All states › Montana › Clancy › Elkhorn Healthcare and Rehabilitation
474 Hwy 282 Clancy, MT 59634 · Jefferson County
CMS certification number 275056 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FHave a plan that describes the process for conducting QAPI and QAA activities.
FProvide and implement an infection prevention and control program.
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.
EProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
EEnsure medication error rates are not 5 percent or greater.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DAssist a resident in gaining access to vision and hearing services.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide or obtain dental services for each resident.
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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
EProvide and implement an infection prevention and control program.
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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Questions to ask on a tour of Elkhorn Healthcare and Rehabilitation
- CMS cited the home under its abuse and neglect rules on February 10, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
- 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?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
- 8.9 mi
-
9.0 mi
St Peter's Hospital HelenaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 59m for patients treated and sent home
- 12.8 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Eduro Healthcare nursing homes in Montana
- Southwest Montana Veterans Home · Butte · 5 stars
- Copper Ridge Health and Rehabilitation Center · Butte · 4 stars
- Eastern Montana Veterans Home · Glendive · 3 stars
- Yellowstone River Nursing and Rehabilitation · Billings · 1 stars
- Skyline Heights Nursing and Rehabilitation · Billings · 1 stars
- Cooney Healthcare and Rehabilitation · Helena · 1 stars
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.