Hearth Record

Elkhorn Healthcare and Rehabilitation

A nursing home in Clancy, Montana 59634

474 Hwy 282, Clancy, Montana 59634. (406) 933-8311.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 26 citations in 3 months of the last 36. Last cited Feb 2026. Most serious: no actual harm, potential for more than minimal harm (D). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

16 health citations at the latest inspection cycle

The Montana average is 10.9.

Last standard inspection Feb 10, 2026.

Most serious in three years: E: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

26 citations in 3 months of the last 36. Last cited Feb 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.

26 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 26 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 1 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Feb 10, 2026: standard inspection16 citations
  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

    Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Rule F0678. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Assist a resident in gaining access to vision and hearing services.

    Rule F0685. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • 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.

    Rule F0761. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Provide or obtain dental services for each resident.

    Rule F0791. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • 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.

    Rule F0808. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 10, 2026.

Dec 19, 2024: standard inspection4 citations
  • 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.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 10, 2025.

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 10, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 10, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 10, 2025.

Dec 19, 2024: complaint inspection1 citation
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 10, 2025.

Dec 19, 2023: standard inspection5 citations
  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 10, 2024.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 10, 2024.

  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Rule F0678. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 10, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 10, 2024.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 10, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since May 23, 1977.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 70 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 1 citation in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

2.81 nurse hours per resident per day

The Montana average is 4.02.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeMontana average
Nurse hours per resident per day2.814.02
Of which registered nurses0.550.92
At weekends2.313.53
Nursing staff turnover44.7%54.6%
Registered nurse turnover12.5%48.9%
Administrators who left0Not given

Who owns it?

  • Eduro Healthcare LLC owns 100% directly since Sep 1, 2020.
  • Eduro Healthcare LLC and Wsrp, LLC and Forvis Mazars LLP and Allred Jackson, P.C. run it.
  • 25 owners or officers are people: Michael C Bewsey (corporate director, 100%); Michael C Bewsey (owns a share through other companies, 100%); Michael C Bewsey (owns 5% or more through other companies, 50%); Christopher M Thompson (corporate officer); Christopher M Thompson (runs it (operational or managerial control)); Christopher M Thompson (on the governing body (managing control)); Christopher M Thompson (additional disclosable party (controls, leases property to, or provides services to the home)); Jacob Horn (runs it (operational or managerial control)); Jacob Horn (additional disclosable party (controls, leases property to, or provides services to the home)); Heidi Williams (on the governing body (managing control)); Heidi Williams (additional disclosable party (controls, leases property to, or provides services to the home)); Kathleen Moffitt (runs it (operational or managerial control)); Kathleen Moffitt (additional disclosable party (controls, leases property to, or provides services to the home)); Dustin Monroe (corporate officer); Dustin Monroe (additional disclosable party (controls, leases property to, or provides services to the home)); Brenda Mcgaha (runs it (operational or managerial control)); Brenda Mcgaha (additional disclosable party (controls, leases property to, or provides services to the home)); Karen L Kirkpatrick (additional disclosable party (controls, leases property to, or provides services to the home)); Scott Butler (runs it (operational or managerial control)); Scott Butler (additional disclosable party (controls, leases property to, or provides services to the home)); Jenifer P Dodge (runs it (operational or managerial control)); Jenifer P Dodge (additional disclosable party (controls, leases property to, or provides services to the home)); James Marsh (corporate officer); James Marsh (runs it (operational or managerial control)); James Marsh (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Eduro Healthcare (34 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • A real-estate investment trust is among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Bewsey Enterprises LLCOwns a share through other companies100%Sep 1, 2020
Eduro Healthcare LLCRuns it (operational or managerial control)100%Sep 1, 2020
Eduro Healthcare LLCOwns a share directly100%Sep 1, 2020
Ecapital Healthcare CorpHolds 5% or more security interestSep 1, 2020
Ecapital Healthcare CorpAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 8, 2025
Ctr Partnership LPAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 8, 2025
Caretrust Gp LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2020
Caretrust Reit Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2020
Eduro Healthcare LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2020
Wsrp, LLCRuns it (operational or managerial control)Sep 1, 2020
Wsrp, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 8, 2025
Forvis Mazars LLPRuns it (operational or managerial control)Sep 1, 2020
Forvis Mazars LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2020
Allred Jackson, P.C.Runs it (operational or managerial control)Aug 1, 2022
Allred Jackson, P.C.Additional disclosable party (controls, leases property to, or provides services to the home)Oct 8, 2025

How do residents fare?

  • CMS rates its quality measures 3 of 5 (Montana average 3.2).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing4 of 5
Quality measures3 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 77.2 miles, this one had the 3rd most health citations at the latest inspection cycle (16; the middle value was 8.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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