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Complaint Investigation

Billings Rehabilitation And Nursing Llc

August 14, 2025 · Billings, MT · 600 S 27th St
Citations 7
Beds 100
Provider ID 275120
Healthcare Facility
Billings Rehabilitation And Nursing Llc
Billings, MT  ·  View full profile →
Inspection Summary

BILLINGS REHABILITATION AND NURSING LLC in BILLINGS, MT — inspection on August 14, 2025.

Found 7 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0585
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited BILLINGS REHABILITATION AND NURSING LLC in BILLINGS, MT for a deficiency under regulatory tag F-F0585 during a standard health inspection conducted on 2025-08-14.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of BILLINGS REHABILITATION AND NURSING LLC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

Federal health inspectors cited BILLINGS REHABILITATION AND NURSING LLC in BILLINGS, MT for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-08-14.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of BILLINGS REHABILITATION AND NURSING LLC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

During an interview on 8/14/25 at 9:30 a.m., staff member A stated the residents and staff of the facility were educated to look out for suspicious activities between residents.

The corporate office was contacted, and a huddle was performed.

Complete assessments were performed, and it was determined the wander guards were functioning and interventions were put in place. A PIP (Performance Improvement Project) for elopement was currently being implemented.

Staff member A stated the resident had the ability to understand.

Staff member A stated the resident was new to the facility.

Staff member A reviewed the video surveillance footage to determine the time frame from the time the resident left to the time the facility was contacted by the law enforcement.

Staff member A stated the resident was gone approximately 45 minutes prior to the notification of the facility by law enforcement.

Review of the weather history for 7/27/25, the day of the elopement, and time of the elopement showed the temperature was 87 degrees Fahrenheit at 2:53 p.m. and 89 degrees Fahrenheit at 3:53 p.m.

There was no information available regarding the traffic on the day and time of the elopement.

Facility ID:

Federal health inspectors cited BILLINGS REHABILITATION AND NURSING LLC in BILLINGS, MT for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-14.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of BILLINGS REHABILITATION AND NURSING LLC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

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Federal health inspectors cited BILLINGS REHABILITATION AND NURSING LLC in BILLINGS, MT for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-08-14.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of BILLINGS REHABILITATION AND NURSING LLC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

Federal health inspectors cited BILLINGS REHABILITATION AND NURSING LLC in BILLINGS, MT for a deficiency under regulatory tag F-F0802 during a standard health inspection conducted on 2025-08-14.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of BILLINGS REHABILITATION AND NURSING LLC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

Federal health inspectors cited BILLINGS REHABILITATION AND NURSING LLC in BILLINGS, MT for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-14.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of BILLINGS REHABILITATION AND NURSING LLC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-19.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BILLINGS, MT, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BILLINGS REHABILITATION AND NURSING LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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