19 Non-Profit Nursing Homes That Accept Medicaid in Montana
19 of the 61 Medicare-certified nursing homes in Montana (31%) are non-profit Medicaid-certified, and all are listed below. 6 of the 19 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 47.7%, 7.1 points lower than the 54.8% across all homes there. St John's Lutheran Home in Billings grades highest at A (93 out of 100).
How non-profit Medicaid-certified homes in Montana compare
This group set against every nursing home in Montana, from the current CMS release.
Nursing hours per resident per day
4.44
All homes in Montana: 4.05
Better than the local average
Nurse staff turnover
47.7%
All homes in Montana: 54.8%
Better than the local average
Average ElderGrade score
78.3/100
All homes in Montana: 72.4/100
Better than the local average
Grade spread
A
B
C
6 grade A, 9 grade B, 4 grade C,
The best-graded non-profit Medicaid-certified home in Montana is
St John's Lutheran Home
in Billings, MT, grade A, 93/100.
Every non-profit Medicaid-certified nursing home in Montana
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.
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.
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.
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.
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.
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.
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.
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.
Holy Rosary Hospital sits right at the national average for nurse staffing, 3.87 hours per resident day against 3.86 nationally, so it's not shortchanging direct care, but it isn't going above it either. Weekends get thinner, though, running roughly 17% below what the home staffs on weekdays, which is where gaps tend to show up. Twenty-two deficiencies on the current record is a lot of paperwork, and three of them are abuse-related, which families should ask about directly even though none rose to the harm or jeopardy level. Inspections were last done in April 2026, so the picture is current.
Clark Fork Valley Nursing Home runs 28 beds in Plains under nonprofit ownership, and its 3.81 nurse staffing hours per resident day sit just under the national average of 3.86. Weekends are the bigger concern, staffing drops about 15% below the home's own weekday levels, and annual turnover of 48.3% runs above the national 45.8%. Inspections look decent on the surface: a 4/5 health inspection star rating and a recent survey dated April 2026. But the current record carries 19 deficiencies, including one at the harm or jeopardy level and four tied to abuse. One fine totaling $62,871 is on file.
Benefis Senior Services - Grandview runs 4.30 nurse hours per resident day, about 11% above the national average, and weekends dip only slightly below its weekday numbers, that consistency matters more than the headline figure. The health inspection side is solid at 4 of 5 stars with a recent May 2025 survey, and none of the 21 deficiencies on record rose to harm or jeopardy. One abuse-related citation is worth asking about directly. Quality measures sit at 3 of 5, the weakest of the three federal ratings, so readmission or antipsychotic figures may be where this home gives ground. As a nonprofit with 48 beds, it's small enough that staffing shifts show up fast.
Glendive Medical Center N H runs about 4.60 nurse hours per resident day, roughly 19% above the national average, and that shows in its four-star staffing rating. But the total hides a split: weekends run about a fifth thinner than weekdays, and staff turnover sits at 61.1% against a national 45.8%, so the people providing that care change often. The inspection record carries 14 deficiencies, one at the harm level and one abuse-related, plus a $20,027 fine, with the most recent inspection in September 2025. Nonprofit ownership and a strong weekday floor are real strengths here; the thin weekend coverage and steady churn are the parts worth asking about directly.
Logan Health - Conrad runs 59 certified beds as a nonprofit corporation, and its staffing sits right at the national average, 3.84 nurse hours per resident day against 3.86 nationwide. The bigger issue is consistency: weekend coverage drops about 17% below the home's own weekday level, so care thins out exactly when families tend to visit. Annual turnover hits 50%, above the 45.8% national figure. Its inspection history shows 34 deficiencies on record, including one at the harm level and two tied to abuse, plus two fines totaling $27,013. The most recent inspection was May 2026. Those numbers, not the star ratings, are what pull the grade down.
Sidney Health Center Extended Care has the staff, but not the track record. At 4.26 nurse hours per resident day, it runs about 10% above the national average, and its staffing star reflects that, though weekend coverage dips roughly 8% below its own weekday level, and 55% annual turnover means many of those hours belong to people who won't be there next year.
The inspection side is where it falls apart: 22 deficiencies on the current record, including 2 at harm or jeopardy level and 4 tied to abuse, plus a $60,401 fine and a December 2025 inspection that produced a one-star health rating and a matching one-star quality score.
Brendan House runs a nonprofit home with 110 certified beds in Kalispell, and its staffing is the strongest thing it has going: 4.60 nurse hours per resident day, roughly 19% above the national average of 3.86. That cushion thins on weekends, which run about 9% below the home's own weekday level, and turnover sits at 56.1% against a national 45.8%, meaning many of the people providing that care are still new. The current record carries 31 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus two fines totaling $92,755. The most recent inspection was July 17, 2025.
Benefis Senior Services - Westview runs 34 certified beds in Great Falls, and the numbers there are worth a close look before you decide anything. Nurse staffing sits at 3.24 hours per resident per day, roughly 16% under the national average of 3.86, and weekend coverage barely dips below its own weekday level, so the shortfall is steady rather than occasional. The inspection record shows 18 deficiencies, two of them serious enough to involve harm or jeopardy and two tied to abuse, with one fine of $13,865 and a survey completed in May 2025. It's a nonprofit operation, which doesn't change what the staffing and survey figures show.
Benefis Senior Services - Eastview runs a nonprofit operation with 64 certified beds in Great Falls, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average, which is the strongest number here. But weekends run about 9% thinner than weekdays, and annual turnover hits 53.4%, well past the national 45.8%, so that staffing edge depends on a workforce that keeps changing. The inspection record is the real drag: 40 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus two fines totaling $99,129, with the most recent inspection in June 2025. High direct-care hours and a troubled enforcement history can both be true at once.
If you're weighing Sheridan Memorial for a family member, the staffing number is the first thing to understand: 6.10 nurse hours per resident per day, roughly 58% above the national average of 3.86. That's a real difference in daily attention. Weekends dip about 13% below the home's own weekday level, so coverage isn't perfectly even.
The rest of the record is harder to read. Two of the 22 deficiencies on file are at the harm or jeopardy level, five are abuse-related, and one fine totaling $10,358 has been assessed. The last inspection was July 2025, so the picture is current. Staff turnover sits at 60% against a national 45.8%, which matters because consistent caregivers know residents' routines. Strong hours, unsettled oversight.
Wibaux County Nursing Home runs about 2.79 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 20% beneath its own weekday coverage. That thin staffing shows up in the federal ratings: one star each for staffing and health inspections. The inspection record carries 30 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus one fine of $16,985, with the most recent inspection dated April 9, 2026. Turnover sits at 35%, better than the national 45.8%, so the people who stay tend to stay. With 40 certified beds under nonprofit ownership, this is a small rural home where the staffing math and inspection history are the main things to weigh.
Frequently asked questions
How many non-profit Medicaid-certified nursing homes are there in Montana?
There are 19 non-profit Medicaid-certified Medicare-certified nursing homes in Montana, 31% of the 61 nursing homes there.
Are non-profit Medicaid-certified nursing homes better staffed?
In Montana they average 4.44 total nursing hours per resident per day, against 4.05 for all nursing homes in Montana, a difference of +0.39 hours. Staff turnover averages 47.7% against 54.8%.
Which non-profit Medicaid-certified nursing home grades best in Montana?