Total health inspections
8
Montana average 5.1
Last Health inspection on Aug 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Billings Nursing and Rehab
Nursing Home
Billings Nursing and Rehab
Nursing Home
Formerly known as Parkview Healthcare Community, Billings Nursing and Rehab center is dedicated to making the facility a home with an inviting atmosphere that makes its residents feel welcomed into a home-like environment. The senior living home is supported and managed by professional caregivers who understand the unique needs of their residents — committed to fulfilling their holistic needs.
The Billings Nursing and Rehab community is the ideal home for residents and their families seeking to lead a more purposeful life. The senior living community offers a range of services such as transportation, housekeeping, and social activities.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
100
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
70.6%
Residents per day (avg)
80
Occupancy rate
70.6%
Residents per day (avg)
80
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
4 - 5 months
Private pay
14% of new residents, often for short stays.
Typical stay
4 years
Medicaid
57% of new residents, often for long-term daily care.
Typical stay
7 - 8 years
Finances and operations
Proprietary home
Corporation
Home revenue
$3.9M
Operating loss
-$727.1K
Proprietary home
Corporation
Home revenue
$3,932,380.00
Operating loss
$-727,120.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.2M
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.
$3.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.7M
100-bed community
A larger shared setting that may offer more common spaces and organized community services.
2 years in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 56 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
License Status
Current
Facility Type
Long Term Care
License Date
February 1, 2024
License Expiration
January 1, 2027
Additional licensing details
License number:
68
Ownership & operating entity
Billings Nursing and Rehab is administrated by Larsen, Kole.
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Programs & Activities
Activities
Daily recreational and social activities are provided.
Specific Programs
Covid Response, Admissions, Services, About, Contact, Photo Gallery
Dining & Nutrition
Food Description
Delicious and nutritious meals are prepared to satisfy the palate and meet medical needs.
Meals Included
Yes
What does this home offer?
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Billings Nursing and Rehab
Memory Care
Nursing Home
Hospice Care
Compare Memory Care around Billings
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Yellowstone River Nursing and Rehabilitation
+23%
-21%
+6%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
Billings
160
No
-
67
CALDWELL, SARAH
65.6%
$7,573,930.00
$3,542,199.00
46.8%
104.80
3.5685
3
49
5
+23%-21%+6%Private Rooms / Semi-Private Rooms
Skyline Heights Nursing and Rehabilitation
+12%
-34%
-12%
SNF
Nursing Homes 24/7 care needed
Billings
150
No
-
57
PRECIADO, ANNA
54.1%
$6,265,886.00
$2,207,176.00
35.2%
70.70
2.9879
5
74
11
+12%-34%-12%Private Rooms / Semi-Private Rooms
Billings Nursing and Rehab
-2%
-30%
+14%
HC
Hospice Care
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
Billings (South Side)
100
No
-
56
-
70.6%
$3,997,017.00
$1,184,478.00
29.6%
79.70
3.1488
4
45
3
-2%-30%+14%Private Rooms / Semi-Private Rooms
Canyon Creek Memory Care Community
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Billings
67
No
A+
17
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms / Semi-Private Rooms
Primrose Personal Care Home
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.
Billings (Heights)
-
No
A+
25
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms / Semi-Private Rooms
Yellowstone River Nursing and Rehabilitation
Type of care:
AL
SNF
Community:
Billings
Bed Count:
160
Pets Allowed:
No
Operator:
CALDWELL, SARAH
CCN:
275029
Occupancy:
65.6%
Home Revenue:
$7,573,930.00
Payroll Costs:
$3,542,199.00
Payroll %:
46.8%
Avg Residents/Day:
104.80
Overall Rating:
Adj Nurse Hours:
3.5685
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
49
Severe Citations:
5
RN share vs State Avg:
+23%
+23%
Staffing vs State Avg:
-21%
-21%
Occupancy vs State Avg:
+6%
+6%
Bed Options:
Private Rooms / Semi-Private Rooms
Skyline Heights Nursing and Rehabilitation
Type of care:
SNF
Community:
Billings
Bed Count:
150
Pets Allowed:
No
Operator:
PRECIADO, ANNA
CCN:
275020
Occupancy:
54.1%
Home Revenue:
$6,265,886.00
Payroll Costs:
$2,207,176.00
Payroll %:
35.2%
Avg Residents/Day:
70.70
Overall Rating:
Adj Nurse Hours:
2.9879
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
74
Severe Citations:
11
RN share vs State Avg:
+12%
+12%
Staffing vs State Avg:
-34%
-34%
Occupancy vs State Avg:
-12%
-12%
Bed Options:
Private Rooms / Semi-Private Rooms
Billings Nursing and Rehab
Type of care:
HC
MC
SNF
Community:
Billings (South Side)
Bed Count:
100
Pets Allowed:
No
CCN:
275120
Occupancy:
70.6%
Home Revenue:
$3,997,017.00
Payroll Costs:
$1,184,478.00
Payroll %:
29.6%
Avg Residents/Day:
79.70
Adj Nurse Hours:
3.1488
Number of Fines:
4
Citations:
45
Severe Citations:
3
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
-30%
-30%
Occupancy vs State Avg:
+14%
+14%
Bed Options:
Private Rooms / Semi-Private Rooms
Places of interest near Billings Nursing and Rehab
1.3 miles from city center — 0.98 miles to nearest hospital (Renew Vitality Testosterone Clinic of Billings)
600 S 27th St, Billings, MT 59101
Calculate Travel Distance to Billings Nursing and Rehab
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
119
Total Staff
71
Employees
48
Contractors
22,451
Total Hours (Quarter)
28
Avg Staff/Day
8.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 18 | 10 | Yes |
| Licensed Practical Nurse | 12 | 11 | Yes |
| Certified Nursing Assistant | 70 | 9.5 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
103 staff
9.9hs shift avg
Physicians & Practitioners ⓘ
3 staff
8hs shift avg
Therapy Services ⓘ
8 staff
1.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
4.4hs shift avg
Dietary Services ⓘ
2 staff
7.2hs shift avg
Other Services ⓘ
1 staff
8.1hs shift avg
Contractor Analysis
7.7%
of total hours from contractors
1,734 contractor hours this quarter
Certified Nursing Assistant: 23
Registered Nurse: 10
Licensed Practical Nurse: 5
Occupational Therapy Assistant: 1
Speech Language Pathologist: 2
Clinical Nurse Specialist: 1
Qualified Social Worker: 1
Physical Therapy Assistant: 1
Occupational Therapy Aide: 1
Respiratory Therapy Technician: 2
Physical Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 47 | 23 | 70 | 11,698 | 91 | 100% | 9.5 |
| Registered Nurse | 8 | 10 | 18 | 3,141 | 91 | 100% | 10 |
| Licensed Practical Nurse | 7 | 5 | 12 | 2,565 | 88 | 97% | 11 |
| Medication Aide/Technician | 2 | 0 | 2 | 1,028 | 86 | 95% | 12 |
| RN Director of Nursing | 1 | 0 | 1 | 527 | 56 | 62% | 9.4 |
| Dietitian | 1 | 0 | 1 | 525 | 67 | 74% | 7.8 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 491 | 61 | 67% | 8.1 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 445 | 55 | 60% | 8.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 431 | 66 | 73% | 6.5 |
| Qualified Social Worker | 0 | 1 | 1 | 286 | 65 | 71% | 4.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 101 | 51 | 56% | 2 |
| Physical Therapy Assistant | 0 | 1 | 1 | 88 | 62 | 68% | 1.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 72 | 60 | 66% | 1.2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 15 | 27 | 30% | 0.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 11 | 13 | 14% | 0.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
Health Inspection History
Inspections
Total health citations
45
Citations per inspection
5.62
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 45 citations resulted from standard inspections; 8 of 45 resulted from complaint investigations; and 20 of 45 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
567% worse than Montana averageMontana average: 0.3
Serious Health citations
1
1
55% better than Montana averageMontana average: 2.2
2 critical citations
1 serious citation
38 moderate citations
4 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Aug 14, 2025
Corrected
Nutrition moderate citation
Aug 14, 2025
Corrected
Quality of Care moderate citation
Aug 14, 2025
Corrected
Quality of Care moderate citation
Aug 14, 2025
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: Cottonwood Health Care
Resident Census by Payment Source
78
Total Residents
Medicare
3
(3.8%)
ⓘ
Medicaid
59
(75.6%)
ⓘ
Private Pay/Other
16
(20.5%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.1
44% worse than Montana averageMontana average: 11.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
30% worse than Montana averageMontana average: 21.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
30.0%
Percent of long-stay residents whose need for help with daily activities has increased
30.0%
55% worse than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
33.9%
Percent of long-stay residents whose ability to move independently worsened
33.9%
63% worse than Montana averageMontana average: 20.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
15% better than Montana averageMontana average: 25.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
48% better than Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.3%
Percent of long-stay high risk residents with pressure ulcers
9.3%
48% worse than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
86% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.9%
Percent of long-stay residents who lose too much weight
4.9%
20% better than Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.5%
Percent of long-stay residents who have depressive symptoms
0.5%
90% better than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.6%
Percent of long-stay residents who received an antipsychotic medication
10.6%
45% better than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
6% worse than Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Montana averageMontana average: 93.7%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.03
Number of hospitalizations per 1,000 long-stay resident days.
2.03
60% worse than Montana averageMontana average: 1.27
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.51
30% better than Montana averageMontana average: 2.17
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.7%
15% better than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
19% better than Montana averageMontana average: 73.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.3%
30% worse than Montana averageMontana average: 19.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
21.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.1%
41% worse than Montana averageMontana average: 15.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Montana averageMontana average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
60.7%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.7%
13% better than Montana averageMontana average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and 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 amount
$98K
12% higher than Montana averageMontana average: $87K
Number of fines
3
29% more fines than Montana averageMontana average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Montana averageMontana average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$98K
Montana average
$87K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 6, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 6, 2024
$22K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 14, 2023
$41K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 16, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 16, 2023
$35K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Billings Nursing and Rehab based on CMS SNF Cost Reports.
Occupancy Rate
70.6%
↑ 9.6pp vs 2022
Net Income
-$727,120
↑ ~$1.1M vs 2022
Total Payroll
$2,120,309
↓ ~$1.9M vs 2022
Profit Margin
-18.2%
↑ 9.6pp vs 2022
Loading trend charts...
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