The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
BILLINGS REHABILITATION AND NURSING LLC
BILLINGS, MT · Medicare-certified · 100 beds
Needs attention
Special Focus FacilityAbuse citationFor-profitChain member
Not yet rated
Overall rating: not rated. This facility is a Special Focus Facility (SFF) and has an attention flag for special focus status; reported nurse staffing is 3.29 hours per resident day, below the federal benchmark of 4.1, and it had $21,847 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2888 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $21,847special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2888.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 0.35
- Nurse aides
- 2.25
- Weekend nursing
- 2.88
Hours per resident per day.
Total staff turnover: 75%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
15.4%20%Worsening
Residents with a fall causing major injury
1.6%2.8%Worsening
Residents with pressure ulcers (bedsores)
7.1%7.5%No change
Residents with a urinary tract infection
1.6%0%Improving
Residents who lost too much weight
6.6%7.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
43.1%22.2%Improving
Residents whose ability to walk got worse
44.7%12.6%Improving
Long-stay residents on antianxiety or sleep medication
9.5%12.1%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%2.3%Worsening
Residents with new or worsening incontinence
16%20.3%Worsening
Residents with depressive symptoms
1.9%9.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94.4%—
Long-stay residents given the pneumonia vaccine
87.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—87.5%—
Short-stay residents given the pneumonia vaccine
91.5%95.9%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to update each resident’s assessment at least every three months. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 638 — 42 CFR §483.20 — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $21,847 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $62,797 in total fines.
- $21,847
Federal fine
Jun 6, 2024
- $40,950
Federal fine
Sep 14, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS · 18 homes · 1.8 stars avg
- Occupancy
- 78.5 residents on an average day (78% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.