River Ridge Rehabilitation And Nursing Llc has received an F grade based on CMS data, with a score of 4/100 — 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 3.25 total nurse hours per resident per day, River Ridge 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 inspections identified 66 deficiencies at River Ridge Rehabilitation And Nursing Llc. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.25 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.45 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.72 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.08 | 2.4 | Below Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.24 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0610 Severity DRespond appropriately to all alleged violations.Jan 14, 2026 · Freedom from Abuse, Neglect, and Exploitation 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.Jan 14, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Jan 14, 2026 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Mar 26, 2025 · Nutrition and Dietary Deficiencies
- Tag 0554 Severity DAllow residents to self-administer drugs if determined clinically appropriate.Mar 26, 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 | 7.3% | 4.5% | Worse |
| Falls with major injury | 3.6% | 3.0% | Worse |
| On antipsychotic medication | 23.9% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 18.7% | 14.0% | Worse |
| Excessive weight loss | 5.6% | 7.5% | Better |
| New/worsened incontinence | 23.7% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $80,893
How This Grade Was Calculated
This facility's grade of F is based on a score of 4 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: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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