River Ridge Rehabilitation and Nursing LLC
A nursing home in Billings, Montana 59105
1415 Yellowstone River Rd, Billings, Montana 59105. (406) 245-9330.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 14 health citations at the latest inspection cycle Montana average: 10.9
- 3.17 nurse hours per resident per day Montana average: 4.02
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
14 health citations at the latest inspection cycle
The Montana average is 10.9.
Last standard inspection Jan 15, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Aug 1, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
50 citations in 6 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 50 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 23 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 11, 2026: complaint inspection3 citations
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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.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Have enough outside ventilation via a window or mechanical ventilation, or both.
Jan 15, 2026: standard inspection8 citations
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Ensure each resident receives an accurate assessment.
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Provide enough food/fluids to maintain a resident’s health.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Ensure medication error rates are not 5 percent or greater.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide or get specialized rehabilitative services as required for a resident.
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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.
Jan 15, 2026: complaint inspection3 citations
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Respond appropriately to all alleged violations.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Mar 27, 2025: complaint inspection6 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Nov 7, 2024: standard inspection19 citations
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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.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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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.
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure the activities program is directed by a qualified professional.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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.
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Provide care or services that was trauma informed and/or culturally competent.
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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.
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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.
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Provide or obtain dental services for each resident.
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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 7, 2024: standard and complaint inspection1 citation
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nov 7, 2024: complaint inspection1 citation
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Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Aug 1, 2024: complaint inspection5 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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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.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 25, 2024: complaint inspection4 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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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.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Post nurse staffing information every day.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 1, 1988.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 129 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $64,045 in all.
- No Medicare payment denials in the last three years.
- 23 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Aug 1, 2024 | Fine | $58,728 |
| Feb 12, 2024 | Fine | $1,899 |
| Jan 22, 2024 | Fine | $3,418 |
Who does the caring?
3.17 nurse hours per resident per day
The Montana average is 4.02.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Montana average |
|---|---|---|
| Nurse hours per resident per day | 3.17 | 4.02 |
| Of which registered nurses | 0.68 | 0.92 |
| At weekends | 2.70 | 3.53 |
| Nursing staff turnover | 49.3% | 54.6% |
| Registered nurse turnover | 53.3% | 48.9% |
| Administrators who left | 0 | Not given |
Who owns it?
- Maze Family Limited Partnership owns 40% directly since Oct 1, 2023; Charly Bello Family Limited Partnership owns 23% directly since Oct 1, 2023; Amin Family Limited Partnership owns 10% directly since Oct 1, 2023; Dover Ruxpin Family Limited Partnership owns 10% directly since Oct 1, 2023; Dover Ruxpin Family Limited Partnership owns 10% directly since Oct 1, 2023; Pickd LLC owns 7% directly since Oct 1, 2023; Myers Living Trust owns 6% directly since Oct 1, 2023; Cashmer LLC owns 4% directly since Oct 1, 2023.
- Professional Business Advisors LLC and Wipfli LLP and Cottonwood Healthcare LLC run it.
- 20 owners or officers are people: Walter E Myers (corporate director, 100%); Jared E Swain (corporate officer, 50%); Walter E Myers (corporate officer, 50%); Walter E Myers (owns 5% or more through other companies, 19.6%); Katie Myers (owns 5% or more through other companies, 18.8%); Holly Swain (owns 5% or more through other companies, 11.5%); Jared E Swain (owns 5% or more through other companies, 11.5%); Kristin Fey (owns 5% or more through other companies, 9.4%); David Mahrt (owns 5% or more through other companies, 7%); Walter Myers (owns 5% or more through other companies, 3%); Cindy Myers (owns 5% or more through other companies, 3%); Serene Swain (owns 5% or more through other companies, 2%); Cameron Swain (owns 5% or more through other companies, 2%); Daniel Myers (owns 5% or more through other companies, 0.1%); Sheri Myers (owns 5% or more through other companies, 0.1%); Wendy Anderson (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Walter E Myers (additional disclosable party (controls, leases property to, or provides services to the home)); Zack Williamson (runs it (operational or managerial control)); Zack Williamson (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers (22 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Maze Family Limited Partnership | Owns 5% or more directly | 40% | Oct 1, 2023 |
| Charly Bello Family Limited Partnership | Owns 5% or more directly | 23% | Oct 1, 2023 |
| Amin Family Limited Partnership | Owns 5% or more directly | 10% | Oct 1, 2023 |
| Dover Ruxpin Family Limited Partnership | Owns 5% or more directly | 10% | Oct 1, 2023 |
| Dover Ruxpin Family Limited Partnership | Owns a share directly | 10% | Oct 1, 2023 |
| Pickd LLC | Owns 5% or more directly | 7% | Oct 1, 2023 |
| Myers Living Trust | Owns 5% or more directly | 6% | Oct 1, 2023 |
| Cashmer LLC | Owns a share directly | 4% | Oct 1, 2023 |
| Professional Business Advisors LLC | Runs it (operational or managerial control) | Oct 1, 2023 | |
| Professional Business Advisors LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 4, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 22, 2025 | |
| Wipfli LLP | Runs it (operational or managerial control) | Oct 1, 2023 | |
| Wipfli LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 4, 2025 | |
| Cottonwood Healthcare LLC | Runs it (operational or managerial control) | Oct 1, 2023 | |
| Cottonwood Healthcare LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 4, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Montana average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 90.9 miles, this one had the 6th most health citations at the latest inspection cycle (14; the middle value was 14).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| River Ridge Rehabilitation and Nursing LLC This nursing home | 14 | |
| Billings Rehabilitation and Nursing LLC | 3.8 | 20 |
| Skyline Heights Nursing and Rehabilitation | 6.6 | 16 |
| Yellowstone River Nursing and Rehabilitation | 6.7 | 19 |
| Aspen Meadows Health and Rehabilitation Center | 7.1 | 14 |
| St John’s Lutheran Home | 8.3 | 11 |
| Laurel Health & Rehabilitation Center | 18.3 | 31 |
| Beartooth Rehabilitation and Nursing LLC | 41.0 | 25 |
| Awe Kualawaache Care Center | 50.8 | 5 |
| New Horizons Care Center | 68.6 | 6 |
| Powell Valley Care Center | 75.0 | 2 |
| Rosebud Health Care Center | 90.9 | 3 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.