Yellowstone River Nursing and Rehabilitation

Yellowstone River Nursing and Rehabilitation is a Nursing Home in Montana

Yellowstone River Nursing and… is a Nursing Home in Montana

Yellowstone River Nursing and Rehabilitation

2115 Central Ave, Billings, MT 59102 View Map

Yellowstone River Nursing and Rehabilitation is a Nursing Home in Montana

Yellowstone River Nursing and… is a Nursing Home in Montana

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Overview of Yellowstone River Nursing and Rehabilitation

Yellowstone River Nursing & Rehabilitation is a senior living community located in Billings, Montana, offering 24/7 skilled care, including long term care, short-term care and various rehab therapies. They provide a range of services to enhance the quality of life for their residents, emphasizing individual wellness and recovery. Seniors at Yellowstone River can enjoy personalized care in a supportive environment designed to meet their specific needs.

Yellowstone River Nursing & Rehabilitation aims to offer comprehensive and compassionate care to their residents. They provide various amenities and programs, including skilled nursing for pain management, medication, and hygiene, as well as rehabilitation therapy with physical, occupational, and speech therapists. Their goal is to help residents regain independence and improve their overall well-being, whether they require long or short-term care.

406-656-6500

Managed by Joe Lilienthal

Administrator

Joe Lilienthal serves as the Administrator at Yellowstone River Nursing and Rehabilitation. He leads the community in providing skilled nursing, short-term rehabilitation, and long-term care services in a compassionate and comfortable environment. Joe and his team focus on customizing care and therapy plans to meet the individual needs of each resident, fostering a family-like atmosphere surrounded by healing views.

Home Information YELLOWSTONE RIVER NURSING AND REHABILITATION
  • Occupancy levels track close to the statewide midpoint, indicating balanced availability. The facility operates with a larger bed count than most state competitors, supporting broader intake. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.

  • Home revenue ranks in the upper tier statewide, reflecting strong billing volume. Payroll spending sits in the top tier, showing a strong investment in staffing resources. Total income trails most communities, suggesting tighter operating margins.

  • Medicare nights run higher than most peers, indicating robust short-stay referrals. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights lead the state, showing strong demand from market-rate residents.

Occupancy
Beds
160
Occupancy
67.9%
Total Bed Days Available
58400
Avg. Length of Stay
71 days
Avg. Residents per Day
105
Finance
Home Revenue
$17,844,437.00
Payroll Costs
$4,791,561.00
Profit
$-1,997,833.00
Total Home Costs
$12,267,772.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
26.9%
House Specifics:
CCN
275029
Owner Name
CALDWELL, SARAH
Rural vs. Urban
Urban
County
Yellowstone
Type of Control
Voluntary Nonprofit — Other
Operations
Total Admissions
463
Total Discharges
452
% Medicaid Admissions
12%
% Medicare Admissions
56%
% Private Pay Admissions
32%
% Medicaid Discharges
9%
% Medicare Discharges
46%
% Private Pay Discharges
45%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
1 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
1 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
2 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
2 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
3.57 hrs
Number of Fines
3
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
21940
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
5761
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
4224
Years in operation
2 years in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 67 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

License Status
Current
Facility Type
Long Term Care
License Date
January 6, 2024
License Expiration
May 31, 2027

Additional licensing details

License number: 66

Ownership & operating entity

Yellowstone River Nursing and Rehabilitation is administrated by McGaha, Brenda.

What does this home offer?

Check icon

Building Type: Single-story

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Fitness and Recreation

Types of Care at Yellowstone River Nursing and Rehabilitation

Skilled Nursing Assisted Living

Comparison Chart

The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Compare Nursing Homes around Billings
Billings Nursing and Rehab
HC

Hospice Care

MC

Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

24/7 care needed

Billings
100
No
56
-
75.6%
$6,611,675.00
$1,722,702.00
26.1%
79.70
-
3.1488
-
-
-
4
Bella Terra Billings
AL

For seniors needing help with daily tasks but not full-time nursing.

Billings
-
No
41
-
-
-
-
-
-
-
-
-
-
-
-
Skyline Heights Nursing and Rehabilitation
SNF

24/7 care needed

Billings
150
No
57
PRECIADO, ANNA
54.1%
$16,320,051.00
$3,760,148.00
23%
70.70
1/5
2.9879
1/5
1/5
2/5
5
Yellowstone River Nursing and Rehabilitation
AL

For seniors needing help with daily tasks but not full-time nursing.

SNF

24/7 care needed

Billings
160
No
67
CALDWELL, SARAH
67.9%
$17,844,437.00
$4,791,561.00
26.9%
104.80
1/5
3.5685
1/5
2/5
2/5
3

Places of interest near Yellowstone River Nursing and Rehabilitation

Address 4 miles from city center

Address 2115 Central Ave, Billings, MT 59102

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

189
Total Staff
96
Employees
93
Contractors
39,745
Total Hours (Quarter)
48
Avg Staff/Day
9.1
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse369.8 Yes
Licensed Practical Nurse1910.1 Yes
Certified Nursing Assistant1049.9 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
161 staff
9.8hs shift avg
Physicians & Practitioners
2 staff
8hs shift avg
Therapy Services
12 staff
7.1hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
3 staff
8.9hs shift avg
Dietary Services
7 staff
7.4hs shift avg
Other Services
3 staff
8hs shift avg
Contractor Analysis
27.7%
of total hours from contractors
11,025 contractor hours this quarter
Licensed Practical Nurse: 9 Certified Nursing Assistant: 58 Respiratory Therapy Technician: 1 Registered Nurse: 24 Qualified Social Worker: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant465810418,64391100%9.9
Registered Nurse1224366,05891100%9.8
Licensed Practical Nurse109195,09691100%10.1
Physical Therapy Aide6061,8276571%6.8
Mental Health Service Worker3031,4086470%8
Other Dietary Services Staff7071,3598897%7.4
Respiratory Therapy Technician2131,3206571%7.8
Speech Language Pathologist3031,2406470%6.9
Qualified Social Worker2136515459%8.9
RN Director of Nursing1015046369%8
Clinical Nurse Specialist1014886167%8
Nurse Practitioner1014725965%8
Administrator1013604549%8
Medication Aide/Technician1013204044%8

Health Inspection History

Source: CMS Health Citations (Dec 2022 – Aug 2025)

8
Inspections
49
Total Citations
1
Critical (J-L)
4
Serious (G-I)
6.12
Citations/Inspection
Aug 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
44
Serious (G-I)
4
Critical (J-L)
1
What do these levels mean?
Top Deficiency Categories
Resident Rights
13
27% of total
Quality of Life & Care
10
20% of total
Abuse, Neglect & Exploitation
4
8% of total
Pharmacy Services
4
8% of total
Environmental
4
8% of total
Infection Control
3
6% of total
Citation Sources
Standard Inspections 29
Complaint Investigations 25
State Comparison (MT)
Avg Citations (State)
29.7
This Facility: 49
Avg Critical (State)
0.3
This Facility: 1
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Aug 28, 2025 E NutritionF0812 Corrected
Aug 28, 2025 D Quality of CareF0684 Corrected
Aug 28, 2025 G Quality of CareF0686 Corrected
Aug 28, 2025 G Quality of CareF0692 Corrected
Aug 28, 2025 D Quality of CareF0695 Corrected
Aug 28, 2025 D Resident RightsF0550 Corrected
Aug 28, 2025 E Resident RightsF0585 Corrected
Jun 05, 2025 D Abuse/NeglectF0610 Corrected
Jun 05, 2025 E Nursing ServicesF0726 Corrected
Jun 05, 2025 J Quality of CareF0689 Corrected
Jun 05, 2025 D Care PlanningF0657 Corrected
Mar 27, 2025 D EnvironmentalF0918 Corrected
Mar 27, 2025 D EnvironmentalF0919 Corrected
Mar 27, 2025 E NutritionF0804 Corrected
Mar 27, 2025 D Resident RightsF0550 Corrected
Mar 27, 2025 D Resident RightsF0559 Corrected
Mar 27, 2025 D Resident RightsF0580 Corrected
Dec 17, 2024 D PharmacyF0758 Corrected
Jul 18, 2024 D Abuse/NeglectF0600 Corrected
Jul 18, 2024 D Abuse/NeglectF0604 Corrected
Jul 18, 2024 D AdministrationF0835 Corrected
Jul 18, 2024 F AdministrationF0867 Corrected
Jul 18, 2024 D EnvironmentalF0908 Corrected
Jul 18, 2024 F EnvironmentalF0925 Corrected
Jul 18, 2024 D Infection ControlF0880 Corrected
Jul 18, 2024 F NutritionF0801 Corrected
Jul 18, 2024 F NutritionF0812 Corrected
Jul 18, 2024 E PharmacyF0755 Corrected
Jul 18, 2024 E PharmacyF0759 Corrected
Jul 18, 2024 D Quality of CareF0687 Corrected
Jul 18, 2024 D Quality of CareF0689 Corrected
Jul 18, 2024 E Resident RightsF0553 Corrected
Jul 18, 2024 D Resident RightsF0558 Corrected
Jul 18, 2024 E Resident RightsF0584 Corrected
Oct 26, 2023 D Abuse/NeglectF0610 Corrected
Oct 26, 2023 E Infection ControlF0880 Corrected
Oct 26, 2023 D PharmacyF0758 Corrected
Oct 26, 2023 D Resident RightsF0550 Corrected
Oct 26, 2023 D Resident RightsF0552 Corrected
Oct 26, 2023 D Resident RightsF0558 Corrected
Jun 22, 2023 E Infection ControlF0880 Corrected
Jun 22, 2023 E Nursing ServicesF0725 Corrected
Jun 22, 2023 D Nursing ServicesF0726 Corrected
Jun 22, 2023 D Quality of CareF0677 Corrected
Jun 22, 2023 G Quality of CareF0686 Corrected
Jun 22, 2023 G Quality of CareF0689 Corrected
Jun 22, 2023 D Care PlanningF0637 Corrected
Jun 22, 2023 E Resident RightsF0584 Corrected
Dec 28, 2022 D Resident RightsF0554 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Individual
Part of: Eduro Healthcare
Resident Census by Payment Source
115 Total Residents
Medicare 18 (15.7%)
Medicaid 90 (78.3%)
Private Pay/Other 7 (6.1%)
Specialized Care Beds
26 Total Specialty Beds
16.3% of Bed Capacity
26
Alzheimer's / Dementia Beds
16.3%
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
14.9 Score
34% worse than avg State avg: 11.2

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
29.4 Score
35% worse than avg State avg: 21.8

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
30.1%
Lost Too Much Weight
7.4%
Urinary Tract Infection
1.2%
Depressive Symptoms
3.0%
Falls with Major Injury
4.0%
Pneumococcal Vaccine
100.0%
Antipsychotic Use
31.8%
Walking Ability Worsened
29.6%
Influenza Vaccine
98.9%
High Risk Residents with Pressure Ulcers
3.6%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
28.6%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
96.1% 26% better than avg State: 76.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
2.2% 27% worse than avg State: 1.8%
Influenza Vaccine
92.8% 26% better than avg State: 73.8%

Penalties & 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 $195K State avg: $87K 124% worse than avg
Number of Fines 4 State avg: 2.3
Payment Denials 1 47 total days
Compared to State Average Facility: $195K | State Avg: $87K
Penalty History

Showing all 5 penalties (Jun 2023 - Aug 2025)

Aug 28, 2025 Civil Money Penalty
$134K
Aug 28, 2025 Payment Denial
47 days
Jun 4, 2025 Civil Money Penalty
$19K
Jun 22, 2023 Civil Money Penalty
$39K
Jun 12, 2023 Civil Money Penalty
$3K
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Guides for Better Senior Living

From costs to care, explore the most important topics to make informed decisions about your future.

Claim What’s Yours: Financial Aid for Montana Seniors

Program
State Program Name
Eligibility
Benefits
Big Sky Waiver
Montana Medicaid Big Sky Waiver
Official government program page
  • General: Age 65+ or disabled, Montana resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • MT Specifics: Rural state; limited providers in some areas.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), home modifications ($1,500 avg.), meals ($6/meal).
Montana Community First Choice
  • General: Age 65+ or disabled, Montana resident, Medicaid- eligible.
  • Income Limits: ~$1,732/month (individual, Medicaid threshold).
  • Asset Limits: $2,000 (individual).
  • MT Specifics: Less intensive than waiver; rural focus.
  • Services: Personal care (up to 40 hours/month), homemaker services, respite (varies).
Big Sky Rx
  • General: Age 65+ or disabled, Montana resident, enrolled in Medicare Part D, income below limit.
  • Income Limits (2025): ~$2,510/month (individual), ~$3,380/month (couple).
  • Asset Limits: Not assessed.
  • MT Specifics: Covers up to $38.75/month premium; statewide via AAAs.
  • Services: Prescription drug premium assistance (~$465/year), reducing out-of-pocket costs.
Medicare Savings Program (MSP)
Montana Medicare Savings Program
  • General: Age 65+ or disabled, Montana resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • MT Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Montana Caregiver Support Program (via NFCSP)
Montana Caregiver Support Program
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).
  • Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits: Not assessed; need-based.
  • MT Specifics: 10 AAAs; prioritizes low-income, rural caregivers.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($50/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
Montana SCSEP
  • General: Age 55+, unemployed, low-income, Montana resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • MT Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Montana VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, Montana resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • MT Specifics: High veteran demand in rural areas.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Claim What’s Yours Financial Aid for Montana Seniors

Montana Medicaid Big Sky Waiver

Big Sky Waiver

Requirements:
  • General:
    Age 65+ or disabled, Montana resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • MT Specifics:
    Rural state; limited providers in some areas.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), home modifications ($1,500 avg.), meals ($6/meal).
MT CFC

Montana Community First Choice

Requirements:
  • General:
    Age 65+ or disabled, Montana resident, Medicaid- eligible.
  • Income Limits:
    ~$1,732/month (individual, Medicaid threshold).
  • Asset Limits:
    $2,000 (individual).
  • MT Specifics:
    Less intensive than waiver; rural focus.
Benefits without Contact:
  • Services: Personal care (up to 40 hours/month), homemaker services, respite (varies).
Montana Big Sky Rx

Big Sky Rx

Requirements:
  • General:
    Age 65+ or disabled, Montana resident, enrolled in Medicare Part D, income below limit.
  • Income Limits (2025):
    ~$2,510/month (individual), ~$3,380/month (couple).
  • Asset Limits:
    Not assessed.
  • MT Specifics:
    Covers up to $38.75/month premium; statewide via AAAs.
Benefits without Contact:
  • Services: Prescription drug premium assistance (~$465/year), reducing out-of-pocket costs.
Montana Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Montana resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • MT Specifics:
    Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Montana Caregiver Support Program

Montana Caregiver Support Program (via NFCSP)

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).
  • Income Limits (2025):
    Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits:
    Not assessed; need-based.
  • MT Specifics:
    10 AAAs; prioritizes low-income, rural caregivers.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($50/day), training, supplies (~$500/year).
Montana SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Montana resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • MT Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Montana VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, Montana resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • MT Specifics:
    High veteran demand in rural areas.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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