BILLINGS REHABILITATION AND NURSING LLC – Nursing Home, BILLINGS, Montana
Medicare and Medicaid
CMS quality ratings
Overall
Not ratedHealth inspection
Not ratedQuality of care
Not ratedStaffing
Not ratedRN staffing
Cited for abuse in CMS records
Special Focus Facility: SFF
Last cited survey: 26 February 2026 · 100 health and 77 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Explore nursing home BILLINGS REHABILITATION AND NURSING LLC performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in BILLINGS. Get insights into Medicare and Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.
Main info
Name
BILLINGS REHABILITATION AND NURSING LLC
Address
600 S 27TH ST, BILLINGS, MT 59101
Federal Provider Number
275120
Phone
(406) 259-8000
Ownership Type
For profit - Limited Liability company
Certified Beds
100
Residents in Certified Beds
78.5
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
BILLINGS REHABILITATION AND NURSING LLC
Date of First Medicare/Medicaid Approval
1987-12-14
Continuing Care Retirement Community
Special Focus Status
SFF
Data current as of
31 May 2026
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Location
600 S 27TH ST
BILLINGS, MT 59101
Phone: (406) 259-8000
Compare to MT average
See how this facility compares to the MT state average among rated nursing homes (73 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | MT average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | — | 3.08 | 4 |
| Health inspection | — | 2.86 | 3 |
| Staffing | — | 3.6 | 5 |
| Quality measures | — | 3.26 | 4 |
| Certified beds | 100 | 85.7 | — |
| Citations on file (health + fire) | 224 | ~6.6 health* | — |
- ASPEN MEADOWS HEALTH AND REHABILITATION CENTER — 2★ overall
- RIVER RIDGE REHABILITATION AND NURSING LLC — 2★ overall
- SKYLINE HEIGHTS NURSING AND REHABILITATION — 1★ overall
- ST JOHN'S LUTHERAN HOME — 4★ overall
- YELLOWSTONE RIVER NURSING AND REHABILITATION — 1★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| SWAIN, HOLLY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 14.16 | 07/01/2023 |
| SWAIN, JARED E | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 14.75 | 07/01/2023 |
| SWAIN, JARED E | CORPORATE OFFICER | Individual | 50.00 | 07/01/2023 |
| SWAIN, SERENE | INDIRECT OWNERSHIP INTEREST | Individual | 1.50 | 07/01/2023 |
| ANDERSON, WENDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 07/01/2023 |
| ANDERSON, WENDY | ADP OF THE SNF | Individual | - | 07/01/2023 |
| PROFESSIONAL BUSINESS ADVISORS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 07/01/2023 |
| PROFESSIONAL BUSINESS ADVISORS LLC | ADP OF THE SNF | Organization | - | 05/07/2025 |
| SEVERA, LARRY A | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 07/01/2023 |
| SEVERA, LARRY A | ADP OF THE SNF | Individual | - | 07/01/2023 |
| WIPFLI LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 07/01/2023 |
| WIPFLI LLP | ADP OF THE SNF | Organization | - | 05/07/2025 |
| MAZE FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 42.50 | 07/01/2023 |
| RIGGIN, ANDREW S | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 07/01/2023 |
| RIGGIN, ANDREW S | ADP OF THE SNF | Individual | - | 07/01/2023 |
| CASHMER LLC | DIRECT OWNERSHIP INTEREST | Organization | 3.00 | 07/01/2023 |
| MYERS, WALTER E | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 20.80 | 07/01/2023 |
| MYERS, WALTER E | CORPORATE OFFICER | Individual | 20.80 | 07/01/2023 |
| FEY, KRISTIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 23.50 | 07/01/2023 |
| COTTONWOOD HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 07/01/2023 |
| COTTONWOOD HEALTHCARE LLC | ADP OF THE SNF | Organization | - | 05/14/2025 |
| FEY, DANIEL | INDIRECT OWNERSHIP INTEREST | Individual | 0.25 | 07/01/2023 |
| DOVER RUXPIN FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 25.00 | 07/01/2023 |
| MYERS, KATIE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 19.97 | 07/01/2023 |
| SWAIN, CAMERON | INDIRECT OWNERSHIP INTEREST | Individual | 1.50 | 07/01/2023 |
| CHARLY BELLO FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 29.50 | 07/01/2023 |
| - | ADP OF THE SNF | Organization | - | 04/21/2025 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
177 citations on file · Latest survey: 26 February 2026 · 100 health · 77 fire safety
D: 81
E: 50
F: 40
B: 6
All
Health
Fire safety
Last 24 months
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-26 | F759 | D — Minimal harm, isolated | Health | Ensure medication error rates are not 5 percent or greater. |
| 2026-02-26 | F742 | D — Minimal harm, isolated | Health | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. |
| 2026-02-26 | F689 | D — Minimal harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2026-02-26 | F688 | D — Minimal harm, isolated | Health | 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. |
| 2026-02-26 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2026-02-26 | F658 | D — Minimal harm, isolated | Health | Ensure services provided by the nursing facility meet professional standards of quality. |
| 2026-02-26 | F638 | E — Minimal harm, pattern | Health | Assure that each resident’s assessment is updated at least once every 3 months. |
| 2026-02-26 | F636 | D — Minimal harm, isolated | Health | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. |
| 2026-02-26 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2026-02-26 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2026-02-26 | F609 | E — Minimal harm, pattern | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2026-02-26 | F609 | E — Minimal harm, pattern | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2025-11-20 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2025-11-20 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2025-11-20 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2025-11-20 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-11-20 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-11-20 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-11-20 | F655 | D — Minimal harm, isolated | Health | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| 2025-11-20 | F655 | D — Minimal harm, isolated | Health | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-02-26 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2026-02-26 | K761 | F — Minimal harm, widespread | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2026-02-26 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2026-02-26 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2026-02-26 | K291 | F — Minimal harm, widespread | Fire Safety | Install emergency lighting that can last at least 1 1/2 hours. |
| 2026-02-26 | K223 | D — Minimal harm, isolated | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2026-02-26 | E37 | F — Minimal harm, widespread | Fire Safety | Establish staff and initial training requirements. |
| 2026-02-26 | E36 | F — Minimal harm, widespread | Fire Safety | Establish emergency prep training and testing. |
| 2026-02-26 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-08-14 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2025-08-14 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-08-14 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-08-14 | K342 | F — Minimal harm, widespread | Fire Safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. |
| 2025-08-14 | K324 | E — Minimal harm, pattern | Fire Safety | Provide properly protected cooking facilities. |
| 2025-08-14 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2025-08-14 | K300 | F — Minimal harm, widespread | Fire Safety | Meet other general requirements that are deficient. |
| 2025-08-14 | K225 | E — Minimal harm, pattern | Fire Safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. |
| 2025-08-14 | K225 | E — Minimal harm, pattern | Fire Safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. |
| 2025-08-14 | K300 | F — Minimal harm, widespread | Fire Safety | Meet other general requirements that are deficient. |
| 2025-08-14 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
Additional information
Get more details on BILLINGS REHABILITATION AND NURSING LLC, including health inspection results, staffing levels, and facility amenities.
Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating (Footnote) | 18 |
| Health Inspection Rating (Footnote) | 18 |
| Quality of Resident Care Rating (Footnote) | 18 |
| Quality of Resident Care Rating (Long Stay) | 1 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating (Footnote) | 18 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 1.60097 |
| Reported LPN Staffing Hours per Resident per Day | 0.354 |
| Reported RN Staffing Hours per Resident per Day | 0.68465 |
| Reported Licensed Staffing Hours per Resident per Day | 1.03865 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.28881 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.00293 |
| Casemix CNA Staffing Hours per Resident per Day | 1.80525 |
| Casemix LPN Staffing Hours per Resident per Day | 0.65618 |
| Casemix RN Staffing Hours per Resident per Day | 0.29574 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.75717 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.83082 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.37608 |
| Adjusted RN Staffing Hours per Resident per Day | 0.72735 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.49392 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-12-23 |
Date of Standard Health Survey (Cycle 2) | 2018-12-13 |
Total Number of Health Deficiencies (Cycle 1) | 7 |
Number of Standard Health Deficiencies (Cycle 1) | 7 |
Health Deficiency Score (Cycle 1) | 48 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 48 |
Total Number of Health Deficiencies (Cycle 2) | 8 |
Number of Standard Health Deficiencies (Cycle 2) | 8 |
Health Deficiency Score (Cycle 2) | 64 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 64 |
Date of Standard Health Survey (Cycle 3) | 2017-09-28 |
Total Number of Health Deficiencies (Cycle 3) | 12 |
Number of Standard Health Deficiencies (Cycle 3) | 11 |
Number of Complaint Health Deficiencies (Cycle 3) | 1 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 151 |
Total Health Score (Cycle 3) | 151 |
Total Weighted Health Survey Score | 100.75 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 27 |
Number of Fines | 2 |
Total Amount of Fines in Dollars | 62797 |
Total Number of Penalties | 2 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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