Big Horn Senior Living

A comprehensive array of services and programs are provided by the Big Horn Hospital Association through Big Horn Senior Living formerly known Heritage Acres extended care facility for the senior population within the service areas of Big Horn, Rosebud, and Treasure counties. Designed to meet their particular needs, Big Horn Senior Living extended care services focuses on personal choice and individual privacy in a caring comfortable environment.

Accordingly, Big Horn Hospital Association/Big Horn Senior Living extended care program offers the following core services to meet the needs of its elderly residents:

  • Transportation Services
  • Restorative Care
  • Recreational Activities


If you are interested in touring Big Horn Senior Living, please call (406) 665-2802. We are located at 200 North Mitchell in Hardin, MT.

COVID-19 Reporting

To view the COVID-19 Report click here:  COVID_19_Nursing_Home_Reporting 



    • 36 Skilled Nursing Care Beds
    • Transportation Service
    • Restorative Care
    • Recreational Activities
    • Consulting Dietitian & Pharmacist
    • Cable Television/Telephone Service
    • Social Services
    • Secure Care Wandering System
    • Nursing Assistant Training
    • Unit Dose medication System
    • Rehabilitation Services
      • Physical Therapy
      • Occupational Therapy
      • Speech Therapy
    • Rates – $198, $203 or $208 per day
    • Smoke Free Campus

    • 10 Assisted Living Apartments
    • Transportation Service
    • Three meals & Snacks per day
    • Assistance with
      • Bathing, Dressing, Grooming, Handwashing, Shaving, Nail care
      • Self-administered medication
      • Oral hygiene including dentures
      • Toileting and toilet hygiene
      • Scheduling appointments
    • Recreational Activities
    • Weekly Housekeeping services
    • Laundry services
    • Cable television/telephone service
    • Rates – $88, $92 or $95 per day, includes all services except telephone, cable TV & medications

    • 10 Apartments
      • 2-Studio Type – 424 square feet
      • 8-0ne Bedroom – 611 to 696 square feet
    • Rent includes utilities and water
    • All apartments are furnished with a full kitchen or meals also available for $1 per meal
    • Laundry facilities included in rent
    • Apartments equipped with a smoke detector and emergency call light system in bathrooms
    • Cable Television/Telephone Services
    • Some storage space is available free of charge
    • Rent ranges from $296 to $472 per month


Big Horn Senior Living to cease operations within 90 days

During a special meeting on Wednesday, July 13, the Big Horn Hospital Association (BHHA) Board of Trustees made the difficult decision to cease operations of Big Horn Senior Living (BHSL) nursing home, assisted living, and independent living services. The closure will take place over the next 60 to 90 days. The cost of maintaining long-term care services – including a $1.2 million loss last year – has resulted in operations that are, unfortunately, unsustainable. The decision was made after exploring numerous potential solutions and seeking assistance from local, state and federal officials and agencies on viable options for the sustainability of the long-term care services. However, that work was unable to find an option that met the unique needs of both BHSL and the residents it serves. “It has been our great honor and privilege to care for our residents,” said Paula Small-Plenty, BHSL Administrator. “This decision has been heartbreaking for our team, and we recognize the additional challenges it places on our residents and their families. They are still a part of our family, and we will work with the same compassion and respect in their transition plans as we have in their care.” The senior-living residents are the heart of BHSL, and staff there have grown incredibly close with each of them. Making sure that each of the 27 nursing home, 7 assisted living and 9 independent living residents can continue to receive the highest quality care is the top priority moving forward, and BHSL will work with residents and their families to find and coordinate placement in their next homes. This may include transitioning some nursing home residents to care at the hospital and coordinating with Big Horn County on options for independent living. The Montana Department of Public Health and Human Services will also help with placement and reimburse transportation costs for any residents who find a new home outside of Big Horn County. Currently, Montana Medicaid reimbursement rates for nursing home and assisted living services – which are set by the Montana Legislature and not by BHSL or other facilities – do not make up for the increasing cost of providing these services. In order to just break even, BHSL would need reimbursement rates to double. BHSL has for many years advocated for rate increases to ensure the viability of these essential services for Montana’s elderly and vulnerable. Rapid and significant cost increases, combined with minimal rate adjustments, are now causing challenges at nursing facilities statewide, including BHSL. Additionally, mandated care protocols following the COVID-19 pandemic, nationwide workforce challenges and inflationary factors played a role in this decision. BHSL has maintained operations over the last two years in large part due to the support of its parent organization, Big Horn Hospital. However, operating both the hospital and BHSL makes continuing its critical health care operations as a hospital unsustainable. As a critical access hospital, BHHA’s mission and top priority is ensuring that the health care services needed in Big Horn County and the surrounding area remain available. During this time, BHHA will also work on transition plans for affected employees. Big Horn County owns the facilities where these services are housed and will determine any future uses of the property. Paula Small-Plenty Big Horn Senior Living Administrator / HR