Occupancy rate
73%
In line with Montana averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Billings Nursing and Rehab
Nursing Home in Billings
Billings Nursing and Rehab
Nursing Home in Billings
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 25th out of 27 homes in Montana.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 25th out of 27 homes in Montana.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 9m per day
vs Montana avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 44m per day | ▼ 21% State avg: 56m per day · National avg: 41m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 2m per day | ▼ 20% State avg: 2h 32m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 51m per day | ▼ 18% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 35m per day | ▼ 15% State avg: 41m per day · National avg: 29m per day |
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
100
Avg. Length of Stay
1,597 days
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
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
$3.9M
Operating loss
-$727.1K
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
Occupancy
In line with Montana averageOccupied beds
73 / 100
Average residents
55 per day
Facility TypeLong Term Care
StatusCurrent
IssuanceFebruary 1, 2024
ExpirationJanuary 1, 2027
License Number68
Billings Nursing and Rehab is administrated by Larsen, Kole.
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
24/7 Skilled Nursing Care
ActivitiesDaily recreational and social activities are provided.
Specific ProgramsCovid Response, Admissions, Services, About, Contact, Photo Gallery
Food DescriptionDelicious and nutritious meals are prepared to satisfy the palate and meet medical needs.
Meals IncludedYes
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
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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
November 20, 2025
Other49 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Montana average: 21 deficiencies
Inspection Report Summary for Billings Nursing and Rehab
The most recent inspection on November 20, 2025, found deficiencies related to unauthorized use of physical restraints and incomplete or outdated care plans. Earlier inspections showed a pattern of issues involving resident care planning, supervision, medication administration, and failure to prevent resident elopements. Complaint investigations substantiated concerns about inadequate supervision leading to elopements, delayed meal service, improper catheter care, abuse and neglect, and missed medication doses. Enforcement actions included immediate jeopardy findings in June 2024 related to neglect and multiple staff terminations and warnings following abuse investigations; fines or license suspensions were not listed in the available reports. The facility’s deficiencies indicate ongoing challenges with resident safety and care coordination, with some repeated issues over time and no clear pattern of sustained 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
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
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 14, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 14, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 14, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 14, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 14, 2025
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 14, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
Compare Memory Care around Billings The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Filter by care type
| 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 (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 |
| 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 | 0.0 | 0 | - | A+ | 17 | - | - | - | - | - |
| 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 | 0.0 | 0 | - | A+ | 25 | - | - | - | - | - |
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Places of interest near Billings Nursing and Rehab
1.3 miles from city center
Estimated distance in miles from Billings's city center to Billings Nursing and Rehab's address, calculated via Google Maps.
— 0.98 miles to nearest hospital (Renew Vitality Testosterone Clinic of Billings)
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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 averageMontana average ratio: 1.77:1
Avg staff/day
28
Average shift
8.8 hours
0% compared with Montana averageMontana 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
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
70
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis 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 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 |
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 residents
78
Medicare
3
3.8% of residents
Medicaid
59
75.6% of residents
Private pay or other
16
20.5% of residents
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
-$727.1K
↑ ~$1.1M vs 2022
Total Payroll
$2.1M
↓ ~$1.9M vs 2022
Profit Margin
-18.2%
↑ 9.6pp vs 2022
Loading trend charts...
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