All states › Montana › Billings › Yellowstone River Nursing and Rehabilitation
2115 Central Ave Billings, MT 59102 · Yellowstone County
All 6 nursing homes in Billings, MT (6 take Medicaid)
CMS certification number 275029 · See this home on Medicare Care Compare
Is Yellowstone River Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Yellowstone River Nursing and Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Montana average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.32 hours per resident per day at Yellowstone River Nursing and Rehabilitation, below the Montana median of 3.77 (US median: 3.72). About 0.68 of those hours are from registered nurses. On weekends it falls to 2.89 hours, 13% below its all-week average. 62.6% of nursing staff left within a year (Montana median 55.5%).
About this nursing home
Paying for care at Yellowstone River Nursing and Rehabilitation: Medicare and Medicaid
Yellowstone River Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Montana's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 28, 2025 and found 7 deficiencies, plus 12 from complaint inspections in the same period. In total, inspectors issued 60 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 60 citations at Yellowstone River Nursing and Rehabilitation across 12 inspection dates, 32 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 5, 2025 (complaint inspection). The most common areas cited were quality of life and care (15) and resident rights (13). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, June 5, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
August 27, 2026 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
July 30, 2026 · 1 citation · includes complaint inspection
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 6, 2026 · 6 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GEnsure that residents are free from significant medication errors.
DAssess the resident when there is a significant change in condition
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide enough food/fluids to maintain a resident's health.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
December 31, 2025 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
November 19, 2025 · 5 citations · includes complaint inspection
EHire a qualified full-time social worker in a facility with more than 120 beds.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
August 28, 2025 · 7 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GProvide enough food/fluids to maintain a resident's health.
EHonor 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe and appropriate respiratory care for a resident when needed.
June 5, 2025 · 4 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DRespond appropriately to all alleged violations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
March 27, 2025 · 6 citations · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide a bathroom in or located near each resident’s room.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
December 17, 2024 · 1 citation · includes complaint inspection
DImplement 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.
July 18, 2024 · 16 citations · includes complaint inspection
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EAllow resident to participate in the development and implementation of his or her person-centered plan of care.
EHonor 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.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure medication error rates are not 5 percent or greater.
DReasonably accommodate the needs and preferences of each resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DProvide appropriate foot care.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
DProvide and implement an infection prevention and control program.
DKeep all essential equipment working safely.
October 26, 2023 · 6 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DReasonably accommodate the needs and preferences of each resident.
DRespond appropriately to all alleged violations.
DImplement 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.
June 22, 2023 · 6 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHonor 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.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EProvide and implement an infection prevention and control program.
DAssess the resident when there is a significant change in condition
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Questions to ask on a tour of Yellowstone River Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on June 5, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 5, 2025. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $127,566 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 6, 2026 | Fine | $12,763 |
| May 6, 2026 | Fine | $15,340 |
| Aug 28, 2025 | Fine | $87,019 |
| Aug 28, 2025 | Payment Denial | 47 days of payments denied |
| Jun 4, 2025 | Fine | $12,444 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near Yellowstone River Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
3.0 mi
St Vincent Healthcare BillingsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 38m for patients treated and sent home
-
3.0 mi
VA Pittsburgh Healthcare System - Univ Dr PittsburghEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 17m for patients treated and sent home
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3.1 mi
Billings Clinic Hospital BillingsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 56m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Yellowstone River Nursing and Rehabilitation › All nursing homes in Billings ›
Compare Yellowstone River Nursing and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- St John's Lutheran Home · Billings · 4 stars · 3.1 mi
- Aspen Meadows Health and Rehabilitation Center · Billings · 2 stars · 1.5 mi
- River Ridge Rehabilitation and Nursing · Billings · 2 stars · 6.7 mi
Other Eduro Healthcare nursing homes in Montana
- Southwest Montana Veterans Home · Butte · 5 stars
- Copper Ridge Health and Rehabilitation Center · Butte · 4 stars
- Eastern Montana Veterans Home · Glendive · 3 stars
- Elkhorn Healthcare and Rehabilitation · Clancy · 2 stars
- Skyline Heights Nursing and Rehabilitation · Billings · 1 stars
- Cooney Healthcare and Rehabilitation · Helena · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 34 Eduro Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.