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
Eagle Cliff Manor
Registered name: RIVER RIDGE REHABILITATION AND NURSING LLC
BILLINGS, MT · Medicare-certified · 129 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Eagle Cliff Manor in Billings, MT has an overall rating of 2 out of 5 stars. Its staffing is below the federal benchmark (3.23 vs 4.1 hours per resident day), and it has had $58,728 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2279 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 3.2279.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.80
- Nurse aides
- 1.93
- Weekend nursing
- 2.76
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 62%
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
18%23.9%Worsening
Residents with a fall causing major injury
4.3%1.3%Improving
Residents with pressure ulcers (bedsores)
1.8%2.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.3%6.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.6%9.2%Improving
Residents whose ability to walk got worse
13.4%6.4%Improving
Long-stay residents on antianxiety or sleep medication
10.8%9.1%Improving
Short-stay residents newly given an antipsychotic
0%2.1%Worsening
Residents with a long-term catheter
0%2.3%Worsening
Residents with new or worsening incontinence
36.6%32.4%Improving
Residents with depressive symptoms
6.3%2.7%Improving
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
—98.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—87.8%—
Short-stay residents given the pneumonia vaccine
100%100%No change
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
Recent ownership change · Oct 1, 2023
Now operated by Cottonwood Healthcare LLC, previously Eagle Cliff Manor.
- 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
- 85.1 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.