Here are 7 Nursing Homes in Yellowstone County, MT
Nursing homes across Yellowstone County, Montana, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
St. John's Lutheran Home runs on 5.40 nurse hours per resident day, roughly 40% more than the national average of 3.86, and that staffing depth is what carries the rest of its record. Weekend coverage dips about 8% below its own weekday level, and turnover sits at 44.6%, essentially matching the national rate of 45.8%. The trade-off shows up in its inspection history: 33 deficiencies on the current record, two of them abuse-related, though none rose to the level of actual harm or jeopardy. Its most recent inspection was in July 2025, so the picture is reasonably current. As a nonprofit, it isn't answering to shareholders, and the quality measure rating suggests the clinical care generally holds up.
Laurel Health & Rehabilitation Center runs on 3.24 nurse hours per resident day, about 16% under the national average, and weekend coverage drops roughly 15% below its own weekday level. Staff turnover sits at 67.6% against a national 45.8%, which means the people caring for residents are, more often than not, recent hires or on their way out. The inspection record backs that up: 41 deficiencies, including one at the harm or jeopardy level and seven tied to abuse, with a fine of $7,163. Quality measures score well, but that's a narrow slice of the picture.
River Ridge runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday coverage. That matters when you're deciding whether a Saturday shift has enough hands. The inspection record is what stands out most: 63 deficiencies, three at harm or jeopardy level, four tied to abuse, and $80,893 in fines across four penalties. Half the staff turned over in a year, which sits above the 45.8% national figure. A January 2026 inspection is recent, so the picture is current. For-profit LLC ownership, 129 beds, two stars on health inspections.
Nurse staffing at Billings Rehabilitation and Nursing runs about 3.34 hours per resident day, roughly 13 percent under the national average, and weekends drop another 15 percent below what the home itself provides on weekdays. Staff turnover sits at 72.5 percent against a national figure near 46 percent, which means a large share of the people caring for residents are new to the building. The inspection record shows 52 deficiencies, including 2 at the harm or jeopardy level and 11 tied to abuse, with $62,797 in fines and a survey completed in February 2026. A for-profit limited liability company operates the 100-bed home.
Aspen Meadows runs 90 certified beds in Billings under corporate ownership, and the staffing numbers tell a big part of the story: 3.63 nurse hours per resident day, about 6% under the national average, with weekends running roughly 11% lighter than weekdays. That thin coverage lines up with a 76.2% annual turnover rate, well over the national 45.8%, so the people caring for residents are changing constantly. The inspection record shows 36 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus $115,183 in fines. The most recent inspection was March 26, 2026, and quality measures sit at 1 out of 5 stars.
Yellowstone River runs on 3.15 nurse hours per resident per day, about 18% below the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays. That matters because turnover sits at 71.8% against a national average of 45.8%, most of the people caring for residents are new, and the ones on duty Saturday and Sunday are stretched thinnest. The current record carries 58 deficiencies, six serious enough to endanger residents, four tied to abuse, plus $99,463 in fines. The last inspection was August 2025. For-profit, individually owned, 160 beds. Ask about weekend coverage and how long aides have actually worked there.
Skyline Heights is a for-profit home in Billings with 150 beds, and the numbers behind its record are hard to argue with. Nurse staffing sits at 3.26 hours per resident day, about 16 percent under the national average, and weekends run roughly 11 percent thinner than weekdays. Staff turnover is 74.7 percent against a national average of 45.8 percent, most of the people caring for your relative likely won't be there in a year. The current inspection record carries 63 deficiencies, seven at the harm or jeopardy level and five tied to abuse, plus six fines totaling $418,996. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.