35.5/100
Poor
600 S 27Th St, Billings, MT 59101
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$62,797 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 73%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 26, 2026 (5 months ago).
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
Part of THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS, which operates 18 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| CASHMER LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| FEY, DANIEL | Individual | INDIRECT OWNERSHIP INTEREST | — |
| SWAIN, CAMERON | Individual | INDIRECT OWNERSHIP INTEREST | — |
| SWAIN, SERENE | Individual | INDIRECT OWNERSHIP INTEREST | — |
| MYERS, WALTER | Individual | CORPORATE OFFICER | — |
| SWAIN, JARED | Individual | CORPORATE OFFICER | — |
| COTTONWOOD HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| PROFESSIONAL BUSINESS ADVISORS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| WIPFLI LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| ANDERSON, WENDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| RIGGIN, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SEVERA, LARRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Billings Rehabilitation And Nursing Llc holds an ElderGrade of F (35.5 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.34 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 52 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Billings Rehabilitation And Nursing Llc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.