States › Montana › Lewis and Clark County
Nursing homes in Lewis and Clark County, Montana
There are 2 certified nursing homes in Lewis and Clark County, Montana, with 198 beds between them.
100% of them are rated 1 or 2 stars overall, a larger share than the state (43%). Inspectors recorded 135 health deficiencies over three cycles, 68.2 per 100 beds against 37.9 statewide.
Fines in the period covered total $294K across 7 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Lewis and Clark County | Montana | US |
|---|---|---|---|
| Facilities | 2 | 61 | 14690 |
| Rated 1–2 stars overall | 100% | 43% | 41% |
| Median overall rating | 1 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 68.2 | 37.9 | 26.8 |
| Median nurse hours per resident day | 3.3 | 3.9 | 3.7 |
| Fines listed | $294K | $3.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cooney Healthcare and Rehabilitationabuse iconSFF Candidate | Helena | 90 | 1 | 1 | 2 | 76 | 84.4 | $213K | 31 Dec 2025 |
| Mount Ascension Transitional Care of CascadiaSFF Candidate | Helena | 108 | 1 | 1 | 3 | 59 | 54.6 | $80K | 24 Mar 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 7 |
| F0880 | Provide and implement an infection prevention and control program. | 7 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 6 |
| F0610 | Respond appropriately to all alleged violations. | 6 |
| F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 6 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 2 |
Chains present: Eduro Healthcare (1), Cascadia Healthcare (1).
Questions and answers
How many nursing homes are in Lewis and Clark County, Montana?
2 Medicare-certified nursing homes with 198 certified beds.
Which nursing homes in Lewis and Clark County have the highest CMS ratings?
Cooney Healthcare and Rehabilitation (1 stars), Mount Ascension Transitional Care of Cascadia (1 stars)
How do Lewis and Clark County nursing homes compare with Montana?
100% are rated 1–2 stars overall against 43% statewide; citations run at 68.2 per 100 beds against 37.9 statewide.