Nursing homeActive

Elkhorn Healthcare And Rehabilitation

474 Hwy 282, Clancy, MT 59634406933831170 certified beds · 65 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
26
0260
Penalties · 3 yrs
none on file
Last survey
2026-02-10
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Montana DPHHS · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-10Standard0160CMS-2567 (Care Compare)
2024-12-19Standard050CMS-2567 (Care Compare)
2023-12-19Standard050CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Montana DPHHS publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-10Standard survey · 16 deficienciesOfficial report
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F584
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F605
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F645
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F677
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F678
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F685
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F697
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F759
F761Ensure 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.Scope/severity FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F761
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F791
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F804
F808Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F808
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F812
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F865
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 275056-20260210-F880
2024-12-19Standard survey · 5 deficienciesOfficial report
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 275056-20241219-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 275056-20241219-F609
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 275056-20241219-F655
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 275056-20241219-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 275056-20241219-F880
2023-12-19Standard survey · 5 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 275056-20231219-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 275056-20231219-F657
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 275056-20231219-F678
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 275056-20231219-F812
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 275056-20231219-F921

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.49
Facility
Montana
National
Montana 0.98 · National 0.69
Total nurse hours per resident day2.73
Facility
Montana
National
Montana 4.05 · National 3.86
Weekend total nurse hours2.38
Facility
Montana
National
Montana 3.59 · National 3.42
Total nursing staff turnover41%
Facility
Montana
National
Montana 55% · National 46%
Registered nurse turnover17%
Facility
Montana
National
Montana 48% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMontanaNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.7%6.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%4.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
47.7%20.4%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.9%2.9%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.6%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
15.4%18.7%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.7%6.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
24.6%15.8%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Allred Jackson, P.C.
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Butler, Scott
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Dodge, Jenifer
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Eduro Healthcare LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Forvis Mazars LLP
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Horn, Jacob
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Marsh, James
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mcgaha, Brenda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Moffitt, Kathleen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Thompson, Christopher
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wsrp, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Allred Jackson, P.C.
Organization
ADP OF THE SNFNOT APPLICABLE
Bewsey Enterprises LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Bewsey, Michael
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Bewsey, Michael
Individual
CORPORATE DIRECTORNOT APPLICABLE
Butler, Scott
Individual
ADP OF THE SNFNOT APPLICABLE
Caretrust Gp LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Caretrust Reit Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Ctr Partnership LP
Organization
ADP OF THE SNFNOT APPLICABLE
Dodge, Jenifer
Individual
ADP OF THE SNFNOT APPLICABLE
Ecapital Healthcare Corp
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Ecapital Healthcare Corp
Organization
ADP OF THE SNFNOT APPLICABLE
Eduro Healthcare LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Eduro Healthcare LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Forvis Mazars LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Horn, Jacob
Individual
ADP OF THE SNFNOT APPLICABLE
Kirkpatrick, Karen
Individual
ADP OF THE SNFNOT APPLICABLE
Marsh, James
Individual
CORPORATE OFFICERNOT APPLICABLE
Marsh, James
Individual
ADP OF THE SNFNOT APPLICABLE
Mcgaha, Brenda
Individual
ADP OF THE SNFNOT APPLICABLE
Moffitt, Kathleen
Individual
ADP OF THE SNFNOT APPLICABLE
Monroe, Dustin
Individual
CORPORATE OFFICERNOT APPLICABLE
Monroe, Dustin
Individual
ADP OF THE SNFNOT APPLICABLE
Thompson, Christopher
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Thompson, Christopher
Individual
CORPORATE OFFICERNOT APPLICABLE
Thompson, Christopher
Individual
ADP OF THE SNFNOT APPLICABLE
Williams, Heidi
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Williams, Heidi
Individual
ADP OF THE SNFNOT APPLICABLE
Wsrp, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Eduro Healthcare34 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Montana.

No county cost figures on file for Jefferson.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Mount Ascension Transitional Care Of Cascadia
Helena
8.9 mi2026-03-242543
Cooney Healthcare And Rehabilitation
Helena
9.1 mi2025-12-310478
Copper Ridge Health And Rehabilitation Center
Butte
40.2 mi2026-04-231252
Continental Care And Rehabilitation
Butte
40.3 mi2026-06-041301
Crest Nursing Home
Butte
40.4 mi2026-05-071100
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01