41/100
Below average
1415 Yellowstone River Rd, Billings, MT 59105
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.
3 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.
$80,893 in federal fines
CMS has fined this facility across 4 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
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.
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: January 15, 2026 (7 months ago).
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
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.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 | — |
| DOVER RUXPIN FAMILY LIMITED PARTNERSHIP | Organization | DIRECT OWNERSHIP INTEREST | — |
| MYERS, WALTER | Individual | CORPORATE DIRECTOR | — |
| 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 | — |
| WILLIAMSON, ZACK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| COTTONWOOD HEALTHCARE LLC | Organization | ADP OF THE SNF | — |
| PROFESSIONAL BUSINESS ADVISORS LLC | Organization | ADP OF THE SNF | — |
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River Ridge Rehabilitation And Nursing Llc holds an ElderGrade of D (41 out of 100), which we describe as "below average". 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 3.23 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 63 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, River Ridge 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.