River Ridge Rehabilitation and Nursing LLC: Staffing, Turnover, and Inspection Record
River Ridge Rehabilitation and Nursing LLC is a 129-bed for-profit nursing home in Billings, Montana, part of The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers. In the CMS August 2026 release it reported 1.93 nurse aide hours per resident per day, 25% below the Montana average of 2.57, and 50.0% nursing staff turnover (Montana average 54.8%).
River Ridge Rehabilitation and Nursing LLC
1415 Yellowstone River RdBillings, MT 59105
Yellowstone County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At River Ridge Rehabilitation and Nursing LLC, nurse aides logged 1.93 hours per resident per day, 25% below the Montana average. With about 85 residents a day, that works out to roughly 164 aide hours a day, or about 21 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Montana avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.93 | 2.57 | 2.32 |
| Licensed practical nurses | 0.80 | 0.50 | 0.86 |
| Registered nurses | 0.49 | 0.98 | 0.69 |
| All nursing staff | 3.23 | 4.05 | 3.86 |
| All nursing staff, weekends | 2.76 | 3.59 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
50.0% of nursing staff at River Ridge Rehabilitation and Nursing LLC left over the year CMS measured, against a Montana average of 54.8% and a US average of 45.8%. Registered nurse turnover was 61.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 15, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Montana average 11.5). CMS lists 4 fines totaling $80,893 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 1, 2024 | Fine | $58,728 |
| Feb 12, 2024 | Fine | $1,899 |
| Jan 22, 2024 | Fine | $3,418 |
| Oct 26, 2023 | Fine | $16,848 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. River Ridge Rehabilitation and Nursing LLC holds 2 of 5 overall; the Montana average is 2.9.
About River Ridge Rehabilitation and Nursing LLC
- Ownership: For profit - Limited Liability company
- Chain: The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers, 19 homes
- Medicare and Medicaid certified since: Apr 1, 1988
- Councils: resident council
- Area: urban
Nursing homes near River Ridge Rehabilitation and Nursing LLC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Billings Rehabilitation and Nursing LLC Billings | 3.8 | 100 | 2.20 | 3.34 | 72.5% | 2 | $62,797 |
| Skyline Heights Nursing and Rehabilitation Billings · SFF candidate | 6.6 | 150 | 1.93 | 3.26 | 74.7% | 1 | $413,752 |
| Yellowstone River Nursing and Rehabilitation Billings | 6.7 | 160 | 1.80 | 3.15 | 71.8% | 1 | $142,698 |
| Aspen Meadows Health and Rehabilitation Center Billings | 7.1 | 90 | 2.38 | 3.63 | 76.2% | 2 | $115,183 |
| St John's Lutheran Home Billings | 8.3 | 186 | 3.42 | 5.40 | 44.6% | 4 | None |
| Laurel Health & Rehabilitation Center Laurel | 18.3 | 79 | 1.89 | 3.24 | 67.6% | 1 | $7,163 |
| Beartooth Rehabilitation and Nursing LLC Columbus · SFF candidate · abuse citation | 41.0 | — | 1.86 | 2.95 | — | 1 | $50,592 |
| Awe Kualawaache Care Center Crow Agency | 50.8 | 40 | 2.45 | 4.08 | 61.5% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.