Yellowstone County, Montana · Nursing home
Yellowstone River Nursing and Rehabilitation
1 of 5 overall from CMS
2115 Central Ave, Billings, MT 59102
At a glance
- Overall rating 1 of 5 Below the state average of 2.9
- Nurse time per resident, per day 3.15 hours Below the state average of 4.05
- Nursing staff who left in a year 71.8% Above the state average of 54.8%
- Health citations, last 3 inspection cycles 59 6 at the harm level or above
- Fines in 3 years $142,698 4 fines
- Certified beds in use 72.5% of 160 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Yellowstone River Nursing and Rehabilitation is a 160-bed nursing home in Billings, Montana (Yellowstone County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.15 nurse staffing hours per resident per day, below the Montana average of 4.05. CMS lists 4 fines totaling $142,698 in the past three years.
- Certified beds
- 160
- Residents per day (average)
- 116.0
- Certified since
- 1969 (57 yrs)
For profit - Individual Participates in Medicare and MedicaidPart of Eduro Healthcare (34 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Yellowstone River Nursing and Rehabilitation
Chosen from this home's public data.
- CMS lists 4 fines totaling $142,698 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 20 health deficiencies in the latest inspection cycle (the standard inspection on Aug 28, 2025 plus complaint and infection-control inspections); the Montana average is 11.2. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 71.8%, above the Montana average of 54.8%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Montana average 2.9
- Health inspections 1 of 5 Montana average 2.8
- Staffing 2 of 5 Montana average 3.6
- Quality measures 2 of 5 Montana average 3.0
The vertical line marks the Montana average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.15 h Montana average 4.05
- Nurse aides 1.80 h Montana average 2.57
- Licensed practical nurses 0.67 h Montana average 0.50
- Registered nurses 0.68 h Montana average 0.98
- All staff, weekends 2.80 h Montana average 3.59
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Montana average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover71.8%
- Montana average54.8%
- Registered nurse turnover75.8%
- Montana average48.3%
- Administrators who left2
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Montana and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Montana | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 24.5% | 18.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.7% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.2% | 5.6% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.6% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% | 4.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% | 96.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 26.1% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.5% | 15.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% | 93.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.7% | 6.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.8% | 24.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 29.5% | 20.4% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.47 | 1.38 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.40 | 2.16 | 1.78 |
Short-stay residents
| Measure | This home | Montana | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.6% | 81.2% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.8% | 73.8% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.3% | 19.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 18.3% | 14.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 59 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 5 involved actual harm; the rest were graded as no actual harm. 31 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 6, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 28, 2025 | 20 | 9 |
| Jul 18, 2024 | 27 | 11 |
| Jun 22, 2023 | 12 | 6 |
Montana homes averaged 11.2 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (59)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 18, 2026)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Mar 7, 2026)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (May 22, 2026)
-
DPotential for more than minimal harm, isolated
Assess the resident when there is a significant change in condition
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 22, 2026)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 22, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 22, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 22, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Dec 9, 2025)
-
EPotential for more than minimal harm, pattern
Hire a qualified full-time social worker in a facility with more than 120 beds.
Complaint investigation · Administration · Deficient, Provider has date of correction (Dec 14, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Dec 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 14, 2025)
-
DPotential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 14, 2025)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 19, 2025)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 19, 2025)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Sep 19, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 19, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Sep 19, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 19, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 19, 2025)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 20, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 20, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 20, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 20, 2025)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Apr 18, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 18, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 18, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide a bathroom in or located near each resident’s room.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Apr 18, 2025)
-
DPotential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Apr 18, 2025)
Showing the 30 most recent of 59.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 6, 2026 | Fine | $19,635 |
| May 6, 2026 | Fine | $23,600 |
| Aug 28, 2025 | Fine | $87,019 |
| Aug 28, 2025 | Payment Denial | 47 days |
| Jun 4, 2025 | Fine | $12,444 |
Montana homes averaged 1.5 fines and $55,610 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Montana
- Size5 of 59 by certified beds
- Montana average residents per day56.7
- ChainEduro Healthcare
- Chain average overall rating2.5 of 5
- Resident or family councilResident
- Homes in Billings6
- Homes in Yellowstone County7
Common questions
What is the CMS star rating for Yellowstone River Nursing and Rehabilitation?
Yellowstone River Nursing and Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 2.
How many beds does Yellowstone River Nursing and Rehabilitation have?
Yellowstone River Nursing and Rehabilitation has 160 certified beds. It averages 116.0 residents per day, about 72.5% of its certified beds.
How much nursing care do residents get at Yellowstone River Nursing and Rehabilitation?
The home reports 3.15 hours of nurse staffing per resident per day, including 0.68 hours from registered nurses. The Montana average is 4.05 hours and 0.98 hours from registered nurses.
Has Yellowstone River Nursing and Rehabilitation been fined?
Yes. CMS lists 4 fines totaling $142,698 in the past three years. It also lists 1 payment denial.
Does Yellowstone River Nursing and Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Skyline Heights Nursing and Rehabilitation 150beds 50.8%in use 3.26nurse hours a day
- 2 of 5 Aspen Meadows Health and Rehabilitation Center 90beds 73.3%in use 3.63nurse hours a day
- 3 of 5 St John's Lutheran Home 186beds 41.1%in use 5.40nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Yellowstone County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 275029. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.