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Nursing Homes in Montana: Staffing, Turnover, and Penalties

Montana has 61 Medicare- or Medicaid-certified nursing homes in 43 cities. On CMS's August 2026 figures, nurse aides there log 2.57 hours per resident per day, 11% above the US average of 2.32, and 54.8% of nursing staff leave in a year (US 45.8%).

Montana averages

Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.

Aide hours per resident a day
2.57
US 2.32
All nursing hours per resident a day
4.05
US 3.86
Nursing staff turnover
54.8%
US 45.8%
Fines per home, 3 years
1.5
US 0.9

CMS Care Compare State and US Averages, August 2026 release

Nursing homes by city

The most nursing homes are in Billings (6), Butte (4), Great Falls (4). Each city page compares every home on staffing, turnover, CMS stars, and fines.

Largest nursing home chains in Montana

CMS links 32 of Montana's homes to these 8 chains. A chain is a group of homes under common ownership or management, as CMS records it.

Largest nursing home chains in Montana
ChainHomes in MTHomes nationwide
Eduro Healthcare734
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers719
Evergreen Healthcare Group644
Sweetwater Care48
Cascadia Healthcare346
The Goodman Group39
Ivy Healthcare Group14
Real Property Health Facilities19

Chain as recorded in the CMS Provider Information file, August 2026 release

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