Nursing HomeInspections

Yellowstone River Nursing and Rehabilitation

Nursing home in Billings, MT

Medicare & Medicaid certified1★ overall (CMS)

Call (406) 656-6500Send a messageMap ↗

Public-record details

Address
2115 Central Ave, Billings, MT 59102
Phone
(406) 656-6500
Listed under
For-profit
Medicare CCN
275029
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
160
Average residents per day
116
Ownership
For-profit, individual
Legal business name
Yellowstone Nursing and Rehab Center LLC
Chain
Eduro Healthcare (34 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 1, 1969
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 275029. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 28, 2025. CMS lists 58 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 22, 2023 to May 6, 2026): 30 from complaint inspections, 6 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 6, 2026Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
May 6, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · complaint inspection · under dispute review
D
Potential for more than minimal harm, isolated
May 6, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 6, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 6, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
May 6, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection · under dispute review
G
Actual harm, isolated
Dec 31, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 19, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 19, 2025Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 19, 2025Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 19, 2025Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 19, 2025Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 58. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $142,698 and 1 denial of Medicare payment for new admissions in the last three years.

May 6, 2026Fine: $19,635
May 6, 2026Fine: $23,600
Aug 28, 2025Fine: $87,019
Aug 28, 2025Payment denial for 47 days from Oct 2, 2025
Jun 4, 2025Fine: $12,444

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.15 hours
Registered nurse (RN) time per resident per day
0.68 hours
Nurse aide time per resident per day
1.80 hours
Total nurse staffing on weekends
2.80 hours
Nursing staff turnover (yearly)
72%
RN turnover (yearly)
76%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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