Federal inspection record · CMS data as of October 1, 2026
River Ridge Rehabilitation And Nursing LLC
1415 Yellowstone River Rd, Billings, MT · (406) 245-9330
- Certified beds
- 129
- Residents per day
- 86
- Ownership
- For-Profit
- Chain
- The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1988
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Montana.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Montana homes
River Ridge Rehabilitation And Nursing LLC carries 129 inspection points. That is fewer than 19% of Montana's 59 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Montana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31.5 pts
- 4★ 31.5–49.25 pts
- 3★ 49.25–84.75 pts
- 2★ 84.75–135.38 pts
- 1★ over 135.38 pts
Bars show every rated home in Montana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
66 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Quality of Life and Care17E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure the activities program is directed by a qualified professional.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide or obtain dental services for each resident.
- B
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Resident Rights11E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning11D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control6F
- F
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services5E
- D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- B
Post nurse staffing information every day.
- D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Respond appropriately to all alleged violations.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service3E
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Environmental2E
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-01-15
14 health deficiencies · 18 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-11-07
27 health deficiencies · 18 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-10-26
25 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 10 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 10 min
Montana average
4 h 1 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 53% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$80,893 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-01 | Fine | $58,728 |
| 2024-02-12 | Fine | $1,899 |
| 2024-01-22 | Fine | $3,418 |
| 2023-10-26 | Fine | $16,848 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.0 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 2.5 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 100.0% | 96.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts better | 98.8% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 2.4% | 4.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.2 pts better | 5.1% | 6.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts better | 4.2% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts better | 11.3% | 15.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts better | 20.3% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.6 pts better | 0.0% | 0.6% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.3 pts better | 7.8% | 16.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.5 pts better | 7.0% | 18.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts better | 0.9% | 2.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3 pts better | 0.0% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts better | 17.1% | 22.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 4.3% | 6.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.9 pts better | 100.0% | 84.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts worse | 13.6% | 13.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.1% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22 pts better | 98.7% | 76.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.7 pts better | 19.5% | 20.2% | 23.4% |
·
Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Amin Family Limited Partnership | 5% Or Greater Direct Ownership Interest · Organization | 10% | 1 facilities |
| Fey, Kristin | 5% Or Greater Indirect Ownership Interest · Individual | 9% | 6 facilities |
| Myers Living Trust | 5% Or Greater Direct Ownership Interest · Organization | 6% | 1 facilities |
| Anderson, Wendy | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Cashmer LLC | Direct Ownership Interest · Organization | 0% | 5 facilities |
| Cottonwood Healthcare LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Cottonwood Healthcare LLC | Adp Of The SNF · Organization | 0% | 26 facilities |
| Dover Ruxpin Family Limited Partnership | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Myers, Cindy | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Myers, Daniel | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Myers, Sheri | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Myers, Walter | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 25 facilities |
| Myers, Walter | Corporate Director · Individual | 0% | 25 facilities |
| Myers, Walter | Corporate Officer · Individual | 0% | 25 facilities |
| Myers, Walter | Adp Of The SNF · Individual | 0% | 25 facilities |
| Professional Business Advisors LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Professional Business Advisors LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Swain, Jared | Corporate Officer · Individual | 0% | 20 facilities |
| Williamson, Zack | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Williamson, Zack | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wipfli Llp | Operational/Managerial Control · Organization | 0% | 102 facilities |
| Wipfli Llp | Adp Of The SNF · Organization | 0% | 102 facilities |
·
Fire safety
47 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness14F
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for volunteers.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- F
List the names and contact information of those in the facility.
- F
Provide emergency officials' contact information.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
List the names and contact information of those in the facility.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Smoke14F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems8F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
Egress7E
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Meet other general requirements that are deficient.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Meet other general requirements that are deficient.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
Other homes nearby
-
Billings Rehabilitation And Nursing LLC
Billings, MT · The Charly Bello Family, The Maze Family, The Swain Family, & Walter Myers
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 58 min
- Fines
- $21,847
-
Skyline Heights Nursing And Rehabilitation
Billings, MT · Eduro Healthcare · Special Focus
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 3 min
- Fines
- $481,582
-
Yellowstone River Nursing And Rehabilitation
Billings, MT · Eduro Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 19 min
- Fines
- $127,566