CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Montana. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Billings Rehabilitation and Nursing LLC is a 2-star Medicare and Medicaid certified nursing home in Billings, Montana with 100 certified beds. It has been operating since 1987. Its overall CMS rating is 2 out of 5.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Assure that each resident’s assessment is updated at least once every 3 months.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure services provided by the nursing facility meet professional standards of quality.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
+ 22 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CHARLY BELLO FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 30% | Jul 1, 2023 |
| CASHMER LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 1, 2023 |
| FEY, KRISTIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 24% | Jul 1, 2023 |
| FEY, DANIEL | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 1, 2023 |
| SWAIN, CAMERON | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 1, 2023 |
| SWAIN, SERENE | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 1, 2023 |
| MYERS, WALTER | CORPORATE OFFICER | Individual | N/A | Jul 1, 2023 |
| SWAIN, JARED | CORPORATE OFFICER | Individual | N/A | Jul 1, 2023 |
| COTTONWOOD HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 1, 2023 |
| PROFESSIONAL BUSINESS ADVISORS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 1, 2023 |
| WIPFLI LLP | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 1, 2023 |
| ANDERSON, WENDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2023 |
| RIGGIN, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2023 |
| SEVERA, LARRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2023 |
| COTTONWOOD HEALTHCARE LLC | ADP OF THE SNF | Organization | N/A | May 14, 2025 |
| PROFESSIONAL BUSINESS ADVISORS LLC | ADP OF THE SNF | Organization | N/A | May 7, 2025 |
| WIPFLI LLP | ADP OF THE SNF | Organization | N/A | May 7, 2025 |
| ANDERSON, WENDY | ADP OF THE SNF | Individual | N/A | Jul 1, 2023 |
| RIGGIN, ANDREW | ADP OF THE SNF | Individual | N/A | Jul 1, 2023 |
| SEVERA, LARRY | ADP OF THE SNF | Individual | N/A | Jul 1, 2023 |
Compare CMS ratings and recorded fines for Billings Rehabilitation and Nursing LLC and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 18 facilities. View all →