Facility profile · CCN 275029
Yellowstone River Nursing And Rehabilitation
54 federal citations on record , including 1 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $141,504.
Record summary
Federal record · Q1 202654
Total citations
54
Last 3 years
5
Actual harm+
5
Federal penalties
$141,504
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
54 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 31, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Nov 19, 2025 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Complaint |
| Nov 19, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Nov 19, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Nov 19, 2025 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint |
| Nov 19, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 28, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 28, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 28, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| Aug 28, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Aug 28, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 28, 2025 | F585 | 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. | E | Standard |
| Aug 28, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jun 5, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| Jun 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jun 5, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Jun 5, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 27, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Mar 27, 2025 | F918 | Provide a bathroom in or located near each resident’s room. | D | Complaint |
| Mar 27, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Mar 27, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Mar 27, 2025 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint |
| Mar 27, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Dec 17, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint |
| Jul 18, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jul 18, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard |
| Jul 18, 2024 | F908 | Keep all essential equipment working safely. | D | Standard |
| Jul 18, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 18, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Jul 18, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Standard |
| Jul 18, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 18, 2024 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Jul 18, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Jul 18, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Jul 18, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jul 18, 2024 | F687 | Provide appropriate foot care. | D | Standard |
| Jul 18, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Jul 18, 2024 | F584 | 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. | E | Standard |
| Jul 18, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Jul 18, 2024 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Standard |
| Oct 26, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Oct 26, 2023 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint |
| Oct 26, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Oct 26, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Oct 26, 2023 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint |
| Oct 26, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jun 22, 2023 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint |
| Jun 22, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Jun 22, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jun 22, 2023 | F584 | 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. | E | Complaint |
| Jun 22, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jun 22, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Jun 22, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Jun 22, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $141,504 and 1 payment-denial actions spanning 47 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 28, 2025 | Fine | $87,019 | — |
| Aug 28, 2025 | Payment Denial | — | Oct 2, 2025 · 47 days |
| Jun 4, 2025 | Fine | $12,444 | — |
| Jun 22, 2023 | Fine | $38,896 | — |
| Jun 12, 2023 | Fine | $3,145 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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