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D
Poor

ELKHORN HEALTHCARE AND REHABILITATION

474 HWY 282 · CLANCY, MT 59634

4069338311 · For profit - Corporation

70 beds64.7 residents61 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
C
Below Standard
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ELKHORN HEALTHCARE AND REHABILITATION receives an overall staffing grade of D (Poor). With 2.733 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5194 HPRD, below the recommended 0.75. It is 1.16 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.27% compared to weekdays. The facility has low agency staff usage (6.1% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.733 HPRD — needs 0.75 more hours per resident per day.
⚠️RN staffing (0.5194 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
2.733hrs/resident/day▼ 1.16
CMS benchmark: 3.48
RN HPRD
0.5194hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
19.27%
2.8904 weekday → 2.3333 weekend
Agency Staff
6.1%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4753hrs/resident/day
Direct care aides
LPN HPRD
0.3859hrs/resident/day
Licensed practical nurses
Consistency
0.3265std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Jefferson County Average+0.00 HPRD
2.73
02.73 HPRD
vs. Montana State Average-1.25 HPRD
3.98
02.73 HPRD
vs. National Average-1.16 HPRD
3.90
02.73 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ELKHORN HEALTHCARE AND REHABILITATION ★
CLANCY · This facility
—
D
2.7330.5194★★★★★
MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA
HELENA
8.9 mi
C
3.34370.626★★☆☆☆
COONEY HEALTHCARE AND REHABILITATION
HELENA
9.1 mi
D
2.64080.6734★☆☆☆☆
IVY AT DEER LODGE
DEER LODGE
35.4 mi
D
2.86730.4554★☆☆☆☆
COPPER RIDGE HEALTH AND REHABILITATION CENTER
BUTTE
40.1 mi
C
3.19160.6558★★☆☆☆
CONTINENTAL CARE AND REHABILITATION
BUTTE
40.1 mi
C
3.14090.6845★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
15
Total Deficiencies
$0
Fines Assessed
Dec 19, 2024Health
5 deficiencies cited
▼
Dec 19, 2023Health
5 deficiencies cited
▼
Jan 5, 2023Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.