(888) 927-9409
Call
(888) 927-9409

Best Nursing Homes in Billings, MT

Why trust this guide? Our editorial team analyzed 6 nursing homes in Billings, MT using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MT
Reviewed by
Jordan Weiss, PhD
Last updated
We analyzed These are the facilities in Billings, MT our team has analyzed — not a count of every nursing home provider in Billings, MT.
6 homes
Other senior care options in Billings:
Assisted Living Memory Care Independent Living

Compare Nursing Homes around Billings (Metro Area)

Info below is compiled from CMS reports & the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Montana average is: 49.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Billings Nursing and Rehab ★ ☆ ☆ ☆ ☆
NH
HOS
RC
SNF
Billings (South Side)
100
Facility 100
MT AVG 97
Rank #16 / 37
C+
78.6%
Facility 78.6%
MT AVG 71.9%
Rank #11 / 25
+9%
3.24
Facility 3.24
MT AVG 4.78
Rank #17 / 29
 ★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ +27%-32%
$62.8k
Facility $62.8k
MT AVG $80.5k
Rank #19 / 30
52
Facility 52
MT AVG 31.0
Rank #23 / 30
5.2
Facility 5.2
MT AVG 5.7
Rank #12 / 30
279-
56
Facility 56
MT AVG 47
Rank #15 / 40
-
$8.2MFiscal year ending 12/2024
Facility $8.2MFiscal year ending 12/2024
MT AVG $8.1M
Rank #14 / 26
$4.3MFiscal year ending 12/2024
Facility $4.3MFiscal year ending 12/2024
MT AVG $4.0M
Rank #13 / 26
52.8%Fiscal year ending 12/2024
Facility 52.8%Fiscal year ending 12/2024
MT AVG 49.9%
Rank #5 / 26
275120
Eagle Cliff Healthcare Community ★ ★ ☆ ☆ ☆
NH
AL
HOS
RC
SNF
Billings (Heights)
129
Facility 129
MT AVG 97
Rank #8 / 37
C
66.7%
Facility 66.7%
MT AVG 71.9%
Rank #18 / 25
-7%
3.62
Facility 3.62
MT AVG 4.78
Rank #13 / 29
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -29%-24%
$80.9k
Facility $80.9k
MT AVG $80.5k
Rank #23 / 30
63
Facility 63
MT AVG 31.0
Rank #28 / 30
10.5
Facility 10.5
MT AVG 5.7
Rank #30 / 30
386-
3
Facility 3
MT AVG 47
Rank #39 / 40
Amin Family Limited Partnership
$8.2MFiscal year ending 12/2024
Facility $8.2MFiscal year ending 12/2024
MT AVG $8.1M
Rank #13 / 26
$4.3MFiscal year ending 12/2024
Facility $4.3MFiscal year ending 12/2024
MT AVG $4.0M
Rank #14 / 26
51.8%Fiscal year ending 12/2024
Facility 51.8%Fiscal year ending 12/2024
MT AVG 49.9%
Rank #8 / 26
275123
Yellowstone River Nursing and Rehabilitation ★ ☆ ☆ ☆ ☆
NH
SNF
Billings (East Central)
160
Facility 160
MT AVG 97
Rank #5 / 37
C-
71.4%
Facility 71.4%
MT AVG 71.9%
Rank #14 / 25
-1%
3.82
Facility 3.82
MT AVG 4.78
Rank #20 / 29
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ +50%-20%
$142.7k
Facility $142.7k
MT AVG $80.5k
Rank #28 / 30
58
Facility 58
MT AVG 31.0
Rank #24 / 30
5.8
Facility 5.8
MT AVG 5.7
Rank #19 / 30
6114-
67
Facility 67
MT AVG 47
Rank #8 / 40
Sarah Caldwell
$14.3MFiscal year ending 12/2024
Facility $14.3MFiscal year ending 12/2024
MT AVG $8.1M
Rank #2 / 26
$7.0MFiscal year ending 12/2024
Facility $7.0MFiscal year ending 12/2024
MT AVG $4.0M
Rank #2 / 26
49%Fiscal year ending 12/2024
Facility 49%Fiscal year ending 12/2024
MT AVG 49.9%
Rank #12 / 26
275029
Skyline Heights Nursing and Rehabilitation ★ ☆ ☆ ☆ ☆
NH
HOS
SNF
W Billings (Colton Heights Apartments)
150
Facility 150
MT AVG 97
Rank #6 / 37
D-
52.8%
Facility 52.8%
MT AVG 71.9%
Rank #22 / 25
-27%
3.24
Facility 3.24
MT AVG 4.78
Rank #25 / 29
 ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ -18%-32%
$413.8k
Facility $413.8k
MT AVG $80.5k
Rank #30 / 30
63
Facility 63
MT AVG 31.0
Rank #28 / 30
5.7
Facility 5.7
MT AVG 5.7
Rank #17 / 30
779-
57
Facility 57
MT AVG 47
Rank #13 / 40
Anna Preciado
$11.6MFiscal year ending 12/2024
Facility $11.6MFiscal year ending 12/2024
MT AVG $8.1M
Rank #3 / 26
$5.6MFiscal year ending 12/2024
Facility $5.6MFiscal year ending 12/2024
MT AVG $4.0M
Rank #3 / 26
48.2%Fiscal year ending 12/2024
Facility 48.2%Fiscal year ending 12/2024
MT AVG 49.9%
Rank #17 / 26
275020

Rank badges are statewide and care-type specific: each nursing home is ranked against every other MT nursing home we track that reports that metric, not just the 6 analyzed for Billings. See how we rank facilities

Nursing Home Explorer

Billings Nursing and Rehab

600 S 27Th St, Billings, MT 59101
View map
View profile
Explore Open Rooms
Exterior view of a senior living facility in winter
Overview of Billings Nursing and Rehab

At Billings Nursing and Rehab in Billings, MT, nursing home services are combined with skilled nursing, hospice services, and respite care within the facility. Due to the fact that skilled nursing is one of its care types, a licensed nurse is available at any hour, day or night. Hospice focuses on comfort when a person’s life nears its conclusion. During respite, a resident temporarily resides while their usual caregiver is away or taking time to heal.

Medicare and Medicaid can cover qualified residents, while private payment serves as the third alternative. Kole Larsen serves as the administrator.

The 100 beds are allocated to private rooms, accommodating one resident each, and semi-private rooms that are shared. Short-term rehabilitation is available, with therapy conducted on-site. The location suits an individual requiring long-term nursing care and a family seeking a brief respite. The daily nursing time amounts to 3 hours and 14 minutes for each resident.

Phone: (406) 259-8000

Contact Billings Nursing and Rehab

Eagle Cliff Healthcare Community

1415 Yellowstone River Rd, Billings, MT 59105
View map
View profile
Explore Open Rooms
Front entrance of a healthcare community building
Overview of Eagle Cliff Healthcare Community

Eagle Cliff Healthcare Community offers nursing home, assisted living, hospice care, respite care, and skilled nursing in Billings, MT. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident maintains a private living space, while skilled nursing and nursing home care provide licensed nursing care on site around the clock.

Hospice care supports residents receiving end-of-life care, and respite care offers a short stay for someone whose usual caregiver needs time away. These care options may suit a resident whose needs change over time or a family seeking temporary support while a primary caregiver travels or recovers.

The community has 129 beds and offers private and semi-private rooms, with the latter suited to someone who wants to share a room. Medicare, Medicaid, and private pay are accepted, and total nurse staffing is 3h 37m per resident per day, representing the daily hands-on nurse time allocated to each resident.

Phone: (406) 245-9330

Contact Eagle Cliff Healthcare Community

Yellowstone River Nursing and Rehabilitation

2115 Central Ave, Billings, MT 59102
View map
View profile
Exterior view of Yellowstone River Nursing and Rehabilitation building
Overview of Yellowstone River Nursing and Rehabilitation
Facebook

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.

Phone: (406) 656-6500

Contact Yellowstone River Nursing and Rehabilitation

Skyline Heights Nursing and Rehabilitation

1807 24Th St W, Billings, MT 59101
View map
View profile
Exterior view of Skyline Heights Nursing and Rehabilitation facility
Overview of Skyline Heights Nursing and Rehabilitation
Facebook

Skyline Heights Nursing and Rehabilitation offers nursing home, hospice care, and skilled nursing in Billings, MT. Nursing home services support long term care, while skilled nursing provides 24/7 nursing for residents who need ongoing clinical care or postacute rehabilitation. Hospice care serves residents receiving end of life services, so the community may be a good fit for someone who needs nursing, rehabilitation, or hospice support in one setting.

The home has 150 beds. Total nurse staffing is 3h 14m per resident per day, representing the aggregate nursing time assigned to each resident across a day. Rehabilitation takes place in an expansive rehab gym, giving residents an onsite space for therapy, while courtyards offer outdoor areas and staff and partnered organizations lead organized activities.

Payment options include Medicaid, Medicare, and private pay. Medicaid may help when savings do not cover a long stay, while Medicare covers short term skilled care after a hospital stay rather than long term residence. Private pay means the stay is funded directly. Monica Rodenberger serves as the administrator.

Phone: (406) 656-5010

Contact Skyline Heights Nursing and Rehabilitation

Moorberg Cottage At St Johns

2506 Mission Cir, Billings, MT 59102
View map
View profile
Explore Open Rooms
Exterior view of the Moorberg Cottage building
Overview of Moorberg Cottage at St Johns
Facebook Instagram

Moorberg Cottage at St Johns is a nursing home and skilled nursing community in Billings, MT. Skilled nursing provides licensed nursing care on site around the clock, so the community may be a good fit for someone who needs that level of ongoing care.

Residents have private rooms, providing a single private living space. The building is single-story.

Phone: (406) 655-5600

Contact Moorberg Cottage At St Johns

Bella Terra Billings

1807 North 24Th St W, Billings, MT 59101
View map
View profile
Explore Open Rooms
Bella Terra Billings
Overview of Bella Terra Billings

Bella Terra Billings is a nursing home and skilled nursing community in Billings, Montana’s North Park neighborhood. Skilled nursing provides licensed nursing care on site around the clock, so it may be a good fit for someone who needs continuous clinical oversight.

Phone: (406) 656-5010

Contact Bella Terra Billings

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
Full methodology →
No paid rankings Facilities cannot pay to influence placement.
Data source Centers for Medicare & Medicaid Services (CMS)
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions about Nursing Homes in Billings, MT

What's the difference between assisted living and a nursing home in Montana?

Assisted living in Montana is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Montana Medicaid cover nursing home care?

Yes — Montana Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 6 nursing homes in Billings, MT. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Billings, MT?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Billings, MT, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Billings, MT?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.

Updated on

Nursing Homes in Billings at a glance

Avg Overall CMS Rating: 1.3/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Billings, MT. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Billings, MT. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 1.5/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Billings, MT. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5