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Formerly known as Parkview Healthcare Community, Billings Nursing and Rehab center is dedicated to making the facility a home with an inviting atmosphere that makes its residents feel welcomed into a home-like environment. The senior living home is supported and managed by professional caregivers who understand the unique needs of their residents — committed to fulfilling their holistic needs.
The Billings Nursing and Rehab community is the ideal home for residents and their families seeking to lead a more purposeful life. The senior living community offers a range of services such as transportation, housekeeping, and social activities.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 30th out of 34 homes in Montana. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 44m per day | ▼ 21% State avg: 56m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 28m per day | ▼ 7% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 2m per day | ▼ 20% State avg: 2h 32m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 19m per day | ▼ 33% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 35m per day | ▼ 15% State avg: 41m per day · National avg: 29m per day |
Higher than the Montana average: 61.7%Billings Nursing and Rehab is administrated by Kole Larsen.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 49 | 21 | This facility has 133% more total deficiencies than a typical Montana nursing home (49 vs. MT avg 21).↑ 133% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 16.3 | 7 | This facility has 133% more deficiencies per year than a typical Montana nursing home (16.3 vs. MT avg 7).↑ 133% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 20, 2025, found deficiencies related to unauthorized use of physical restraints and incomplete or outdated care plans. Earlier inspections showed a pattern of issues involving resident care planning, supervision, medication administration, and failure to prevent resident elopements. Complaint investigations substantiated concerns about inadequate supervision leading to elopements, delayed meal service, improper catheter care, abuse and neglect, and missed medication doses. Enforcement actions included immediate jeopardy findings in June 2024 related to neglect and multiple staff terminations and warnings following abuse investigations; fines or license suspensions were not listed in the available reports. The facility’s deficiencies indicate ongoing challenges with resident safety and care coordination, with some repeated issues over time and no clear pattern of sustained improvement.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMontana average 5.1
Last Health inspection on Aug 2025
Montana average 29.7
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 45 citations resulted from standard inspections; 8 of 45 resulted from complaint investigations; and 20 of 45 came from combined inspections (standard and complaint).
567% worse than Montana averageMontana average: 0.3
55% better than Montana averageMontana average: 2.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
20% worse than Montana average
0% compared with Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
681 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 2 | 50 | 14,816 | 92 | 100% | 9.2 |
| Registered Nurse | 12 | 10 | 22 | 3,284 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 8 | 0 | 8 | 1,887 | 91 | 99% | 10.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,151 | 79 | 86% | 10 |
| Medication Aide/Technician | 2 | 0 | 2 | 941 | 81 | 88% | 11.6 |
| Dental Services Staff | 3 | 0 | 3 | 922 | 72 | 78% | 6.8 |
| RN Director of Nursing | 1 | 0 | 1 | 671 | 76 | 83% | 8.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 522 | 71 | 77% | 6.4 |
| Nurse Practitioner | 1 | 0 | 1 | 511 | 61 | 66% | 8.4 |
| Nurse Aide in Training | 2 | 0 | 2 | 498 | 60 | 65% | 7.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 465 | 59 | 64% | 7.9 |
| Dietitian | 1 | 0 | 1 | 450 | 64 | 70% | 7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 226 | 52 | 57% | 3.3 |
| Speech Language Pathologist | 0 | 2 | 2 | 51 | 54 | 59% | 0.9 |
| Qualified Social Worker | 0 | 1 | 1 | 25 | 35 | 38% | 0.7 |
| Medical Director | 0 | 1 | 1 | 24 | 12 | 13% | 2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 23 | 9 | 10% | 2.6 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 21 | 37 | 40% | 0.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 6 | 2 | 2% | 3.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
Includes penalties issued in 2023-2024
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)
12% higher than Montana averageMontana average: $87K
29% more fines than Montana averageMontana average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Montana averageMontana average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 6, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 14, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.1
44% worse than Montana averageMontana average: 11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
30% worse than Montana averageMontana average: 21.8
Percent of long-stay residents whose need for help with daily activities has increased
30.0%
55% worse than Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
33.9%
63% worse than Montana averageMontana average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
15% better than Montana averageMontana average: 25.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
48% better than Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
9.3%
48% worse than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
0.4%
86% better than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
4.9%
20% better than Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
0.5%
90% better than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
10.6%
45% better than Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
6% worse than Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Montana averageMontana average: 93.7%
Number of hospitalizations per 1,000 long-stay resident days.
2.03
60% worse than Montana averageMontana average: 1.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
30% better than Montana averageMontana average: 2.17
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.7%
15% better than Montana averageMontana average: 76.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
19% better than Montana averageMontana average: 73.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
30% worse than Montana averageMontana average: 19.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.1%
41% worse than Montana averageMontana average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Montana averageMontana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.7%
13% better than Montana averageMontana average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
29% of new residents, usually for short-term rehab.
14% of new residents, often for short stays.
57% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Billings Nursing and Rehab based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #24 / 31Payroll — State benchmarkedThis home is ranked 24th out of 31 homes in Montana. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Most residents stay for extended periods and receive ongoing daily care.
1.3 miles from city center
Estimated distance in miles from Billings's city center to Billings Nursing and Rehab's address, calculated via Google Maps.
— 0.98 miles to nearest hospital (Renew Vitality Testosterone Clinic of Billings)
Add your location
Billings Nursing and Rehab is located in Billings, Montana.
Here are the financial assistance programs available to residents in Montana.
Billings Nursing and Rehab is in the South Side neighborhood of Billings.
Billings Nursing and Rehab has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MT state health department records, Billings Nursing and Rehab's license number is 68.
According to MT state health department records, Billings Nursing and Rehab's license expires on January 1, 2027.
Billings Nursing and Rehab's occupancy is 73%.
Kole Larsen is the administrator of Billings Nursing and Rehab.
Billings Nursing and Rehab has 100 beds.
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