River Ridge Rehabilitation and Nursing LLC

1415 Yellowstone River Rd, Billings, MT 59105 · (406) 245-9330
For profit - Limited Liability company · 129 certified beds

River Ridge Rehabilitation and Nursing LLC has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 8 citations (the Montana average is 11.2). It was fined 4 times in the last three years, $80,893 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on January 15, 2026 found 8 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 15, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.January 15, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide medically-related social services to help each resident achieve the highest possible quality of life.January 15, 2026 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.January 15, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.January 15, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.January 15, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.January 15, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or get specialized rehabilitative services as required for a resident.January 15, 2026 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 22 citations.

• Respond appropriately to all alleged violations.January 15, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 15, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.January 15, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Allow residents to self-administer drugs if determined clinically appropriate.March 27, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.March 27, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 27, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 27, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 27, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.March 27, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.November 7, 2024 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.November 7, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.August 1, 2024 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.August 1, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.August 1, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.August 1, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 1, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 25, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.April 25, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 25, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Post nurse staffing information every day.April 25, 2024 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Some
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.October 26, 2023 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.October 26, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $58,728August 1, 2024
• Fine of $1,899February 12, 2024
• Fine of $3,418January 22, 2024
• Fine of $16,848October 26, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home