01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-15 | 11 | 2026-01-15 | 18 |
| Cycle 2 | 2024-11-07 | 32 | 2024-11-07 | 18 |
| Cycle 3 | 2023-10-26 | 20 | 2023-10-26 | 11 |
CMS CCN 2751232026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
River Ridge Rehabilitation And Nursing Llc
1415 Yellowstone River Rd · Billings, MT 59105 · Yellowstone County
Certified beds129CMS provider file
Recent citation rows110current CMS citation release
Penalty rows4current 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
110 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 27 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-15 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-15 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-15 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-15 · FIREE0018Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-15 · FIREE0024Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-15 · 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 · 2026-02-202026-01-15 · 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 · 2026-02-202026-01-15 · 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 · 2026-02-14 · complaint2026-01-15 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-02-142026-01-15 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-02-142026-01-15 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-02-14 · complaint2026-01-15 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-02-14 · complaint2026-01-15 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-02-142026-01-15 · HEALTHF0745Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Correction field: Deficient, Provider has date of correction · 2026-02-142026-01-15 · 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 · 2026-02-142026-01-15 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-142026-01-15 · HEALTHF0825Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Correction field: Deficient, Provider has date of correction · 2026-02-142026-01-15 · HEALTHF0887Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-02-142026-01-15 · FIREK0211Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-15 · FIREK0300Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Meet other general requirements that are deficient.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-15 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-15 · 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 · 2026-02-202026-01-15 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-02-202026-01-15 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-02-2003 / 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 |
|---|---|---|---|
| 2024-08-01 | Fine | $58,728 | 0 |
| 2024-02-12 | Fine | $1,899 | 0 |
| 2024-01-22 | Fine | $3,418 | 0 |
| 2023-10-26 | Fine | $16,848 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AMIN FAMILY LIMITED PARTNERSHIPOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 10/01/2023
- MYERS LIVING TRUSTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST6% · since 10/01/2023
- CASHMER LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- DOVER RUXPIN FAMILY LIMITED PARTNERSHIPOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- FEY, KRISTINIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST9% · since 10/01/2023
- MYERS, CINDYIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/01/2023
- MYERS, DANIELIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/01/2023
- MYERS, SHERIIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/01/2023
- MYERS, WALTERIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/01/2023
- MYERS, WALTERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2023
- MYERS, WALTERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2023
- SWAIN, JAREDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2023
- COTTONWOOD HEALTHCARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2023
- PROFESSIONAL BUSINESS ADVISORS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2023
- WIPFLI LLPOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2023
- ANDERSON, WENDYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2023
- WILLIAMSON, ZACKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2023
- COTTONWOOD HEALTHCARE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/04/2025
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 hours3.23per resident day
RN hours0.49per resident day
Weekend nurse hours2.76per resident day
Staff turnover50.0%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 rowsBillings Rehabilitation And Nursing Llc100 beds · CMS overall 2/577 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