Billings Nursing and Rehab

Billings Nursing and Rehab is a Nursing Home in Montana

Billings Nursing and Rehab is a Nursing Home in Montana

Billings Nursing and Rehab

600 S 27th St, Billings, MT 59101 View Map

Billings Nursing and Rehab is a Nursing Home in Montana

Billings Nursing and Rehab is a Nursing Home in Montana

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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.

+1 406-259-8000
Home Information BILLINGS REHABILITATION AND NURSING LLC
  • This nursing home maintains occupancy well above most state peers, signaling sustained demand. The facility operates with a larger bed count than most state competitors, supporting broader intake. Residents tend to stay here longer than similar facilities across the state.

  • Home revenue ranks in the upper tier statewide, reflecting strong billing volume. Payroll outlays align with state averages, keeping staffing resources on par with peers. Total income trails most communities, suggesting tighter operating margins.

  • Medicare nights run higher than most peers, indicating robust short-stay referrals. Medicaid nights fall below most peers, pointing to lighter Medicaid reliance. Private pay nights trail most peers, signaling limited market-rate volume.

Occupancy
Beds
100
Occupancy
75.6%
Total Bed Days Available
36500
Avg. Length of Stay
348 days
Avg. Residents per Day
80
Finance
Home Revenue
$6,611,675.00
Payroll Costs
$1,722,702.00
Profit
$-1,836,047.00
Total Home Costs
$7,472,423.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
26.1%
House Specifics:
CCN
275120
Rural vs. Urban
Urban
County
Yellowstone
Type of Control
Voluntary Nonprofit — Church
Operations
Total Admissions
79
Total Discharges
64
% Medicaid Admissions
62%
% Medicare Admissions
18%
% Private Pay Admissions
20%
% Medicaid Discharges
64%
% Medicare Discharges
8%
% Private Pay Discharges
28%
Quality Ratings
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
3.15 hrs
Number of Fines
4
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
19179
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
261
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
2809
Bed community size
100-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year 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

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.

What does this home offer?

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Housing Options: Private Rooms / Semi-Private Rooms

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Types of Care at Billings Nursing and Rehab

Memory Care Nursing Home Hospice Care
Contact Billings Nursing and Rehab
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Places of interest near Billings Nursing and Rehab

Address 1.3 miles from city center

Address 600 S 27th St, Billings, MT 59101

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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 Memory Care around Billings
Canyon Creek Memory Care Community
MC

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
Billings Nursing and Rehab
HC

Hospice Care

MC

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

SNF

24/7 care needed

Billings
100
No
-
56
-
75.6%
$6,611,675.00
$1,722,702.00
26.1%
79.70
-
3.1488
-
-
-
4
Private Rooms / Semi-Private Rooms
Skyline Heights Nursing and Rehabilitation
SNF

24/7 care needed

Billings
150
No
-
57
PRECIADO, ANNA
54.1%
$16,320,051.00
$3,760,148.00
23%
70.70
1/5
2.9879
1/5
1/5
2/5
5
Private Rooms / Semi-Private Rooms
Yellowstone River Nursing and Rehabilitation
AL

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

SNF

24/7 care needed

Billings
160
No
-
67
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
Private Rooms / Semi-Private Rooms
Primrose Personal Care Home
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.

Billings
-
No
A+
25
-
-
-
-
-
-
-
-
-
-
-
-
Private Rooms / Semi-Private Rooms

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 Nurse1810 Yes
Licensed Practical Nurse1211 Yes
Certified Nursing Assistant709.5 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 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

Health Inspection History

Source: CMS Health Citations (Feb 2023 – Aug 2025)

8
Inspections
45
Total Citations
2
Critical (J-L)
1
Serious (G-I)
5.62
Citations/Inspection
Aug 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
4
Moderate (D-F)
38
Serious (G-I)
1
Critical (J-L)
2
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
11
24% of total
Resident Rights
10
22% of total
Abuse, Neglect & Exploitation
8
18% of total
Infection Control
2
4% of total
Pharmacy Services
2
4% of total
Citation Sources
Standard Inspections 37
Complaint Investigations 28
Infection Control 1
State Comparison (MT)
Avg Citations (State)
29.7
This Facility: 45
Avg Critical (State)
0.3
This Facility: 2
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Aug 14, 2025 D Infection ControlF0880 Corrected
Aug 14, 2025 E NutritionF0802 Corrected
Aug 14, 2025 D Quality of CareF0689 Corrected
Aug 14, 2025 D Quality of CareF0690 Corrected
Aug 14, 2025 D Quality of CareF0692 Corrected
Aug 14, 2025 E Resident RightsF0585 Corrected
Aug 14, 2025 E Resident RightsF0628 Corrected
Jun 19, 2025 E Abuse/NeglectF0600 Corrected
Jun 19, 2025 E Care PlanningF0658 Corrected
Jun 19, 2025 D Care PlanningF0842 Corrected
Feb 27, 2025 D Abuse/NeglectF0600 Corrected
Feb 27, 2025 D Abuse/NeglectF0602 Corrected
Feb 27, 2025 D Abuse/NeglectF0609 Corrected
Feb 27, 2025 D Abuse/NeglectF0610 Corrected
Feb 27, 2025 D NutritionF0806 Corrected
Feb 27, 2025 F NutritionF0812 Corrected
Feb 27, 2025 D PharmacyF0755 Corrected
Feb 27, 2025 D Quality of CareF0689 Corrected
Feb 27, 2025 D Quality of CareF0695 Corrected
Feb 27, 2025 D Quality of CareF0698 Corrected
Feb 27, 2025 D Quality of CareF0790 Corrected
Feb 27, 2025 D Care PlanningF0641 Corrected
Feb 27, 2025 D Care PlanningF0655 Corrected
Feb 27, 2025 D Care PlanningF0656 Corrected
Feb 27, 2025 D Resident RightsF0550 Corrected
Feb 27, 2025 D Resident RightsF0554 Corrected
Feb 27, 2025 E Resident RightsF0584 Corrected
Feb 27, 2025 B Resident RightsF0623 Corrected
Feb 27, 2025 B Resident RightsF0625 Corrected
Nov 21, 2024 D Quality of CareF0689 Corrected
Sep 12, 2024 D NutritionF0806 Corrected
Sep 12, 2024 F NutritionF0812 Corrected
Sep 12, 2024 D PharmacyF0755 Corrected
Sep 12, 2024 D Quality of CareF0679 Corrected
Sep 12, 2024 D Quality of CareF0689 Corrected
Sep 12, 2024 D Quality of CareF0695 Corrected
Sep 12, 2024 D Care PlanningF0645 Corrected
Sep 12, 2024 D Care PlanningF0655 Corrected
Sep 12, 2024 D Resident RightsF0584 Corrected
Sep 12, 2024 B Resident RightsF0623 Corrected
Sep 12, 2024 B Resident RightsF0625 Corrected
Jun 06, 2024 J Abuse/NeglectF0600 Corrected
Jun 06, 2024 E Abuse/NeglectF0609 Corrected
Sep 14, 2023 G Abuse/NeglectF0600 Corrected
Feb 16, 2023 K Infection ControlF0880 Corrected

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.

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
16.1 Score
44% 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
28.4 Score
30% 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
30.0%
Lost Too Much Weight
4.9%
Urinary Tract Infection
0.4%
Depressive Symptoms
0.5%
Falls with Major Injury
2.2%
Pneumococcal Vaccine
88.4%
Antipsychotic Use
10.6%
Walking Ability Worsened
33.9%
Influenza Vaccine
94.4%
High Risk Residents with Pressure Ulcers
9.3%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
21.3%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
87.7% 15% better than avg State: 76.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0% 100% better than avg State: 1.8%
Influenza Vaccine
87.5% 19% 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 $98K State avg: $87K 12% worse than avg
Number of Fines 3 State avg: 2.3
Compared to State Average Facility: $98K | State Avg: $87K
Penalty History

Showing all 3 penalties (Feb 2023 - Jun 2024)

Jun 6, 2024 Civil Money Penalty
$22K
Sep 14, 2023 Civil Money Penalty
$41K
Feb 16, 2023 Civil Money Penalty
$35K
Check out this article

Guides for Better Senior Living

From costs to care, explore the most important topics to make informed decisions about your future.

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).
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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