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Home / Montana / Billings

River Ridge Rehabilitation and Nursing LLC

1415 Yellowstone River Rd, Billings, MT 59105 · Yellowstone County · (406) 245-9330

129 certified beds, about 85 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1988

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 275123 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 15, 2026, inspectors cited 8 health deficiencies (the Montana average is 11.2, the national average 9.2).

Of 63 health citations since October 2023, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists 4 fines totaling $80,893 in the last three years; the largest was $58,728, and the latest is dated August 1, 2024.

Nurses and nurse aides worked 3.23 hours per resident per day, against 4.05 across Montana and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

50.0% of nursing staff left within the year CMS measured (Montana average 54.8%).

CMS links it to The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers, an affiliated group of 20 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 63 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
39D
13E
6F
Potential for minimal harm
0A
2B
0C
January 15, 2026Standard inspection, Complaint inspection · 11 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure safe food labeling and storage in accordance with professional standards for food service safety, and failed to maintain sanitary and clean conditions including employee hygiene. These deficient practices affected all residents receiving food services from the facility kitchen and dietary staff.
  2. F
    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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on interview and record review, the facility failed to maintain documentation of staff COVID-19 vaccine status and ensure staff were provided information on obtaining the COVID-19 vaccine.
  3. E
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    F745 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure effective social services were provided to a resident needing assistance in accessing social security disability benefits for 1 (#79) of 29 sampled residents. The failure resulted in prolonged financial stress for the resident in excess of one year's time, and multiple staff were aware of the resident's need for assistance, but failed to intervene, showing a pattern of not addressing the resident's need for help.
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure comprehensive investigations of facility reported incidents were completed for 2 (#s 67 and 99) and failed to ensure post-incident interventions were implemented to prevent additional similar incidents for 1 (#67) of 29 sampled residents. These deficient practices increased the risk of an adverse outcomes for the residents involved in the facility reported incidents.
  5. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on interview and record review, the facility failed to complete the written transfer notice for a resident sent to the hospital showing the need for the transfer, for 1 (#44) of 29 sampled residents.
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to accurately complete the MDS assessments for 2 (#s 6 and 67) of 29 sampled residents.
  7. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to revise a care plan to reflect a resident's current care needs after an elopement for 1 (#67) of 29 sampled residents. The failure placed the resident at elevated risk for additional elopements.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on the interview and record review, the facility failed to ensure staff responded to resident needs timely for a resident requiring assistance with activities of daily living for 1 (#99) of 29 sampled residents. The deficient practice increased the risk for skin integrity issues.
  9. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to recognize a documented weight severe weight loss and address the weight change, for 1 (#6) of 29 sampled residents, which placed the resident at risk for adverse health consequences. The MDS was not correctly completed to reflect the weight, and the weight loss was suspected to be due to an error, not an actual loss of weight, as reflected in the medical record.
  10. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the staff member administering medications failed to follow proper processes, and this contributed to the facility's failure to prevent a total medication error rate of five percent or less during medication administration observations for 2 (#s 25 and 74) of 4 sampled residents for medications. This deficient practice increased the risk of residents #25 and #74 experiencing negative physical and psychosocial outcomes related to medication errors.
  11. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to initiate and provide rehabilitation therapy ordered by a physician for 1 (#34) of 29 sampled residents, which increased the risk of a decline for the resident related to the areas therapy should have been treating.
March 27, 2025Complaint inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure dietary staff followed safe and sanitary conditions by donning hair coverings and beard nets while preparing resident meals in the facility kitchen. This failure put all residents receiving meals at risk for sanitation issues related to the uncovered hair if it were to get into food.
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement a system to ensure an interdisciplinary team was involved in determining if a resident was safe to self-administer medication and failed to implement a system to ensure an as needed medication was secured in a resident's room for 1 (#6) of 9 sampled residents. This deficient practiced caused resident #6 a temporary burning sensation under her right arm.
  3. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2025
    Inspectors wroteBased on interview and record review, the facility nursing staff failed to meet professional standards of practice by not providing safe administration of a scheduled topical medication for 1 (#6) of 9 sampled residents. This deficient practice caused resident #6 a temporary burning sensation under her right arm.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure staff members followed appropriate protocols for the safe transfer of residents while using a Hoyer lift for 1 (#6) of 9 sampled residents.
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2025
    Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services to ensure safe administration of a scheduled topical medication for 1 (#6) of 9 sampled residents. This deficient practice caused resident #6 a temporary burning sensation under her right arm.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 26, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure enhanced barrier precaution practices were utilized by staff while performing high-contact resident care during a transfer, for 1 (#5) of 9 sampled residents.
November 7, 2024Standard inspection, Complaint inspection · 21 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store food in accordance with professional standards by failing to label and date food stored in the facility's walk-in cooler and nutrition room refrigerators; failed to prevent or clean dirty surfaces in the walk-in cooler; and failed to maintain or complete routine monitoring of refrigerators and freezers on the Rosebud Hall, which could negatively affect any resident receiving services related to, or foods from, the equipment or areas of concern identified.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow appropriate infection control practices which included: proper hand hygiene for 4 (#s 3, 11, 17, and 20); proper use of isolation masks; disinfecting equipment after use; environmental cleanliness for 1 (#14); enhanced barrier precautions for 1 (#20); and dietary infection control of 36 sampled residents.
  3. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide written notice of the reason for a facility-initiated transfer to a resident or the resident's representative, for 3 (#s 18, 64, and 78) of 36 sampled residents, and staff were not aware of the process or need for completion of the transfer notices.
  4. E
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide the required bed hold notice to the resident or the resident's representatives prior to, or timely after, a transfer, for 3 (#s 18, 64, and 78) of 36 sampled residents.
  5. E
    Ensure the activities program is directed by a qualified professional.
    F680 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on interview and record review the facility failed to employ a qualified activity professional to direct the activity program, which may affect all residents receiving or participating in activities at the facility.
  6. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to sufficiently and accurately document pressure ulcers for 3 (#s 11, 57, and 76) of 36 sampled residents.
  7. E
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician orders, for 2 (#s 3 and 20); failed to follow enhanced barrier precautions for 1 (#20); and failed to measure and record the total fluid volume administered for 2 (#s 3 and 20) of 2 sampled residents with a PEG tube.
  8. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were properly labeled and stored; failed to properly dispose of expired medications; failed to ensure medication carts were locked when staff was not by them; and failed to monitor medication refrigerator and freezer temperatures. These failures could negatively affect a resident receiving improperly stored or expired medications, or from the refrigerator or freezer if temperatures were not maintained in a safe manner.
  9. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to timely fix items in resident's rooms for 2 (#s 17, and 44) of 36 sampled residents; and failed to provide a safe, functional, sanitary, and comfortable environment for residents and staff in the Rosebud nursing unit area of the building.
  10. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean, and comfortable environment for 1 (#14) of 36 sampled residents.
  11. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to complete a comprehensive assessment of a resident's needs, strengths, goals, life history and preferences within 14 days of admission for 1 (#233) of 36 sampled residents.
  12. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to accurately complete the admission Minimum Data Set (MDS) assessment for the resident's oral status, for 1 (#8) of 36 sampled residents.
  13. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to implement a comprehensive, resident-centered care plan which identified the resident's physical and psychosocial needs to help the resident reach their highest practicable level, for 1 (#8) of 36 sampled residents.
  14. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on interview and record review, the facility failed to revise an individualized comprehensive care plan to reflect a mental health diagnosis, for 1 (#233) of 36 sampled residents.
  15. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on interview and record review, the facility failed to complete a trauma-informed assessment to identify, manage, avoid potential triggers, and maintain the highest practicable well-being, for 1 (#8) of 1 resident with a diagnosis of post-traumatic stress disorder (PTSD).
  16. D
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on interview and record review, the facility failed to assure the Director of Nursing did not work as a charge nurse when the average daily census was more than 60 residents, which may negatively affect any resident.
  17. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide dental services for 1 (#17) of 36 sampled residents.
  18. D
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the dietary department failed to have sufficient staffing to safely and effectively carry out the functions of the food and nutritional services department, by serving meals cold and late. This failure may negatively affect any resident receiving services from the dietary department.
  19. D
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure the Infection Preventionist had the necessary certification for oversight of the infection control program. This failure would affect any resident who had an infection, was at risk of an infection, or for how the facility upheld and monitored infection prevention strategies.
  20. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide a pneumococcal and Covid-19 vaccine for 1 (#74) of 7 sampled residents for immunizations.
  21. B
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observation and interview, the facility failed to ensure the safe storage of chemicals in an unlocked closet on the Rosebud unit hallway, and this increased the risk of resident misuse of the chemical due to the closet being unlocked.
August 1, 2024Complaint inspection · 5 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to keep residents free from neglect for 2 (#s 1 and 15) of 17 sampled residents. This deficient practice of neglect contributed to skin breakdown and psychosocial harm and pain for 1 (#15) and psychosocial harm to 1 (#1) of the 17 sampled.
  2. E
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to act promptly to resolve grievances brought forth by residents; provide access to allow residents to file grievances anonymously; take immediate action to protect and prevent further potential violations of any resident rights or potential abuse; and ensure a thorough investigation into the grievances were completed and documented for 6 (#s 1, 6, 9, 10, 15, and 16) of 17 sampled residents.
  3. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on interview and record review, the facility failed to protect residents who voiced concerns related to alleged abuse or neglect of care; failed to report neglect allegations to the State Survey Agency within the required 24 hours for 3 (#s 1, 14, 15); and failed to report the investigative findings of their reported incidents to the State Survey Agency within five days for 3 (#s 5, 8, 16) of 17 sampled residents.
  4. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to refund a resident representative within 30 days of the resident's date of discharge for 1 (#1) of 3 reviewed for timely refunds at discharge.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to ensure residents were appropriately assessed to be outside independently, and failed to ensure residents were inside the facility at night for 1(#13) of 17 sampled residents. This deficient practice had the potential to cause harm to a resident driving their wheelchair down a dark road.
April 25, 2024Complaint inspection · 4 citations
  1. E
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents with limited range of motion or mobility received the restorative services necessary to maintain their highest level of functioning for 4 (#s 1, 3, 8, and 13) of 4 residents sampled for restorative services and mobility.
  2. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure there was sufficient staffing available to allow for the consistent provision of restorative nursing services for 4 (#s 1, 3, 8, and 13) of 16 sampled residents receiving restorative services. This deficient practice had the potential to affect any resident identified as needing restorative nursing services.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 24, 2024
    Inspectors wroteBased on interview and record review, a staff member failed to provide necessary care and services for a dependent resident, for 1 (#19) of 19 sampled residents. The deficient practice caused the resident to initially be upset and tearful.
  4. B
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 23, 2024
    Inspectors wroteBased on interview and record review, the facility failed to post the required staffing each day as required, and failed to ensure any changes in staffing or census were included on the required staff posting. This deficient practice had the potential to affect any resident wishing to view the information.
October 26, 2023Standard inspection, Complaint inspection · 16 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent the development of an Unstageable pressure injury for 1 (#38) of 2 sampled residents with wounds
  2. G
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor and follow interventions for a severe weight loss for 1 (#6) of 1 sampled resident.
  3. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation and interview, the facility failed to prepare food in sanitary conditions, putting residents at risk for foodborne illness.
  4. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide routine bathing for dependent residents for 4 (#s 2, 6, 27, and 44) of 23 sampled residents.
  5. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on interview and record review, the facility failed to formulate an advanced directive for 1 (#205) of 23 sampled residents.
  6. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on interview and record review, the facility failed to notify a resident representative of a significant weight loss for 1 (#303) of 23 sampled residents.
  7. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the nursing staff failed to provide privacy by leaving the window blinds open while providing perineal care for 1 (#14) of 23 sampled residents.
  8. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on interview and record review, the facility failed to report and investigate a bruise alleged by the resident to be caused by another individual for 1 (#6) of 1 sampled residents.
  9. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 11, 2023
    Inspectors wroteBased on interview and record review, the facility failed to complete a Significant Change MDS within 14 days of a resident's change in condition for 1 (#47) of 1 sampled resident who received hospice services.
  10. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on interview and record review, the facility failed to develop and implement a baseline care plan within 48 hours of admission for 2 (#205 and #304) of 23 sampled residents.
  11. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to follow care plan interventions to protect a resident's room from being entered by other residents for 1 (#6) of 1 sampled resident.
  12. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to meet professional standards of quality by failing to follow a physician's order to hold insulin for a blood glucose value less than 100 mg/dL for 1 (#2) of 23 sampled residents.
  13. D
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation, interview, and record review, the nursing staff failed to follow a physician's order for a resident's continuous tube feeding administration; failed to label the enteral and free water bags used during the continuous tube feeding; and failed to consistently and accurately document the resident's enteral and free water intake for 1 (#19) of 23 sampled residents. The deficient practice had the potential to place the resident at risk for inadequate caloric and free water intake.
  14. D
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on interview and record review, the facility failed to have an RN scheduled for eight hours per day. This deficient practice had the potential to impact all residents in the facility receiving nursing services.
  15. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation and interview, the facility failed to post daily staffing numbers. This deficient practice had the potential to leave family and visitors uninformed of the facility's daily census and number of licensed staff members working.
  16. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2023
    Inspectors wroteBased on observation and interview, the facility failed to keep a foley catheter and tubing from dragging on the floor, increasing the risk for infection for 1 (#24) of 4 sampled residents; and nursing staff failed to follow infection control standards by placing urine-soaked bed linens on the floor during a bed linen change for 1 (#14) of 23 sampled residents. This deficient practice has the potential to increase the risk of infection to residents and staff.

Fire safety inspections

47 fire safety citations on file: 18 on January 15, 2026, 18 on November 7, 2024, 11 on October 26, 2023.

Every fire safety citation47 citations
  1. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · January 15, 2026 · Corrected (the home has a date of correction)
  2. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · January 15, 2026 · Corrected (the home has a date of correction)
  3. F
    Address subsistence needs for staff and patients.
    E 15 · January 15, 2026 · Corrected (the home has a date of correction)
  4. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · January 15, 2026 · Corrected (the home has a date of correction)
  5. F
    Establish policies and procedures for volunteers.
    E 24 · January 15, 2026 · Corrected (the home has a date of correction)
  6. F
    Establish emergency prep training and testing.
    E 36 · January 15, 2026 · Corrected (the home has a date of correction)
  7. F
    Establish staff and initial training requirements.
    E 37 · January 15, 2026 · Corrected (the home has a date of correction)
  8. F
    Provide properly protected cooking facilities.
    K 324 · January 15, 2026 · Corrected (the home has a date of correction)
  9. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 15, 2026 · Corrected (the home has a date of correction)
  10. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 15, 2026 · Corrected (the home has a date of correction)
  11. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 15, 2026 · Corrected (the home has a date of correction)
  12. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 15, 2026 · Corrected (the home has a date of correction)
  13. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 15, 2026 · Corrected (the home has a date of correction)
  14. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · January 15, 2026 · Corrected (the home has a date of correction)
  15. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 15, 2026 · Corrected (the home has a date of correction)
  16. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 15, 2026 · Corrected (the home has a date of correction)
  17. D
    Meet other general requirements that are deficient.
    K 300 · January 15, 2026 · Corrected (the home has a date of correction)
  18. D
    Install corridor and hallway doors that block smoke.
    K 363 · January 15, 2026 · Corrected (the home has a date of correction)
  19. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · November 7, 2024 · Corrected (the home has a date of correction)
  20. F
    List the names and contact information of those in the facility.
    E 30 · November 7, 2024 · Corrected (the home has a date of correction)
  21. F
    Provide emergency officials' contact information.
    E 31 · November 7, 2024 · Corrected (the home has a date of correction)
  22. F
    Conduct testing and exercise requirements.
    E 39 · November 7, 2024 · Corrected (the home has a date of correction)
  23. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 7, 2024 · Corrected (the home has a date of correction)
  24. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 7, 2024 · Corrected (the home has a date of correction)
  25. F
    Have simulated fire drills held at unexpected times.
    K 712 · November 7, 2024 · Corrected (the home has a date of correction)
  26. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 7, 2024 · Corrected (the home has a date of correction)
  27. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 7, 2024 · Corrected (the home has a date of correction)
  28. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · November 7, 2024 · Corrected (the home has a date of correction)
  29. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · November 7, 2024 · Corrected (the home has a date of correction)
  30. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · November 7, 2024 · Corrected (the home has a date of correction)
  31. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · November 7, 2024 · Corrected (the home has a date of correction)
  32. D
    Have properly located and lighted "Exit" signs.
    K 293 · November 7, 2024 · Corrected (the home has a date of correction)
  33. D
    Provide properly protected cooking facilities.
    K 324 · November 7, 2024 · Corrected (the home has a date of correction)
  34. D
    Install an approved automatic sprinkler system.
    K 351 · November 7, 2024 · Corrected (the home has a date of correction)
  35. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · November 7, 2024 · Corrected (the home has a date of correction)
  36. D
    Have proper medical gas storage and administration areas.
    K 923 · November 7, 2024 · Corrected (the home has a date of correction)
  37. F
    List the names and contact information of those in the facility.
    E 30 · October 26, 2023 · Corrected (the home has a date of correction)
  38. F
    Establish staff and initial training requirements.
    E 37 · October 26, 2023 · Corrected (the home has a date of correction)
  39. F
    Conduct testing and exercise requirements.
    E 39 · October 26, 2023 · Corrected (the home has a date of correction)
  40. F
    Provide properly protected cooking facilities.
    K 324 · October 26, 2023 · Corrected (the home has a date of correction)
  41. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 26, 2023 · Corrected (the home has a date of correction)
  42. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 26, 2023 · Corrected (the home has a date of correction)
  43. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 26, 2023 · Corrected (the home has a date of correction)
  44. E
    Meet other general requirements that are deficient.
    K 300 · October 26, 2023 · Corrected (the home has a date of correction)
  45. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 26, 2023 · Corrected (the home has a date of correction)
  46. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 26, 2023 · Corrected (the home has a date of correction)
  47. E
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · October 26, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 1, 2024Fine $58,728
February 12, 2024Fine $1,899
January 22, 2024Fine $3,418
October 26, 2023Fine $16,848

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMontanaUnited States
All nursing staff (RN, LPN and aides)3.234.053.86
Registered nurses0.490.980.69
All nursing staff on weekends2.763.593.42
Nurse aides1.93
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)50.0%54.8%45.8%
Registered nurse turnover61.5%48.3%42.9%
Administrators who left0

CMS expects 3.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.42 on weekdays and 2.76 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 3.23 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.230.493.422.76 0.0%0 of 9085
Oct to Dec 20253.280.503.432.89 0.0%0 of 9285
Jul to Sep 20253.250.453.432.78 0.5%0 of 9283
Apr to Jun 20253.160.553.322.76 0.0%0 of 9182
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Montana, Jan to Mar 20263.910.894.103.4611.6%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Montana

JobMedianMiddle halfEmployed
Montana, all employers
CNAs (nursing assistants)$19.67$18.29 to $22.864,390
LPNs and LVNs$29.91$27.95 to $32.141,620
Registered nurses$41.00$38.56 to $48.4610,950
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For River Ridge Rehabilitation and Nursing LLC. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMontanaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
11.318.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.92.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.91.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.54.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.417.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.66.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.920.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.119.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.314.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.41.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.12.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for River Ridge Rehabilitation and Nursing LLC's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

43.6% this home

No different from the national rate

US median of homes 51.5% · Montana: 7 better, 2 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 71 eligible stays.

Potentially preventable readmissions

11.9% this home

No different from the national rate

US median of homes 10.7% · Montana: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 87 eligible stays.

Infections that led to a hospital stay

6.0% this home

No different from the national rate

US median of homes 7.1% · Montana: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 80 eligible stays.

Self-care and mobility at discharge

72.0% this home

Median of homes: Montana58.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 50 residents counted.

Falls with major injury

1.5% this home

Median of homes: Montana0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 66 residents counted.

New or worsened pressure ulcers

4.8% this home

Median of homes: Montana2.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 66 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Montana97.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 32 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: RIVER RIDGE REHABILITATION AND NURSING LLC. CMS links this home to The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers, a group of 20 nursing homes averaging 1.7 stars overall.

NameRoleTypeShareSince
Amin Family Limited Partnership5% or greater direct ownership interestOrganization10%10/01/2023
Myers Living Trust5% or greater direct ownership interestOrganization6%10/01/2023
Cashmer LLCDirect ownership interestOrganization10/01/2023
Dover Ruxpin Family Limited PartnershipDirect ownership interestOrganization10/01/2023
Fey, Kristin5% or greater indirect ownership interestIndividual9%10/01/2023
Myers, Cindy5% or greater indirect ownership interestIndividual10/01/2023
Myers, Daniel5% or greater indirect ownership interestIndividual10/01/2023
Myers, Sheri5% or greater indirect ownership interestIndividual10/01/2023
Myers, Walter5% or greater indirect ownership interestIndividual10/01/2023
Myers, WalterCorporate directorIndividual10/01/2023
Myers, WalterCorporate officerIndividual10/01/2023
Swain, JaredCorporate officerIndividual10/01/2023
Cottonwood Healthcare LLCOperational/managerial controlOrganization10/01/2023
Professional Business Advisors LLCOperational/managerial controlOrganization10/01/2023
Wipfli LLPOperational/managerial controlOrganization10/01/2023
Anderson, WendyOperational/managerial controlIndividual10/01/2023
Williamson, ZackOperational/managerial controlIndividual10/01/2023
Cottonwood Healthcare LLCAdp of the SNFOrganization06/04/2025
Professional Business Advisors LLCAdp of the SNFOrganization06/04/2025
Wipfli LLPAdp of the SNFOrganization06/04/2025
Myers, WalterAdp of the SNFIndividual10/01/2023
Williamson, ZackAdp of the SNFIndividual10/01/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 18 problems in this area, most recently on January 15, 2026: "Provide medically-related social services to help each resident achieve the highest possible quality of life."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on January 15, 2026: "Ensure each resident receives an accurate assessment."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on January 15, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 6 problems in this area, most recently on 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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.76 hours per resident per day, below the Montana average of 3.59.

Other nursing homes nearby

Montana contacts for a concern about a nursing home

These are the official offices in Montana. NursingHomeClear cannot take or act on complaints.

Common questions

What is River Ridge Rehabilitation and Nursing LLC's Medicare star rating?
CMS rates River Ridge Rehabilitation and Nursing LLC 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did River Ridge Rehabilitation and Nursing LLC get at its last inspection?
8 health deficiencies at the standard inspection on January 15, 2026. The Montana average is 11.2.
Has River Ridge Rehabilitation and Nursing LLC been fined?
Yes. CMS lists 4 fines totaling $80,893 in the last three years.
Does River Ridge Rehabilitation and Nursing LLC accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns River Ridge Rehabilitation and Nursing LLC?
CMS lists 22 owners and managers, and links the home to The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers. Legal business name: RIVER RIDGE REHABILITATION AND NURSING LLC.

Sources

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