Every Medicare-certified nursing home in Montana, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
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.
Blackfeet Care Center is a 47-bed for-profit home in Browning, and the numbers split in an unusual way. Residents' clinical outcomes look decent, four out of five stars on quality measures, but that's happening with one of the thinnest staffing levels CMS records, a single star. Inspections back that up: 32 deficiencies on the current record, including 2 at the harm or jeopardy level and 6 tied to abuse, with $87,690 in fines across two penalties. The last inspection was in March 2026. Fewer hands on deck tends to show up exactly where it did here.
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.
Tobacco Root Mountains Care Center is county-owned and runs on unusually heavy staffing, 7.05 nurse hours per resident day, roughly double the national average. That's the strongest thing in its file. The problems sit elsewhere. Inspectors logged 11 deficiencies, two of them at harm or jeopardy level, and four tied to abuse; the most recent inspection was May 21, 2026. Staff turnover runs 72.7% a year against a national 45.8%, meaning most of the people delivering those generous hours are new. Weekend coverage also dips about 10% below weekday levels. High staffing with high churn and abuse findings is a mixed picture, the hours are there, but consistency and safety aren't fully keeping pace.
Laurel Health & Rehabilitation Center runs on 3.24 nurse hours per resident day, about 16% under the national average, and weekend coverage drops roughly 15% below its own weekday level. Staff turnover sits at 67.6% against a national 45.8%, which means the people caring for residents are, more often than not, recent hires or on their way out. The inspection record backs that up: 41 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, with a fine of $7,163. Quality measures score well, but that's a narrow slice of the picture.
River Ridge runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday coverage. That matters when you're deciding whether a Saturday shift has enough hands. The inspection record is what stands out most: 63 deficiencies, three at harm or jeopardy level, four tied to abuse, and $80,893 in fines across four penalties. Half the staff turned over in a year, which sits above the 45.8% national figure. A January 2026 inspection is recent, so the picture is current. For-profit LLC ownership, 129 beds, two stars on health inspections.
Nurse staffing at Billings Rehabilitation and Nursing runs about 3.34 hours per resident day, roughly 13 percent under the national average, and weekends drop another 15 percent below what the home itself provides on weekdays. Staff turnover sits at 72.5 percent against a national figure near 46 percent, which means a large share of the people caring for residents are new to the building. The inspection record shows 52 deficiencies, including 2 at the harm or jeopardy level and 11 tied to abuse, with $62,797 in fines and a survey completed in February 2026. A for-profit limited liability company operates the 100-bed home.
If you're considering Gallatin Rest Home, the inspections are the strong part, a recent visit in June 2025 and a four-star health inspection rating. But the staffing picture is thin: one star, well below average, and 62.7% of staff left last year against a national average around 46%. The current record shows 15 deficiencies, including two at the harm level and three tied to abuse, plus a $55,413 fine. Quality measures sit at two stars. County ownership can mean stability, but it doesn't fix turnover. Ask about direct-care hours per resident and how they're holding staffing together before you decide.
Pioneer Care and Rehabilitation in Dillon is a for-profit limited liability company with 87 certified beds, and the numbers behind its record deserve a close look. The home has 53 deficiencies on file, including five at the harm or jeopardy level and four tied to abuse, along with six fines totaling $140,630. Its health inspection rating sits at 1 out of 5, and last May's inspection is recent. Nurse staffing runs 3.69 hours per resident day, about 4% under the national average, with weekends roughly 13% below its own weekday level. Annual staff turnover is 85.3% against a national average of 45.8%, a rate that makes consistent care hard to sustain.
Livingston Health & Rehabilitation Center runs 115 certified beds under corporate ownership, and the staffing numbers are where I'd start. At 3.38 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 3% below its own weekday levels. Turnover is the bigger red flag: 69.6% annually against a national average of 45.8% means more than two-thirds of the nursing staff leaves every year. The inspection record shows 37 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse. A single fine of $17,404 is on file, and the most recent inspection was June 2025.
Kalispell Rehabilitation and Nursing is a for-profit LLC with 140 beds, and its record is one a family should look at closely. The staffing numbers cut both ways: turnover at 38.7% is actually better than the 45.8% national average, but total nurse hours sit at 3.28 per resident day, roughly 15% under the national figure, and weekends run about 10% thinner than weekdays. The inspection history is the harder problem, 82 deficiencies, 10 of them at harm or jeopardy level, nine abuse-related, three fines totaling $114,755, and a spot in CMS's Special Focus Facility program, which is reserved for homes with a pattern of serious, repeated problems. The most recent inspection was March 2026.
If you're considering Mount Ascension Transitional Care of Cascadia for someone you love, the federal record is worth sitting with. The Helena home is owned by a for-profit corporation and carries 59 deficiencies, three of them serious enough to put residents in immediate harm, nine tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes, and inspectors were last on site in February 2026. Nurse staffing sits about 13 percent under the national average, weekends run thinner than weekdays, and more than half the nursing staff turned over in a year. Three fines total $94,212.
If you're weighing Whitefish Care and Rehabilitation for someone you love, the staffing numbers are where to start. Nurses give about 3.34 hours of care per resident per day, roughly 13 percent under the national average, and weekends run about 15 percent thinner than weekdays. Annual turnover hits 82.1 percent, nearly double the national rate, so the people providing that care keep changing. The record shows 77 deficiencies, six serious enough to involve harm or jeopardy and six tied to abuse, plus four fines totaling $371,717. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Aspen Meadows runs 90 certified beds in Billings under corporate ownership, and the staffing numbers tell a big part of the story: 3.63 nurse hours per resident day, about 6% under the national average, with weekends running roughly 11% lighter than weekdays. That thin coverage lines up with a 76.2% annual turnover rate, well over the national 45.8%, so the people caring for residents are changing constantly. The inspection record shows 36 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus $115,183 in fines. The most recent inspection was March 26, 2026, and quality measures sit at 1 out of 5 stars.
Beartooth Rehabilitation and Nursing in Columbus is on CMS's Special Focus Facility list, which is reserved for homes with a persistent record of serious problems. The inspection history backs that up: 43 deficiencies on the current record, four of them at the harm or jeopardy level and six tied to abuse, with two fines totaling $50,592. Staffing is a mixed picture, a 4-star rating overall, but 2.95 nurse hours per resident day sits about 24% under the national average, and weekends run roughly 9% thinner than weekdays, which matters when something goes wrong on a Sunday. The most recent inspection was February 10, 2026, so the record is current, not stale.
Yellowstone River runs on 3.15 nurse hours per resident per day, about 18% below the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays. That matters because turnover sits at 71.8% against a national average of 45.8%, most of the people caring for residents are new, and the ones on duty Saturday and Sunday are stretched thinnest. The current record carries 58 deficiencies, six serious enough to endanger residents, four tied to abuse, plus $99,463 in fines. The last inspection was August 2025. For-profit, individually owned, 160 beds. Ask about weekend coverage and how long aides have actually worked there.
Cooney Healthcare and Rehabilitation runs 90 certified beds in Helena under for-profit LLC ownership, and the numbers behind its record are hard to read charitably. Nurse staffing sits at 2.63 hours per resident day, roughly a third below the national average, and weekends drop about 15% below what the home itself manages on weekdays. Annual turnover of 77.6% means most of the people caring for residents are relatively new, against a national rate near 46%. The current inspection record carries 76 deficiencies, 11 of them serious enough to involve harm or jeopardy and 10 tied to abuse, with five fines totaling $247,212. CMS has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes.
Skyline Heights is a for-profit home in Billings with 150 beds, and the numbers behind its record are hard to argue with. Nurse staffing sits at 3.26 hours per resident day, about 16 percent under the national average, and weekends run roughly 11 percent thinner than weekdays. Staff turnover is 74.7 percent against a national average of 45.8 percent, most of the people caring for your relative likely won't be there in a year. The current inspection record carries 63 deficiencies, seven at the harm or jeopardy level and five tied to abuse, plus six fines totaling $418,996. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.