Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Avantara Billings
Avantara Billings is a Nursing Home in Montana
Avantara Billings is a Nursing Home in Montana
Avantara Billings
Avantara Billings is a Nursing Home in Montana
Avantara Billings is a Nursing Home in Montana
Overview of Avantara Billings
Experience a life of sophistication, refinement, and empathy at Avantara Billings. Nestled in scenic Montana, Avantara Billings offers cutting-edge physical and occupational rehabilitation plans, complete with state-of-the-art physical therapy equipment. They also provide speech pathology services, with a standout orthopedic rehabilitation program. The advanced Trent Transitional Rehabilitation program ensures that residents regain their strength, independence, and confidence in a comfortable and supportive environment. Avantara Billings is an excellent choice for seniors in need of pulmonary, oncology, and orthopedic care, among other services.
Residents will find themselves supported, entertained, and rejuvenated in this healing space. For those who enjoy a good book, the library offers a peaceful retreat, while wall-mounted flat-screen TVs and high-speed Wi-Fi provide ample entertainment options. The concierge and salon services, as well as the home’s prime location near prestigious hospitals, make Avantara Billings the ideal choice for families seeking the very best for their loved ones.
Quality ratings
Based on health inspections, staffing and quality measures.
Based on deficiencies found during state health inspections.
Based on nurse staffing hours per resident per day.
Based on clinical outcomes for residents.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
160
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
67.9%
Residents per day (avg)
105
Occupancy rate
67.9%
Residents per day (avg)
105
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
56% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
32% of new residents, often for short stays.
Typical stay
29 days
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
3 - 4 months
Finances and operations
Voluntary non-profit home
Other
Home revenue
$17.8M
Deficit of revenue
-$2.0M
Voluntary non-profit home
Other
Home revenue
$17,844,437.00
Deficit of revenue
$-1,997,833.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.3M
8 years in operation
An established community with some operational experience and growing routines.
Walk Score: 72 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Comparison Chart
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.Compare Nursing Homes around Montana
Avantara Billings
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MT 59102
160
No
A+
72
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
Central Montana Nursing and Rehabilitation Center
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
Lewistown
62
No
-
39
CENTRAL MONTANA SNF OPERATIONS HOLDINGS LLC
26.4%
$3,214,106.00
$983,679.00
30.6%
-
-
-
-
-
-
-
Places of interest near Avantara Billings
3.3 miles from city center
2115 Central Ave. Billings, MT 59102
Calculate Travel Distance to Avantara Billings
Add your location
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 Nurse | 36 | 9.8 | Yes |
| Licensed Practical Nurse | 19 | 10.1 | Yes |
| Certified Nursing Assistant | 104 | 9.9 | 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 Assistant | 46 | 58 | 104 | 18,643 | 91 | 100% | 9.9 |
| Registered Nurse | 12 | 24 | 36 | 6,058 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 10 | 9 | 19 | 5,096 | 91 | 100% | 10.1 |
| Physical Therapy Aide | 6 | 0 | 6 | 1,827 | 65 | 71% | 6.8 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,408 | 64 | 70% | 8 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,359 | 88 | 97% | 7.4 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 1,320 | 65 | 71% | 7.8 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,240 | 64 | 70% | 6.9 |
| Qualified Social Worker | 2 | 1 | 3 | 651 | 54 | 59% | 8.9 |
| RN Director of Nursing | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Medication Aide/Technician | 1 | 0 | 1 | 320 | 40 | 44% | 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
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)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Aug 28, 2025 | E | Nutrition | F0812 | Corrected |
| Aug 28, 2025 | D | Quality of Care | F0684 | Corrected |
| Aug 28, 2025 | G | Quality of Care | F0686 | Corrected |
| Aug 28, 2025 | G | Quality of Care | F0692 | Corrected |
| Aug 28, 2025 | D | Quality of Care | F0695 | Corrected |
| Aug 28, 2025 | D | Resident Rights | F0550 | Corrected |
| Aug 28, 2025 | E | Resident Rights | F0585 | Corrected |
| Jun 05, 2025 | D | Abuse/Neglect | F0610 | Corrected |
| Jun 05, 2025 | E | Nursing Services | F0726 | Corrected |
| Jun 05, 2025 | J | Quality of Care | F0689 | Corrected |
| Jun 05, 2025 | D | Care Planning | F0657 | Corrected |
| Mar 27, 2025 | D | Environmental | F0918 | Corrected |
| Mar 27, 2025 | D | Environmental | F0919 | Corrected |
| Mar 27, 2025 | E | Nutrition | F0804 | Corrected |
| Mar 27, 2025 | D | Resident Rights | F0550 | Corrected |
| Mar 27, 2025 | D | Resident Rights | F0559 | Corrected |
| Mar 27, 2025 | D | Resident Rights | F0580 | Corrected |
| Dec 17, 2024 | D | Pharmacy | F0758 | Corrected |
| Jul 18, 2024 | D | Abuse/Neglect | F0600 | Corrected |
| Jul 18, 2024 | D | Abuse/Neglect | F0604 | Corrected |
| Jul 18, 2024 | D | Administration | F0835 | Corrected |
| Jul 18, 2024 | F | Administration | F0867 | Corrected |
| Jul 18, 2024 | D | Environmental | F0908 | Corrected |
| Jul 18, 2024 | F | Environmental | F0925 | Corrected |
| Jul 18, 2024 | D | Infection Control | F0880 | Corrected |
| Jul 18, 2024 | F | Nutrition | F0801 | Corrected |
| Jul 18, 2024 | F | Nutrition | F0812 | Corrected |
| Jul 18, 2024 | E | Pharmacy | F0755 | Corrected |
| Jul 18, 2024 | E | Pharmacy | F0759 | Corrected |
| Jul 18, 2024 | D | Quality of Care | F0687 | Corrected |
| Jul 18, 2024 | D | Quality of Care | F0689 | Corrected |
| Jul 18, 2024 | E | Resident Rights | F0553 | Corrected |
| Jul 18, 2024 | D | Resident Rights | F0558 | Corrected |
| Jul 18, 2024 | E | Resident Rights | F0584 | Corrected |
| Oct 26, 2023 | D | Abuse/Neglect | F0610 | Corrected |
| Oct 26, 2023 | E | Infection Control | F0880 | Corrected |
| Oct 26, 2023 | D | Pharmacy | F0758 | Corrected |
| Oct 26, 2023 | D | Resident Rights | F0550 | Corrected |
| Oct 26, 2023 | D | Resident Rights | F0552 | Corrected |
| Oct 26, 2023 | D | Resident Rights | F0558 | Corrected |
| Jun 22, 2023 | E | Infection Control | F0880 | Corrected |
| Jun 22, 2023 | E | Nursing Services | F0725 | Corrected |
| Jun 22, 2023 | D | Nursing Services | F0726 | Corrected |
| Jun 22, 2023 | D | Quality of Care | F0677 | Corrected |
| Jun 22, 2023 | G | Quality of Care | F0686 | Corrected |
| Jun 22, 2023 | G | Quality of Care | F0689 | Corrected |
| Jun 22, 2023 | D | Care Planning | F0637 | Corrected |
| Jun 22, 2023 | E | Resident Rights | F0584 | Corrected |
| Dec 28, 2022 | D | Resident Rights | F0554 | 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.
Active
Resident Council
ⓘ
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
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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
Montana Big Sky Rx
Official government program page
- 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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