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C
Below Standard

YELLOWSTONE RIVER NURSING AND REHABILITATION

2115 CENTRAL AVE · BILLINGS, MT 59102

4066566500 · For profit - Individual

160 beds112.3 residents191 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

YELLOWSTONE RIVER NURSING AND REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.3478 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7171 HPRD, below the recommended 0.75. It is 0.55 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.99% compared to weekdays. The facility relies heavily on temporary agency staff (17.64% 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: 3.3478 HPRD — needs 0.13 more hours per resident per day.
⚠️RN staffing (0.7171 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️17.64% 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
3.3478hrs/resident/day▼ 0.55
CMS benchmark: 3.48
RN HPRD
0.7171hrs/resident/day▲ 0.03
Recommended: 0.75
Weekend Drop-off
15.99%
3.5062 weekday → 2.9457 weekend
Agency Staff
17.64%
34.89% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9601hrs/resident/day
Direct care aides
LPN HPRD
0.6158hrs/resident/day
Licensed practical nurses
Consistency
0.3442std 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-0.18 HPRD
3.53
03.35 HPRD
vs. Montana State Average-0.63 HPRD
3.98
03.35 HPRD
vs. National Average-0.55 HPRD
3.90
03.35 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
YELLOWSTONE RIVER NURSING AND REHABILITATION ★
BILLINGS · This facility
—
C
3.34780.7171★☆☆☆☆
SKYLINE HEIGHTS NURSING AND REHABILITATION
BILLINGS
1.4 mi
C
3.32470.7368★☆☆☆☆
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER
BILLINGS
1.5 mi
C
3.48630.4232★★☆☆☆
ST JOHN'S LUTHERAN HOME
BILLINGS
3.1 mi
A
4.9221.4007★★★★☆
BILLINGS REHABILITATION AND NURSING LLC
BILLINGS
3.4 mi
C
3.22680.7276☆☆☆☆☆
RIVER RIDGE REHABILITATION AND NURSING LLC
BILLINGS
6.7 mi
C
3.24560.4456★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
54
Total Deficiencies
$188,360
Fines Assessed
Dec 31, 2025Health
1 deficiency cited
▼
Nov 19, 2025Health
5 deficiencies cited
▼
Aug 28, 2025Health
7 deficiencies cited· Includes actual harm
▼
Jun 5, 2025Health
4 deficiencies cited· Includes actual harm
▼
Mar 27, 2025Health
6 deficiencies cited
▼
Dec 17, 2024Health
1 deficiency cited
▼
Jul 18, 2024Health
16 deficiencies cited
▼
Oct 26, 2023Health
6 deficiencies cited
▼
Jun 22, 2023Health
8 deficiencies cited· Includes actual harm
▼

Penalty History

Aug 28, 2025Fine
$133,875
Aug 28, 2025Payment Denial
Jun 4, 2025Fine
$12,444
Jun 22, 2023Fine
$38,896
Jun 12, 2023Fine
$3,145
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.