RIVER RIDGE REHABILITATION AND NURSING LLC – Nursing Home, BILLINGS, Montana
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
4 substantiated complaints
Last cited survey: 15 January 2026 · 100 health and 100 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
1415 YELLOWSTONE RIVER RD
BILLINGS, MT 59105
Phone: (406) 245-9330
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 | 2 | 3.08 | 4 |
| Health inspection | 2 | 2.86 | 3 |
| Staffing | 3 | 3.6 | 5 |
| Quality measures | 3 | 3.26 | 4 |
| Certified beds | 129 | 85.7 | — |
| Citations on file (health + fire) | 332 | ~6.6 health* | — |
- ASPEN MEADOWS HEALTH AND REHABILITATION CENTER — 2★ overall
- BILLINGS REHABILITATION AND NURSING LLC
- 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 | 11.50 | 10/01/2023 |
| MYERS, DANIEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 0.10 | 10/01/2023 |
| SWAIN, JARED E | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 11.50 | 10/01/2023 |
| SWAIN, JARED E | CORPORATE OFFICER | Individual | 50.00 | 10/01/2023 |
| SWAIN, SERENE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 2.00 | 10/01/2023 |
| ANDERSON, WENDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 10/01/2023 |
| MAHRT, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 7.00 | 10/01/2023 |
| CHARLY BELLO FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 23.00 | 10/01/2023 |
| PICKD LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 7.00 | 10/01/2023 |
| PROFESSIONAL BUSINESS ADVISORS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 10/01/2023 |
| PROFESSIONAL BUSINESS ADVISORS LLC | ADP OF THE SNF | Organization | - | 06/04/2025 |
| - | ADP OF THE SNF | Organization | - | 04/22/2025 |
| MYERS LIVING TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 6.00 | 10/01/2023 |
| MYERS, WALTER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 3.00 | 10/01/2023 |
| WIPFLI LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 10/01/2023 |
| WIPFLI LLP | ADP OF THE SNF | Organization | - | 06/04/2025 |
| MAZE FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 40.00 | 10/01/2023 |
| AMIN FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 10.00 | 10/01/2023 |
| MYERS, CINDY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 3.00 | 10/01/2023 |
| - | ADP OF THE SNF | Individual | - | 10/01/2023 |
| CASHMER LLC | DIRECT OWNERSHIP INTEREST | Organization | 4.00 | 10/01/2023 |
| MYERS, WALTER E | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 19.60 | 10/01/2023 |
| MYERS, WALTER E | CORPORATE OFFICER | Individual | 50.00 | 10/01/2023 |
| MYERS, WALTER E | CORPORATE DIRECTOR | Individual | 100.00 | 10/01/2023 |
| MYERS, WALTER E | ADP OF THE SNF | Individual | - | 10/01/2023 |
| FEY, KRISTIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 9.40 | 10/01/2023 |
| COTTONWOOD HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 10/01/2023 |
| COTTONWOOD HEALTHCARE LLC | ADP OF THE SNF | Organization | - | 06/04/2025 |
| WILLIAMSON, ZACK | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 10/01/2023 |
| WILLIAMSON, ZACK | ADP OF THE SNF | Individual | - | 10/01/2023 |
| DOVER RUXPIN FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 10.00 | 10/01/2023 |
| DOVER RUXPIN FAMILY LIMITED PARTNERSHIP | DIRECT OWNERSHIP INTEREST | Organization | 10.00 | 10/01/2023 |
| MYERS, KATIE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 18.80 | 10/01/2023 |
| MYERS, SHERI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 0.10 | 10/01/2023 |
| SWAIN, CAMERON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 2.00 | 10/01/2023 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
200 citations on file · Latest survey: 15 January 2026 · 100 health · 100 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-01-15 | F887 | F — Minimal harm, widespread | Health | 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. |
| 2026-01-15 | F887 | F — Minimal harm, widespread | Health | 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. |
| 2026-01-15 | F825 | D — Minimal harm, isolated | Health | Provide or get specialized rehabilitative services as required for a resident. |
| 2026-01-15 | F825 | D — Minimal harm, isolated | Health | Provide or get specialized rehabilitative services as required for a resident. |
| 2026-01-15 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2026-01-15 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2026-01-15 | F759 | D — Minimal harm, isolated | Health | Ensure medication error rates are not 5 percent or greater. |
| 2026-01-15 | F759 | D — Minimal harm, isolated | Health | Ensure medication error rates are not 5 percent or greater. |
| 2026-01-15 | F745 | E — Minimal harm, pattern | Health | Provide medically-related social services to help each resident achieve the highest possible quality of life. |
| 2026-01-15 | F745 | E — Minimal harm, pattern | Health | Provide medically-related social services to help each resident achieve the highest possible quality of life. |
| 2026-01-15 | F692 | D — Minimal harm, isolated | Health | Provide enough food/fluids to maintain a resident's health. |
| 2026-01-15 | F692 | D — Minimal harm, isolated | Health | Provide enough food/fluids to maintain a resident's health. |
| 2026-01-15 | F677 | D — Minimal harm, isolated | Health | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2026-01-15 | F677 | D — Minimal harm, isolated | Health | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2026-01-15 | 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. |
| 2026-01-15 | 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. |
| 2026-01-15 | F641 | D — Minimal harm, isolated | Health | Ensure each resident receives an accurate assessment. |
| 2026-01-15 | F641 | D — Minimal harm, isolated | Health | Ensure each resident receives an accurate assessment. |
| 2026-01-15 | F628 | D — Minimal harm, isolated | Health | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| 2026-01-15 | F628 | D — Minimal harm, isolated | Health | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-01-15 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2026-01-15 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2026-01-15 | K761 | F — Minimal harm, widespread | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2026-01-15 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2026-01-15 | K372 | E — Minimal harm, pattern | Fire Safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2026-01-15 | K363 | D — Minimal harm, isolated | Fire Safety | Install corridor and hallway doors that block smoke. |
| 2026-01-15 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2026-01-15 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2026-01-15 | K324 | F — Minimal harm, widespread | Fire Safety | Provide properly protected cooking facilities. |
| 2026-01-15 | K300 | D — Minimal harm, isolated | Fire Safety | Meet other general requirements that are deficient. |
| 2026-01-15 | K211 | D — Minimal harm, isolated | Fire Safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2026-01-15 | E37 | F — Minimal harm, widespread | Fire Safety | Establish staff and initial training requirements. |
| 2026-01-15 | E36 | F — Minimal harm, widespread | Fire Safety | Establish emergency prep training and testing. |
| 2026-01-15 | E6 | F — Minimal harm, widespread | Fire Safety | Conduct risk assessment and an All-Hazards approach. |
| 2026-01-15 | E13 | F — Minimal harm, widespread | Fire Safety | Develop Emergency Preparedness policies and procedures. |
| 2026-01-15 | E15 | F — Minimal harm, widespread | Fire Safety | Address subsistence needs for staff and patients. |
| 2026-01-15 | E18 | F — Minimal harm, widespread | Fire Safety | Establish procedures for tracking staff and patients during an emergency. |
| 2026-01-15 | E24 | F — Minimal harm, widespread | Fire Safety | Establish policies and procedures for volunteers. |
| 2026-01-15 | K921 | F — Minimal harm, widespread | Fire Safety | Ensure that testing and maintenance of electrical equipment is performed. |
| 2026-01-15 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 3 |
| Quality of Resident Care Rating (Long Stay) | 3 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 3 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 1.68511 |
| Reported LPN Staffing Hours per Resident per Day | 0.78484 |
| Reported RN Staffing Hours per Resident per Day | 0.49573 |
| Reported Licensed Staffing Hours per Resident per Day | 1.28058 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.27981 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.00393 |
| Casemix CNA Staffing Hours per Resident per Day | 1.94553 |
| Casemix LPN Staffing Hours per Resident per Day | 0.66169 |
| Casemix RN Staffing Hours per Resident per Day | 0.29864 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.90585 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.7881 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.9156 |
| Adjusted RN Staffing Hours per Resident per Day | 0.57832 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.82623 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-01-24 |
Date of Standard Health Survey (Cycle 2) | 2018-02-08 |
Total Number of Health Deficiencies (Cycle 1) | 6 |
Number of Standard Health Deficiencies (Cycle 1) | 5 |
Number of Complaint Health Deficiencies (Cycle 1) | 1 |
Health Deficiency Score (Cycle 1) | 28 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 28 |
Total Number of Health Deficiencies (Cycle 2) | 21 |
Number of Standard Health Deficiencies (Cycle 2) | 17 |
Number of Complaint Health Deficiencies (Cycle 2) | 4 |
Health Deficiency Score (Cycle 2) | 152 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 152 |
Date of Standard Health Survey (Cycle 3) | 2016-10-20 |
Total Number of Health Deficiencies (Cycle 3) | 17 |
Number of Standard Health Deficiencies (Cycle 3) | 17 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 120 |
Total Health Score (Cycle 3) | 120 |
Total Weighted Health Survey Score | 114 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 17 |
Number of Substantiated Complaints | 4 |
Number of Fines | 4 |
Total Amount of Fines in Dollars | 80893 |
Total Number of Penalties | 4 |
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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