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Nursing Home

Billings Nursing and Rehab

Nursing Home

Billings Nursing and Rehab

600 S 27th St, Billings, MT 59101 View map
Overview of Billings Nursing and Rehab

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.

(406) 259-8000

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 44m per day 56m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 2m per day 2h 32m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 51m per day 3h 29m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 1m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 35m per day 41m per day 29m per day

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.

Lower demand than the Montana average
Occupancy rate 73%
Residents per day (avg) 80
Occupancy rate
73%
Residents per day (avg)
80

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

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

Privately-owned community
Operated by a business corporation.
Home revenue
$3.9M
Operating loss
-$727.1K
Privately-owned community Operated by a business corporation.
Home revenue
$3,932,380.00
Operating loss
$-727,120.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.2M
30.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.5M
Total costs $4.7M
Bed community size
100-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
2 years in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 56 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
73%
In line with Montana average
Occupied beds
73 / 100
Average residents 55 per day

License details

Facility type
Long Term Care
Status Current
Issuance February 1, 2024
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

Short-term care
24/7 skilled nursing 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 icon
Housing options icon

Housing Options: Private Rooms / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Billings Nursing and Rehab

Memory Care Nursing Home Hospice Care
Contact Billings Nursing and Rehab

Inspection History

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.

9 visits/inspections

9 visits/inspections triggered by complaints

2 routine inspections

Results

9 with issues

0 without issues

Latest inspection

Date:November 20, 2025
Type:Other

49 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Health Inspection History

Inspections
Total health inspections 8

Montana average 5.1


Last Health inspection on Aug 2025

Total health citations 45

Montana average 29.7

Citations per inspection
5.62

Montana average 5.72


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 More info 2
567% worse than Montana average

Montana average: 0.3


Serious Health citations More info 1
55% better than Montana average

Montana average: 2.2

2 critical citations More info Montana average: 0.3

1 serious citation More info Montana average: 2.2

38 moderate citations More info Montana average: 26.5

4 minor citations More info Montana average: 0.7
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Aug 14, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Aug 14, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Aug 14, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Aug 14, 2025
Corrected

Compare Memory Care around Billings The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.

5 facilities compared · CMS & MT Dept. of Health data · Updated Mar 2026

Yellowstone River Nursing and Rehabilitation
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.

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
160
65.6%
+6%
3.57
+23%
-21%
3
49
5
105
-
67
Caldwell, Sarah
$7,6M
$3,5M
46.8%
275029
Private Rooms / Semi-Private Rooms
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
150
54.1%
-12%
2.99
+12%
-34%
5
74
11
71
-
57
Preciado, Anna
$6,3M
$2,2M
35.2%
275020
Private Rooms / Semi-Private Rooms
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
3
80
-
56
-
$4,0M
$1,2M
29.6%
275120
Private Rooms / Semi-Private Rooms
Canyon Creek Memory Care Community
-
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.

Billings
67
-
-
-
-
-
-
-
-
0
0
0
-
A+
17
-
-
-
-
-
Private Rooms / Semi-Private Rooms
Primrose Personal Care Home
-
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.

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.

Billings (Heights)
-
-
-
-
-
-
-
-
-
0
0
0
-
A+
25
-
-
-
-
-
Private Rooms / Semi-Private Rooms

Places of interest near Billings Nursing and Rehab

Address 1.3 miles from city center — 0.98 miles to nearest hospital (Renew Vitality Testosterone Clinic of Billings)

Address 600 S 27th St, Billings, MT 59101

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 119
Employees 71
Contractors 48
Staff to resident ratio 1.53:1
14% worse than Montana average

Montana average ratio: 1.77:1

Avg staff/day 28
Average shift 8.8 hours
0% compared with Montana average

Montana average: 8.6 hours

Total staff hours (quarter) 22,451
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 70
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

7.7%

1,734 contractor hours this quarter

Certified Nursing Assistant: 23 Registered Nurse: 10 Licensed Practical Nurse: 5 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Occupational Therapy Assistant: 1 Clinical Nurse Specialist: 1 Qualified Social Worker: 1 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Physical Therapy Aide: 1
Staff by category
Certified Nursing Assistant47237011,69891100%9.5
Registered Nurse810183,14191100%10
Licensed Practical Nurse75122,5658897%11
Medication Aide/Technician2021,0288695%12
RN Director of Nursing1015275662%9.4
Dietitian1015256774%7.8
Administrator1015206571%8
Nurse Practitioner1015046369%8
Mental Health Service Worker1014916167%8.1
Clinical Nurse Specialist1124455560%8.1
Other Dietary Services Staff1014316673%6.5
Qualified Social Worker0112866571%4.4
Occupational Therapy Aide0111015156%2
Physical Therapy Assistant011886268%1.4
Speech Language Pathologist022726066%1.2
Respiratory Therapy Technician022152730%0.5
Physical Therapy Aide011111314%0.8
Occupational Therapy Assistant011333%1
70 Certified Nursing Assistant
% of Days 100%
18 Registered Nurse
% of Days 100%
12 Licensed Practical Nurse
% of Days 97%
2 Medication Aide/Technician
% of Days 95%
1 RN Director of Nursing
% of Days 62%
1 Dietitian
% of Days 74%
1 Administrator
% of Days 71%
1 Nurse Practitioner
% of Days 69%
1 Mental Health Service Worker
% of Days 67%
2 Clinical Nurse Specialist
% of Days 60%
1 Other Dietary Services Staff
% of Days 73%
1 Qualified Social Worker
% of Days 71%
1 Occupational Therapy Aide
% of Days 56%
1 Physical Therapy Assistant
% of Days 68%
2 Speech Language Pathologist
% of Days 66%
2 Respiratory Therapy Technician
% of Days 30%
1 Physical Therapy Aide
% of Days 14%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

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

Total census
78 residents
Residents by payment source
Medicare
3 residents (3.8%)
Medicaid
59 residents (75.6%)
Private pay or other
16 residents (20.5%)
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.

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. 16.1
44% 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. 28.4
30% worse than Montana average

Montana average: 21.8

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 30.0%
55% worse than Montana average

Montana average: 19.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 33.9%
63% 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 21.3%
15% better 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 2.2%
48% 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 9.3%
48% worse than Montana average

Montana average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.4%
86% better than Montana average

Montana average: 2.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.9%
20% better than Montana average

Montana average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.5%
90% better than Montana average

Montana average: 4.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.6%
45% better than Montana average

Montana average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.4%
6% worse than Montana average

Montana average: 93.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.4%
In line with Montana average

Montana average: 93.7%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.03
60% worse 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. 1.51
30% better than Montana average

Montana average: 2.17

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.7%
15% better than Montana average

Montana average: 76.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Montana average

Montana average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.5%
19% 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. 25.3%
30% worse than Montana average

Montana average: 19.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 21.1%
41% 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. 0.0%
100% better 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. 60.7%
13% better than Montana average

Montana average: 53.7%

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 average

Montana average: $87K

Number of fines 3
29% 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. 0
100% fewer payment denials than Montana average

Montana 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 6, 2024
$22K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 14, 2023
$41K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 16, 2023
$35K

Last updated: Jan 2026

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Financial Aid for Montana Seniors

Get financial aid guidance

Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled, Montana resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural state; limited providers in some areas.

Montana Community First Choice

MT CFC

Age 65+ or disabled, Montana resident, Medicaid- eligible.

~$1,732/month (individual, Medicaid threshold).

$2,000 (individual).

Less intensive than waiver; rural focus.

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled, Montana resident, enrolled in Medicare Part D, income below limit.

~$2,510/month (individual), ~$3,380/month (couple).

Not assessed.

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

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled, Montana resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

10 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Montana SCSEP

Age 55+, unemployed, low-income, Montana resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Montana resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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