Montana average 5.1
Last Health inspection on Aug 2025
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.
Yellowstone River Nursing and Rehabilitation is administered by Brenda Mcgaha.
Montana 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.
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).
Montana average: 0.3
Montana average: 2.2
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
5,702 contractor hours this quarter
| Certified Nursing Assistant | 50 | 28 | 78 | 18,248 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 10 | 4 | 14 | 6,216 | 92 | 100% | 10.1 |
| Registered Nurse | 12 | 25 | 37 | 5,816 | 92 | 100% | 10.2 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,879 | 66 | 72% | 6.7 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,219 | 64 | 70% | 6.9 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 1,187 | 62 | 67% | 7.4 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,076 | 79 | 86% | 6.4 |
| Mental Health Service Worker | 3 | 0 | 3 | 974 | 65 | 71% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 798 | 64 | 70% | 8.6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Medication Aide/Technician | 1 | 0 | 1 | 403 | 35 | 38% | 11.5 |
| Qualified Social Worker | 1 | 0 | 1 | 366 | 41 | 45% | 8.9 |
| Nurse Aide in Training | 1 | 0 | 1 | 297 | 42 | 46% | 7.1 |
Includes penalties issued in 2025
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
43% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for Yellowstone River Nursing and Rehabilitation from 2011–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
No pets allowed
Building Type: Single-story
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (49% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.0 miles from city center
Estimated distance in miles from Billings's city center to Yellowstone River Nursing and Rehabilitation's address, calculated via Google Maps.
— 0.45 miles to nearest hospital (St Vincent Healthcare)
Add your location
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 to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Citations at CMS scope/severity level D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 47.0% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Eagle Cliff Healthcare Community | NH AL HOS RC SNF | Billings (Heights) | 129
Facility
129
MT AVG
70
Rank
#10 / 103 |
27.9%
Facility
27.9%
MT AVG
61.5
Rank
#27 / 32 | -55% | 3.54
Facility
3.54
MT AVG
4.53
Rank
#16 / 30 | -29% | -22% | $80.9k
Facility
$80.9k
MT AVG
$83.8k
Rank
#24 / 31 | 64
Facility
64
MT AVG
29.7
Rank
#29 / 31 | 10.7
Facility
10.7
MT AVG
5.7
Rank
#30 / 31 | 4 | 36 | - |
3
Facility
3
MT AVG
45
Rank
#147 / 151 | Amin Family Limited Partnership | $4.2M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $1.6M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 38.2%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 275123 | ||||
| Yellowstone River Nursing and Rehabilitation | NH SNF | Billings (East Central) | 160
Facility
160
MT AVG
70
Rank
#6 / 103 | - | - | 3.57
Facility
3.57
MT AVG
4.53
Rank
#13 / 30 | +50% | -21% | $141.5k
Facility
$141.5k
MT AVG
$83.8k
Rank
#29 / 31 | 49
Facility
49
MT AVG
29.7
Rank
#23 / 31 | 6.1
Facility
6.1
MT AVG
5.7
Rank
#23 / 31 | 5 | 2 | - |
67
Facility
67
MT AVG
45
Rank
#33 / 151 | Sarah Caldwell | $9.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $5.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 57.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 275029 | ||||
| Skyline Heights Nursing and Rehabilitation | NH HOS SNF | W Billings (Colton Heights Apartments) | 150
Facility
150
MT AVG
70
Rank
#7 / 103 |
50.8%
Facility
50.8%
MT AVG
61.5
Rank
#21 / 32 | -17% | 2.99
Facility
2.99
MT AVG
4.53
Rank
#28 / 30 | -18% | -34% | $419.0k
Facility
$419.0k
MT AVG
$83.8k
Rank
#31 / 31 | 74
Facility
74
MT AVG
29.7
Rank
#31 / 31 | 8.2
Facility
8.2
MT AVG
5.7
Rank
#27 / 31 | 11 | 76 | - |
57
Facility
57
MT AVG
45
Rank
#51 / 151 | Anna Preciado | $8.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $4.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 52%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 275020 | ||||
| Billings Nursing and Rehab | - | NH HOS RC SNF | Billings (South Side) | 100
Facility
100
MT AVG
70
Rank
#26 / 103 |
73.0%
Facility
73.0%
MT AVG
61.5
Rank
#16 / 32 | +19% | 3.15
Facility
3.15
MT AVG
4.53
Rank
#26 / 30 | - | - | - | +27% | -30% | $62.8k
Facility
$62.8k
MT AVG
$83.8k
Rank
#21 / 31 | 45
Facility
45
MT AVG
29.7
Rank
#22 / 31 | 5.6
Facility
5.6
MT AVG
5.7
Rank
#14 / 31 | 3 | 73 | - |
56
Facility
56
MT AVG
45
Rank
#57 / 151 | - | $5.2M*Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $2.0M*Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 39.1%*Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 275120 |
Yellowstone River Nursing and Rehabilitation is located in Billings, Montana.
Here are the financial assistance programs available to residents in Montana.
Yellowstone River Nursing and Rehabilitation is in the East Central neighborhood of Billings.
Yellowstone River Nursing and Rehabilitation has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MT state health department records, Yellowstone River Nursing and Rehabilitation's license number is 66.
According to MT state health department records, Yellowstone River Nursing and Rehabilitation's license expires on May 31, 2027.
Yellowstone River Nursing and Rehabilitation's occupancy is 65.6%.
Yellowstone River Nursing and Rehabilitation has been operating for approximately 2 years, based on available licensing and registration records.
No, Yellowstone River Nursing and Rehabilitation has a no-pet policy.
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