Yellowstone River Nursing And Rehabilitation has received an F grade based on CMS data, with a score of 2/100 — placing it among the lowest-rated nursing facilities in Montana. Families considering this Billings facility should carefully review its inspection history and quality metrics.
With 3.35 total nurse hours per resident per day, Yellowstone River Nursing And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 54 deficiencies at Yellowstone River Nursing And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide care and assistance to perform activities of daily living for any resident who is unable..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.35 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.72 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.62 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.02 | 2.4 | Below Average |
| Weekend Total Nursing | 2.95 | 3.8 | Below Average |
| Weekend RN Hours | 0.71 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Dec 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0850 Severity EHire a qualified full-time social worker in a facility with more than 120 beds.Nov 18, 2025 · Administration Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Nov 18, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0711 Severity DEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Nov 18, 2025 · Nursing and Physician Services Deficiencies
- Tag 0740 Severity DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.Nov 18, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.4% | 4.5% | Average |
| Falls with major injury | 3.2% | 3.0% | Average |
| On antipsychotic medication | 35.1% | 14.5% | Worse |
| Urinary tract infections | 1.2% | 2.5% | Better |
| ADL decline (daily activities) | 23.9% | 14.0% | Worse |
| Excessive weight loss | 6.4% | 7.5% | Better |
| New/worsened incontinence | 28.7% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $141,504
How This Grade Was Calculated
This facility's grade of F is based on a score of 2 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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