PlainNursing
CMS Nursing Home Compare · August 2026

Elkhorn Healthcare and Rehabilitation

474 Hwy 282, Clancy, MT 59634

Elkhorn Healthcare and Rehabilitation, a 70-bed for profit - corporation nursing facility in Clancy, MT, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #36 of 59 rated homes in MT on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 4069338311

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2 / 5
Below average · CMS overall · nat'l 3.0
#36 of 59
In-state rank among rated MT homes
2.73
Well below average · nurse hrs/day · nat'l 3.86
26
Inspection findings

The verdict

Elkhorn Healthcare and Rehabilitation, a 70-bed for profit - corporation nursing facility in Clancy, MT, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #36 of 59 rated homes in MT on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

2 / 5
CMS overall · national 3.0
#36 of 59
In-state rank among rated MT homes
2.73
Nurse hrs/resident-day · national 3.86
26
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 61 MT nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
275056
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
70
Residents
65
In Hospital
No
County
Jefferson
Last Inspection
Feb 10, 2026

Staffing Data

How the 2.73 total nursing hours per resident-day are staffed:

RN Hours
0.49 (nat'l avg: 0.69)
LPN Hours
0.42
CNA Hours
1.81
Total Nursing Hours
2.73 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
41.3%
RN Turnover
16.7%

What the CMS Record Reveals About Elkhorn Healthcare and Rehabilitation

According to CMS Nursing Home Compare, Elkhorn Healthcare and Rehabilitation ranks #36 of 59 rated nursing homes in MT on overall stars (tie-broken by health+staffing+quality, then fewer fines). Elkhorn Healthcare and Rehabilitation operates 70 certified beds in Clancy, MT with approximately 65 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 3★).

The inspection file contains 26 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Staffing is reported at 2.73 total nursing hours per resident day (national average 3.86), with RN coverage at 0.49 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Elkhorn Healthcare and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 41.3% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (26 most recent)

D - Isolated - Minimal harm Feb 10, 2026 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Feb 10, 2026 Tag: 0808

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Feb 10, 2026 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Feb 10, 2026 Tag: 0697

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Feb 10, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Feb 10, 2026 Tag: 0685

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Feb 10, 2026 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Feb 10, 2026 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Feb 10, 2026 Tag: 0605

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 10, 2026

E - Pattern - Minimal harm Feb 10, 2026 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Mar 10, 2026

E - Pattern - Minimal harm Feb 10, 2026 Tag: 0678

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2026

E - Pattern - Minimal harm Feb 10, 2026 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Mar 10, 2026

F - Widespread - Minimal harm Feb 10, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 10, 2026

F - Widespread - Minimal harm Feb 10, 2026 Tag: 0865

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

Category: Administration Deficiencies

Corrected: Mar 10, 2026

F - Widespread - Minimal harm Feb 10, 2026 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 10, 2026

F - Widespread - Minimal harm Feb 10, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Dec 19, 2024 Tag: 0655

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 10, 2025

D - Isolated - Minimal harm Dec 19, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 10, 2025

D - Isolated - Minimal harm Dec 19, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jan 10, 2025

E - Pattern - Minimal harm Dec 19, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 10, 2025

E - Pattern - Minimal harm Dec 19, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 10, 2025

D - Isolated - Minimal harm Dec 19, 2023 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Jan 10, 2024

D - Isolated - Minimal harm Dec 19, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 10, 2024

D - Isolated - Minimal harm Dec 19, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 10, 2024

E - Pattern - Minimal harm Dec 19, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 10, 2024

E - Pattern - Minimal harm Dec 19, 2023 Tag: 0678

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 15.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 27.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 47.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 12.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.2% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 88.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 62.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 48.3% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Elkhorn Healthcare and Rehabilitation, both outside MT so the neighborhoods are not the same-state geography list below.

What the CMS records show for Elkhorn Healthcare and Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MT registry aggregates state averages and the highest-rated homes in this cohort. View MT registry
  • Peer homes near 70 beds show how CMS stars vary at a similar scale in MT. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Elkhorn Healthcare and Rehabilitation?
Elkhorn Healthcare and Rehabilitation has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (3★).
Where does Elkhorn Healthcare and Rehabilitation rank among nursing homes in MT?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Elkhorn Healthcare and Rehabilitation ranks 36th among 59 rated nursing homes in MT (#36 of 59). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Elkhorn Healthcare and Rehabilitation?
Elkhorn Healthcare and Rehabilitation reports 2.73 total nursing hours per resident day (national average: 3.86). RN hours are 0.49 per resident day (national average: 0.69). Nursing staff turnover is 41.3%.
How many beds does Elkhorn Healthcare and Rehabilitation have?
Elkhorn Healthcare and Rehabilitation has 70 certified beds with approximately 65 residents. The facility is located at 474 Hwy 282, Clancy, MT 59634.
Does Elkhorn Healthcare and Rehabilitation have any deficiencies on record?
Yes, Elkhorn Healthcare and Rehabilitation has 26 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Elkhorn Healthcare and Rehabilitation received any fines or penalties?
No, Elkhorn Healthcare and Rehabilitation has no fines or penalties on record.
Who owns Elkhorn Healthcare and Rehabilitation?
Elkhorn Healthcare and Rehabilitation is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Elkhorn Healthcare and Rehabilitation last inspected?
The most recent health inspection for Elkhorn Healthcare and Rehabilitation was on Feb 10, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Elkhorn Healthcare and Rehabilitation?
Elkhorn Healthcare and Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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