State data · CMS September 2026
Nursing homes in Montana
Montana has 61 nursing homes certified for Medicare or Medicaid, with 4,997 certified beds and a median occupancy of 68.9% (US median 85.7%). 57% are for-profit, 31% nonprofit and 11% government-owned, and 53% belong to a chain or affiliated group. HUD has endorsed 28 FHA-insured Section 232 nursing home loans in Montana since fiscal 2001, totaling $0.1 billion in original principal, 3 of them since fiscal 2021.
- Facilities
- 61
- Certified beds
- 4,997
- Median occupancy
- 68.9%
- Median nurse hours / resident day
- 3.86
- HUD 232 loans since FY2001
- 28
Star ratings
CMS overall ratings for the 59 rated Montana facilities. 1 are Special Focus Facilities and 5 are candidates, the CMS list for homes with a history of serious quality problems.
Ownership
| Measure | Montana | Share |
|---|---|---|
| For-profit | 35 | 57% |
| Nonprofit | 19 | 31% |
| Government | 7 | 11% |
| Changed ownership in the last 12 months | 0 | 0% |
| Private equity owner self-reported to CMS | 0 | 0% |
| REIT owner self-reported to CMS | 3 | 5% |
Largest chains and affiliated groups in Montana
- The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers: 7 facilities
- Eduro Healthcare: 7 facilities
- Evergreen Healthcare Group: 6 facilities
- Sweetwater Care: 4 facilities
- Cascadia Healthcare: 3 facilities
- The Goodman Group: 3 facilities
- Real Property Health Facilities: 1 facility
- Ivy Healthcare Group: 1 facility
Facilities with HUD Section 232 history
6 Montana facilities match at least one FHA-insured loan in HUD's healthcare database, most recent endorsement first.
| Facility | City | Beds | Latest endorsement | Amount |
|---|---|---|---|---|
| Pioneer Care and Rehabilitation | Dillon | 87 | Feb 15, 2023 | $6,400,000 |
| Park Place Transitional Care and Rehabilitation | Great Falls | 189 | Feb 15, 2023 | $12,560,000 |
| Laurel Health & Rehabilitation Center | Laurel | 79 | Nov 30, 2020 | $6,747,200 |
| Riverside Health & Rehabilitation | Missoula | 72 | Sep 28, 2012 | $2,115,000 |
| Village Health & Rehabilitation | Missoula | 193 | Feb 28, 2012 | $7,571,600 |
| The Valley Health and Rehab | Hamilton | 58 | Dec 14, 2010 | $2,744,000 |
Largest by certified beds
- Village Health & Rehabilitation, Missoula: 193 beds
- Park Place Transitional Care and Rehabilitation, Great Falls: 189 beds
- St John's Lutheran Home, Billings: 186 beds
- Copper Ridge Health and Rehabilitation Center, Butte: 186 beds
- Yellowstone River Nursing and Rehabilitation, Billings: 160 beds
- Immanuel Skilled Care Center, Kalispell: 155 beds
- Skyline Heights Nursing and Rehabilitation, Billings: 150 beds
- Kalispell Rehabilitation and Nursing LLC, Kalispell: 140 beds
- Northern Montana Care Center, Havre: 135 beds
- River Ridge Rehabilitation and Nursing LLC, Billings: 129 beds
Every Montana facility
The full list is sorted by city, on one page.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.