St John's Lutheran Home
Scout 81Billings, MT · 186 beds
A highly rated skilled nursing and rehab community in Billings.
1415 Yellowstone River Rd, Billings, MT 59105 · Yellowstone County

Photos via facility website.
Typically 66% full — availability is generally good.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
River Ridge Rehabilitation and Nursing LLC is a for-profit skilled nursing facility in Billings, MT, with 129 certified beds and an average of about 85 residents per day. It operates as part of the The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers network.
Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 3/5 on staffing, 3/5 on quality measures.
Staff provide about 3.28 total nurse hours per resident each day (0.50 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 51.3%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 11 health deficiencies at its most recent standard survey, and 4 federal fines totaling $80,893 in the recent record.
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $8,510–$10,250/mo (median $9,140) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Billings prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
More nursing time per resident — and lower turnover — generally means more attentive care.
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
The most recent findings from federal health inspections (63 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
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.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Respond appropriately to all alleged violations.
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 the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure each resident receives an accurate assessment.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Federal fines and Medicare/Medicaid payment denials on record.
| 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 |
1415 Yellowstone River Rd, Billings, MT
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Talk to an advisor about this communityRiver Ridge Rehabilitation and Nursing LLC does not publish exact rates. Comparable skilled nursing in the Billings, MT area typically runs $8,510–$10,250 per month (median $9,140, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
Medicare (CMS) rates River Ridge Rehabilitation and Nursing LLC 2 out of 5 stars overall, including 2/5 for health inspections, 3/5 for staffing, 3/5 for quality measures. The national average is about 3 stars.
Staff provide about 3.28 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 51.3% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
River Ridge Rehabilitation and Nursing LLC has 63 health citations on its recent federal inspection record (last standard survey: 2026-01-15). The full citation-by-citation detail, with severity levels, is published on this page.
Typically 66% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
River Ridge Rehabilitation and Nursing LLC in Billings, MT offers skilled nursing and is licensed for 129 beds.
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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