Nursing homes › Montana › Yellowstone River Nursing and Rehabilitation
2115 Central Ave, Billings, MT 59102 · 4066566500 · 160 certified beds
Per CMS filings, this facility is affiliated with Eduro Healthcare, a group operating 35 facilities in 7 states. Group record: average rating 2.4/5, 5 abuse citation icons, 2 facilities on the Special Focus list, $2,770,280 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.15 (Montana median: 3.87). RN hours: 0.68. Weekend total: 2.80. Nursing staff turnover: 72%.
All-time on record: 58 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2026-03-07 |
| 2026-05-06 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2026-05-22 |
| 2026-05-06 | Assess the resident when there is a significant change in condition | D | complaint | corrected 2026-05-22 |
| 2026-05-06 | PASARR screening for Mental disorders or Intellectual Disabilities | D | complaint | corrected 2026-05-22 |
| 2026-05-06 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2026-05-22 |
| 2026-05-06 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | corrected 2026-05-22 |
| 2025-12-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-12-09 |
| 2025-11-19 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | complaint | corrected 2025-12-14 |
| 2025-11-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-12-14 |
| 2025-11-19 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | complaint | corrected 2025-12-14 |
| 2025-11-19 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2025-12-14 |
| 2025-11-19 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | complaint | corrected 2025-12-14 |
| 2025-08-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2025-09-19 |
| 2025-08-28 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2025-09-19 |
| 2025-08-28 | 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. | E | Health | corrected 2025-09-19 |
| 2025-08-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-09-19 |
| 2025-08-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-09-19 |
| 2025-08-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-09-19 |
| 2025-08-28 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-09-19 |
| 2025-06-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-06-20 |
| 2025-06-05 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | complaint | corrected 2025-06-20 |
| 2025-06-05 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-06-20 |
| 2025-06-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-06-20 |
| 2025-03-27 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2025-04-18 |
| 2025-03-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-04-18 |
| 2025-03-27 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | complaint | corrected 2025-04-18 |
| 2025-03-27 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-04-18 |
| 2025-03-27 | Provide a bathroom in or located near each resident’s room. | D | complaint | corrected 2025-04-18 |
| 2025-03-27 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | complaint | corrected 2025-04-18 |
| 2024-12-17 | Implement 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. | D | complaint | corrected 2025-01-15 |
| 2024-07-18 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Health | corrected 2024-09-05 |
| 2024-07-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-09-05 |
| 2024-07-18 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2024-09-05 |
| 2024-07-18 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Health | corrected 2024-09-05 |
| 2024-07-18 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Health | corrected 2024-09-05 |
| 2024-07-18 | 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. | E | Health | corrected 2024-09-05 |
| 2024-07-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-09-05 |
| 2024-07-18 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-09-05 |
| 2024-07-18 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-09-05 |
| 2024-07-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-04-01 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-28 | Fine | $87,019 |
| 2025-08-28 | Payment Denial | 47 days payment denial |
| 2025-06-04 | Fine | $12,444 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BEWSEY, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2023 |
| MONROE, DUSTIN | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 275029. Corrections: data@carerecords.org.