Helena · 59601
Cooney Healthcare and Rehabilitation
2555 E Broadway
Helena, MT 59601
Elkhorn Healthcare and Rehabilitation
⌖ Clancy, MT · Jefferson County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds70
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Elkhorn Healthcare and Rehabilitation
Elkhorn Healthcare and Rehabilitation is a 70-bed for-profit nursing home in Clancy, MT. Medicare rates it 2 out of 5 stars overall (below average); the average in Montana is 2.9. At its last full inspection (Feb 2026), inspectors found 16 problems, more than the Montana average of 11.2. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 2 hr 44 min a day with each resident, less than the Montana average of 4 hr 03 min. About 41% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameElkhorn Healthcare And Rehabilitation
LocationJefferson County, Montana
Phone(406) 933-8311
Address474 Hwy 282, Clancy, MT 59634 · Jefferson County
CMS provider number275056
Ownership typeFor-profit (corporation)
Operating companyEduro Healthcare · 34 homes
Investors reported to MedicareReal estate investment trust (REIT): Caretrust Reit What this means
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 23, 1977 (49 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Feb 2026.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Nursing staff turnover41% a yearMontana average: 55%Strength
Things to ask about
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- Health citations at last inspection16 (Feb 2026)Montana average: 11.2. Most citations are minor and corrected within weeks.Worse than state average
- Nurse staffing per resident2 hr 44 min a dayMontana average: 4 hr 03 minWorse than state average
- Registered nurse time per resident30 min a dayMontana average: 59 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Montana average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital13.6%State average: 19.2%Better than average
- Needed an emergency room visit16.4%State average: 14.5%About average
- Newly given antipsychotic drugs3.3%State average: 1.2%Worse than average
Physical therapist time: about 3 minutes per resident a day. That is about the same as the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury0.0%State average: 4.4%Better than average
- Pressure sores (bedsores)3.7%State average: 6.3%Better than average
- Given antipsychotic drugs47.7%State average: 20.4%Worse than average
- Hospital stays per 1,000 resident days0.4State average: 1.4Better than average
Source: Medicare (CMS) quality measures, compared with the Montana average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Montana, Medicaid pays for 56% of resident days at a typical home.
- 80% Medicaid
- 4% Medicare
- 15% Private pay, insurance and other
Beds in use, on average93%Montana typical: 71%
Cost of care per resident day$312Montana typical: $374
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, the same as 2 stars in January 2019. It has ranged from 1 to 5 stars and changed 12 times.
Overall rating2★
Health inspections2★
Staffing4★
Quality of care3★
Nurse hours per resident per day2.7
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 2 | 2 | 2 | 2.2 |
| Jan 2020 | 3 | 2 | 3 | 5 | 2.6 |
| Jan 2021 | 3 | 2 | 3 | 5 | 2.6 |
| Jan 2022 | 3 | 3 | 2 | 4 | 2.5 |
| Jan 2023 | 2 | 3 | 1 | 3 | 2.4 |
| Jan 2024 | 2 | 2 | 1 | 5 | 2.3 |
| Feb 2025 | 2 | 3 | 1 | 3 | 2.5 |
| Feb 2026 | 5 | 5 | 2 | 2 | 2.7 |
| Sep 2026 | 2 | 2 | 4 | 3 | 2.7 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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