River Ridge Rehabilitation and Nursing LLC
1415 Yellowstone River Rd · Billings, MT · 59105 · 4062459330
129 certified beds For profit - Limited Liability company Chain: The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $58,728 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$58,728 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 4 · $80,893 |
Inspection citations (63 in the current record)
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Potential for harm · D January 15, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 15, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 14, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 14, 2026 · Quality of Life and Care
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Potential for harm · D January 15, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 14, 2026 · Resident Rights
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Potential for harm · D January 15, 2026
Ensure each resident receives an accurate assessment.
Corrected February 14, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected February 14, 2026 · Quality of Life and Care
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Potential for harm · E January 15, 2026
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected February 14, 2026 · Quality of Life and Care
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Potential for harm · D January 15, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected February 14, 2026 · Pharmacy Service
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Potential for harm · F January 15, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 14, 2026 · Nutrition and Dietary
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Potential for harm · D January 15, 2026
Provide or get specialized rehabilitative services as required for a resident.
Corrected February 14, 2026 · Quality of Life and Care
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Potential for harm · F January 15, 2026
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.
Corrected February 14, 2026 · Infection Control
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Potential for harm · D March 27, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 26, 2025 · Resident Rights
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Potential for harm · D March 27, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 26, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 26, 2025 · Pharmacy Service
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Potential for harm · F March 27, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 26, 2025 · Nutrition and Dietary
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Potential for harm · D March 27, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 26, 2025 · Infection Control
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Potential for harm · D November 7, 2024 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected December 16, 2024 · Infection Control
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Potential for harm · D November 7, 2024
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.
Corrected December 16, 2024 · Resident Rights
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Potential for harm · E November 7, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 16, 2024 · Resident Rights
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Potential for harm · E November 7, 2024
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.
Corrected December 16, 2024 · Resident Rights
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Potential for harm · D November 7, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2024
Ensure each resident receives an accurate assessment.
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 16, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 1, 2024 | Fine | $58,728 |
| February 12, 2024 | Fine | $1,899 |
| January 22, 2024 | Fine | $3,418 |
| October 26, 2023 | Fine | $16,848 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275123 · certified since April 1, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.