Montana average 5.1
Last Health inspection on Aug 2025

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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.
Joe Lilienthal serves as the Administrator at Yellowstone River Nursing and Rehabilitation. He leads the community in providing skilled nursing, short-term rehabilitation, and long-term care services in a compassionate and comfortable environment. Joe and his team focus on customizing care and therapy plans to meet the individual needs of each resident, fostering a family-like atmosphere surrounded by healing views.
Lower occupancy suggests more openings may be available.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
Yellowstone River Nursing and Rehabilitation is administrated by McGaha, Brenda.
Building Type: Single-story
Fitness and Recreation
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Montana average: 21 deficiencies
The most recent inspection on December 31, 2025, identified a deficiency related to delayed staff response to a resident’s call light for assistance with activities of daily living. Earlier inspections showed a pattern of deficiencies involving resident care planning, behavioral health services, safety measures to prevent elopement, and issues with nutrition, medication management, and staff abuse. Complaint investigations included substantiated abuse by a staff member and concerns about resident dignity, timely notification, and environmental safety, while most complaints were addressed with staff discipline and training. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with resident care and safety, with some efforts to address issues but no clear overall improvement trend.
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
| Yellowstone River Nursing and Rehabilitation |
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Billings (East Central) | 160 | 65.6% | +6% | 3.57 | +23% | -21% | 3 | 49 | 6.1 | 5 | 105 | - | 67 | Caldwell, Sarah | $7.6M | $3.5M | 46.8% | 275029 | ||||
| Skyline Heights Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Billings (Colton Heights Apartments) | 150 | 54.1% | -12% | 2.99 | +12% | -34% | 5 | 74 | 8.2 | 11 | 71 | - | 57 | Preciado, Anna | $6.3M | $2.2M | 35.2% | 275020 | ||||
| Billings Nursing and Rehab | - |
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Billings (South Side) | 100 | 70.6% | +14% | 3.15 | - | - | - | -2% | -30% | 4 | 45 | 5.6 | 3 | 80 | - | 56 | - | $4.0M | $1.2M | 29.6% | 275120 |
| Bella Terra Billings | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Billings (North Park) | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 41 | - | - | - | - | - |
4 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)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Manages medical care and health needs.
This role is partially covered by contractors.
Assists with medical care and medications.
This role is partially covered by contractors.
Helps with daily care and mobility.
This role is partially covered by contractors.
Total hours from contractors
11,025 contractor hours this quarter
| 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 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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.
Last updated: Jan 2026
Historical financial and operational data for Yellowstone River Nursing and Rehabilitation based on CMS SNF Cost Reports.
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