Nursing HomeInspections

River Ridge Rehabilitation and Nursing LLC

Nursing home in Billings, MT

Medicare & Medicaid certified2★ overall (CMS)

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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
4 of 5
Certified beds
129
Average residents per day
86
Ownership
For-profit, limited Liability company
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers (22 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 2026-11-07.

Inspection record

Most recent standard health inspection: Jan 15, 2026. CMS lists 66 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 26, 2023 to Aug 11, 2026): 25 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 11, 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
Aug 11, 2026Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 11, 2026Have enough outside ventilation via a window or mechanical ventilation, or both.
Environmental · complaint inspection		E
Potential for more than minimal harm, pattern
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

Showing the 12 most recent of 66. 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 Oct 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 Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.17 hours
Registered nurse (RN) time per resident per day
0.68 hours
Nurse aide time per resident per day
1.87 hours
Total nurse staffing on weekends
2.70 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
53%
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.

Other nursing homes in Billings

St John's Lutheran Home3940 Rimrock Rd · Billings, MT 59102 · (406) 655-5600 · Nonprofit37 health citations in 3 inspection cycles · last standard inspection Jul 30, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)
Aspen Meadows Health and Rehabilitation Center3155 Ave C · Billings, MT 59102 · (406) 656-8818 · For-profit38 health citations in 3 inspection cycles · last standard inspection Mar 26, 2026 · $91,549 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Billings Rehabilitation and Nursing LLC600 S 27th St · Billings, MT 59101 · (406) 259-8000 · For-profit53 health citations in 3 inspection cycles · last standard inspection Feb 26, 2026 · $21,847 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)
Skyline Heights Nursing and Rehabilitation1807 24th St W · Billings, MT 59102 · (406) 656-5010 · For-profit64 health citations in 3 inspection cycles · last standard inspection Mar 12, 2026 · $481,582 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)
Yellowstone River Nursing and Rehabilitation2115 Central Ave · Billings, MT 59102 · (406) 656-6500 · For-profit60 health citations in 3 inspection cycles · last standard inspection Aug 28, 2025 · $127,566 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 6 in Billings →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error