at the harm or jeopardy level, and one fine of $44,252, with the most recent visit in March 2025. Weekend staffing dips about 10% below weekday levels, worth asking about if your family visits Saturdays or Sundays. Nonprofit ownership and strong quality and staffing ratings don't erase a two-star inspection history; they just tell you where the problems are likely to surface.

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.

Nurse hours

5.32 /day

Staff turnover

39%

Serious cites

0

Powder River Manor runs on county money in a town of a few hundred people, and the staffing numbers show it: 5.32 nurse hours per resident day, roughly 38% above the national average, with turnover at 39.3% against a national 45.8%. Weekend coverage does dip about 18% below weekdays, so ask how that plays out on a Sunday. The record isn't clean, 25 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus three fines totaling $52,551. Its last inspection was April 2026, so the picture is current. Strong staffing and quality marks sit alongside a citation history worth reading closely.

Nurse hours

4.37 /day

Staff turnover

40%

Serious cites

0

Immanuel Skilled Care Center runs on 4.37 nurse hours per resident day, roughly 13% above the national average, and CMS gives it top marks for staffing. Weekend coverage dips about 5% below its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 40.2%, better than the 45.8% national figure but still meaning two in five caregivers left last year. The home carries 21 deficiencies, none at the harm level, though three are abuse-related, worth asking about directly. Inspections are current as of December 2025, and the nonprofit corporation behind it has no profit motive pushing census.

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.

Nurse hours

6.58 /day

Staff turnover

61%

Serious cites

0

Madison Valley Manor runs on county money, and the staffing shows it: 6.58 nurse hours per resident day against a national average of 3.86. Weekend coverage dips only about 4% below weekdays, so families visiting on Saturdays shouldn't find a skeleton crew. The trade-off sits in turnover, 61.3% of staff leaving annually, well above the 45.8% national figure, which means new faces at the bedside more often than you'd like. The inspection record is clean where it counts: 14 deficiencies, none at harm or jeopardy level, one abuse-related. A 5/5 health inspection rating and a May 2026 survey round out a home that's well staffed and well reviewed, but not without churn.

Nurse hours

6.26 /day

Staff turnover

46%

Serious cites

0

Rosebud Health Care Center in Forsyth runs on unusually heavy staffing for a 31-bed nonprofit home, 6.26 nurse hours per resident day, roughly 60 percent above the national average, which is the main reason its staffing rating holds at the top of the scale. Turnover sits right at the national mark, so the hours are being delivered by a workforce that's about as stable as the typical American nursing home, though weekend coverage dips about 12 percent below its own weekday level. The inspection record is strong and recent, with zero deficiencies at the harm or jeopardy level, but the eight total deficiencies include one abuse-related citation, which is the kind of finding worth asking about directly.

Nurse hours

4.80 /day

Staff turnover

35%

Serious cites

0

Faith Lutheran Home runs a lean ship on the floor and a messier one on paper. Nurse staffing sits at 4.79 hours per resident day, about a quarter above the national average, and its 34.9% turnover beats the 45.8% typical elsewhere, but weekends drop roughly 17% below its own weekday coverage, so the care you'd see on a Tuesday isn't what a Saturday looks like. The record is where it gets uncomfortable: 26 deficiencies, including one at harm level and one abuse-related, plus a $22,825 fine and a recent April 2025 inspection that left the health and quality ratings at 2 out of 5.

Nurse hours

5.25 /day

Staff turnover

n/a

Serious cites

0

Community Nursing Home of Anaconda runs on 5.25 nurse hours per resident day, well above the national average of 3.86, that extra margin shows up on weekends too, when staffing dips only about 9% from weekday levels, a smaller drop than many homes manage. The tradeoff sits in the inspection record: 26 deficiencies on file, including one abuse-related citation, though none reached the harm or jeopardy level. Ownership is nonprofit, and the last full inspection came in December 2025, so the picture is recent. Nothing here suggests danger, but the gap between strong daily staffing and a longer-than-ideal deficiency list is the real story.

Nurse hours

6.95 /day

Staff turnover

54%

Serious cites

0

The state-run home in Lewistown runs nurse staffing at 6.95 hours per resident per day, roughly 80% above the national average of 3.86, and it holds up on weekends, dipping only about 7% below its own weekday level. That staffing depth is the main reason it lands at a B. The caution side: its current record carries 37 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, and its last inspection in October 2024 produced a 2-out-of-5 health inspection rating. A single fine of $7,163 is on file. High staffing, real quality concerns.

Nurse hours

4.31 /day

Staff turnover

48%

Serious cites

0

Northern Montana Care Center runs a tight ship on staffing: 4.31 nurse hours per resident day, roughly 12 percent above the national average, which is the main reason it earns top marks there. Weekend coverage dips about 11 percent below its own weekday level, worth asking about, and staff turnover sits at 47.5 percent, slightly above the national 45.8 percent, so continuity may be a real issue. The inspection record is strong: five stars, last survey in June 2025, and eight deficiencies with none at harm or jeopardy level. One is abuse-related, which you should ask about directly. Quality measure scores come in at two stars, so clinical outcomes don't match the staffing picture.

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.

Nurse hours

3.95 /day

Staff turnover

51%

Serious cites

0

Sweet Memorial in Chinook runs a nonprofit shop with 42 beds, and the staffing numbers are genuinely decent: 3.95 nurse hours per resident day, a bit above the national average. But weekends drop roughly 14% below the home's own weekday coverage, and turnover sits at 51.1% against a national 45.8%, that's a lot of churn for a small rural building. The inspection record is where it gets uncomfortable: 44 deficiencies, one serious enough to reach harm or jeopardy, and nine tied to abuse. A $43,450 fine and a recent January 2026 inspection round out the picture. Quality scores look strong on paper, but the compliance history tells a different story.

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.