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Home / Nursing Homes / Montana

Best Nursing Homes in Montana, Graded A–F

All 59 graded Medicare-certified nursing homes in Montana, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Montana peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.

CMS data as of Aug 2026 · graded Sep 11, 2026
Grade distribution — Montana
A3
B13
C12
D19
F12
Highest graded
AMadison Valley ManorA
Ennis · Staffing 6.6 nurse hours per resident-da...See grade
59 facilitiesgraded in Montana · 3 earned an A
All Montana Billings (6)Butte (4)Great Falls (4)Kalispell (3)Missoula (3)Glendive (2)Helena (2)Lewistown (2)Anaconda (1)
Highest in Montana 1

Madison Valley Manor - Ennis, MT · 32 beds · government - county CMS Care Compare · data as of Aug 2026

  • Staffing 6.6 nurse hours per resident-day — top 10% in Montana
  • No health deficiencies at the last standard survey — top 10%
  • No fines or payment denials in 3 years
AScore 89 · ExcellentSee Full Grade
4066827271 Ennis, Madison County Medicaid
2

St Luke Community Nursing Home - Ronan, MT · 75 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.4 nurse hours per resident-day — top quarter in Montana
  • 1 health deficiencies at the last standard survey (CMS severity score 0) — top 10%
  • $44,252 in fines in 3 years
AScore 84 · ExcellentSee Full Grade
4066764441 Ronan, Lake County Medicaid
3

The Living Centre - Stevensville, MT · 50 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.5 nurse hours per resident-day — top quarter in Montana
  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
  • $37,525 in fines in 3 years
AScore 80 · ExcellentSee Full Grade
4067775411 Stevensville, Ravalli County Medicaid
4

Southwest Montana Veterans Home - Butte, MT · 60 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.3 nurse hours per resident-day — top quarter in Montana
  • 9 health deficiencies at the last standard survey (CMS severity score 48) — top quarter
  • No fines or payment denials in 3 years
BScore 79 · GoodSee Full Grade
4067923100 Butte, Silver Bow County Medicaid
5

St John's Lutheran Home - Billings, MT · 186 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.4 nurse hours per resident-day — top 10% in Montana
  • 13 health deficiencies at the last standard survey (CMS severity score 80) — below median
  • No fines or payment denials in 3 years
BScore 75 · GoodSee Full Grade
4066555600 Billings, Yellowstone County Medicaid
6

Continental Care And Rehabilitation - Butte, MT · 100 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.0 nurse hours per resident-day — above median in Montana
  • 6 health deficiencies at the last standard survey (CMS severity score 52) — above median
  • No fines or payment denials in 3 years
BScore 73 · GoodSee Full Grade
4067236556 Butte, Silver Bow County Medicaid
7

Immanuel Skilled Care Center - Kalispell, MT · 155 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.4 nurse hours per resident-day — top quarter in Montana
  • 7 health deficiencies at the last standard survey (CMS severity score 48) — top quarter
  • No fines or payment denials in 3 years
BScore 73 · GoodSee Full Grade
4067529622 Kalispell, Flathead County Medicaid
8

Powder River Manor - Broadus, MT · 41 beds · government - county CMS Care Compare · data as of Aug 2026

  • Staffing 5.3 nurse hours per resident-day — above median in Montana
  • 6 health deficiencies at the last standard survey (CMS severity score 28) — above median
  • $48,318 in fines in 3 years
BScore 71 · GoodSee Full Grade
4064362646 Broadus, Powder River County Medicaid
9

Crest Nursing Home - Butte, MT · 103 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — bottom quarter in Montana
  • 5 health deficiencies at the last standard survey (CMS severity score 32) — top 10%
  • No fines or payment denials in 3 years
BScore 70 · GoodSee Full Grade
4064947035 Butte, Silver Bow County Medicaid
10

Northern Montana Care Center - Havre, MT · 135 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.3 nurse hours per resident-day — top quarter in Montana
  • 4 health deficiencies at the last standard survey (CMS severity score 20) — top 10%
  • No fines or payment denials in 3 years
BScore 70 · GoodSee Full Grade
4062621900 Havre, Hill County Medicaid
11

Rosebud Health Care Center - Forsyth, MT · 31 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 6.3 nurse hours per resident-day — top quarter in Montana
  • 3 health deficiencies at the last standard survey (CMS severity score 36) — above median
  • No fines or payment denials in 3 years
BScore 69 · GoodSee Full Grade
4063464243 Forsyth, Rosebud County Medicaid
12

Copper Ridge Health And Rehabilitation Center - Butte, MT · 186 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — below median in Montana
  • 8 health deficiencies at the last standard survey (CMS severity score 32) — top quarter
  • $9,311 in fines in 3 years
BScore 69 · GoodSee Full Grade
4067233225 Butte, Silver Bow County Medicaid
13

Village Health & Rehabilitation - Missoula, MT · 193 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.0 nurse hours per resident-day — above median in Montana
  • 7 health deficiencies at the last standard survey (CMS severity score 56) — above median
  • $27,846 in fines in 3 years
BScore 67 · GoodSee Full Grade
4067289162 Missoula, Missoula County Medicaid
14

Faith Lutheran Home - Wolf Point, MT · 60 beds · non profit - other CMS Care Compare · data as of Aug 2026

  • Staffing 4.8 nurse hours per resident-day — top quarter in Montana
  • 8 health deficiencies at the last standard survey (CMS severity score 40) — top quarter
  • $22,825 in fines in 3 years
BScore 67 · GoodSee Full Grade
4066531400 Wolf Point, Roosevelt County Medicaid
15

Valley View Home - Glasgow, MT · 96 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 4.0 nurse hours per resident-day — above median in Montana
  • 7 health deficiencies at the last standard survey (CMS severity score 44) — top quarter
  • No fines or payment denials in 3 years
BScore 67 · GoodSee Full Grade
4062282461 Glasgow, Valley County Medicaid
16

Montana Mental Health Nursing Home - Lewistown, MT · 117 beds · government - state CMS Care Compare · data as of Aug 2026

  • Staffing 7.0 nurse hours per resident-day — top 10% in Montana
  • 12 health deficiencies at the last standard survey (CMS severity score 80) — above median
  • No fines or payment denials in 3 years
BScore 65 · GoodSee Full Grade
4065387451 Lewistown, Fergus County Medicaid
17

Libby Care Center - Libby, MT · 101 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.0 nurse hours per resident-day — bottom quarter in Montana
  • 5 health deficiencies at the last standard survey (CMS severity score 40) — top quarter
  • No fines or payment denials in 3 years
CScore 64 · AverageSee Full Grade
4062936285 Libby, Lincoln County Medicaid
18

Community Nursing Home Of Anaconda - Anaconda, MT · 62 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 5.2 nurse hours per resident-day — top 10% in Montana
  • 14 health deficiencies at the last standard survey (CMS severity score 108) — below median
  • No fines or payment denials in 3 years
CScore 63 · AverageSee Full Grade
4065638414 Anaconda, Deer Lodge County Medicaid
19

Riverside Health & Rehabilitation - Missoula, MT · 72 beds · for profit - partnership CMS Care Compare · data as of Aug 2026

  • Staffing 4.0 nurse hours per resident-day — above median in Montana
  • 9 health deficiencies at the last standard survey (CMS severity score 92) — below median
  • $35,139 in fines in 3 years
CScore 58 · AverageSee Full Grade
4067210680 Missoula, Missoula County Medicaid
20

Intermountain Health Holy Rosary Hospital - Miles City, MT · 84 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.9 nurse hours per resident-day — above median in Montana
  • 8 health deficiencies at the last standard survey (CMS severity score 80) — above median
  • No fines or payment denials in 3 years
CScore 57 · AverageSee Full Grade
4062332789 Miles City, Custer County Medicaid
21

Mountain View Of Cascadia - Eureka, MT · 49 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 2.8 nurse hours per resident-day — bottom quarter in Montana
  • 6 health deficiencies at the last standard survey (CMS severity score 40) — above median
  • No fines or payment denials in 3 years
CScore 57 · AverageSee Full Grade
4062972541 Eureka, Lincoln County Medicaid
22

Missoula Health & Rehabilitation Center - Missoula, MT · 53 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.0 nurse hours per resident-day — above median in Montana
  • 6 health deficiencies at the last standard survey (CMS severity score 40) — above median
  • No fines or payment denials in 3 years
CScore 56 · AverageSee Full Grade
4065490988 Missoula, Missoula County Medicaid
23

Polson Health & Rehabilitation Center - Polson, MT · 70 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.1 nurse hours per resident-day — bottom quarter in Montana
  • 3 health deficiencies at the last standard survey (CMS severity score 20) — top 10%
  • $17,404 in fines in 3 years
CScore 54 · AverageSee Full Grade
4068834378 Polson, Lake County Medicaid
24

Clark Fork Valley Nursing Home - Plains, MT · 28 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.8 nurse hours per resident-day — below median in Montana
  • 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
  • $62,871 in fines in 3 years
CScore 53 · AverageSee Full Grade
4068264800 Plains, Sanders County Medicaid
25

Awe Kualawaache Care Center - Crow Agency, MT · 40 beds · for profit - individual CMS Care Compare · data as of Aug 2026

  • Staffing 4.1 nurse hours per resident-day — above median in Montana
  • 5 health deficiencies at the last standard survey (CMS severity score 20) — above median
  • No fines or payment denials in 3 years
CScore 53 · AverageSee Full Grade
4066389111 Crow Agency, Big Horn County Medicaid
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Montana nursing homes by city

How we grade nursing homes

What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against Montana facilities in the same size band; A ≥ 80, B ≥ 65, C ≥ 50, D ≥ 35, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.