Billings Rehabilitation And Nursing Llc has received an F grade based on CMS data, with a score of 0/100 — 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 3.22 total nurse hours per resident per day, Billings Rehabilitation And Nursing Llc 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 48 deficiencies at Billings Rehabilitation And Nursing Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that each resident is free from the use of physical restraints, unless needed for medical treatment..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.22 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.73 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.47 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.03 | 2.4 | Below Average |
| Weekend Total Nursing | 2.85 | 3.8 | Below Average |
| Weekend RN Hours | 0.59 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0604 Severity DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.Nov 19, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedNov 19, 2025 · Resident Assessment and Care Planning 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 19, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Nov 19, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0585 Severity EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eAug 13, 2025 · Resident Rights 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 | 9.0% | 4.5% | Worse |
| Falls with major injury | 1.1% | 3.0% | Better |
| On antipsychotic medication | 16.3% | 14.5% | Worse |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 30.0% | 14.0% | Worse |
| Excessive weight loss | 4.6% | 7.5% | Better |
| New/worsened incontinence | 20.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $62,797
How This Grade Was Calculated
This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 0★ → 0 pts (max 40)
- Health Inspection Rating: 0★ → 0 pts (max 25)
- Staffing Rating: 0★ → 0 pts (max 20)
- Quality Measures Rating: 0★ → 0 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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