River Ridge Rehabilitation and Nursing LLC

Nursing Home · Billings, MT

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number275123

Contact & location

1415 Yellowstone River RD
Billings, MT 59105
Yellowstone County
Phone
(406) 245-9330
ZIP code
59105 – all care providers

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Facility details

Certified beds
129
Residents per day
85.1 (66% occupied)
Ownership
For profit - Limited Liability company
Chain
The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers (19 facilities, avg 1.7★)
Medicare certified since
April 1, 1988
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.9
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.0
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.23 (state 4.05 · U.S. 3.86)
Registered nurses (RN)
0.49 (state 0.98 · U.S. 0.69)
Licensed practical nurses
0.80 (state 0.50 · U.S. 0.86)
Nurse aides
1.93 (state 2.57 · U.S. 2.32)
Weekend total
2.76 (state 3.59 · U.S. 3.42)
Nursing staff turnover
50.0 (state 54.8 · U.S. 45.8)%
RN turnover
61.5 (state 48.3 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 15, 2026
Health deficiencies (last cycle)
11.0 (state 11.5 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
44 health · 36 fire safety · includes actual harm
DateCitationSeverityStatus
2026-01-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-15 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.
F0887 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-15 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-15 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-15 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-15 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-15 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-15 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2026-01-15 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-14
2025-03-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-26
2025-03-27 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-26
2025-03-27 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-26
2025-03-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-26
2025-03-27 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-26
2025-03-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-26
2024-11-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 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.
F0625 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Ensure the activities program is directed by a qualified professional.
F0680 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 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.
F0693 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 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.
F0727 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-16
2024-11-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2024-12-16
2024-08-01 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-09-30
2024-08-01 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.
F0585 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-30
2024-08-01 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-30
2024-08-01 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-30
2024-08-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-30
2024-04-25 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.
F0688 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-05-24

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $80,893 in fines.

DateTypeAmount
2024-08-01Fine$58,728
2024-02-12Fine$1,899
2024-01-22Fine$3,418
2023-10-26Fine$16,848

Ownership & management

NameRoleSince
Amin Family Limited Partnership (organization)5%+ Direct Ownership Interest · 10%
Myers Living Trust (organization)5%+ Direct Ownership Interest · 6%
Fey, Kristin (individual)5%+ Indirect Ownership Interest · 9%
Myers, Cindy (individual)5%+ Indirect Ownership Interest
Myers, Daniel (individual)5%+ Indirect Ownership Interest
Myers, Sheri (individual)5%+ Indirect Ownership Interest
Myers, Walter (individual)5%+ Indirect Ownership Interest
Cottonwood Healthcare LLC (organization)Administrator · NOT APPLICABLE
Myers, Walter (individual)Administrator · NOT APPLICABLE
Professional Business Advisors LLC (organization)Administrator · NOT APPLICABLE
Williamson, Zack (individual)Administrator · NOT APPLICABLE
Wipfli LLP (organization)Administrator · NOT APPLICABLE
Myers, Walter (individual)Corporate Director · NOT APPLICABLE
Myers, Walter (individual)Corporate Officer · NOT APPLICABLE
Swain, Jared (individual)Corporate Officer · NOT APPLICABLE
Cashmer LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Dover Ruxpin Family Limited Partnership (organization)Direct Ownership Interest · NOT APPLICABLE
Anderson, Wendy (individual)Operational/managerial Control · NOT APPLICABLE
Cottonwood Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Professional Business Advisors LLC (organization)Operational/managerial Control · NOT APPLICABLE
Williamson, Zack (individual)Operational/managerial Control · NOT APPLICABLE
Wipfli LLP (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of River Ridge Rehabilitation and Nursing LLC?

River Ridge Rehabilitation and Nursing LLC has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in Montana.

How many beds does River Ridge Rehabilitation and Nursing LLC have?

It has 129 certified beds and cares for about 85 residents per day.

Has River Ridge Rehabilitation and Nursing LLC been fined?

Yes. CMS lists 4 penalties totaling $80,893 in the last three years.

Who owns River Ridge Rehabilitation and Nursing LLC?

It is part of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of River Ridge Rehabilitation and Nursing LLC?

(406) 245-9330. The facility is located at 1415 Yellowstone River RD, Billings, MT 59105.

Other nursing homes in Billings

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.