Montana › Yellowstone County › Billings
River Ridge Rehabilitation and Nursing LLC
1415 Yellowstone River Rd, Billings, MT 59105
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.
Certified for 129 beds, River Ridge Rehabilitation and Nursing LLC serves Billings in Yellowstone County, Montana and has taken Medicare and Medicaid residents since 1988.
CMS gives it 2 of 5 stars overall, below the Montana median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 63 health deficiencies across the three most recent survey cycles (11, 32, 20 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 48.8 per 100 beds, about the same as the state median of 40.0.
CMS lists 4 penalties in the period covered: fines totalling $81K.
Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), close to the Montana median of 3.9; nursing staff turnover is 50.0%.
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 | 63 | 52 | 27 | 28.7 |
| Citations per 100 beds | 48.8 | 42.0 | 40.0 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.3 | 3.9 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.9 | 0.7 |
| Nursing staff turnover | 50.0% | 71.8% | 53.4% | 45.8% |
| Fines listed | $80,893 | $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: 15 Jan 2026, 7 Nov 2024.
Severity mix: G ×3 D ×39 E ×13 F ×6 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 |
|---|---|---|---|---|---|
| 15 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Feb 2026 |
| 15 Jan 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | Standard survey | 14 Feb 2026 |
| 15 Jan 2026 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Standard survey | 14 Feb 2026 |
| 15 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 Feb 2026 |
| 15 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 14 Feb 2026 |
| 15 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Feb 2026 |
| 15 Jan 2026 | 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 | 14 Feb 2026 |
| 15 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 14 Feb 2026 |
| 15 Jan 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 14 Feb 2026 |
| 15 Jan 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 14 Feb 2026 |
| 15 Jan 2026 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 14 Feb 2026 |
| 27 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 26 Apr 2025 |
| 27 Mar 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 26 Apr 2025 |
| 27 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Apr 2025 |
| 27 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Apr 2025 |
| 27 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 26 Apr 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Apr 2025 |
| 7 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | 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. | E | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0761 | 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. | E | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | 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. | D | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | 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 | 16 Dec 2024 |
| 7 Nov 2024 | 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 | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Complaint investigation | 16 Dec 2024 |
| 7 Nov 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 16 Dec 2024 |
| 7 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | B | Standard survey | 16 Dec 2024 |
| 1 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 30 Sep 2024 |
| 1 Aug 2024 | 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 | Complaint investigation | 30 Sep 2024 |
| 1 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 30 Aug 2024 |
| 1 Aug 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 30 Aug 2024 |
| 1 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Aug 2024 |
| 25 Apr 2024 | 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. | E | Complaint investigation | 24 May 2024 |
| 25 Apr 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 24 May 2024 |
| 25 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 24 May 2024 |
| 25 Apr 2024 | F0732 | Post nurse staffing information every day. | B | Complaint investigation | 23 May 2024 |
| 26 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 25 Nov 2023 |
| 26 Oct 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 25 Nov 2023 |
| 26 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 Nov 2023 |
| 26 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 22 Dec 2023 |
| 26 Oct 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 25 Nov 2023 |
| 26 Oct 2023 | 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 | 25 Nov 2023 |
| 26 Oct 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 25 Nov 2023 |
| 26 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 25 Nov 2023 |
| 26 Oct 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 11 Dec 2023 |
| 26 Oct 2023 | 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 | 25 Nov 2023 |
| 26 Oct 2023 | 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 | 25 Nov 2023 |
| 26 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 25 Nov 2023 |
| 26 Oct 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 25 Nov 2023 |
| 26 Oct 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Standard survey | 25 Nov 2023 |
| 26 Oct 2023 | F0732 | Post nurse staffing information every day. | D | Standard survey | 25 Nov 2023 |
| 26 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Aug 2024 | Fine | $58,728 | |
| 12 Feb 2024 | Fine | $1,899 | |
| 22 Jan 2024 | Fine | $3,418 | |
| 26 Oct 2023 | Fine | $16,848 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 50.0%, RNs 61.5%; 0 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 | 11.3% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.4% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.9% | 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 | 10/01/2023 |
| Cottonwood Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2023 |
| Professional Business Advisors LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2023 |
| Wipfli LLP | Operational/managerial control | NOT APPLICABLE | 10/01/2023 |
| Cottonwood Healthcare LLC | Adp of the snf | NOT APPLICABLE | 06/04/2025 |
| Professional Business Advisors LLC | Adp of the snf | NOT APPLICABLE | 06/04/2025 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 06/04/2025 |
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 |
| Billings Rehabilitation and Nursing LLC | Billings | 100 | 2 | 2 | 2 | 52 | 52.0 | $63K | 21 May 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 River Ridge Rehabilitation and Nursing LLC been cited for?
63 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has River Ridge Rehabilitation and Nursing LLC been fined?
Yes. CMS lists fines totalling $81K in the period covered.
How does staffing at River Ridge Rehabilitation and Nursing LLC compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates River Ridge 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 River Ridge Rehabilitation and Nursing LLC last inspected?
The most recent survey or investigation in the CMS record is dated 15 Jan 2026; the most recent standard health survey was 15 Jan 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.