Montana

Nursing Home Staffing Profile — 2025Q3

58 facilities3,263 residents3.98 avg HPRD

vs National Average

+0.08 HPRD

National avg: 3.90 · Montana: 3.98

📋

Montana ranks among the higher-performing states for nursing home staffing, with an average of 3.98 HPRD — 0.08 hours above the national average. Only 55.2% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.94 HPRD, with 58.6% of facilities meeting the 0.75 research recommendation.

3.98

Average Total HPRD

All nursing staff combined

▲ 0.08 vs national

0.94

Average RN HPRD

Recommended: 0.75

▲ 0.26 vs national

55.2%

Meet CMS Benchmark

32 of 58 facilities

16.6%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

9.3%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.60

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Montana's 58 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.42

avg HPRD

32 facilities (55%)

Non-Profit

4.32

avg HPRD

19 facilities (33%)

Government

5.60

avg HPRD

7 facilities (12%)

💡 Non-profit facilities in Montana average 0.90 more HPRD than for-profit ones — about 26% higher staffing.

▲ Best Staffed in Montana

Top 5 by total nurse HPRD

A+

TOBACCO ROOT MOUNTAINS CARE CENTER

MONTANA MENTAL HEALTH NURSING HOME

SHERIDAN MEMORIAL NURSING HOME

ROSEBUD HEALTH CARE CENTER

FORSYTH

5.98 HPRD

RN: 2.59

▼ Most Understaffed in Montana

Bottom 5 by total nurse HPRD

WHITEFISH CARE AND REHABILITATION

WHITEFISH

2.55 HPRD

RN: 0.79

COONEY HEALTHCARE AND REHABILITATION

HELENA

2.64 HPRD

RN: 0.67

ELKHORN HEALTHCARE AND REHABILITATION

CLANCY

2.73 HPRD

RN: 0.52

BEARTOOTH REHABILITATION AND NURSING LLC

⚖️

Compare Two Facilities Side by Side

Pick any two Montana nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Montana — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Yellowstone	7	3.53	0.73	28.6%	Mostly C
▸Flathead	5	3.88	0.92	60.0%	Mixed A+/A
▸Silver Bow	4	3.76	1.01	25.0%	Mostly C
▸Cascade	4	3.77	1.15	75.0%	Mixed B/A
▸Missoula	3	3.73	0.81	100.0%	Mostly B
▸Dawson	2	4.53	0.91	100.0%	Mixed A/B
▸Glacier	2	3.78	0.80	50.0%	Mixed A/C
▸Sanders	2	3.71	0.87	50.0%	Mixed A/C
▸Lake	2	4.06	1.16	50.0%	Mixed A+/D
▸Lewis And Clark	2	2.99	0.65	0.0%	Mixed C/D
▸Lincoln	2	2.90	0.80	0.0%	Mostly D
▸Ravalli	2	4.04	0.93	50.0%	Mixed A/C
▸Madison	2	6.43	1.50	100.0%	Mostly A+
▸Fergus	2	4.96	1.20	50.0%	Mixed A+/C
▸Richland	1	4.24	0.78	100.0%	Mostly A
▸Roosevelt	1	6.08	1.32	100.0%	Mostly A+
▸Rosebud	1	5.98	2.59	100.0%	Mostly A+
▸Sheridan	1	6.19	1.58	100.0%	Mostly A+
▸Blaine	1	3.88	0.84	100.0%	Mostly B
▸Stillwater	1	2.80	0.58	0.0%	Mostly D
▸Valley	1	3.98	0.47	100.0%	Mostly C
▸Wibaux	1	3.17	0.84	0.0%	Mostly C
▸Big Horn	1	3.97	1.21	100.0%	Mostly B
▸Gallatin	1	4.88	0.90	100.0%	Mostly A
▸Hill	1	4.51	1.07	100.0%	Mostly A
▸Jefferson	1	2.73	0.52	0.0%	Mostly D
▸Beaverhead	1	3.03	0.53	0.0%	Mostly C
▸Park	1	3.14	0.65	0.0%	Mostly C
▸Pondera	1	4.00	0.60	100.0%	Mostly B
▸Powder River	1	5.16	1.26	100.0%	Mostly A+
▸Powell	1	2.87	0.46	0.0%	Mostly D

HPRD Range in Montana

The spread between best and worst staffed facilities

3.17

25th pctile

3.60

Median

4.73

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.