RIVER RIDGE REHABILITATION AND NURSING LLC
RIVER RIDGE REHABILITATION AND NURSING LLC is a 129-bed nursing home in BILLINGS, Montana. CMS has certified it for Medicare and Medicaid since 1988-04-01. It averages 85.1 residents a day.
What harm was found in the violations cited at RIVER RIDGE REHABILITATION AND NURSING LLC?
CMS lists 63 health-inspection deficiencies for RIVER RIDGE REHABILITATION AND NURSING LLC, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-01-15.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-01-15 | F0812, F0887 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. | F |
| 2026-01-15 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E |
| 2026-01-15 | F0610, F0628, F0641, F0657, F0677, F0692, F0759, F0825 | Respond appropriately to all alleged violations. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health. / Ensure medication error rates are not 5 percent or greater. / Provide or get specialized rehabilitative services as required for a resident. | D |
| 2025-03-27 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-03-27 | F0554, F0658, F0689, F0755, F0880 | Allow residents to self-administer drugs if determined clinically appropriate. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | D |
| 2024-11-07 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2024-11-07 | F0623, F0625, F0680, F0686, F0693, F0761, F0921 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure the activities program is directed by a qualified professional. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2024-11-07 | F0584, F0636, F0641, F0656, F0657, F0699, F0727, F0791, F0802, F0882, F0883 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / 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. / Provide care or services that was trauma informed and/or culturally competent. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Provide or obtain dental services for each resident. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2024-11-07 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | B |
| 2024-08-01 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-08-01 | F0585, F0609 | 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2024-08-01 | F0582, F0689 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-04-25 | F0688, F0725 | 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. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-04-25 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-04-25 | F0732 | Post nurse staffing information every day. | B |
| 2023-10-26 | F0686, F0692 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. | G |
| 2023-10-26 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-10-26 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2023-10-26 | F0578, F0580, F0583, F0609, F0637, F0655, F0656, F0658, F0693, F0727, F0732, F0880 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Assess the resident when there is a significant change in condition / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Post nurse staffing information every day. / Provide and implement an infection prevention and control program. | D |
Why was RIVER RIDGE REHABILITATION AND NURSING LLC fined 4 times?
| Date | Type | Amount |
|---|---|---|
| 2024-08-01 | Fine | $58,728 |
| 2024-02-12 | Fine | $1,899 |
| 2024-01-22 | Fine | $3,418 |
| 2023-10-26 | Fine | $16,848 |
How is RIVER RIDGE REHABILITATION AND NURSING LLC staffed relative to the MT average?
| Measure | This facility | MT average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.22787 | 4.04638 |
| Total nursing staff turnover (%) | 50.0 | 54.8 |
| Average number of residents per day | 85.1 | 56.7 |
Who owns RIVER RIDGE REHABILITATION AND NURSING LLC, and what chain is it in?
RIVER RIDGE REHABILITATION AND NURSING LLC is registered with CMS as For profit - Limited Liability company, operates under the legal business name RIVER RIDGE REHABILITATION AND NURSING LLC and belongs to the THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | AMIN FAMILY LIMITED PARTNERSHIP, MYERS LIVING TRUST | since 10/01/2023 |
| DIRECT OWNERSHIP INTEREST | CASHMER LLC, DOVER RUXPIN FAMILY LIMITED PARTNERSHIP | since 10/01/2023 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | FEY, KRISTIN, MYERS, CINDY, MYERS, DANIEL, MYERS, SHERI, MYERS, WALTER | since 10/01/2023 |
| CORPORATE DIRECTOR | MYERS, WALTER | since 10/01/2023 |
| CORPORATE OFFICER | MYERS, WALTER, SWAIN, JARED | since 10/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | COTTONWOOD HEALTHCARE LLC, PROFESSIONAL BUSINESS ADVISORS LLC, WIPFLI LLP, ANDERSON, WENDY, WILLIAMSON, ZACK | since 10/01/2023 |
| ADP OF THE SNF | COTTONWOOD HEALTHCARE LLC, PROFESSIONAL BUSINESS ADVISORS LLC, WIPFLI LLP, MYERS, WALTER, WILLIAMSON, ZACK | since 06/04/2025 |
Were you or a family member harmed at RIVER RIDGE REHABILITATION AND NURSING LLC?