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C
Below Standard

RIVER RIDGE REHABILITATION AND NURSING LLC

1415 YELLOWSTONE RIVER RD · BILLINGS, MT 59105

4062459330 · For profit - Limited Liability company

129 beds82.8 residents121 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
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

RIVER RIDGE REHABILITATION AND NURSING LLC receives an overall staffing grade of C (Below Standard). With 3.2456 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4456 HPRD, below the recommended 0.75. It is 0.65 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.7% compared to weekdays. The facility has low agency staff usage (0.46% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2456 HPRD — needs 0.23 more hours per resident per day.
⚠️RN staffing (0.4456 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.46%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2456hrs/resident/day▼ 0.65
CMS benchmark: 3.48
RN HPRD
0.4456hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
18.7%
3.4266 weekday → 2.786 weekend
Agency Staff
0.46%
2.24% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9724hrs/resident/day
Direct care aides
LPN HPRD
0.7179hrs/resident/day
Licensed practical nurses
Consistency
0.3447std 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-0.29 HPRD
3.53
03.25 HPRD
vs. Montana State Average-0.73 HPRD
3.98
03.25 HPRD
vs. National Average-0.65 HPRD
3.90
03.25 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
RIVER RIDGE REHABILITATION AND NURSING LLC ★
BILLINGS · This facility
—
C
3.24560.4456★☆☆☆☆
BILLINGS REHABILITATION AND NURSING LLC
BILLINGS
3.8 mi
C
3.22680.7276☆☆☆☆☆
SKYLINE HEIGHTS NURSING AND REHABILITATION
BILLINGS
6.6 mi
C
3.32470.7368★☆☆☆☆
YELLOWSTONE RIVER NURSING AND REHABILITATION
BILLINGS
6.7 mi
C
3.34780.7171★☆☆☆☆
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER
BILLINGS
7.1 mi
C
3.48630.4232★★☆☆☆
ST JOHN'S LUTHERAN HOME
BILLINGS
8.3 mi
A
4.9221.4007★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
63
Total Deficiencies
$80,893
Fines Assessed
Mar 27, 2025Health
6 deficiencies cited
▼
Nov 7, 2024Health
21 deficiencies cited
▼
Aug 1, 2024Health
5 deficiencies cited· Includes actual harm
▼
Apr 25, 2024Health
4 deficiencies cited
▼
Oct 26, 2023Health
16 deficiencies cited· Includes actual harm
▼
Jan 5, 2023Health
11 deficiencies cited· Includes actual harm
▼

Penalty History

Aug 1, 2024Fine
$58,728
Feb 12, 2024Fine
$1,899
Jan 22, 2024Fine
$3,418
Oct 26, 2023Fine
$16,848
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.