Elkhorn Healthcare And Rehabilitation

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

42.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 50 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 28.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 38 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 44% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 70 beds and averages 65.1 residents a day — about 93% occupied, or roughly 5 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.73 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.81 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.38 hrs/resident/day on weekends vs 2.87 on weekdays — 17% thinner on weekends. RN hours go from 0.60 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

• Potential for harm · F2026-02-10 · tag F0761 — failed to label and store drugs safely — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to remove expired items for disposal for one medication room, one central supply room, storage closet, and three medication carts; keeping items off the floor in one medication room, one supply room and a storage closet; store supplies in a clean environment, free from debris falling on supplies for one central supply room; and failed to ensure a schedule II controlled substance, morphine, was locked up from other residents and staff preventing the risk of tampering for 1 (#59) of 27 sampled residents. These failures increased the risk of expired items being used, when stored unsafely, for resident care, if taken from the identified medication rooms and carts. This deficient practice also placed wandering residents at risk of narcotic ingestion, potential diversion, and decreased pain management for resident #59. Findings include: 1. During an observation and interview on [DATE] at 3:08 p.m., resident #59 had an IV bag of morphine (10mg/mL…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-02-10 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure the food temperature was served at a palatable temperature for 5 (#s 20, 24, 36, 58 and 59) of 27 sampled residents. This deficient practice resulted in residents reporting disliking the food and resulted in residents eating less. Findings include:During an interview on 2/7/26 at 3:08 p.m., resident #59 stated the food was cold when it arrived to her room.During an observation and interview on 2/8/26 at 7:57 a.m., staff member S measured the temperatures from the steam table. The bread puree was at 133 degrees Fahrenheit. Staff member S stated the bread puree was supposed to be between 145 and 170 degrees Fahrenheit.During an observation and interview on 2/8/26 at 8:05 a.m., staff member S took the temperature of resident #36's food after it had been delivered to her room. The temperature of the yogurt was 61 degrees Fahrenheit, the waffle was 107 degrees Fahrenheit, the sausage was 109 degrees Fahrenheit, and the sugar free crystal lite was 55 degrees Fahrenheit. Staff member S stated the cold items on resident #36's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-02-10 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility leadership failed to maintain a QAPI system to identify quality of care and quality of life deficient practices, and show how deficiencies were identified, tracked, corrected, and monitored. The facility was cited with 17 deficiencies during the survey. These failures had the potential to affect all the residents of the facility due to needed corrections not being identified and addressed by the facility. Findings include: During an interview on 2/10/26 at 10:40 a.m., staff member A stated the facility talks about QAPI every morning. Staff member A stated, We go through the processes, and QAPI is involved in identifying deficiencies at morning meetings. Staff member A stated that the facility found they were not tracking improvement measures. Staff member A stated they had a performance improvement project regarding moving the coffee cart from the dining room to behind the nurses' station due to the potential for contamination. Staff member A stated that this project had been open for a while. Staff member A stated that, because of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-02-10 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure staff followed hand hygiene practices for glove changes during a dressing change and failed to ensure a clean barrier was put down to keep the supplies clean for 1 (#49) of 27 sampled residents. Findings include:During an observation on 2/9/26 at 10:04 a.m., staff member M was performing wound care and a dressing change on resident #49's coccyx. Staff member M placed the dressing change supplies on the resident's wheelchair but didn't place a clean barrier between the wheelchair and the supplies. Staff member M donned a gown, mask, and gloves due to enhanced barrier precautions. Staff member M removed the dressing from the resident's coccyx and discarded the dressing in the garbage. Staff member M removed her gloves. Staff member M had not used hand sanitizer or washed her hands before donning clean gloves. Staff member M donned clean gloves. Staff member M cleansed the resident's wound with wound cleanser. Staff member M removed her gloves. Staff member M donned clean gloves. Staff member M did not…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-10 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide a comfortable environment or temperature in the dining room and hallways of the facility for 1 (#49); and the resident was often cold and uncomfortable; and the facility failed to provide a homelike environment for 1 (#59) of 27 sampled residents, and resident #59 was frustrated with the layout of the room and the clutter. Findings include:1. During an interview on 2/8/26 at 9:49 a.m., resident #49 stated the dining room and hallways in the facility were often very cold so she ate in her room.During an observation and interview on 2/8/26 at 10:05 a.m., staff member J was wearing a coat and stated the temperature in the building was often cold.During an observation on 2/9/26 at 3:35 p.m., the thermometer on the wall in the back of the dining room showed 66 degrees Fahrenheit.During an interview on 2/9/26 at 3:42 p.m., staff member O stated the temperature of the building fluctuated a lot and in relation to the temperature outside.During an interview on 2/9/26 at 4:09 p.m., staff member N stated the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-10 · tag F0678 — failed to provide CPR when needed — pattern
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure facility staff received hands on BLS certification. This deficient practice placed residents at risk of failed CPR for full code residents and respiratory distress treatment during an emergency, if necessary. Findings include:Review of all staff BLS certifications showed all staff members except for one were certified through the National CPR Foundation, which did not provide a hands-on training.During an interview on [DATE] at 1:22 p.m., staff member P stated they participated in a CPR class at their current position, but the class was entirely online, and it did not consist of any hands-on training. Staff member P stated they went over what CPR was and some basic first aid training but never completed any compressions on a dummy or received feedback on their CPR performance. Staff member P stated they had previous experience from another job where they were required to do BLS. Staff member P stated they felt relief knowing they had that prior…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-10 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to maintain a medication error rate of five percent or less for 2 (#s 19 and 43) of 4 residents observed. The total number of medications observed was 28, with three errors noted for a total medication error rate of 10.71 percent. Findings include:During an observation and interview on 2/8/26 at 11:14 am, with staff member G, all medications for the morning shift had been pre-poured in eight cups in the top drawer of the cart from the morning pass. Staff member G stated that pre-pouring of medications at the beginning of the shift was common practice at the facility. Staff member G stated she was unable to describe what each medication was in the cups because she prepped them early in the morning, when she arrived on shift. Each cup had a name on it, but did not have the names of the medications in the cup. During an observation on 2/8/26 at 11:15 a.m., staff member G prepared medications for resident #43 for lunch pass. Staff member G opened a gabapentin 300mg capsule and placed the medication in pudding.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-10 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure residents who use psychotropic drugs receive gradual dose reductions, and behavioral interventions in an effort to discontinue these drugs; and maintain documentation of gradual dose reduction failures for 2 (#s 8 and 43) of 27 sampled residents. Findings include: 1. Review of resident #8's, Consultant Pharmacist Recommendations to Prescriber, dated 9/24/25, reflected resident #8 was taking Buspirone, Abilify, and Citalopram without a gradual dose reduction. The pharmacist recommended a gradual dose reduction. The physician's response was: Disagree, guardian refuses GDRs due to past GDR failure.Review of resident #8's, Consultant Pharmacist Recommendations to Prescriber, dated 11/8/25, reflected resident #8 was taking Citalopram without a gradual dose reduction. The pharmacist recommended a gradual dose reduction. The physician's response was: Disagree, guardian refuses GDRs due to past failed GDR.Review of resident #8's Consultant Pharmacist Recommendations to Prescriber, dated 9/25/23, reflected resident #8 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-10 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure current PASRRs were completed for 3 (#s 13, 14, and 64) of 27 sampled residents. Findings include:1. Review of resident #64's EHR showed the diagnosis: post-traumatic stress disorder, dated 12/29/25.Review of resident #64's PASRR Level 1, dated 11/1/24, showed the diagnoses: bipolar disorder and major depressive disorder but failed to show post-traumatic stress disorder.2. Review of resident #14's EHR showed the diagnosis: major depressive disorder, dated 10/14/24.Review of resident #14's PASRR Level 1, dated 1/31/18, showed the diagnosis of mood disorder (not all inclusive). Resident #14's PASRR Level 1 failed to show major depressive disorder.3. Review of resident #13's EHR showed the diagnosis: residual schizophrenia, 11/19/25.Review of resident #13's PASRR Level 1, dated 1/25/24, showed the diagnosis: schizoaffective disorder, but failed to show residual schizophrenia as well.During an interview on 2/10/26 at 10:11 a.m., staff member C stated a new PASRR should have been completed for resident's #13, #14, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-10 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure a resident was provided dignity by assisting the resident to change clothes and comb his hair, and the resident was not shaved and had body odor, for 1 (#18); and failed to provide basic ADL cares of a warm washcloth offered in the morning or provide the preferred number of showers, and the resident felt the staff did not prioritize her care or check on her enough so she would go without services, for 1 (#59) of 27 sampled residents. Findings include:1. During an observation on 2/7/26 at 3:59 p.m., Resident #18 looked disheveled with unshaven whiskers and had a foul odor. The resident's room was dark and had the smell of body odor. During an observation on 2/8/26 at 8:13 a.m., resident #18 looked disheveled and in the same clothes as yesterday and his hair was not combed. Whiskers were observed on his face. The whiskers were an increased amount from the previous day. During an interview on 2/10/26 10:55 a.m., staff member C stated staff should offer showers, wash the resident's face and comb the hair,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to EDURO HEALTHCARE — 34 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 39 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 78% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $442K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MT