01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-26 | 18 | 2026-02-26 | 9 |
| Cycle 2 | 2025-08-14 | 13 | 2025-08-14 | 8 |
| Cycle 3 | 2025-02-27 | 21 | 2025-02-27 | 8 |
CMS CCN 2751202026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Billings Rehabilitation And Nursing Llc
600 S 27Th St · Billings, MT 59101 · Yellowstone County
Certified beds100CMS provider file
Recent citation rows77current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
77 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-21 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-06-29 · complaint2026-05-21 · HEALTHF0627Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2026-06-26 · complaint2026-05-21 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2026-06-29 · complaint2026-05-21 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-06-29 · complaint2026-05-21 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-06-29 · complaint2026-02-26 · FIREE0036Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Correction field: Deficient, Provider has date of correction · 2026-03-312026-02-26 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2026-03-312026-02-26 · HEALTHF0609Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-02-26 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-02-26 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2026-03-302026-02-26 · HEALTHF0638Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2026-03-302026-02-26 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint2026-02-26 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-302026-02-26 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-04-032026-02-26 · HEALTHF0742Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-302026-02-26 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-03-302026-02-26 · FIREK0223Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2026-03-312026-02-26 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2026-03-312026-02-26 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-03-312026-02-26 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-03-312026-02-26 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-03-312026-02-26 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2026-03-312026-02-26 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-03-312025-11-20 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2025-12-15 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-06-06 | Fine | $21,847 | 0 |
| 2023-09-14 | Fine | $40,950 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CHARLY BELLO FAMILY LIMITED PARTNERSHIPOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST30% · since 07/01/2023
- CASHMER LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2023
- FEY, KRISTINIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST24% · since 07/01/2023
- FEY, DANIELIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2023
- SWAIN, CAMERONIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2023
- SWAIN, SERENEIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2023
- MYERS, WALTERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2023
- SWAIN, JAREDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2023
- COTTONWOOD HEALTHCARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2023
- PROFESSIONAL BUSINESS ADVISORS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2023
- WIPFLI LLPOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2023
- ANDERSON, WENDYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2023
- RIGGIN, ANDREWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2023
- SEVERA, LARRYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2023
- COTTONWOOD HEALTHCARE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/14/2025
- PROFESSIONAL BUSINESS ADVISORS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/07/2025
- WIPFLI LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/07/2025
- ANDERSON, WENDYIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.34per resident day
RN hours0.76per resident day
Weekend nurse hours2.84per resident day
Staff turnover72.5%CMS reported field
06 / LOCAL RECORDS
Open the Billings ledger →Other published facilities nearby
Aspen Meadows Health And Rehabilitation Center90 beds · CMS overall 2/548 citation rowsRiver Ridge Rehabilitation And Nursing Llc129 beds · CMS overall 2/5110 citation rowsSkyline Heights Nursing And Rehabilitation150 beds · CMS overall 1/596 citation rowsSt John'S Lutheran Home186 beds · CMS overall 4/566 citation rowsYellowstone River Nursing And Rehabilitation160 beds · CMS overall 1/584 citation rows