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Avantara Billings

Avantara Billings is a Nursing Home in Montana

Avantara Billings is a Nursing Home in Montana

Avantara Billings Matterport Tour

Avantara Billings

2115 Central Ave. Billings, MT 59102 View Map

Avantara Billings is a Nursing Home in Montana

Avantara Billings is a Nursing Home in Montana

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Overview of Avantara Billings
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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.

(406) 656-6500
(406) 656-6500
Home Information YELLOWSTONE RIVER NURSING AND REHABILITATION

  • Occupancy levels track close to the statewide midpoint, indicating balanced availability. The facility operates with a larger bed count than most state competitors, supporting broader intake. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.

  • Home revenue ranks in the upper tier statewide, reflecting strong billing volume. Payroll spending sits in the top tier, showing a strong investment in staffing resources. Total income trails most communities, suggesting tighter operating margins.

  • Medicare nights run higher than most peers, indicating robust short-stay referrals. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights lead the state, showing strong demand from market-rate residents.

Occupancy
Beds
160
Occupancy
67.9%
Total Bed Days Available
58400
Avg. Length of Stay
71 days
Avg. Residents per Day
105
Finance
Home Revenue
$17,844,437.00
Payroll Costs
$4,791,561.00
Profit
$-1,997,833.00
Total Home Costs
$12,267,772.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
26.9%
House Specifics:
CCN
275029
Owner Name
CALDWELL, SARAH
Rural vs. Urban
Urban
County
Yellowstone
Type of Control
Voluntary Nonprofit — Other
Operations
Total Admissions
463
Total Discharges
452
% Medicaid Admissions
12%
% Medicare Admissions
56%
% Private Pay Admissions
32%
% Medicaid Discharges
9%
% Medicare Discharges
46%
% Private Pay Discharges
45%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
1 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
1 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
2 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
2 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
3.57 hrs
Number of Fines
3
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
21940
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
5761
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
4224
Years in operation
8 years in operation
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 72 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
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
Contact Avantara Billings

Places of interest near Avantara Billings

Address 3.3 miles from city center

Address 2115 Central Ave. Billings, MT 59102

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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
AL

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

For seniors needing help with daily tasks but not full-time nursing.

MC

Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

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%
-
-
-
-
-
-
-
Avantara Billings Avantara Billings
Type of care: AL
Community: MT 59102
Bed Count: 160
Pets Allowed: No
Operator: CALDWELL, SARAH
CCN: 275029
Occupancy: 67.9%
Home Revenue: $17,844,437.00
Payroll Costs: $4,791,561.00
Payroll %: 26.9%
Avg Residents/Day: 104.80
Overall Rating: 1/5
Adj Nurse Hours: 3.5685
Health Insp Rating: 1/5
Staffing Rating: 2/5
QM Rating: 2/5
Number of Fines: 3
Central Montana Nursing and Rehabilitation Center Central Montana Nursing and Rehabilitation Center
Type of care: AL MC SNF RC
Community: Lewistown
Bed Count: 62
Pets Allowed: No
Operator: CENTRAL MONTANA SNF OPERATIONS HOLDINGS LLC
CCN: 275064
Occupancy: 26.4%
Home Revenue: $3,214,106.00
Payroll Costs: $983,679.00
Payroll %: 30.6%
Nursing Home Explorer

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 Nurse369.8 Yes
Licensed Practical Nurse1910.1 Yes
Certified Nursing Assistant1049.9 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 Assistant465810418,64391100%9.9
Registered Nurse1224366,05891100%9.8
Licensed Practical Nurse109195,09691100%10.1
Physical Therapy Aide6061,8276571%6.8
Mental Health Service Worker3031,4086470%8
Other Dietary Services Staff7071,3598897%7.4
Respiratory Therapy Technician2131,3206571%7.8
Speech Language Pathologist3031,2406470%6.9
Qualified Social Worker2136515459%8.9
RN Director of Nursing1015046369%8
Clinical Nurse Specialist1014886167%8
Nurse Practitioner1014725965%8
Administrator1013604549%8
Medication Aide/Technician1013204044%8
View All Staffing Data

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
Minor (A-C)
0
Moderate (D-F)
44
Serious (G-I)
4
Critical (J-L)
1
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)
DateSeverity ?CategoryTagStatus
Aug 28, 2025 E NutritionF0812 Corrected
Aug 28, 2025 D Quality of CareF0684 Corrected
Aug 28, 2025 G Quality of CareF0686 Corrected
Aug 28, 2025 G Quality of CareF0692 Corrected
Aug 28, 2025 D Quality of CareF0695 Corrected
Aug 28, 2025 D Resident RightsF0550 Corrected
Aug 28, 2025 E Resident RightsF0585 Corrected
Jun 05, 2025 D Abuse/NeglectF0610 Corrected
Jun 05, 2025 E Nursing ServicesF0726 Corrected
Jun 05, 2025 J Quality of CareF0689 Corrected
Jun 05, 2025 D Care PlanningF0657 Corrected
Mar 27, 2025 D EnvironmentalF0918 Corrected
Mar 27, 2025 D EnvironmentalF0919 Corrected
Mar 27, 2025 E NutritionF0804 Corrected
Mar 27, 2025 D Resident RightsF0550 Corrected
Mar 27, 2025 D Resident RightsF0559 Corrected
Mar 27, 2025 D Resident RightsF0580 Corrected
Dec 17, 2024 D PharmacyF0758 Corrected
Jul 18, 2024 D Abuse/NeglectF0600 Corrected
Jul 18, 2024 D Abuse/NeglectF0604 Corrected
Jul 18, 2024 D AdministrationF0835 Corrected
Jul 18, 2024 F AdministrationF0867 Corrected
Jul 18, 2024 D EnvironmentalF0908 Corrected
Jul 18, 2024 F EnvironmentalF0925 Corrected
Jul 18, 2024 D Infection ControlF0880 Corrected
Jul 18, 2024 F NutritionF0801 Corrected
Jul 18, 2024 F NutritionF0812 Corrected
Jul 18, 2024 E PharmacyF0755 Corrected
Jul 18, 2024 E PharmacyF0759 Corrected
Jul 18, 2024 D Quality of CareF0687 Corrected
Jul 18, 2024 D Quality of CareF0689 Corrected
Jul 18, 2024 E Resident RightsF0553 Corrected
Jul 18, 2024 D Resident RightsF0558 Corrected
Jul 18, 2024 E Resident RightsF0584 Corrected
Oct 26, 2023 D Abuse/NeglectF0610 Corrected
Oct 26, 2023 E Infection ControlF0880 Corrected
Oct 26, 2023 D PharmacyF0758 Corrected
Oct 26, 2023 D Resident RightsF0550 Corrected
Oct 26, 2023 D Resident RightsF0552 Corrected
Oct 26, 2023 D Resident RightsF0558 Corrected
Jun 22, 2023 E Infection ControlF0880 Corrected
Jun 22, 2023 E Nursing ServicesF0725 Corrected
Jun 22, 2023 D Nursing ServicesF0726 Corrected
Jun 22, 2023 D Quality of CareF0677 Corrected
Jun 22, 2023 G Quality of CareF0686 Corrected
Jun 22, 2023 G Quality of CareF0689 Corrected
Jun 22, 2023 D Care PlanningF0637 Corrected
Jun 22, 2023 E Resident RightsF0584 Corrected
Dec 28, 2022 D Resident RightsF0554 Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

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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
  • 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).
Official Program Page
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).
Official Program Page
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.
Official Program Page
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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     Updated on Dec 11, 2025
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