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C
Below Standard

BILLINGS REHABILITATION AND NURSING LLC

600 S 27TH ST · BILLINGS, MT 59101

4062598000 · For profit - Corporation

100 beds78.5 residents182 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

BILLINGS REHABILITATION AND NURSING LLC receives an overall staffing grade of C (Below Standard). With 3.2268 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7276 HPRD, below the recommended 0.75. It is 0.67 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.46% compared to weekdays. The facility relies heavily on temporary agency staff (16.42% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2268 HPRD — needs 0.25 more hours per resident per day.
⚠️RN staffing (0.7276 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️16.42% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2268hrs/resident/day▼ 0.67
CMS benchmark: 3.48
RN HPRD
0.7276hrs/resident/day▲ 0.04
Recommended: 0.75
Weekend Drop-off
15.46%
3.3743 weekday → 2.8525 weekend
Agency Staff
16.42%
40.03% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8456hrs/resident/day
Direct care aides
LPN HPRD
0.4672hrs/resident/day
Licensed practical nurses
Consistency
0.5341std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Yellowstone County Average-0.31 HPRD
3.53
03.23 HPRD
vs. Montana State Average-0.75 HPRD
3.98
03.23 HPRD
vs. National Average-0.67 HPRD
3.90
03.23 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
BILLINGS REHABILITATION AND NURSING LLC ★
BILLINGS · This facility
—
C
3.22680.7276☆☆☆☆☆
YELLOWSTONE RIVER NURSING AND REHABILITATION
BILLINGS
3.4 mi
C
3.34780.7171★☆☆☆☆
RIVER RIDGE REHABILITATION AND NURSING LLC
BILLINGS
3.8 mi
C
3.24560.4456★☆☆☆☆
SKYLINE HEIGHTS NURSING AND REHABILITATION
BILLINGS
3.9 mi
C
3.32470.7368★☆☆☆☆
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER
BILLINGS
4.4 mi
C
3.48630.4232★★☆☆☆
ST JOHN'S LUTHERAN HOME
BILLINGS
6 mi
A
4.9221.4007★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
49
Total Deficiencies
$62,797
Fines Assessed
Nov 20, 2025Health
4 deficiencies cited
▼
Aug 14, 2025Health
7 deficiencies cited
▼
Jun 19, 2025Health
3 deficiencies cited
▼
Feb 27, 2025Health
19 deficiencies cited
▼
Nov 21, 2024Health
1 deficiency cited
▼
Sep 12, 2024Health
11 deficiencies cited
▼
Jun 6, 2024Health
2 deficiencies cited· Includes actual harm
▼
Sep 14, 2023Health
1 deficiency cited· Includes actual harm
▼
Feb 16, 2023Health
1 deficiency cited· Includes actual harm
▼

Penalty History

Jun 6, 2024Fine
$21,847
Sep 14, 2023Fine
$40,950
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.