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.
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.
Plains, MT · Sanders County
★★★★☆CMS 4/528 bedsNon-profitMedicaid
- Nurse hours
- 3.81 /day
- Staff turnover
- 48%
- Serious cites
- 0
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.
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.
Great Falls, MT · Cascade County
★★★☆☆CMS 3/548 bedsNon-profitMedicaid
- Nurse hours
- 4.30 /day
- Staff turnover
- n/a
- Serious cites
- 0
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, MT · Dawson County
★★★☆☆CMS 3/536 bedsNon-profitMedicaid
- Nurse hours
- 4.60 /day
- Staff turnover
- 61%
- Serious cites
- 0
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.
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.
Conrad, MT · Pondera County
★★★★☆CMS 4/559 bedsNon-profitMedicaid
- Nurse hours
- 3.84 /day
- Staff turnover
- 50%
- Serious cites
- 0
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.
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.
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.
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.
Sidney, MT · Richland County
★☆☆☆☆CMS 1/593 bedsNon-profitMedicaid
- Nurse hours
- 4.26 /day
- Staff turnover
- 55%
- Serious cites
- 0
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.
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.
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.
Kalispell, MT · Flathead County
★★☆☆☆CMS 2/5110 bedsNon-profitMedicaid
- Nurse hours
- 4.60 /day
- Staff turnover
- 56%
- Serious cites
- 0
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.
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.
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.
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.
Glendive, MT · Dawson County
★★★☆☆CMS 3/580 bedsGovernmentMedicaid
- Nurse hours
- 4.29 /day
- Staff turnover
- 80%
- Serious cites
- 0
Eastern Montana Veterans Home in Glendive runs 4.29 nurse hours per resident day, about 11% above the national average, but weekends drop roughly 14% below its own weekday staffing. The bigger concern is turnover: 79.7% annually, well above the 45.8% national figure, which means the people at the bedside keep changing. Its record shows 31 deficiencies, including 6 at the harm or jeopardy level and 6 abuse-related, with three fines totaling $50,805. The last inspection was February 13, 2025, and the state owns the 80-bed home. Strong weekday coverage doesn't cancel out a heavy deficiency history and unstable staffing.
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.