Total health inspections
8
Montana average 5.1
Last Health inspection on Aug 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Yellowstone River Nursing and Rehabilitation
Nursing Home
Yellowstone River Nursing and Rehabilitation
Nursing Home
Yellowstone River Nursing & Rehabilitation is a senior living community located in Billings, Montana, offering 24/7 skilled care, including long term care, short-term care and various rehab therapies. They provide a range of services to enhance the quality of life for their residents, emphasizing individual wellness and recovery. Seniors at Yellowstone River can enjoy personalized care in a supportive environment designed to meet their specific needs.
Yellowstone River Nursing & Rehabilitation aims to offer comprehensive and compassionate care to their residents. They provide various amenities and programs, including skilled nursing for pain management, medication, and hygiene, as well as rehabilitation therapy with physical, occupational, and speech therapists. Their goal is to help residents regain independence and improve their overall well-being, whether they require long or short-term care.
Joe Lilienthal serves as the Administrator at Yellowstone River Nursing and Rehabilitation. He leads the community in providing skilled nursing, short-term rehabilitation, and long-term care services in a compassionate and comfortable environment. Joe and his team focus on customizing care and therapy plans to meet the individual needs of each resident, fostering a family-like atmosphere surrounded by healing views.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
65.6%
Residents per day (avg)
105
Occupancy rate
65.6%
Residents per day (avg)
105
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
43% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
49% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Proprietary home
Other
Home revenue
$7.6M
Operating loss
-$7.7K
Proprietary home
Other
Home revenue
$7,574,017.00
Operating loss
$-7,655.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.5M
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.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.6M
2 years in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 67 / 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
January 6, 2024
License Expiration
May 31, 2027
Additional licensing details
License number:
66
Ownership & operating entity
Yellowstone River Nursing and Rehabilitation is administrated by McGaha, Brenda.
What does this home offer?
Building Type: Single-story
Fitness and Recreation
Types of Care at Yellowstone River Nursing and Rehabilitation
Skilled Nursing
Assisted Living
Compare Nursing Homes around Billings
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Yellowstone River Nursing and Rehabilitation
+23%
-21%
+6%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
Billings
160
No
67
CALDWELL, SARAH
65.6%
$7,573,930.00
$3,542,199.00
46.8%
104.80
3.5685
3
49
5
+23%-21%+6%
Skyline Heights Nursing and Rehabilitation
+12%
-34%
-12%
SNF
Nursing Homes 24/7 care needed
Billings
150
No
57
PRECIADO, ANNA
54.1%
$6,265,886.00
$2,207,176.00
35.2%
70.70
2.9879
5
74
11
+12%-34%-12%
Billings Nursing and Rehab
-2%
-30%
+14%
HC
Hospice Care
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Billings (South Side)
100
No
56
-
70.6%
$3,997,017.00
$1,184,478.00
29.6%
79.70
3.1488
4
45
3
-2%-30%+14%
Bella Terra Billings
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Billings (North Park)
-
No
41
-
-
-
-
-
-
-
-
-
-
-
-
Yellowstone River Nursing and Rehabilitation
Type of care:
AL
SNF
Community:
Billings
Bed Count:
160
Pets Allowed:
No
Operator:
CALDWELL, SARAH
CCN:
275029
Occupancy:
65.6%
Home Revenue:
$7,573,930.00
Payroll Costs:
$3,542,199.00
Payroll %:
46.8%
Avg Residents/Day:
104.80
Overall Rating:
Adj Nurse Hours:
3.5685
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
49
Severe Citations:
5
RN share vs State Avg:
+23%
+23%
Staffing vs State Avg:
-21%
-21%
Occupancy vs State Avg:
+6%
+6%
Skyline Heights Nursing and Rehabilitation
Type of care:
SNF
Community:
Billings
Bed Count:
150
Pets Allowed:
No
Operator:
PRECIADO, ANNA
CCN:
275020
Occupancy:
54.1%
Home Revenue:
$6,265,886.00
Payroll Costs:
$2,207,176.00
Payroll %:
35.2%
Avg Residents/Day:
70.70
Overall Rating:
Adj Nurse Hours:
2.9879
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
74
Severe Citations:
11
RN share vs State Avg:
+12%
+12%
Staffing vs State Avg:
-34%
-34%
Occupancy vs State Avg:
-12%
-12%
Billings Nursing and Rehab
Type of care:
HC
MC
SNF
Community:
Billings (South Side)
Bed Count:
100
Pets Allowed:
No
CCN:
275120
Occupancy:
70.6%
Home Revenue:
$3,997,017.00
Payroll Costs:
$1,184,478.00
Payroll %:
29.6%
Avg Residents/Day:
79.70
Adj Nurse Hours:
3.1488
Number of Fines:
4
Citations:
45
Severe Citations:
3
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
-30%
-30%
Occupancy vs State Avg:
+14%
+14%Places of interest near Yellowstone River Nursing and Rehabilitation
4 miles from city center — 0.45 miles to nearest hospital (St Vincent Healthcare)
2115 Central Ave, Billings, MT 59102
Calculate Travel Distance to Yellowstone River Nursing and Rehabilitation
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
189
Total Staff
96
Employees
93
Contractors
39,745
Total Hours (Quarter)
48
Avg Staff/Day
9.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 36 | 9.8 | Yes |
| Licensed Practical Nurse | 19 | 10.1 | Yes |
| Certified Nursing Assistant | 104 | 9.9 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
161 staff
9.8hs shift avg
Physicians & Practitioners ⓘ
2 staff
8hs shift avg
Therapy Services ⓘ
12 staff
7.1hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
8.9hs shift avg
Dietary Services ⓘ
7 staff
7.4hs shift avg
Other Services ⓘ
3 staff
8hs shift avg
Contractor Analysis
27.7%
of total hours from contractors
11,025 contractor hours this quarter
Licensed Practical Nurse: 9
Certified Nursing Assistant: 58
Respiratory Therapy Technician: 1
Registered Nurse: 24
Qualified Social Worker: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 46 | 58 | 104 | 18,643 | 91 | 100% | 9.9 |
| Registered Nurse | 12 | 24 | 36 | 6,058 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 10 | 9 | 19 | 5,096 | 91 | 100% | 10.1 |
| Physical Therapy Aide | 6 | 0 | 6 | 1,827 | 65 | 71% | 6.8 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,408 | 64 | 70% | 8 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,359 | 88 | 97% | 7.4 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 1,320 | 65 | 71% | 7.8 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,240 | 64 | 70% | 6.9 |
| Qualified Social Worker | 2 | 1 | 3 | 651 | 54 | 59% | 8.9 |
| RN Director of Nursing | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Medication Aide/Technician | 1 | 0 | 1 | 320 | 40 | 44% | 8 |
Health Inspection History
Inspections
Total health citations
49
Citations per inspection
6.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 49 citations resulted from standard inspections; 20 of 49 resulted from complaint investigations; and 5 of 49 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
233% worse than Montana averageMontana average: 0.3
Serious Health citations
4
4
82% worse than Montana averageMontana average: 2.2
1 critical citation
4 serious citations
44 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Aug 28, 2025
Corrected
Quality of Care moderate citation
Aug 28, 2025
Corrected
Quality of Care serious citation
Aug 28, 2025
Corrected
Quality of Care serious citation
Aug 28, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Individual
Part of: Eduro Healthcare
Resident Census by Payment Source
115
Total Residents
Medicare
18
(15.7%)
ⓘ
Medicaid
90
(78.3%)
ⓘ
Private Pay/Other
7
(6.1%)
ⓘ
Specialized Care Beds
26
Total Specialty Beds
16.3%
of Bed Capacity
26
Alzheimer's / Dementia Beds ⓘ
16.3%
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
34% 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.
29.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.4
35% 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
30.1%
Percent of long-stay residents whose need for help with daily activities has increased
30.1%
55% worse than Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
29.6%
Percent of long-stay residents whose ability to move independently worsened
29.6%
42% 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
28.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.6%
14% worse than Montana averageMontana average: 25.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
7% better than Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.6%
Percent of long-stay high risk residents with pressure ulcers
3.6%
42% better than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.2%
Percent of long-stay residents with a urinary tract infection
1.2%
57% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.4%
Percent of long-stay residents who lose too much weight
7.4%
21% worse than Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.0%
Percent of long-stay residents who have depressive symptoms
3.0%
36% better than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
31.8%
Percent of long-stay residents who received an antipsychotic medication
31.8%
67% worse than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
6% better than Montana averageMontana average: 93.7%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.02
Number of hospitalizations per 1,000 long-stay resident days.
1.02
20% better 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.
1.69
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.69
22% 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
96.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
26% better than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
27% worse than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
26% 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.
28.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.2%
45% worse than Montana averageMontana average: 19.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
19.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.8%
32% worse than Montana averageMontana average: 15.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
127% worse 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.
49.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.2%
8% worse than Montana averageMontana average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
60.6%
Rate of successful return to home or community from a skilled nursing facility.
60.6%
20% better 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.
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
$195K
124% higher than Montana averageMontana average: $87K
Number of fines
4
72% 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.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
514% more payment denials than Montana averageMontana average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$195K
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.
Aug 28, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2025
$134K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 28, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 28, 2025
47 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 4, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 4, 2025
$19K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 22, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 22, 2023
$39K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Yellowstone River Nursing and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
65.6%
↑ 10.9pp vs 2022
Net Income
-$7,655
↑ ~$2.0M vs 2022
Total Payroll
$4,571,244
↓ ~$3.5M vs 2022
Profit Margin
-0.1%
↑ 11.1pp vs 2022
Loading trend charts...
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