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Elkhorn Healthcare and Rehabilitation
474 Hwy 282, Clancy, MT 59634 (opens Google Maps) · Jefferson County · (406) 933-8311· 70 certified beds · avg 65 residents/day · certified since May 23, 1977 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: EDURO HEALTHCARE (34 facilities, chain avg rating 2.4★)
2/5
Health inspection rating (on-site)
inspected Feb 10, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.78
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 26 inspection findings. Open the full record below to read every finding.
The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. F-0761
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. F-0804
The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. F-0865
View all 26 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 10, 2026 | F · Potential for more than minimal harm, widespread | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Feb 10, 2026 | F · Potential for more than minimal harm, widespread | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Feb 10, 2026 | F · Potential for more than minimal harm, widespread | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · F-0865 |
| Feb 10, 2026 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Feb 10, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Feb 10, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · F-0678 |
| Feb 10, 2026 | E · Potential for more than minimal harm, pattern | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Feb 10, 2026 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Feb 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Feb 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Feb 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Feb 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Feb 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Feb 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
| Feb 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · F-0808 |
| Feb 10, 2026 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Dec 19, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Dec 19, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Dec 19, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Dec 19, 2024 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Dec 19, 2024 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Dec 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · F-0678 |
| Dec 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Dec 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Dec 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Dec 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 16).
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 0
2026
All citations: 16
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 5 | 0 | E |
| 2026 | 16 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMontana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.78
Montana average: 4.82
U.S. average: 3.95
Registered Nurse hours
This facility: 0.68
Montana average: 1.17
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.29
Montana average: 4.26
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Montana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.78 | 4.82 | 3.95 | bottom 28% in Montana; top 50% in the U.S. |
| Registered Nurse hours | 0.68 | 1.17 | 0.69 | bottom 16% in Montana; top 38% in the U.S. |
| Weekend total nurse staffing | 3.29 | 4.26 | 3.50 | bottom 31% in Montana; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.71 | 0.48 | bottom 1% in Montana; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 41.3 | 54.8 | 45.8 | top 17% in Montana; top 40% in the U.S. |
| RN turnover (%) | 16.7 | 48.3 | 42.9 | top 1% in Montana; top 9% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.73, RN 0.49, weekend 2.38.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.73 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Elkhorn Healthcare and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bewsey Enterprises LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2020 |
| Bewsey, Michael | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2020 |
| Eduro Healthcare LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 09/01/2020 |
| Allred Jackson, P.C. | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2022 |
| Allred Jackson, P.C. | Organization | ADP of the SNF | NOT APPLICABLE | 10/08/2025 |
| Bewsey, Michael | Individual | Corporate Director | NOT APPLICABLE | 09/01/2020 |
| Butler, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/27/2023 |
| Butler, Scott | Individual | ADP of the SNF | NOT APPLICABLE | 02/27/2023 |
| Caretrust GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2020 |
| Caretrust Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2020 |
| Ctr Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 10/08/2025 |
| Dodge, Jenifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/22/2023 |
| Dodge, Jenifer | Individual | ADP of the SNF | NOT APPLICABLE | 09/22/2023 |
| Ecapital Healthcare Corp | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/01/2020 |
| Ecapital Healthcare Corp | Organization | ADP of the SNF | NOT APPLICABLE | 10/08/2025 |
| Eduro Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2020 |
| Eduro Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2020 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2020 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2020 |
| Horn, Jacob | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/31/2022 |
Showing 20 of 39 parties CMS has on file for this facility; 19 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Eduro Healthcare — 34 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Skyline Heights Nursing and Rehabilitation — Billings, MT · overall 1/5SFF
- Southwest Montana Veterans Home — Butte, MT · overall 5/5
- Yellowstone River Nursing and Rehabilitation — Billings, MT · overall 1/5
- The Meadows on University — Fargo, ND · overall 1/5
- The Suites Rio Vista — Rio Rancho, NM · overall 2/5abuse
- Prairie Heights Healthcare — Aberdeen, SD · overall 4/5
- Rolling Hills Healthcare — Belle Fourche, SD · overall 1/5
- Spearfish Canyon Healthcare — Spearfish, SD · overall 2/5abuse
Listed by state, then facility name — not a ranking. Showing 8 of the 33 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Montana midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 39 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mount Ascension Transitional Care of Cascadia | 8.9 mi | Helena, MT | ★☆☆☆☆ | 1/5 | SFF |
| Cooney Healthcare and Rehabilitation | 9.1 mi | Helena, MT | ★☆☆☆☆ | 1/5 | abuseSFF |
Facility data as of CMS processing date 2026-08-01. CCN 275056.
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