Montana › Yellowstone County › Billings
Yellowstone River Nursing and Rehabilitation
2115 Central Ave, Billings, MT 59102
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 160 beds, Yellowstone River Nursing and Rehabilitation serves Billings in Yellowstone County, Montana and has taken Medicare and Medicaid residents since 1969.
CMS gives it 1 of 5 stars overall, below the Montana median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 58 health deficiencies across the three most recent survey cycles (19, 27, 12 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 36.3 per 100 beds, about the same as the state median of 40.0.
CMS lists 5 penalties in the period covered: fines totalling $143K and 1 payment denial.
Reported nurse staffing is 3.2 hours per resident per day (0.7 RN), close to the Montana median of 3.9; nursing staff turnover is 71.8%.
Compared with county, state and nation
| Measure | This facility | Yellowstone Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 58 | 52 | 27 | 28.7 |
| Citations per 100 beds | 36.3 | 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 | 0.7 | 0.6 | 0.9 | 0.7 |
| Nursing staff turnover | 71.8% | 71.8% | 53.4% | 45.8% |
| Fines listed | $142,698 | $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: 28 Aug 2025, 18 Jul 2024.
Severity mix: J ×1 G ×5 D ×35 E ×13 F ×4
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 |
|---|---|---|---|---|---|
| 6 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Mar 2026 |
| 6 May 2026 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation (under dispute review) | 22 May 2026 |
| 6 May 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 22 May 2026 |
| 6 May 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation (under dispute review) | 22 May 2026 |
| 6 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 22 May 2026 |
| 6 May 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 22 May 2026 |
| 31 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 9 Dec 2025 |
| 19 Nov 2025 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Complaint investigation | 14 Dec 2025 |
| 19 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 | 14 Dec 2025 |
| 19 Nov 2025 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint investigation | 14 Dec 2025 |
| 19 Nov 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 14 Dec 2025 |
| 19 Nov 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 14 Dec 2025 |
| 28 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 19 Sep 2025 |
| 28 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 19 Sep 2025 |
| 28 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 |
| 28 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Sep 2025 |
| 28 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Sep 2025 |
| 28 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 19 Sep 2025 |
| 28 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Sep 2025 |
| 5 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 20 Jun 2025 |
| 5 Jun 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 20 Jun 2025 |
| 5 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Jun 2025 |
| 5 Jun 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 | 20 Jun 2025 |
| 27 Mar 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 18 Apr 2025 |
| 27 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 18 Apr 2025 |
| 27 Mar 2025 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 18 Apr 2025 |
| 27 Mar 2025 | 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 | 18 Apr 2025 |
| 27 Mar 2025 | F0918 | Provide a bathroom in or located near each resident’s room. | D | Complaint investigation | 18 Apr 2025 |
| 27 Mar 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 18 Apr 2025 |
| 17 Dec 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint investigation | 15 Jan 2025 |
| 18 Jul 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 5 Sep 2024 |
| 18 Jul 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 | 5 Sep 2024 |
| 18 Jul 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Standard survey | 5 Sep 2024 |
| 18 Jul 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. | E | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 1 Apr 2024 |
| 18 Jul 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0687 | Provide appropriate foot care. | D | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Sep 2024 |
| 18 Jul 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 5 Sep 2024 |
| 26 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 21 Nov 2023 |
| 26 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Nov 2023 |
| 26 Oct 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 21 Nov 2023 |
| 26 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 21 Nov 2023 |
| 26 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 21 Nov 2023 |
| 26 Oct 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint investigation | 21 Nov 2023 |
| 22 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 21 Jul 2023 |
| 22 Jun 2023 | 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 | 21 Jul 2023 |
| 22 Jun 2023 | 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 | Standard survey | 21 Jul 2023 |
| 22 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Jul 2023 |
| 22 Jun 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 21 Jul 2023 |
| 22 Jun 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 21 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 May 2026 | Fine | $23,600 | |
| 6 May 2026 | Fine | $19,635 | |
| 28 Aug 2025 | Payment denial | — | 47 days |
| 28 Aug 2025 | Fine | $87,019 | |
| 4 Jun 2025 | Fine | $12,444 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 71.8%, RNs 75.8%; 2 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 | 24.5% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 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 | 2.0% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.1% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.5% | 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, individual. Chain: Eduro Healthcare (34 facilities).
No organisations are listed in the CMS ownership record for this facility.
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 |
| 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 |
All 7 facilities in Yellowstone County
Questions and answers
How many deficiencies has Yellowstone River Nursing and Rehabilitation been cited for?
58 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has Yellowstone River Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $143K in the period covered, plus 1 payment denial.
How does staffing at Yellowstone River Nursing and Rehabilitation 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 Yellowstone River Nursing and Rehabilitation?
It is part of the Eduro Healthcare chain. Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.
When was Yellowstone River Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 6 May 2026; the most recent standard health survey was 28 Aug 2025.
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.