See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

River Ridge Rehabilitation and Nursing LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1415 Yellowstone River Rd, Heights · Billings, MT 59105129 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.8/5

based on 29 Google reviews

5
4
3
2
1
River Ridge Rehabilitation and Nursing LLC Nursing Home in Billings, MT — Street View
Street View

Watch River Ridge Rehabilitation and Nursing LLC

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (29 vs median 9.0)
  • High staff turnover (56%)
  • High RN turnover (56%)

Bottom 25% in MT · Below recommended RN staffing · Worst in THE CHARLY BELLO FAMILY, THE MAZE FAMILY, THE SWAIN FAMILY, & WALTER MYERS chain · $80,893 in fines

Source: Medicare data

What this means for your family

This facility has a capable rehabilitation team that has helped many residents recover, but the facility suffers from significant inconsistency in care. When touring, specifically ask about current staffing ratios and how they handle dietary budget constraints, as these are recurring points of failure mentioned by multiple families.

Google Reviews

Google Reviews

29 reviews on Google
River Ridge Rehabilitation and Nursing LLC presents a highly polarized experience, with recent reviews oscillating between claims of significant administrative improvements and severe allegations of neglect and understaffing. While some families praise the therapy team and compassionate care, others report critical failures in facility cleanliness, food quality, and professional conduct. Prospective families should be aware of the stark contrast in experiences and perform a thorough in-person visit.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean4.0Activities2.0MedsN/AMemoryN/AComms5.0Value2.0

Strengths

  • Effective physical and occupational therapy
  • Kind and compassionate frontline staff
  • Recent facility renovations and room quality
  • Proactive communication from specific administrative team members

Concerns

  • Chronic understaffing leading to resident neglect (mentioned by 6 reviewers)
  • Poor food quality and insufficient dietary budget (mentioned by 2 reviewers)
  • Unprofessional or hostile administrative management (mentioned by 4 reviewers)
  • Facility cleanliness and odor issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(3)'18(2)'21(3)'24(1)'26(4)

Distribution · 31 analyzed

5
12
4
1
3
1
2
0
1
17

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent facility renovations, what specific steps are being taken to ensure the daily upkeep and overall cleanliness of the resident rooms and common areas?
  • 2I noticed the staffing rating is currently lower than average; could you explain how you manage daily staffing levels to ensure residents receive timely assistance and consistent care?
  • 3What is the current process for addressing dietary needs and food quality, and how do you incorporate resident feedback into your meal planning?
  • 4With 29 recent state violations on record, what specific quality improvement initiatives has the leadership team implemented to address these concerns and improve the overall care environment?
  • 5How do you foster a supportive and professional culture among your administrative and nursing teams to ensure the best possible experience for families and residents?
  • 6Can you walk me through the daily activity schedule and explain how you keep residents engaged and active throughout the week?

Personalized based on this facility's data


Key Review Excerpts

My father was treated like a family member. We were treated like family members. They all cared for dad so well and did everything they could to make him feel comfortable. The communication was excellent!

Long-term resident's family · 2025★★★★★

My father was placed here temporarily after a hospital stay last January and he was treated with so much respect and kindness by the rehabilitation and occupational therapy staff.

Rehab patient's family · 2025★★★★★

Staff works hard to work with what they have. There is very little budget given to food services to accommodate quality food. Food is poor quality due to lack of funding. Administrator can be hostile and biased.

Observer/Family member · 2026☆☆☆☆
Source: 29 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
66%
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
62%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

1

measures

Mixed Results

6

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
95.5%
MT
93.7%
Yellowstone
87.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.9%
Mixed vs Avgs
Here
19.9%
US
15.3%
MT
19.1%
Yellowstone
29.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility13.6%
Better than Avg
Here
13.6%
US
14.4%
MT
19.4%
Yellowstone
23.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.9%
Mixed vs Avgs
Here
19.9%
US
19.4%
MT
25.2%
Yellowstone
28.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
MT
95.6%
Yellowstone
92.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.3%
Mixed vs Avgs
Here
7.3%
US
12.1%
MT
5.0%
Yellowstone
5.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
81.8%
MT
79.2%
Yellowstone
74.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.8%
Better than Avg
Here
87.8%
US
79.8%
MT
73.8%
Yellowstone
70.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.0%
Worse than Avg
Here
2.0%
US
1.6%
MT
1.4%
Yellowstone
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
4penalties
Near state avg (11.3)
22 complaint-triggered
$80,893 in fines

Families reported serious concerns about abuse protection and care quality at River Ridge, with 22 complaint-triggered deficiencies including failures to prevent abuse and properly investigate violations. The facility has chronic issues with care planning, pressure ulcer prevention, and safety hazards that persist across multiple surveys. Three recent violations from early 2026 remain uncorrected, suggesting ongoing problems with responding to abuse allegations and providing basic daily care.

Jan 15, 2026Complaint
3
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0657Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 15, 2026Routine
26
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0887Potential for harm · WidespreadCorrected

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.

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0018Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0024Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0745Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0300Potential for harm · IsolatedCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Mar 27, 2025Complaint
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 7, 2024Complaint
2
0882Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Nov 7, 2024Routine
37
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0031Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0680Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0914Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0636Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

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.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0727Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0802Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0689Minimal · PatternCorrected

Quality of Life and Care Deficiencies

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

Aug 1, 2024Complaint
5
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Aug 1, 2024

$58,728

Fine

Feb 12, 2024

$1,899

Fine

Jan 22, 2024

$3,418

Fine

Oct 26, 2023

$16,848

Ownership & Operations

Who Operates This Facility

Owner / Operator

River Ridge Rehabilitation and Nursing LLC

Organization Type

for profit

Chain Affiliation

Chain Name

The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers

Chain Size

18 facilities nationwide

Chain avg rating: 1.6/5 · Rank 10 of 16 (Worst)

Ownership & Management

Owners

Amin Family Limited Partnership

Owner · Organization

10%

Myers Living Trust

Owner · Organization

6%

Cashmer LLC

Owner · Organization

Dover Ruxpin Family Limited Partnership

Owner · Organization

Fey, Kristin

Owner (parent company)

9%

Myers, Cindy

Owner (parent company)

Myers, Daniel

Owner (parent company)

Myers, Sheri

Owner (parent company)

Myers, Walter

Owner (parent company)

Key personnel

Myers, WalterOfficer / DirectorMyers, WalterOfficer / DirectorSwain, JaredOfficer / DirectorCottonwood Healthcare LLCManagerProfessional Business Advisors LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call