These are the top 20 highest-rated nursing homes in Montana according to the CMS 5-Star Quality Rating System (2026). All facilities listed have an overall rating of 4 stars or higher. The average rating across this list is 4.6/5. 11 of these 20 facilities have no fines on record.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Rosebud Health Care Center | Forsyth | $0 | |
| 2 | Valley View Home | Glasgow | $16,614 | |
| 3 | Northern Montana Care Center | Havre | $0 | |
| 4 | Crest Nursing Home | Butte | $0 | |
| 5 | Madison Valley Manor | Ennis | $0 | |
| 6 | Valle Vista Rehabilitation and Nursing LLC | Lewistown | $0 | |
| 7 | Libby Care Center | Libby | $22,720 | |
| 8 | Mountain View of Cascadia | Eureka | $0 | |
| 9 | Powder River Manor | Broadus | $52,551 | |
| 10 | The Living Centre | Stevensville | $37,525 | |
| 11 | Immanuel Skilled Care Center | Kalispell | $0 | |
| 12 | Southwest Montana Veterans Home | Butte | $0 | |
| 13 | Awe Kualawaache Care Center | Crow Agency | $0 | |
| 14 | Missoula Health & Rehabilitation Center | Missoula | $0 | |
| 15 | Polson Health & Rehabilitation Center | Polson | $17,404 | |
| 16 | Copper Ridge Health and Rehabilitation Center | Butte | $9,311 | |
| 17 | Hot Springs Health & Rehabilitation Center | Hot Springs | $22,614 | |
| 18 | Clark Fork Valley Nursing Home | Plains | $62,871 | |
| 19 | Logan Health - Conrad | Conrad | $27,013 | |
| 20 | Benefis Senior Services - Grandview | Great Falls | $0 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.