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, Skilled Nursing & Assisted Living · Billings, MT
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Yellowstone River Nursing and Rehabilitation
Nursing Home, Skilled Nursing & Assisted Living · Billings, MT
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Yellowstone River Nursing and Rehabilitation accepts Medicaid, Medicare, and private pay.
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.
Quality ratings
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.
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 18th out of 34 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 18th out of 34 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 34m per day
Rank #18 / 34Nurse hours — State benchmarkedThis home is ranked 18th out of 34 homes in Montana. Shows adjusted nurse hours per resident per day benchmarked to the Montana average, with a ranking across 34 Montana SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Montana avg
-9%
Standout metric
Physical Therapist is +75% above state avg
| 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.
| 43m per day | ▼ 23% 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.
| 37m per day | ▲ 23% 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 1m 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.
| 3h 1m per day | ▼ 14% 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.
| 7m 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.
| 42m per day | ■ Avg State avg: 41m per day · National avg: 29m per day |
Types of Care at Yellowstone River Nursing and Rehabilitation
Skilled Nursing
Assisted Living
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
65.6%
Rank #30 / 30Occupancy rate — State benchmarkedThis home is ranked 30th out of 30 homes in Montana. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 30. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
102 days
Occupancy rate
65.6%
Rank #30 / 30Occupancy rate — State benchmarkedThis home is ranked 30th out of 30 homes in Montana. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 30. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
102 days
2 years in operation Rank #6 / 23Years in operation — State benchmarkedThis home is ranked 6th out of 23 homes in Montana. Shows how long this facility has been in operation compared to other Montana SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score: 67 / 100 Rank #7 / 38Walk Score — State benchmarkedThis home is ranked 7th out of 38 homes in Montana. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Montana SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeLong Term Care
StatusCurrent
IssuanceJanuary 6, 2024
ExpirationMay 31, 2027
License Number66
Yellowstone River Nursing and Rehabilitation is administrated by Brenda Mcgaha.
Accept Medicaid
Accept Medicare
Rehabilitation Services
24-Hour Staffing
Rehabilitation Program
Long Term & Short Term Care
Operating HoursMo 00:00-23:59, Tu 00:00-23:59, We 00:00-23:59, Th 00:00-23:59, Fr 00:00-23:59, Sa 00:00-23:59, Su 00:00-23:59
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.
Since 2023 · 3 years of data
58 deficiencies
Inspection Scorecard
This scorecard compares key inspection, citation, 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.
Since 2023 vs. Montana state average
Overall vs. MT average
2 Worse
Metrics worse than Montana average:
• Total deficiencies (176% above)
• Deficiencies per year (176% above) 0 Better No metrics in this bucket.
• Total deficiencies (176% above)
• Deficiencies per year (176% above) 0 Better No metrics in this bucket.
Latest Inspection
December 31, 2025
Complaint Investigation
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 58 | 21 | This facility has 176% more total deficiencies than a typical Montana nursing home (58 vs. MT avg 21).↑ 176% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 19.3 | 7 | This facility has 176% more deficiencies per year than a typical Montana nursing home (19.3 vs. MT avg 7).↑ 176% worse |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 31, 2025, identified a deficiency related to delayed staff response to a resident’s call light for assistance with activities of daily living. Earlier inspections showed a pattern of deficiencies involving resident care planning, behavioral health services, safety measures to prevent elopement, and issues with nutrition, medication management, and staff abuse. Complaint investigations included substantiated abuse by a staff member and concerns about resident dignity, timely notification, and environmental safety, while most complaints were addressed with staff discipline and training. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with resident care and safety, with some efforts to address issues but no clear overall improvement trend.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
49
Rank #29 / 35Health citations — State benchmarkedThis home is ranked 29th out of 35 homes in Montana. Shows this facility's total health deficiency citations benchmarked to the Montana State average, with a ranking across all 35 MT SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Montana average 29.7
Citations per inspection
6.12
Rank #25 / 35Citations per inspection — State benchmarkedThis home is ranked 25th out of 35 homes in Montana. Shows average deficiency citations per CMS inspection for this facility versus the Montana mean across 35 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Montana average 5.72
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 4 years)
Critical Health citations
1
233% worse than Montana averageMontana average: 0.3
Serious Health citations
4
Rank #20 / 27Serious citations (G–I) — State benchmarkedThis home is ranked 20th out of 27 homes in Montana. Shows G–I scope serious health citations for this facility versus other Montana SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
82% worse than Montana averageMontana average: 2.2
Citations history (last 4 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
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
159
Employees
101
Contractors
58
Staff to resident ratio
1.38:1
22% worse than Montana average
Avg staff/day
48
Average shift
9.1 hours
6% better than Montana average
Total staff hours (quarter)
39,991
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
78
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
14.3%
5,702 contractor hours this quarter
Certified Nursing Assistant: 28
Registered Nurse: 25
Licensed Practical Nurse: 4
Respiratory Therapy Technician: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 28 | 78 | 18,248 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 10 | 4 | 14 | 6,216 | 92 | 100% | 10.1 |
| Registered Nurse | 12 | 25 | 37 | 5,816 | 92 | 100% | 10.2 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,879 | 66 | 72% | 6.7 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,219 | 64 | 70% | 6.9 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 1,187 | 62 | 67% | 7.4 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,076 | 79 | 86% | 6.4 |
| Mental Health Service Worker | 3 | 0 | 3 | 974 | 65 | 71% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 798 | 64 | 70% | 8.6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Medication Aide/Technician | 1 | 0 | 1 | 403 | 35 | 38% | 11.5 |
| Qualified Social Worker | 1 | 0 | 1 | 366 | 41 | 45% | 8.9 |
| Nurse Aide in Training | 1 | 0 | 1 | 297 | 42 | 46% | 7.1 |
78 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
37 Registered Nurse
% of Days
100%
5 Physical Therapy Aide
% of Days
72%
4 Speech Language Pathologist
% of Days
70%
3 Respiratory Therapy Technician
% of Days
67%
7 Other Dietary Services Staff
% of Days
86%
3 Mental Health Service Worker
% of Days
71%
2 Clinical Nurse Specialist
% of Days
70%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 RN Director of Nursing
% of Days
66%
1 Medication Aide/Technician
% of Days
38%
1 Qualified Social Worker
% of Days
45%
1 Nurse Aide in Training
% of Days
46%
Penalties and fines
Includes penalties issued in 2023-2025
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 Rank #23 / 35Federal fines — State benchmarkedThis home is ranked 23rd out of 35 homes in Montana. Shows this facility's cumulative CMS federal fine dollars versus the Montana average among facilities with fines, and where it ranks among 35 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
115
Medicare
18
15.7% of residents
Medicaid
90
78.3% of residents
Private pay or other
7
6.1% 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.
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
-$7.7K
↑ ~$2.0M vs 2022
Total Payroll
$4.6M
↓ ~$3.5M vs 2022
Profit Margin
-0.1%
↑ 11.1pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$7.6M
Operating loss
-$7.7K
Privately-owned community
Home revenue
$7.6M Rank #14 / 31Revenue — State benchmarkedThis home is ranked 14th out of 31 homes in Montana. Shows this facility's annual revenue compared to the Montana SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$7.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #15 / 31Payroll — State benchmarkedThis home is ranked 15th out of 31 homes in Montana. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #15 / 31Payroll — State benchmarkedThis home is ranked 15th out of 31 homes in Montana. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.6M
What does this home offer?
Building Type: Single-story
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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.
Places of interest near Yellowstone River Nursing and Rehabilitation
4.0 miles from city center
Estimated distance in miles from Billings's city center to Yellowstone River Nursing and Rehabilitation's address, calculated via Google Maps.
— 0.45 miles to nearest hospital (St Vincent Healthcare)
Calculate Travel Distance to Yellowstone River Nursing and Rehabilitation
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Financial Assistance for
Nursing Home in Montana
Yellowstone River Nursing and Rehabilitation is located in Billings, Montana.
Here are the financial assistance programs available to residents in Montana.
Compare Nursing Home 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 |
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).
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. | Billings (East Central) | 160 | 65.6% | +6% | 3.57 | +51% | -21% | $61.2k | 49 | 6.1 | 5 | 105 | 67 | Sarah Caldwell | $7.6M | $4.6M | 60.4% | 275029 | ||||
| Eagle Cliff Healthcare Community |
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).
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. | Billings (Heights) | 129 | 40.1% | -35% | 3.54 | -28% | -22% | $99.4k | 64 | 10.7 | 4 | 82 | 3 | Amin Family Limited Partnership | $4.5M | $2.2M | 50.1% | 275123 | ||||
| Billings Nursing and Rehab | - |
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).
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. | Billings (South Side) | 100 | 70.6% | +14% | 3.15 | - | - | - | +29% | -30% | $211.8k | 45 | 5.6 | 3 | 80 | 56 | - | $3.9M | $2.1M | 53.9% | 275120 |
Frequently Asked Questions about Yellowstone River Nursing and Rehabilitation
What neighborhood is Yellowstone River Nursing and Rehabilitation in?
Yellowstone River Nursing and Rehabilitation is in the East Central neighborhood of Billings.
Is Yellowstone River Nursing and Rehabilitation in a walkable area?
Yellowstone River Nursing and Rehabilitation has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the license number of Yellowstone River Nursing and Rehabilitation?
According to MT state health department records, Yellowstone River Nursing and Rehabilitation's license number is 66.
When does Yellowstone River Nursing and Rehabilitation's license expire?
According to MT state health department records, Yellowstone River Nursing and Rehabilitation's license expires on May 31, 2027.
Who is the administrator of Yellowstone River Nursing and Rehabilitation?
Brenda McGaha is the administrator of Yellowstone River Nursing and Rehabilitation.
Are there photos of Yellowstone River Nursing and Rehabilitation?
Yes — there are 23 photos of Yellowstone River Nursing and Rehabilitation in the photo gallery on this page.
What is the phone number of Yellowstone River Nursing and Rehabilitation?
(406) 656-6500 will put you in contact with the team at Yellowstone River Nursing and Rehabilitation.
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