YELLOWSTONE RIVER NURSING AND REHABILITATION

BILLINGS, MT · 160 beds · For profit - Individual

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 4 citation(s) where residents suffered actual harm
  • $188,360 in fines over 3 years
  • 70% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
22
1.9x state avg
Deficiencies
$188,360
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

December 30, 2025

1 deficiency
F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

November 18, 2025

5 deficiencyies
F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0711 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

F0740 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

F0745 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide medically-related social services to help each resident achieve the highest possible quality of life.

F0850 Potential Harm Scope/Severity: E

Administration Deficiencies

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Hire a qualified full-time social worker in a facility with more than 120 beds.

August 27, 2025

7 deficiencyies
F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0585 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0692 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide enough food/fluids to maintain a resident's health.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

June 4, 2025

4 deficiencyies
F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0726 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

March 26, 2025

3 deficiencyies
F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0559 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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Staffing

0.77
RN hrs/res/day
0.66
LPN hrs/res/day
2.17
CNA hrs/res/day
3.18
Weekend hrs/res/day
70%
Total nurse turnover
69%
RN turnover

A nurse checks on each resident roughly every 6.6 hours on average.

Fines & Penalties

  • Fine Aug 27, 2025
    $133,875
  • Payment Denial Aug 27, 2025
    Payment Denial
  • Fine Jun 3, 2025
    $12,444
  • Fine Jun 21, 2023
    $38,896
  • Fine Jun 11, 2023
    $3,145
Total $188,360

Ownership

For profit - Individual Chain: EDURO HEALTHCARE
  • EDURO HEALTHCARE LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 06/01/2023

    100% Organization
  • BEWSEY, MICHAEL

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/01/2023

    100% Individual
  • BEWSEY, MICHAEL

    CORPORATE OFFICER

    Since since 06/01/2023

    Individual
  • MONROE, DUSTIN

    CORPORATE OFFICER

    Since since 06/01/2023

    Individual
  • CALDWELL, SARAH

    W-2 MANAGING EMPLOYEE

    Since since 06/01/2023

    Individual

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