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Elkhorn Healthcare and Rehabilitation

All states › Montana › Clancy › Elkhorn Healthcare and Rehabilitation

474 Hwy 282 Clancy, MT 59634 · Jefferson County

(406) 933-8311

Accepts Medicare Accepts Medicaid 70 certified beds For profit

CMS certification number 275056 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Elkhorn Healthcare and Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Elkhorn Healthcare and Rehabilitation as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Montana average of 3.0. Inspectors issued 26 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 4 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 2.81 hours per resident per day at Elkhorn Healthcare and Rehabilitation, below the Montana median of 3.77 (US median: 3.72). About 0.55 of those hours are from registered nurses. On weekends it falls to 2.31 hours, 18% below its all-week average. Ask how weekends are staffed. 44.7% of nursing staff left within a year (Montana median 55.5%). That is lower than most homes in Montana, a sign of a steadier team.

Nursing care per resident per day 2.81 hours
Below the Montana median of 3.77 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.55 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.31 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 44.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 12.5% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds70
Residents per day 64 About 91% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMay 1977
Part of a chainEduro Healthcare
Legal business nameCLANCY NURSING AND REHAB CENTER LLC

Paying for care at Elkhorn Healthcare and Rehabilitation: Medicare and Medicaid

Elkhorn Healthcare and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Montana's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on February 10, 2026 and found 16 deficiencies. In total, inspectors issued 26 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 26 citations at Elkhorn Healthcare and Rehabilitation across 3 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 26 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (7) and nutrition and dietary (5). The most serious was cited under the CMS rule to "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" (tag F0761, level F, February 10, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.

February 10, 2026 · 16 citations

FEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Mar 10, 2026)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Mar 10, 2026)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0865 · Deficient, Provider has date of correction (Mar 10, 2026)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 10, 2026)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Mar 10, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0678 · Deficient, Provider has date of correction (Mar 10, 2026)

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Mar 10, 2026)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Mar 10, 2026)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Mar 10, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Mar 10, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0685 · Deficient, Provider has date of correction (Mar 10, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Mar 10, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Mar 10, 2026)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Mar 10, 2026)

DEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0808 · Deficient, Provider has date of correction (Mar 10, 2026)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 10, 2026)

December 19, 2024 · 5 citations · includes complaint inspection

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 10, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 10, 2025)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jan 10, 2025)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jan 10, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jan 10, 2025)

December 19, 2023 · 5 citations

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0678 · Deficient, Provider has date of correction (Jan 10, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 10, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jan 10, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jan 10, 2024)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Jan 10, 2024)

Questions to ask on a tour of Elkhorn Healthcare and Rehabilitation

  1. CMS cited the home under its abuse and neglect rules on February 10, 2026. How are staff trained, and how are concerns reported?
  2. Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
  3. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 4/5 3/5
August 2026 2/5 2/5 4/5 3/5
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Location

Hospitals near Elkhorn Healthcare and Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Mount Ascension Transitional Care of Cascadia Helena · 8.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 108 beds · Medicaid
Cooney Healthcare and Rehabilitation Helena · 9.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 90 beds · Medicaid
Ivy at Deer Lodge Deer Lodge · 35.5 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 60 beds · Medicaid
Copper Ridge Health and Rehabilitation Center Butte · 40.2 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 186 beds · Medicaid
Continental Care and Rehabilitation Butte · 40.3 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 100 beds · Medicaid

More nursing homes near Elkhorn Healthcare and Rehabilitation ›   All nursing homes in Clancy ›

Compare Elkhorn Healthcare and Rehabilitation with the 3 closest homes side by side ›

Other Eduro Healthcare nursing homes in Montana

Affiliation comes from CMS's affiliated-entity data, October 2026. All 34 Eduro Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/montana/clancy/elkhorn-healthcare-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.