Yellowstone River Nursing and Rehabilitation
Nursing Home & Skilled Nursing · Billings, MT
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Yellowstone River Nursing and Rehabilitation

Nursing Home & Skilled Nursing · Billings, MT
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Yellowstone River Nursing and Rehabilitation accepts Medicaid, Medicare, and private pay.

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 66.1% Below MT avg. ▼ 66.1% Below MT avg.MT average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.9% Below MT avg. ▼ 64.9% Below MT avg.MT average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 37.9% Below MT avg. ▼ 37.9% Below MT avg.MT average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 32.6% Below MT avg. ▼ 32.6% Below MT avg.MT average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Montana averages

Rank #13 / 30Nurse hours — State benchmarkedThis home is ranked 13th out of 30 homes we track in Montana for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 30 Montana facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 13th out of 30 homes we track in Montana for nurse hours. 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.

3h 34m

21% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
41m
−26% State avg: 56m per day · National avg: 41m per day
LPN / LVN Info 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.
39m
+30% State avg: 30m per day · National avg: 52m per day
Nurse Aide Info 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.
1h 50m
−27% State avg: 2h 32m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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.
3h 15m
−7% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
7m
+73% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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.
40m
Avg State avg: 41m per day · National avg: 29m per day

3 of 6 metrics below state avg

Capacity and availability

Residents per day
2
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
102 days
Years in operation
2 years in operation Rank #35 / 91Years in operation — State benchmarkedThis home is ranked 35th out of 91 homes we track in Montana for years in operation. Shows how long this facility has been in operation compared to other Montana facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 67 / 100 Rank #33 / 151Walk Score — State benchmarkedThis home is ranked 33rd out of 151 homes we track in Montana for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Montana facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

License Details

Facility TypeLong Term Care
StatusCurrent
IssuanceJanuary 6, 2024
ExpirationMay 31, 2027
License Number66

Ownership & Operating Entity

Yellowstone River Nursing and Rehabilitation is administered by Brenda Mcgaha.

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

2 services
Rehabilitation Program
Long Term & Short Term Care

Amenities & Lifestyle

Operating HoursMo 00:00-23:59, Tu 00:00-23:59, We 00:00-23:59, Th 00:00-23:59, Fr 00:00-23:59, Sa 00:00-23:59, Su 00:00-23:59

Contact Yellowstone River Nursing and Rehabilitation

CMS Health Inspection History

Inspections Since 2022 · 4 years of data
Total health inspections 8

Montana average 5.1


Last Health inspection on Aug 2025

Total health citations
49 Rank #23 / 31Health citations — State benchmarkedThis home is ranked 23rd out of 31 homes we track in Montana for health citations. Shows this facility's total health deficiency citations benchmarked to the Montana State average, with a ranking across all 31 MT facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Montana average 29.7

Citations per inspection
6.12 Rank #23 / 31Citations per inspection — State benchmarkedThis home is ranked 23rd out of 31 homes we track in Montana for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Montana mean across 31 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 4 years)
Critical health citations
1
233% worse than Montana average

Montana average: 0.3


Serious health citations
4
82% worse than Montana average

Montana average: 2.2

1 critical citation Montana average: 0.3

4 serious citations Montana average: 2.2

44 moderate citations Montana average: 26.5

0 minor citations Montana average: 0.7
Citations history (last 4 years)
Nutrition moderate citation Aug 28, 2025
Corrected

Quality of Care moderate citation Aug 28, 2025
Corrected

Quality of Care serious citation Aug 28, 2025
Corrected

Quality of Care serious citation Aug 28, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 159
Employees 101
Contractors 58
Staff to resident ratio 1.38 : 1
25% fewer staff per resident than Montana average
Montana average ratio: 1.86 : 1 Montana average ratio: 1.86 : 1See full Montana ranking
Avg staff/day 48
Average shift 9.1 hours
6% better than Montana average
Montana average: 8.6 hours Montana average shift: 8.6 hoursSee full Montana ranking
Total staff hours (quarter) 39,991

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 37 total: 12 full-time employees and 25 contractors. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 14 total: 10 full-time employees and 4 contractors. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 78 total: 50 full-time employees and 28 contractors. 78
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

14.3%

5,702 contractor hours this quarter

Certified Nursing Assistant: 28 Registered Nurse: 25 Licensed Practical Nurse: 4 Respiratory Therapy Technician: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant50287818,24892100%9.4
Licensed Practical Nurse104146,21692100%10.1
Registered Nurse1225375,81692100%10.2
Physical Therapy Aide5051,8796672%6.7
Speech Language Pathologist4041,2196470%6.9
Respiratory Therapy Technician2131,1876267%7.4
Other Dietary Services Staff7071,0767986%6.4
Mental Health Service Worker3039746571%8
Clinical Nurse Specialist2027986470%8.6
Administrator1015126470%8
Nurse Practitioner1015126470%8
RN Director of Nursing1014886166%8
Medication Aide/Technician1014033538%11.5
Qualified Social Worker1013664145%8.9
Nurse Aide in Training1012974246%7.1
78 Certified Nursing Assistant
% of Days 100%
14 Licensed Practical Nurse
% of Days 100%
37 Registered Nurse
% of Days 100%
5 Physical Therapy Aide
% of Days 72%

Penalties and fines

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)

Total fines amount $195K Rank #29 / 31Federal fines — State benchmarkedThis home is ranked 29th out of 31 homes we track in Montana for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Montana average among facilities with fines, and where it ranks among 31 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Montana that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
124% higher than Montana average

Montana average: $87K

Number of fines 4
72% more fines than Montana average

Montana average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
514% more payment denials than Montana average

Montana 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.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 28, 2025
$134K
Payment Denial Info 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 4, 2025
$19K

Last updated: Jan 2026

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 Info 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 average

Montana average: 11.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 29.4
35% worse than Montana average

Montana average: 21.8

Long-stay resident measures
Below average Montana avg: 3.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 30.1%
55% worse than Montana average

Montana average: 19.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.6%
42% worse than Montana average

Montana average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.6%
14% worse than Montana average

Montana average: 25.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.0%
7% better than Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.6%
42% better than Montana average

Montana average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.2%
57% better than Montana average

Montana average: 2.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.4%
21% worse than Montana average

Montana average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.0%
36% better than Montana average

Montana average: 4.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 31.8%
67% worse than Montana average

Montana average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than Montana average

Montana average: 93.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
6% better than Montana average

Montana average: 93.7%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.02
20% better than Montana average

Montana average: 1.27

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.69
22% better than Montana average

Montana average: 2.17

Short-stay resident measures
Below average Montana avg: 2.3 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.1%
26% better than Montana average

Montana average: 76.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.2%
27% worse than Montana average

Montana average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.8%
26% better than Montana average

Montana average: 73.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 28.2%
45% worse than Montana average

Montana average: 19.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 19.8%
32% worse than Montana average

Montana average: 15.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.8%
127% worse than Montana average

Montana average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 49.2%
8% worse than Montana average

Montana average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.6%
20% better than Montana average

Montana average: 50.6%

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

Facility Characteristics

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

Total residents 115
Medicare
18
15.7% of residents
Medicaid
90
78.3% of residents
Private pay or other
7
6.1% of residents
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.

Finances and operations

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.

For-profit
Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.4M
For-profit Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.4M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$5.7M 57.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$6.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$12.3M

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Building type icon
Building type icon

Building Type: Single-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Who this home usually serves

TYPE OF STAY

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.

New residents most often arrive under private pay (49% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
212 total

Coverage residents most often arrive under.

Medicare 43%
Private pay 49%
Medicaid 8%
Discharges
221 total

Coverage residents most often leave under.

Medicare 33%
Private pay 52%
Medicaid 14%

Managed by Joe Lilienthal

Administrator

Places of interest near Yellowstone River Nursing and Rehabilitation

Address 4.0 miles from city center Info 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)

Calculate Travel Distance to Yellowstone River Nursing and Rehabilitation

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Compare Nursing Homes around Billings

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.
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.
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 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.
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: 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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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
436-
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
52-
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
1176-
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
373-
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

Financial Assistance for
Nursing Home in Montana

Yellowstone River Nursing and Rehabilitation is located in Billings, Montana.
Here are the financial assistance programs available to residents in Montana.

Get Financial aid guidance

Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled
General 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

Rural state; limited providers in some areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Home modifications ($1,500 avg.) Meals ($6/meal)

Montana Community First Choice

MT CFC

Age 65+ or disabled
General Montana resident, Medicaid- eligible.
Income Limits ~$1,732/month individual, Medicaid threshold
Asset Limits $2,000 individual
MT

Less intensive than waiver; rural focus.

Benefits
Personal care (up to 40 hours/month) Homemaker services Respite (varies)

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled
General 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

Covers up to $38.75/month premium; statewide via AAAs.

Benefits
Prescription drug premium assistance (~$465/year) Reducing out-of-pocket costs

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled
General 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

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Age
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

10 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

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

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General 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

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Yellowstone River Nursing and Rehabilitation

What neighborhood is Yellowstone River Nursing and Rehabilitation in?

Yellowstone River Nursing and Rehabilitation is in the East Central neighborhood of Billings.

Is Yellowstone River Nursing and Rehabilitation in a walkable area?

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.

What is the license number of Yellowstone River Nursing and Rehabilitation?

According to MT state health department records, Yellowstone River Nursing and Rehabilitation's license number is 66.

When does Yellowstone River Nursing and Rehabilitation's license expire?

According to MT state health department records, Yellowstone River Nursing and Rehabilitation's license expires on May 31, 2027.

What is the occupancy rate at Yellowstone River Nursing and Rehabilitation?

Yellowstone River Nursing and Rehabilitation's occupancy is 65.6%.

How long has Yellowstone River Nursing and Rehabilitation been in business?

Yellowstone River Nursing and Rehabilitation has been operating for approximately 2 years, based on available licensing and registration records.

Are pets allowed at Yellowstone River Nursing and Rehabilitation?

No, Yellowstone River Nursing and Rehabilitation has a no-pet policy.

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