Federal inspection record · CMS data as of October 1, 2026
Elkhorn Healthcare And Rehabilitation
474 Hwy 282, Clancy, MT · (406) 933-8311
- Certified beds
- 70
- Residents per day
- 64
- Ownership
- For-Profit
- Chain
- Eduro Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 23, 1977
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Montana.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Montana homes
Elkhorn Healthcare And Rehabilitation carries 100 inspection points. That is fewer than 29% of Montana's 59 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Montana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31.5 pts
- 4★ 31.5–49.25 pts
- 3★ 49.25–84.75 pts
- 2★ 84.75–135.38 pts
- 1★ over 135.38 pts
Bars show every rated home in Montana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
26 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care7E
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide or obtain dental services for each resident.
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Nutrition and Dietary5F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning4D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service2F
- F
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.
- E
Ensure medication error rates are not 5 percent or greater.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights2E
- E
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.
- D
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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-02-10
16 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-12-19
5 health deficiencies · 12 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2023-12-19
5 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 48 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
2 h 48 min
Montana average
4 h 1 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 13% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 0.6 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 1.1 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.1 pts worse | 96.6% | 96.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13.4 pts worse | 80.6% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts better | 0.4% | 4.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts worse | 7.6% | 6.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.7 pts better | 1.7% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts worse | 22.3% | 15.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication24.9 pts worse | 45.6% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.6 pts better | 0.0% | 0.6% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.2 pts worse | 27.3% | 16.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.2 pts better | 17.3% | 18.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 2.2% | 2.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.5 pts better | 0.5% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts better | 21.2% | 22.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.3 pts better | 1.9% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.2 pts worse | 68.9% | 84.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.7 pts better | 6.4% | 13.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication4.6 pts worse | 5.8% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.6 pts worse | 68.1% | 76.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.9 pts worse | 27.1% | 20.2% | 23.4% |
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Who owns and runs it
39 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Allred Jackson, P.c. | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Allred Jackson, P.c. | Adp Of The SNF · Organization | 0% | 4 facilities |
| Bewsey Enterprises LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Bewsey, Michael | Indirect Ownership Interest · Individual | 0% | 26 facilities |
| Bewsey, Michael | Corporate Director · Individual | 0% | 26 facilities |
| Butler, Scott | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Butler, Scott | Adp Of The SNF · Individual | 0% | 1 facilities |
| Caretrust Gp LLC | Adp Of The SNF · Organization | 0% | 95 facilities |
| Caretrust Reit Inc | Adp Of The SNF · Organization | 0% | 102 facilities |
| Ctr Partnership LP | Adp Of The SNF · Organization | 0% | 104 facilities |
| Dodge, Jenifer | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Dodge, Jenifer | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ecapital Healthcare Corp | 5% Or Greater Security Interest · Organization | 0% | 27 facilities |
| Ecapital Healthcare Corp | Adp Of The SNF · Organization | 0% | 27 facilities |
| Eduro Healthcare LLC | Direct Ownership Interest · Organization | 0% | 10 facilities |
| Eduro Healthcare LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Eduro Healthcare LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Forvis Mazars Llp | Operational/Managerial Control · Organization | 0% | 295 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Horn, Jacob | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Horn, Jacob | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kirkpatrick, Karen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Marsh, James | Corporate Officer · Individual | 0% | 5 facilities |
| Marsh, James | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Marsh, James | Adp Of The SNF · Individual | 0% | 5 facilities |
| Mcgaha, Brenda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcgaha, Brenda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Moffitt, Kathleen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Moffitt, Kathleen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Monroe, Dustin | Corporate Officer · Individual | 0% | 9 facilities |
| Monroe, Dustin | Adp Of The SNF · Individual | 0% | 9 facilities |
| Thompson, Christopher | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Thompson, Christopher | Corporate Officer · Individual | 0% | 10 facilities |
| Thompson, Christopher | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Thompson, Christopher | Adp Of The SNF · Individual | 0% | 10 facilities |
| Williams, Heidi | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Williams, Heidi | Adp Of The SNF · Individual | 0% | 4 facilities |
| Wsrp, LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Wsrp, LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
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Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems9F
- D
Ensure proper usage of power strips and extension cords.
- F
Have power receptacles that are properly grounded.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have proper medical gas storage and administration areas.
- D
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have proper medical gas storage and administration areas.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Provide properly protected cooking facilities.
Egress6E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have properly located and lighted "Exit" signs.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous4F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness2F
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
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Other homes nearby
-
Mount Ascension Transitional Care Of Cascadia
Helena, MT · Cascadia Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 20 min
- Fines
- $80,366
-
Cooney Healthcare And Rehabilitation
Helena, MT · Eduro Healthcare · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 43 min
- Fines
- $213,136
-
Ivy At Deer Lodge
Deer Lodge, MT · Ivy Healthcare Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 29 min
- Fines
- $93,969