Starfile / Montana

YELLOWSTONE RIVER NURSING AND REHABILITATION

2115 CENTRAL AVE, BILLINGS, MT 59102 · CCN 275029

Inspection history vs Montana & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$141,504

Number of fines

4

Number of penalties

5

Payment denials

1

Chain

Chain

EDURO HEALTHCARE

Facilities in chain

36

Chain avg overall

2.40 / 5

Inspection citations (54)1 immediate jeopardy4 actual harm

1. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-31 · Health

   Potential for more than minimal harm

2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-19 · Health · corrected 2025-12-14

   Potential for more than minimal harm

3. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-11-19 · Health · corrected 2025-12-14

   Potential for more than minimal harm

4. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-11-19 · Health · corrected 2025-12-14

   Potential for more than minimal harm

5. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-11-19 · Health · corrected 2025-12-14

   Potential for more than minimal harm

6. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2025-11-19 · Health · corrected 2025-12-14

   Potential for more than minimal harm

7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-28 · Health · corrected 2025-09-19

   Potential for more than minimal harm

8. EF0585Honor 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.2025-08-28 · Health · corrected 2025-09-19

   Potential for more than minimal harm

9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-28 · Health · corrected 2025-09-19

   Potential for more than minimal harm

10. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-28 · Health · corrected 2025-09-19

    Actual harm

11. GF0692Provide enough food/fluids to maintain a resident's health.2025-08-28 · Health · corrected 2025-09-19

    Actual harm

12. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-28 · Health · corrected 2025-09-19

    Potential for more than minimal harm

13. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-28 · Health · corrected 2025-09-19

    Potential for more than minimal harm

14. DF0610Respond appropriately to all alleged violations.2025-06-05 · Health · corrected 2025-06-20

    Potential for more than minimal harm

15. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-05 · Health · corrected 2025-06-20

    Potential for more than minimal harm

16. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-05 · Health · corrected 2025-06-20

    Immediate jeopardy

17. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-06-05 · Health · corrected 2025-06-20

    Potential for more than minimal harm

18. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

19. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

20. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

21. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

22. DF0918Provide a bathroom in or located near each resident’s room.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

23. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-03-27 · Health · corrected 2025-04-18

    Potential for more than minimal harm

24. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-12-17 · Health · corrected 2025-01-15

    Potential for more than minimal harm

25. EF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

26. DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

27. EF0584Honor 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.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

28. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-18 · Health · corrected 2024-04-01

    Potential for more than minimal harm

29. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

30. DF0687Provide appropriate foot care.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

31. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

32. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

33. EF0759Ensure medication error rates are not 5 percent or greater.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

34. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

35. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

36. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

37. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

38. DF0880Provide and implement an infection prevention and control program.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

39. DF0908Keep all essential equipment working safely.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

40. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

41. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-26 · Health · corrected 2023-11-21

    Potential for more than minimal harm

42. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-10-26 · Health · corrected 2023-11-21

    Potential for more than minimal harm

43. DF0558Reasonably accommodate the needs and preferences of each resident.2023-10-26 · Health · corrected 2023-11-21

    Potential for more than minimal harm

44. DF0610Respond appropriately to all alleged violations.2023-10-26 · Health · corrected 2023-11-21

    Potential for more than minimal harm

45. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-10-26 · Health · corrected 2023-11-21

    Potential for more than minimal harm

46. EF0880Provide and implement an infection prevention and control program.2023-10-26 · Health · corrected 2023-11-21

    Potential for more than minimal harm

47. EF0584Honor 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.2023-06-22 · Health · corrected 2023-07-21

    Potential for more than minimal harm

48. DF0637Assess the resident when there is a significant change in condition2023-06-22 · Health · corrected 2023-07-21

    Potential for more than minimal harm

49. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-22 · Health · corrected 2023-07-21

    Potential for more than minimal harm

50. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-22 · Health · corrected 2023-07-21

    Actual harm

51. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-22 · Health · corrected 2023-07-21

    Actual harm

52. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-06-22 · Health · corrected 2023-07-21

    Potential for more than minimal harm

53. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-06-22 · Health · corrected 2023-07-21

    Potential for more than minimal harm

54. EF0880Provide and implement an infection prevention and control program.2023-06-22 · Health · corrected 2023-07-21

    Potential for more than minimal harm

Ownership

Other facilities in BILLINGS

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.