Montana › Yellowstone County › Billings
Billings Rehabilitation and Nursing LLC
600 S 27th St, Billings, MT 59101
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Billings Rehabilitation and Nursing LLC, in Billings, Montana, is certified for 100 beds under for-profit, limited liability company ownership.
CMS gives it 2 of 5 stars overall, below the Montana median of 3; the health inspection rating is 2, staffing 2 and quality measures 3.
Inspectors recorded 52 health deficiencies across the three most recent survey cycles (18, 13, 21 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 52.0 per 100 beds, more than the state median of 40.0.
CMS lists 2 penalties in the period covered: fines totalling $63K.
Reported nurse staffing is 3.3 hours per resident per day (0.8 RN), close to the Montana median of 3.9; nursing staff turnover is 72.5%.
Compared with county, state and nation
| Measure | This facility | Yellowstone Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 52 | 52 | 27 | 28.7 |
| Citations per 100 beds | 52.0 | 42.0 | 40.0 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.9 | 3.9 |
| RN hours per resident day | 0.8 | 0.6 | 0.9 | 0.7 |
| Nursing staff turnover | 72.5% | 71.8% | 53.4% | 45.8% |
| Fines listed | $62,797 | $80,893 | $27,013 | — |
County and state figures are medians across facilities (7 in the county, 61 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Montana average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Feb 2026, 14 Aug 2025.
Severity mix: J ×1 G ×1 D ×38 E ×9 F ×1 B ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Jun 2026 |
| 21 May 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 26 Jun 2026 |
| 21 May 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 29 Jun 2026 |
| 21 May 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 29 Jun 2026 |
| 21 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Jun 2026 |
| 26 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 30 Mar 2026 |
| 26 Feb 2026 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 30 Mar 2026 |
| 26 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Mar 2026 |
| 26 Feb 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 30 Mar 2026 |
| 26 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 30 Mar 2026 |
| 26 Feb 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 30 Mar 2026 |
| 26 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Apr 2026 |
| 26 Feb 2026 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 30 Mar 2026 |
| 26 Feb 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 30 Mar 2026 |
| 20 Nov 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 15 Dec 2025 |
| 20 Nov 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 15 Dec 2025 |
| 20 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Dec 2025 |
| 20 Nov 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 15 Dec 2025 |
| 14 Aug 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 19 Sep 2025 |
| 14 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 19 Sep 2025 |
| 14 Aug 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 19 Sep 2025 |
| 14 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Sep 2025 |
| 14 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 19 Sep 2025 |
| 14 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 19 Sep 2025 |
| 14 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Sep 2025 |
| 19 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 21 Jul 2025 |
| 19 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 21 Jul 2025 |
| 19 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 21 Jul 2025 |
| 27 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Mar 2025 |
| 27 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0584 | 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. | E | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Mar 2025 |
| 27 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Mar 2025 |
| 27 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 28 Mar 2025 |
| 27 Feb 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard survey | 28 Mar 2025 |
| 21 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Dec 2024 |
| 12 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 11 Oct 2024 |
| 6 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 25 Jun 2024 |
| 6 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 25 Jun 2024 |
| 14 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 14 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Jun 2024 | Fine | $21,847 | |
| 14 Sep 2023 | Fine | $40,950 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 72.5%, RNs 66.7%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.8% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.4% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.4% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.9% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.0% | 19.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. CMS groups this facility with 19 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cashmer LLC | Direct ownership interest | NOT APPLICABLE | 07/01/2023 |
| Cottonwood Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Professional Business Advisors LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Wipfli LLP | Operational/managerial control | NOT APPLICABLE | 07/01/2023 |
| Cottonwood Healthcare LLC | Adp of the snf | NOT APPLICABLE | 05/14/2025 |
| Professional Business Advisors LLC | Adp of the snf | NOT APPLICABLE | 05/07/2025 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 05/07/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Yellowstone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St John'S Lutheran Home | Billings | 186 | 4 | 3 | 5 | 40 | 21.5 | — | 1 Jul 2026 |
| Aspen Meadows Health and Rehabilitation Center | Billings | 90 | 2 | 3 | 2 | 36 | 40.0 | $115K | 26 Mar 2026 |
| River Ridge Rehabilitation and Nursing LLC | Billings | 129 | 2 | 2 | 3 | 63 | 48.8 | $81K | 15 Jan 2026 |
| Laurel Health & Rehabilitation Center | Laurel | 79 | 1 | 1 | 2 | 41 | 51.9 | $7K | 29 Jan 2026 |
| Skyline Heights Nursing and RehabilitationSFF Candidate | Billings | 150 | 1 | 1 | 2 | 63 | 42.0 | $414K | 23 Apr 2026 |
| Yellowstone River Nursing and Rehabilitation | Billings | 160 | 1 | 1 | 2 | 58 | 36.3 | $143K | 6 May 2026 |
All 7 facilities in Yellowstone County
Questions and answers
How many deficiencies has Billings Rehabilitation and Nursing LLC been cited for?
52 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has Billings Rehabilitation and Nursing LLC been fined?
Yes. CMS lists fines totalling $63K in the period covered.
How does staffing at Billings Rehabilitation and Nursing LLC compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates Billings Rehabilitation and Nursing LLC?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cashmer LLC, Cottonwood Healthcare LLC and Professional Business Advisors LLC. Individual owners and managers are not listed on this site.
When was Billings Rehabilitation and Nursing LLC last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 26 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.