Yellowstone River Nursing and Rehabilitation

2115 Central Ave, Billings, MT 59102 · (406) 656-6500
For profit - Individual · 160 certified beds

Yellowstone River Nursing and Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 7 citations, 2 for actual harm or immediate jeopardy (the Montana average is 11.2). It was fined 4 times in the last three years, $142,698 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on August 28, 2025 found 7 citations. What an inspection citation means

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.August 28, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.August 28, 2025 · F0692 · Level of harm: 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 28, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 28, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 28, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 28, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.August 28, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 31 citations.

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.July 30, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assess the resident when there is a significant change in conditionMay 6, 2026 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesMay 6, 2026 · F0645 · 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.May 6, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.May 6, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.May 6, 2026 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.May 6, 2026 · F0760 · Level of harm: Actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.December 31, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 19, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.November 19, 2025 · F0711 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.November 19, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide medically-related social services to help each resident achieve the highest possible quality of life.November 19, 2025 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Hire a qualified full-time social worker in a facility with more than 120 beds.November 19, 2025 · F0850 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.June 5, 2025 · 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.June 5, 2025 · F0657 · 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.June 5, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.June 5, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 27, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.March 27, 2025 · F0559 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 27, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.March 27, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide a bathroom in or located near each resident’s room.March 27, 2025 · F0918 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.March 27, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.December 17, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 18, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 26, 2023 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are fully informed and understand their health status, care and treatments.October 26, 2023 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.October 26, 2023 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.October 26, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.October 26, 2023 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.October 26, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $19,635May 6, 2026
• Fine of $23,600May 6, 2026
• Fine of $87,019August 28, 2025
• Fine of $12,444June 4, 2025
• Medicare payment denial for 47 daysStarting October 2, 2025

Nurse staffing

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

About this home