2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Eagle Cliff Healthcare Community is a skilled nursing and rehabilitation center that provides peaceful living for short-term or long-term residents in Yellowstone County. The skilled nursing home also provides services for memory care. Residents choosing from all kinds of living options receive supportive assistance for everyday living with enriching activities, contributing to a high success rate for recovery.
Eagle Cliff Healthcare Community has designed a personalized care plan tailored to each unique individual– inclusive of specialized therapies with licensed care professionals, skilled nurses, therapists, and post-hospital care.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
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.
This home is ranked 18th out of 33 homes in Montana for nurse hours. 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.
| Staff type | Hours / Day / Resident | 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.
| 30m per day | ▼ 47% State avg: 56m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 47m per day | ▲ 57% State avg: 30m per day · National avg: 52m 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 0m per day | ▼ 21% State avg: 2h 32m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 53m per day | ▼ 17% 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.
| 0m per day | ▼ 94% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 19m per day | ▼ 53% State avg: 41m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
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.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 62 | 21 | This facility has 195% more total deficiencies than a typical Montana nursing home (62 vs. MT avg 21).↑ 195% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Montana average 5.1
Last Health inspection on Mar 2025
Montana average 29.7
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
43 of 64 citations resulted from standard inspections; 17 of 64 resulted from complaint investigations; and 4 of 64 came from combined inspections (standard and complaint).
100% better than Montana averageMontana average: 0.3
82% worse than Montana averageMontana average: 2.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
28% fewer staff per resident than Montana average
7% worse than Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
All 15 LPN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 42 CNA Staff are full-time employees. No contractors work on this role.
42
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
578 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 42 | 0 | 42 | 15,162 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 15 | 0 | 15 | 5,630 | 92 | 100% | 8.9 |
| Dental Services Staff | 10 | 0 | 10 | 3,207 | 92 | 100% | 7.6 |
| Registered Nurse | 11 | 0 | 11 | 2,404 | 92 | 100% | 8.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,018 | 72 | 78% | 7.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 622 | 74 | 80% | 6.6 |
| RN Director of Nursing | 1 | 0 | 1 | 495 | 43 | 47% | 11.5 |
| Nurse Practitioner | 1 | 0 | 1 | 447 | 54 | 59% | 8.3 |
| Nurse Aide in Training | 1 | 0 | 1 | 440 | 40 | 43% | 11 |
| Speech Language Pathologist | 0 | 3 | 3 | 345 | 67 | 73% | 2.6 |
| Administrator | 1 | 0 | 1 | 332 | 39 | 42% | 8.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 96 | 64 | 70% | 1.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 68 | 73 | 79% | 0.9 |
| Qualified Social Worker | 0 | 2 | 2 | 36 | 19 | 21% | 1.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 31 | 44 | 48% | 0.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 19 | 8 | 9% | 2.4 |
| Medical Director | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
Includes penalties issued in 2023-2024
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)
14% higher than Montana averageMontana average: $87K
115% more fines than Montana averageMontana average: 2.3
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 26, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.6
40% worse than Montana averageMontana average: 11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.8
28% worse than Montana averageMontana average: 21.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.1%
9% worse than Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
36.4%
75% worse than Montana averageMontana average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.1%
In line with Montana averageMontana average: 25.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
11% better than Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
8.7%
39% worse than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
8.0%
31% worse than Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
6.8%
44% worse than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
14.0%
27% better than Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.0%
6% worse than Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
5% better than Montana averageMontana average: 93.7%
Number of hospitalizations per 1,000 long-stay resident days.
2.15
69% worse than Montana averageMontana average: 1.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.28
5% worse than Montana averageMontana average: 2.17
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.7%
12% better than Montana averageMontana average: 76.4%
Percent of short-stay residents who newly received an antipsychotic medication
4.8%
175% worse than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.8%
19% better than Montana averageMontana average: 73.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
15.4%
21% better than Montana averageMontana average: 19.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.9%
19% worse than Montana averageMontana average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Montana averageMontana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
67.4%
26% better than Montana averageMontana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.6%
14% worse than Montana averageMontana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
62% of new residents, usually for short-term rehab.
7% of new residents, often for short stays.
31% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Eagle Cliff Healthcare Community from 2011–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 09/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 09/2022. This is an older period than most facilities report, so compare with that in mind.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #26 / 32Payroll — State benchmarkedThis home is ranked 26th out of 32 homes in Montana for payroll. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #26 / 32Payroll % — State benchmarkedThis home is ranked 26th out of 32 homes in Montana for payroll %. Shows payroll as a percentage of revenue versus the Montana average. Well-run Montana facilities typically land around 65–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (62% of admissions), and a typical Medicare stay runs around 23 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.0 miles from city center
Estimated distance in miles from Billings's city center to Eagle Cliff Healthcare Community's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Eagle Cliff Healthcare Community | NH AL HOS RC SNF | Billings (Heights) | 129
Facility
129
MT AVG
70
Rank
#10 / 103 |
27.9%
Facility
27.9%
MT AVG
61.5
Rank
#27 / 32 | -55% | 3.54
Facility
3.54
MT AVG
4.53
Rank
#18 / 33 | -29% | -22% | $80.9k
Facility
$80.9k
MT AVG
$83.8k
Rank
#27 / 34 | 64
Facility
64
MT AVG
29.7
Rank
#32 / 34 | 10.7
Facility
10.7
MT AVG
5.7
Rank
#33 / 34 | 4 | 36 | - |
3
Facility
3
MT AVG
43
Rank
#148 / 159 | Amin Family Limited Partnership | $4.2M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$4.2M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$6.3M
Rank
#20 / 32 | $1.6M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$1.6M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$2.8M
Rank
#26 / 32 | 38.2%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
38.2%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
45.6%
Rank
#26 / 32 | 275123 | ||||
| Yellowstone River Nursing and Rehabilitation | NH SNF | Billings (East Central) | 160
Facility
160
MT AVG
70
Rank
#6 / 103 | - | - | 3.57
Facility
3.57
MT AVG
4.53
Rank
#15 / 33 | +50% | -21% | $141.5k
Facility
$141.5k
MT AVG
$83.8k
Rank
#32 / 34 | 49
Facility
49
MT AVG
29.7
Rank
#26 / 34 | 6.1
Facility
6.1
MT AVG
5.7
Rank
#25 / 34 | 5 | 2 | - |
67
Facility
67
MT AVG
43
Rank
#33 / 159 | Sarah Caldwell | $9.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$9.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$6.3M
Rank
#2 / 32 | $5.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$2.8M
Rank
#3 / 32 | 57.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
57.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
45.6%
Rank
#27 / 32 | 275029 | ||||
| Skyline Heights Nursing and Rehabilitation | NH HOS SNF | W Billings (Colton Heights Apartments) | 150
Facility
150
MT AVG
70
Rank
#7 / 103 |
50.8%
Facility
50.8%
MT AVG
61.5
Rank
#21 / 32 | -17% | 2.99
Facility
2.99
MT AVG
4.53
Rank
#31 / 33 | -18% | -34% | $419.0k
Facility
$419.0k
MT AVG
$83.8k
Rank
#34 / 34 | 74
Facility
74
MT AVG
29.7
Rank
#34 / 34 | 8.2
Facility
8.2
MT AVG
5.7
Rank
#29 / 34 | 11 | 76 | - |
57
Facility
57
MT AVG
43
Rank
#51 / 159 | Anna Preciado | $8.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$8.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$6.3M
Rank
#3 / 32 | $4.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$4.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$2.8M
Rank
#5 / 32 | 52%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
52%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
45.6%
Rank
#30 / 32 | 275020 | ||||
| Billings Nursing and Rehab | - | NH HOS RC SNF | Billings (South Side) | 100
Facility
100
MT AVG
70
Rank
#26 / 103 |
73.0%
Facility
73.0%
MT AVG
61.5
Rank
#16 / 32 | +19% | 3.15
Facility
3.15
MT AVG
4.53
Rank
#29 / 33 | - | - | - | +27% | -30% | $62.8k
Facility
$62.8k
MT AVG
$83.8k
Rank
#24 / 34 | 45
Facility
45
MT AVG
29.7
Rank
#25 / 34 | 5.6
Facility
5.6
MT AVG
5.7
Rank
#16 / 34 | 3 | 73 | - |
56
Facility
56
MT AVG
43
Rank
#57 / 159 | - | $5.2M*Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.2M*Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$6.3M
Rank
#19 / 32 | $2.0M*Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$2.0M*Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
$2.8M
Rank
#21 / 32 | 39.1%*Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
39.1%*Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MT AVG
45.6%
Rank
#11 / 32 | 275120 |
Eagle Cliff Healthcare Community is located in Billings, Montana.
Here are the financial assistance programs available to residents in Montana.
Eagle Cliff Healthcare Community is in the Heights neighborhood of Billings.
Eagle Cliff Healthcare Community has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.
Eagle Cliff Healthcare Community's occupancy is 40.1%.
No, Eagle Cliff Healthcare Community has a no-pet policy.
Eagle Cliff Healthcare Community is registered as a for-profit in MT.
Yes — there are 4 photos of Eagle Cliff Healthcare Community in the photo gallery on this page.
Eagle Cliff Healthcare Community is located at 1415 Yellowstone River Rd, Billings, MT 59105.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
