Elkhorn Healthcare and Rehabilitation
474 Hwy 282 · Clancy, MT · 59634 · 4069338311
70 certified beds For profit - Corporation Chain: Eduro Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.81 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.36 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · E February 10, 2026
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.
Corrected March 10, 2026 · Resident Rights
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Potential for harm · D February 10, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 10, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 10, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · E February 10, 2026
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · D February 10, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · D February 10, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · D February 10, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · E February 10, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 10, 2026 · Pharmacy Service
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Potential for harm · F February 10, 2026
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.
Corrected March 10, 2026 · Pharmacy Service
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Potential for harm · D February 10, 2026
Provide or obtain dental services for each resident.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · F February 10, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 10, 2026 · Nutrition and Dietary
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Potential for harm · D February 10, 2026
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.
Corrected March 10, 2026 · Nutrition and Dietary
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Potential for harm · D February 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 10, 2026 · Nutrition and Dietary
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Potential for harm · F February 10, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 10, 2026 · Administration
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Potential for harm · F February 10, 2026
Provide and implement an infection prevention and control program.
Corrected March 10, 2026 · Infection Control
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Potential for harm · D December 19, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 19, 2024
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.
Corrected January 10, 2025 · Resident Rights
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Potential for harm · D December 19, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 10, 2025 · Nutrition and Dietary
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Potential for harm · E December 19, 2024
Provide and implement an infection prevention and control program.
Corrected January 10, 2025 · Infection Control
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Potential for harm · D December 19, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 19, 2023
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected January 10, 2024 · Quality of Life and Care
-
Potential for harm · E December 19, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 10, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275056 · certified since May 23, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.