The nursing home failed to protect residents from abuse and neglect by others. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
RIVER RIDGE REHABILITATION AND NURSING LLC
BILLINGS, MT · Medicare-certified · 129 beds
Needs attention
For-profitChain member
2 of 5 overall
River Ridge Rehabilitation and Nursing LLC in Billings has an overall 2-star rating, with 2 stars for health inspections and 3 stars for staffing and quality. It reports 3.28 nurse staffing hours per resident per day versus the 4.1 federal benchmark, plus $58,728 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2798 hrs/resident/day
Quality measures
Last inspection: January 15, 2026Penalties, last 24 months: $58,728recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2798.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.78
- Nurse aides
- 2.00
- Weekend nursing
- 2.89
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 62%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
17.6%Improving
Residents with a fall causing major injury
3.9%Worsening
Residents with pressure ulcers (bedsores)
5.8%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.6%Improving
Residents whose ability to walk got worse
19.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
15.2%Improving
Short-stay residents newly given an antipsychotic
2%Improving
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
19.9%Improving
Residents with depressive symptoms
7.3%Improving
Long-stay residents given the seasonal flu vaccine
98.6%Steady
Long-stay residents given the pneumonia vaccine
99.6%Improving
Short-stay residents given the seasonal flu vaccine
87.8%Steady
Short-stay residents given the pneumonia vaccine
96.7%Improving
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 21 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $58,728 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $80,893 in total fines.
- $58,728
Federal fine
Aug 1, 2024
- $1,899
Federal fine
Feb 12, 2024
- $3,418
Federal fine
Jan 22, 2024
- $16,848
Federal fine
Oct 26, 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
- 84.8 residents on an average day (66% of 129 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.