Billings Rehabilitation and Nursing LLC
600 S 27th St · Billings, MT · 59101 · 4062598000
100 certified beds For profit - Limited Liability company Chain: The Charly Bello Family, the Maze Family, the Swain Family, & Walter Myers
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
75% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 75% | median 45% |
| Fines (3-yr window) | 2 · $62,797 |
Inspection citations (47 in the current record)
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Potential for harm · D February 26, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 26, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
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.
Corrected March 30, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
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.
Corrected March 30, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 30, 2026 · Pharmacy Service
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Potential for harm · E February 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 20, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 14, 2025
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.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · E August 14, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · D August 14, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · E August 14, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected September 19, 2025 · Nutrition and Dietary
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Potential for harm · D August 14, 2025
Provide and implement an infection prevention and control program.
Corrected September 19, 2025 · Infection Control
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Potential for harm · D August 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · E June 19, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 19, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 19, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 28, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 6, 2024 | Fine | $21,847 |
| September 14, 2023 | Fine | $40,950 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275120 · certified since December 14, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.