How many deficiencies did Elkhorn Healthcare and Rehabilitation get at its last inspection?

16 health deficiencies at the standard inspection on February 10, 2026. The Montana average is 11.2.

Has Elkhorn Healthcare and Rehabilitation been fined?

CMS lists no fines in the last three years.

Does Elkhorn Healthcare and Rehabilitation accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Elkhorn Healthcare and Rehabilitation?

CMS lists 39 owners and managers, and links the home to Eduro Healthcare. Legal business name: CLANCY NURSING AND REHAB CENTER LLC.

Elkhorn Healthcare and Rehabilitation: Inspections & Ratings

The record in brief

At its most recent standard inspection, on February 10, 2026, inspectors cited 16 health deficiencies (the Montana average is 11.2, the national average 9.2).

None of its 26 health citations since December 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 2.73 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

41.3% of nursing staff left within the year CMS measured (Montana average 54.8%).

CMS links it to Eduro Healthcare, an affiliated group of 34 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

512/23

512/24

1602/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 26 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

15D

Potential for minimal harm

February 10, 2026Standard inspection · 16 citations

F

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on observations, interviews, and record review, the facility failed to remove expired items for disposal for one medication room, one central supply room, storage closet, and three medication carts; keeping items off the floor in one medication room, one supply room and a storage closet; store supplies in a clean environment, free from debris falling on supplies for one central supply room; and failed to ensure a schedule II controlled substance, morphine, was locked up from other residents and staff preventing the risk of tampering for 1 (#59) of 27 sampled residents. These failures increased the risk of expired items being used, when stored unsafely, for resident care, if taken from the identified medication rooms and carts. This deficient practice also placed wandering residents at risk of narcotic ingestion, potential diversion, and decreased pain management for resident #59.
F

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on observation and interview, the facility failed to ensure the food temperature was served at a palatable temperature for 5 (#s 20, 24, 36, 58 and 59) of 27 sampled residents. This deficient practice resulted in residents reporting disliking the food and resulted in residents eating less.
F

Have a plan that describes the process for conducting QAPI and QAA activities.

F865 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on interview and record review, the facility leadership failed to maintain a QAPI system to identify quality of care and quality of life deficient practices, and show how deficiencies were identified, tracked, corrected, and monitored. The facility was cited with 17 deficiencies during the survey. These failures had the potential to affect all the residents of the facility due to needed corrections not being identified and addressed by the facility.
F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff followed hand hygiene practices for glove changes during a dressing change and failed to ensure a clean barrier was put down to keep the supplies clean for 1 (#49) of 27 sampled residents.
E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a comfortable environment or temperature in the dining room and hallways of the facility for 1 (#49); and the resident was often cold and uncomfortable; and the facility failed to provide a homelike environment for 1 (#59) of 27 sampled residents, and resident #59 was frustrated with the layout of the room and the clutter.
E

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

F678 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on interview and record review, the facility failed to ensure facility staff received hands on BLS certification. This deficient practice placed residents at risk of failed CPR for full code residents and respiratory distress treatment during an emergency, if necessary.
E

Ensure medication error rates are not 5 percent or greater.

F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain a medication error rate of five percent or less for 2 (#s 19 and 43) of 4 residents observed. The total number of medications observed was 28, with three errors noted for a total medication error rate of 10.71 percent.
D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on interview and record review, the facility failed to ensure residents who use psychotropic drugs receive gradual dose reductions, and behavioral interventions in an effort to discontinue these drugs; and maintain documentation of gradual dose reduction failures for 2 (#s 8 and 43) of 27 sampled residents.
D

PASARR screening for Mental disorders or Intellectual Disabilities

F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on interview and record review, the facility failed to ensure current PASRRs were completed for 3 (#s 13, 14, and 64) of 27 sampled residents.
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident was provided dignity by assisting the resident to change clothes and comb his hair, and the resident was not shaved and had body odor, for 1 (#18); and failed to provide basic ADL cares of a warm washcloth offered in the morning or provide the preferred number of showers, and the resident felt the staff did not prioritize her care or check on her enough so she would go without services, for 1 (#59) of 27 sampled residents.
D

Assist a resident in gaining access to vision and hearing services.

F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a resident received the level of assistance needed related to a hearing loss and communication deficits, for 1 (#70) of 27 sampled residents. The resident's care plan did not include interventions staff could use to alleviate or assist with the resident's communication frustrations or deficits. This deficient practice created frustration for resident #70 while trying to communicate with others.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure interventions were implemented based on the care plan and person-centered to prevent on-going falls for 1 (#15); and offer assistance with ambulation to the toilet for 1 (#49) of 27 sampled residents. This deficient practice resulted in resident #15 having eight falls in six months and placed resident #49 at risk of additional falls.
D

Provide safe, appropriate pain management for a resident who requires such services.

F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on interview and record review, the facility failed to consistently provide pain relief by repositioning for 1 (#59) of 27 sampled residents. This deficient practice resulted in resident #59 reporting moderate pain when repositioning was not provided.
D

Provide or obtain dental services for each resident.

F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on observations, interviews, and record review, the facility failed to offer dental services for 1 (#11) of 27 sampled residents. This deficient practice resulted in resident #11 feeling he could not chew his food and having coughing episodes while eating.
D

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on interview, observation, and record review, the facility failed to identify a swallowing issue, hear the resident's concerns, notify the speech language pathologist, and properly address swallowing concerns for 1 (#11) of 27 sampled residents. This deficient practice has the potential to result in weight loss or choking if not identified and addressed timely.
D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was properly monitored, marked, and thrown away in a reasonable amount of time to prevent the growth of bacteria.

December 19, 2024Standard inspection, Complaint inspection · 5 citations

E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 10, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to clean and sanitize an ice machine in accordance with manufacturer recommendations. This ice machine was used for providing ice to the dietary department and all residents who used ice.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 10, 2025

Inspectors wroteBased on observation, interview, and record review, staff member G failed to perform hand hygiene before administering medications to a resident, for 1 (#45) of 24 sampled residents, which increased the risk of passing infectious agents to other residents or staff.
D

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an environment that was clean, and well maintained, for 4 (#s 24, 27, 37, and 59) of 24 sampled residents.
D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2025

Inspectors wroteBased on interview and record review, the facility failed to report the findings of an investigation for an alleged resident-to-resident abuse incident for resident # 8 and #18, within five working days of the incident.
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2025

Inspectors wroteBased on interview and record review, the facility failed to provide a baseline care plan to a vulnerable resident or their representative, for 2 (#s 22 and 64) of 24 sampled residents.

December 19, 2023Standard inspection · 5 citations

E

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

F678 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 10, 2024

Inspectors wroteBased on interview and record review, the facility failed to ensure the Provider Order for Life-Sustaining Treatment (POLST) was completed to include the signature, date, and time, the provider signed the order, for 5 (#s 36, 48, 59, 119 and 121) of 27 sampled residents.
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 10, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper food storage in the nourishment closet refrigerator and freezer and the dry food storage area of the kitchen. This deficient practice potentially affects all residents who have received services from the kitchen and nourishment closet.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement a comprehensive care plan to include focus, goals, and interventions addressing seizure disorder for 1 (#26) of 27 sampled residents.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to revise care plans to reflect a resident's current care needs for 1 (#39) of 27 sampled residents.
D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2024

Inspectors wroteBased on observation, interview, and record review the facility failed to maintain a comfortable and sanitary environment for residents. This deficient practice had the potential to adversely affect the well-being and safety of all residents using the sink in the main entry and being served food and drinks by the kitchen or nourishment closet.

Fire safety inspections

28 fire safety citations on file: 7 on February 10, 2026, 12 on December 19, 2024, 9 on December 19, 2023.

Every fire safety citation28 citations

F
Establish emergency prep training and testing.

E 36 · February 10, 2026 · Corrected (the home has a date of correction)
F
Establish staff and initial training requirements.

E 37 · February 10, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 10, 2026 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · February 10, 2026 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · February 10, 2026 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · February 10, 2026 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · February 10, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · December 19, 2024 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · December 19, 2024 · Corrected (the home has a date of correction)
F
Have power receptacles that are properly grounded.

K 912 · December 19, 2024 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · December 19, 2024 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · December 19, 2024 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · December 19, 2024 · Corrected (the home has a date of correction)
E
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · December 19, 2024 · Corrected (the home has a date of correction)
E
Have properly located and lighted "Exit" signs.

K 293 · December 19, 2024 · Corrected (the home has a date of correction)
E
Provide properly protected cooking facilities.

K 324 · December 19, 2024 · Corrected (the home has a date of correction)
E
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · December 19, 2024 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · December 19, 2024 · Corrected (the home has a date of correction)
D
Meet requirements for the installation and maintenance of electrical systems.

K 911 · December 19, 2024 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · December 19, 2023 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · December 19, 2023 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · December 19, 2023 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · December 19, 2023 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · December 19, 2023 · Corrected (the home has a date of correction)
E
Have properly located and lighted "Exit" signs.

K 293 · December 19, 2023 · Corrected (the home has a date of correction)
D
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · December 19, 2023 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · December 19, 2023 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · December 19, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Montana	United States
All nursing staff (RN, LPN and aides)	2.73	4.05	3.86
Registered nurses	0.49	0.98	0.69
All nursing staff on weekends	2.38	3.59	3.42
Nurse aides	1.81
Licensed practical nurses	0.42
Nursing staff turnover (share who left in a year)	41.3%	54.8%	45.8%
Registered nurse turnover	16.7%	48.3%	42.9%
Administrators who left	0

CMS expects 2.77 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.87 on weekdays and 2.38 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.44 in April to June 2025 to 2.73 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	2.73	0.49	2.87	2.38	13.2%	0 of 90	65
Oct to Dec 2025	2.81	0.53	2.99	2.36	4.5%	0 of 92	64
Jul to Sep 2025	2.73	0.52	2.89	2.33	6.1%	0 of 92	65
Apr to Jun 2025	2.44	0.44	2.56	2.14	9.6%	0 of 91	65
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Montana, Jan to Mar 2026	3.91	0.89	4.10	3.46	11.6%	0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Montana

Job	Median	Middle half	Employed
Montana, all employers
CNAs (nursing assistants)	$19.67	$18.29 to $22.86	4,390
LPNs and LVNs	$29.91	$27.95 to $32.14	1,620
Registered nurses	$41.00	$38.56 to $48.46	10,950
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Montana	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	15.4	18.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	2.3	2.1	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.9	2.9	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.0	4.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	3.3	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	27.2	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.7	6.3	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	47.8	20.4	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	13.6	19.2	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	16.4	14.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.4	1.4	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.1	2.2	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Elkhorn Healthcare and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

42.9% this home

No different from the national rate

US median of homes 51.5% · Montana: 7 better, 2 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 50 eligible stays.

Potentially preventable readmissions

9.0% this home

No different from the national rate

US median of homes 10.7% · Montana: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 72 eligible stays.

Infections that led to a hospital stay

7.2% this home

No different from the national rate

US median of homes 7.1% · Montana: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 38 eligible stays.

Self-care and mobility at discharge

28.9% this home

Median of homes: Montana58.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 38 residents counted.

Falls with major injury

2.1% this home

Median of homes: Montana0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 47 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Montana2.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 47 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Montana97.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 16 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CLANCY NURSING AND REHAB CENTER LLC. CMS links this home to Eduro Healthcare, a group of 34 nursing homes averaging 2.5 stars overall.

Name	Role	Type	Since
Eduro Healthcare LLC	Direct ownership interest	Organization	09/01/2020
Bewsey Enterprises LLC	Indirect ownership interest	Organization	09/01/2020
Bewsey, Michael	Indirect ownership interest	Individual	09/01/2020
Ecapital Healthcare Corp	5% or greater security interest	Organization	09/01/2020
Thompson, Christopher	Managing control - governing body	Individual	09/01/2020
Williams, Heidi	Managing control - governing body	Individual	09/01/2020
Bewsey, Michael	Corporate director	Individual	09/01/2020
Marsh, James	Corporate officer	Individual	09/01/2020
Monroe, Dustin	Corporate officer	Individual	09/01/2020
Thompson, Christopher	Corporate officer	Individual	09/01/2020
Allred Jackson, P.C.	Operational/managerial control	Organization	08/01/2022
Eduro Healthcare LLC	Operational/managerial control	Organization	09/01/2020
Forvis Mazars LLP	Operational/managerial control	Organization	09/01/2020
Wsrp, LLC	Operational/managerial control	Organization	09/01/2020
Butler, Scott	Operational/managerial control	Individual	02/27/2023
Dodge, Jenifer	Operational/managerial control	Individual	09/22/2023
Horn, Jacob	Operational/managerial control	Individual	01/31/2022
Marsh, James	Operational/managerial control	Individual	09/01/2020
McGaha, Brenda	Operational/managerial control	Individual	09/01/2020
Moffitt, Kathleen	Operational/managerial control	Individual	09/01/2020
Thompson, Christopher	Operational/managerial control	Individual	09/01/2020
Allred Jackson, P.C.	Adp of the SNF	Organization	10/08/2025
Caretrust Gp LLC	Adp of the SNF	Organization	09/01/2020
Caretrust Reit Inc	Adp of the SNF	Organization	09/01/2020
Ctr Partnership LP	Adp of the SNF	Organization	10/08/2025
Ecapital Healthcare Corp	Adp of the SNF	Organization	10/08/2025
Eduro Healthcare LLC	Adp of the SNF	Organization	09/01/2020
Forvis Mazars LLP	Adp of the SNF	Organization	09/01/2020
Wsrp, LLC	Adp of the SNF	Organization	10/08/2025
Butler, Scott	Adp of the SNF	Individual	02/27/2023
Dodge, Jenifer	Adp of the SNF	Individual	09/22/2023
Horn, Jacob	Adp of the SNF	Individual	01/31/2022
Kirkpatrick, Karen	Adp of the SNF	Individual	09/18/2023
Marsh, James	Adp of the SNF	Individual	09/01/2020
McGaha, Brenda	Adp of the SNF	Individual	09/01/2020
Moffitt, Kathleen	Adp of the SNF	Individual	09/01/2020
Monroe, Dustin	Adp of the SNF	Individual	09/01/2020
Thompson, Christopher	Adp of the SNF	Individual	09/01/2020
Williams, Heidi	Adp of the SNF	Individual	09/01/2020

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on February 10, 2026: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on February 10, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 10, 2026: "PASARR screening for Mental disorders or Intellectual Disabilities"
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 10, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.38 hours per resident per day, below the Montana average of 3.59.

Other nursing homes nearby

Mount Ascension Transitional Care of Cascadia
Helena, 8.9 mi · 1 of 5 stars · 63 citations
Cooney Healthcare and Rehabilitation
Helena, 9.1 mi · 1 of 5 stars · 76 citations

Montana contacts for a concern about a nursing home

These are the official offices in Montana. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Montana DPHHS, Office of Inspector General, Certification Bureau, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Montana Long-Term Care Ombudsman Program, Senior and Long Term Care Division, (800) 332-2272. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Certification Bureau Survey Results and Plans of Correction, where Montana publishes its own records on licensed homes.

Common questions

What is Elkhorn Healthcare and Rehabilitation's Medicare star rating?: CMS rates Elkhorn Healthcare and Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Elkhorn Healthcare and Rehabilitation get at its last inspection?: 16 health deficiencies at the standard inspection on February 10, 2026. The Montana average is 11.2.
Has Elkhorn Healthcare and Rehabilitation been fined?: CMS lists no fines in the last three years.
Does Elkhorn Healthcare and Rehabilitation accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Elkhorn Healthcare and Rehabilitation?: CMS lists 39 owners and managers, and links the home to Eduro Healthcare. Legal business name: CLANCY NURSING AND REHAB CENTER LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.