Show Inspection Reports
Total health inspections
8
Montana average 5.1
Last Health inspection on Aug 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
Avantara Billings
Overview of Avantara Billings
Experience a life of sophistication, refinement, and empathy at Avantara Billings. Nestled in scenic Montana, Avantara Billings offers cutting-edge physical and occupational rehabilitation plans, complete with state-of-the-art physical therapy equipment. They also provide speech pathology services, with a standout orthopedic rehabilitation program. The advanced Trent Transitional Rehabilitation program ensures that residents regain their strength, independence, and confidence in a comfortable and supportive environment. Avantara Billings is an excellent choice for seniors in need of pulmonary, oncology, and orthopedic care, among other services.
Residents will find themselves supported, entertained, and rejuvenated in this healing space. For those who enjoy a good book, the library offers a peaceful retreat, while wall-mounted flat-screen TVs and high-speed Wi-Fi provide ample entertainment options. The concierge and salon services, as well as the home’s prime location near prestigious hospitals, make Avantara Billings the ideal choice for families seeking the very best for their loved ones.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
160
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
65.6%
Residents per day (avg)
105
Occupancy rate
65.6%
Residents per day (avg)
105
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
43% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
49% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Privately-owned community
Home revenue
$7.6M
Operating loss
-$7.7K
Privately-owned community
Home revenue
$7,574,017.00
Operating loss
$-7,655.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.6M
8 years in operation
An established community with some operational experience and growing routines.
Walk Score: 72 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Inspection History
In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.
Health Inspection History
Inspections
Total health citations
49
Montana average 29.7
Citations per inspection
6.12
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 49 citations resulted from standard inspections; 20 of 49 resulted from complaint investigations; and 5 of 49 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
233% worse than Montana averageMontana average: 0.3
Serious Health citations
4
4
82% worse than Montana averageMontana average: 2.2
1 critical citation
4 serious citations
44 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 28, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 28, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 28, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 28, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 28, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 28, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 28, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 28, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Montana The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Eureka of Cascadia, LLC dba Mountain View of Cascadia
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Eureka
49
69.3%
+12%
3.56
-21%
0
13
0
47
-
-
Carvey, Dianna
$3,7M
$1,5M
40.8%
275084
Avantara Billings
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
-
160
65.6%
+6%
3.57
-21%
3
49
5
105
A+
72
Caldwell, Sarah
$7,6M
$3,5M
46.8%
275029
Central Montana Nursing and Rehabilitation Center
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Lewistown
62
35.5%
-42%
-
-
0
0
0
-
-
39
Central Montana Snf Operations Holdings Llc
$1,0M
$0,3M
28.2%
275064
Libby of Cascadia, LLC dba Libby Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
LIBBY
101
-
-
-
-
0
0
0
-
-
-
-
-
-
-
-
Logan Health – Conrad – LTC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conrad
59
-
-
-
-
0
0
0
-
-
-
-
-
-
-
-
Places of interest near Avantara Billings
3.3 miles from city center — 0.51 miles to nearest hospital (St Vincent Healthcare)
2115 Central Ave. Billings, MT 59102
Calculate Travel Distance to Avantara Billings
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
189
Employees
96
Contractors
93
Staff to resident ratio
1.64:1
7% worse than Montana averageMontana average ratio: 1.77:1
Avg staff/day
48
Average shift
9.1 hours
6% better than Montana averageMontana average: 8.6 hours
Total staff hours (quarter)
39,745
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
104
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
27.7%
11,025 contractor hours this quarter
Certified Nursing Assistant: 58
Registered Nurse: 24
Licensed Practical Nurse: 9
Respiratory Therapy Technician: 1
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 46 | 58 | 104 | 18,643 | 91 | 100% | 9.9 |
| Registered Nurse | 12 | 24 | 36 | 6,058 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 10 | 9 | 19 | 5,096 | 91 | 100% | 10.1 |
| Physical Therapy Aide | 6 | 0 | 6 | 1,827 | 65 | 71% | 6.8 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,408 | 64 | 70% | 8 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,359 | 88 | 97% | 7.4 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 1,320 | 65 | 71% | 7.8 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,240 | 64 | 70% | 6.9 |
| Qualified Social Worker | 2 | 1 | 3 | 651 | 54 | 59% | 8.9 |
| RN Director of Nursing | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Medication Aide/Technician | 1 | 0 | 1 | 320 | 40 | 44% | 8 |
104 Certified Nursing Assistant
% of Days
100%
36 Registered Nurse
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
6 Physical Therapy Aide
% of Days
71%
3 Mental Health Service Worker
% of Days
70%
7 Other Dietary Services Staff
% of Days
97%
3 Respiratory Therapy Technician
% of Days
71%
3 Speech Language Pathologist
% of Days
70%
3 Qualified Social Worker
% of Days
59%
1 RN Director of Nursing
% of Days
69%
1 Clinical Nurse Specialist
% of Days
67%
1 Nurse Practitioner
% of Days
65%
1 Administrator
% of Days
49%
1 Medication Aide/Technician
% of Days
44%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
115 residents
Residents by payment source
Medicare
18 residents (15.7%)
Medicaid
90 residents (78.3%)
Private pay or other
7 residents (6.1%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
34% worse than Montana averageMontana average: 11.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.4
35% worse than Montana averageMontana average: 21.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
30.1%
Percent of long-stay residents whose need for help with daily activities has increased
30.1%
55% worse than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
29.6%
Percent of long-stay residents whose ability to move independently worsened
29.6%
42% worse than Montana averageMontana average: 20.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.6%
14% worse than Montana averageMontana average: 25.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
7% better than Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.6%
Percent of long-stay high risk residents with pressure ulcers
3.6%
42% better than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.2%
Percent of long-stay residents with a urinary tract infection
1.2%
57% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.4%
Percent of long-stay residents who lose too much weight
7.4%
21% worse than Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.0%
Percent of long-stay residents who have depressive symptoms
3.0%
36% better than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
31.8%
Percent of long-stay residents who received an antipsychotic medication
31.8%
67% worse than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
6% better than Montana averageMontana average: 93.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
26% better than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
27% worse than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
26% better than Montana averageMontana average: 73.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$195K
124% higher than Montana averageMontana average: $87K
Number of fines
4
72% more fines than Montana averageMontana average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
514% more payment denials than Montana averageMontana average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$195K
Montana average
$87K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2025
$134K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 28, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 28, 2025
47 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 4, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 4, 2025
$19K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 22, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 22, 2023
$39K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avantara Billings based on CMS SNF Cost Reports.
Occupancy Rate
65.6%
↑ 10.9pp vs 2022
Net Income
-$7,655
↑ ~$2.0M vs 2022
Total Payroll
$4,571,244
↓ ~$3.5M vs 2022
Profit Margin
-0.1%
↑ 11.1pp vs 2022
Loading trend charts...
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Financial Aid for Montana Seniors
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