Nursing HomeInspections

River Ridge Rehabilitation and Nursing LLC

Nursing home in Billings, MT

Medicare & Medicaid certified2★ overall (CMS)

Call (406) 245-9330Send a messageMap ↗

Public-record details

Address
1415 Yellowstone River Rd, Billings, MT 59105
Phone
(406) 245-9330
Listed under
For-profit
Medicare CCN
275123
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
129
Average residents per day
85
Ownership
For-profit, limited Liability company
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers (19 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1988
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 275123. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 15, 2026. CMS lists 63 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 26, 2023 to Jan 15, 2026): 22 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Jan 15, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 15, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated
Jan 15, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jan 15, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 15, 2026Provide 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
Jan 15, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 15, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jan 15, 2026Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 15, 2026Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Jan 15, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Jan 15, 2026Educate 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…
Infection Control
F
Potential for more than minimal harm, widespread
Mar 27, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 63. 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 $80,893 in the last three years.

Aug 1, 2024Fine: $58,728
Feb 12, 2024Fine: $1,899
Jan 22, 2024Fine: $3,418
Oct 26, 2023Fine: $16,848

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
3.23 hours
Registered nurse (RN) time per resident per day
0.49 hours
Nurse aide time per resident per day
1.93 hours
Total nurse staffing on weekends
2.76 hours
Nursing staff turnover (yearly)
50%
RN turnover (yearly)
62%
Administrators who left in the past year
0

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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