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 4.5/5. 11 of these 20 facilities have no fines on record.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Elkhorn Healthcare and Rehabilitation | Clancy | $0 | |
| 2 | Rosebud Health Care Center | Forsyth | $0 | |
| 3 | Valley View Home | Glasgow | $16,614 | |
| 4 | Northern Montana Care Center | Havre | $0 | |
| 5 | Crest Nursing Home | Butte | $0 | |
| 6 | Tobacco Root Mountains Care Center | Sheridan | $0 | |
| 7 | Valle Vista Rehabilitation and Nursing LLC | Lewistown | $0 | |
| 8 | The Living Centre | Stevensville | $37,525 | |
| 9 | Southwest Montana Veterans Home | Butte | $9,126 | |
| 10 | Benefis Senior Services - Grandview | Great Falls | $0 | |
| 11 | Polson Health & Rehabilitation Center | Polson | $17,404 | |
| 12 | Gallatin Rest Home | Bozeman | $63,603 | |
| 13 | Mountain View of Cascadia | Eureka | $0 | |
| 14 | Immanuel Skilled Care Center | Kalispell | $0 | |
| 15 | Madison Valley Manor | Ennis | $0 | |
| 16 | St John's Lutheran Home | Billings | $0 | |
| 17 | Continental Care and Rehabilitation | Butte | $59,589 | |
| 18 | Clark Fork Valley Nursing Home | Plains | $62,871 | |
| 19 | Riverside Health & Rehabilitation | Missoula | $11,027 | |
| 20 | Powder River Manor | Broadus | $102,923 |
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.