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Nursing home report

YELLOWSTONE RIVER NURSING AND REHABILITATION

BILLINGS, MT · Medicare-certified · 160 beds

Needs attention
For-profitChain member
1 of 5 overall

1-star facility overall, with 1-star health inspections, 2-star staffing and quality measures, and nurse staffing below the federal benchmark (3.18 vs 4.1 hours/resident/day). It also has a recent federal penalty and $99,463 in fines over the last 24 months, with inspection citations involving accident hazards/supervision, pressure ulcer care, and food/fluids.

Facility ratings

Health inspections

Staffing

3.1796 hrs/resident/day

Quality measures

Last inspection: December 31, 2025Penalties, last 24 months: $99,463recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1796.

Staffing detail

Registered nurses
0.69
Licensed practical nurses
0.65
Nurse aides
1.84
Weekend nursing
2.75

Hours per resident per day.

Total staff turnover: 72%
Registered nurse turnover: 72%

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

39.4%29.2%Improving

Residents with a fall causing major injury

3.4%1.1%Improving

Residents with pressure ulcers (bedsores)

5%6.1%Worsening

Residents with a urinary tract infection

0%1.2%Worsening

Residents who lost too much weight

7.7%3.9%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

16.9%31.2%Worsening

Residents whose ability to walk got worse

21%37.7%Worsening

Long-stay residents on antianxiety or sleep medication

50.6%15.5%Improving

Short-stay residents newly given an antipsychotic

4.1%2.2%Improving

Residents with a long-term catheter

4%0%Improving

Residents with new or worsening incontinence

19.9%25.4%Worsening

Residents with depressive symptoms

1.2%5.6%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

98.9%

Long-stay residents given the pneumonia vaccine

100%97.9%Worsening

Short-stay residents given the seasonal flu vaccine

92.8%

Short-stay residents given the pneumonia vaccine

93.3%85%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to provide enough food and fluids to keep residents healthy. Cited August 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — 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 have enough qualified staff to properly provide food and nutrition services. Cited July 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 801 — 42 CFR §483.60 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal payment denial was recorded.

  5. PENALTY

    A federal fine of $87,019 was recorded.

  6. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  7. PENALTY

    A federal fine of $12,444 was recorded.

Penalties & enforcement

On record with Medicare: 4 fines · $141,504 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Aug 28, 2025

    47 days
  • Federal fine

    Aug 28, 2025

    $87,019
  • Federal fine

    Jun 4, 2025

    $12,444
  • Federal fine

    Jun 22, 2023

    $38,896
  • Federal fine

    Jun 12, 2023

    $3,145

Operator & ownership

Ownership
For profit - Individual
Chain
Part of EDURO HEALTHCARE · 35 homes · 2.3 stars avg
Occupancy
112.1 residents on an average day (70% of 160 beds)
Resident voice
Resident council
Medicare history
Certified for 56 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.