Elkhorn Healthcare And Rehabilitation
Clancy, Jefferson County, Montana · CCN 275056 · For-profit (Corporation) · part of Eduro Healthcare (34 facilities, chain average 2.4 stars)
CMS rates Elkhorn Healthcare And Rehabilitation 2 of 5 overall as of August 2026. 70 certified beds, 65 residents a day on average. 26 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 2 of 5 |
Staffing
| Total nurse staffing | 2.73134 hours per resident per day |
|---|---|
| Registered nurses | 0.49309 hours per resident per day |
| Weekend total | 2.38027 hours per resident per day |
| Nursing staff turnover | 41.3% (registered nurses 16.7%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-10 | 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. Pharmacy Service Deficiencies · tag F0761 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | 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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · tag F0678 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · tag F0808 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-10 |
| 2026-02-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-10 |
| 2024-12-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-10 |
| 2024-12-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-10 |
| 2024-12-19 | 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-10 |
| 2024-12-19 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-10 |
| 2024-12-19 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-10 |
| 2023-12-19 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · tag F0678 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-10 |
| 2023-12-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-10 |
| 2023-12-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-10 |
| 2023-12-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-10 |
| 2023-12-19 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-10 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Ecapital Healthcare Corp Organization | 5% or greater security interest | — | 2020-09-01 |
| Allred Jackson, P.C. Organization | adp of the snf | — | 2025-10-08 |
| Caretrust Gp LLC Organization | adp of the snf | — | 2020-09-01 |
| Caretrust Reit Inc. Organization | adp of the snf | — | 2020-09-01 |
| Ctr Partnership Lp Organization | adp of the snf | — | 2025-10-08 |
| Ecapital Healthcare Corp Organization | adp of the snf | — | 2025-10-08 |
| Eduro Healthcare LLC Organization | adp of the snf | — | 2020-09-01 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2020-09-01 |
| Wsrp, LLC Organization | adp of the snf | — | 2025-10-08 |
| Eduro Healthcare LLC Organization | direct ownership interest | — | 2020-09-01 |
| Bewsey Enterprises LLC Organization | indirect ownership interest | — | 2020-09-01 |
| Allred Jackson, P.C. Organization | operational/managerial control | — | 2022-08-01 |
| Eduro Healthcare LLC Organization | operational/managerial control | — | 2020-09-01 |
| Forvis Mazars LLP Organization | operational/managerial control | — | 2020-09-01 |
| Wsrp, LLC Organization | operational/managerial control | — | 2020-09-01 |
| Butler, Scott Individual | adp of the snf | — | 2023-02-27 |
| Dodge, Jenifer Individual | adp of the snf | — | 2023-09-22 |
| Horn, Jacob Individual | adp of the snf | — | 2022-01-31 |
| Kirkpatrick, Karen Individual | adp of the snf | — | 2023-09-18 |
| Marsh, James Individual | adp of the snf | — | 2020-09-01 |
| Mcgaha, Brenda Individual | adp of the snf | — | 2020-09-01 |
| Moffitt, Kathleen Individual | adp of the snf | — | 2020-09-01 |
| Monroe, Dustin Individual | adp of the snf | — | 2020-09-01 |
| Thompson, Christopher Individual | adp of the snf | — | 2020-09-01 |
| Williams, Heidi Individual | adp of the snf | — | 2020-09-01 |
| Bewsey, Michael Individual | corporate director | — | 2020-09-01 |
| Marsh, James Individual | corporate officer | — | 2020-09-01 |
| Monroe, Dustin Individual | corporate officer | — | 2020-09-01 |
| Thompson, Christopher Individual | corporate officer | — | 2020-09-01 |
| Bewsey, Michael Individual | indirect ownership interest | — | 2020-09-01 |
| Thompson, Christopher Individual | managing control - governing body | — | 2020-09-01 |
| Williams, Heidi Individual | managing control - governing body | — | 2020-09-01 |
| Butler, Scott Individual | operational/managerial control | — | 2023-02-27 |
| Dodge, Jenifer Individual | operational/managerial control | — | 2023-09-22 |
| Horn, Jacob Individual | operational/managerial control | — | 2022-01-31 |
| Marsh, James Individual | operational/managerial control | — | 2020-09-01 |
| Mcgaha, Brenda Individual | operational/managerial control | — | 2020-09-01 |
| Moffitt, Kathleen Individual | operational/managerial control | — | 2020-09-01 |
| Thompson, Christopher Individual | operational/managerial control | — | 2020-09-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Elkhorn Healthcare And Rehabilitation.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jefferson County.