Independent · Federal inspection records, searchable
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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.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
54
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
SurveyF-TagViolationSeveritySource
Dec 31, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Nov 19, 2025F850Hire a qualified full-time social worker in a facility with more than 120 beds.EComplaint
Nov 19, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Nov 19, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Nov 19, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Nov 19, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 28, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 28, 2025F692Provide enough food/fluids to maintain a resident's health.GStandard
Aug 28, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Aug 28, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Aug 28, 2025F585Honor 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.EStandard
Aug 28, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 5, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Jun 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jun 5, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jun 5, 2025F610Respond appropriately to all alleged violations.DComplaint
Mar 27, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Mar 27, 2025F918Provide a bathroom in or located near each resident’s room.DComplaint
Mar 27, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Mar 27, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 27, 2025F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Mar 27, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 17, 2024F758Implement 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.DComplaint
Jul 18, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 18, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard
Jul 18, 2024F908Keep all essential equipment working safely.DStandard
Jul 18, 2024F880Provide and implement an infection prevention and control program.DStandard
Jul 18, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Jul 18, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Jul 18, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 18, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Jul 18, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Jul 18, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Jul 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 18, 2024F687Provide appropriate foot care.DStandard
Jul 18, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Jul 18, 2024F584Honor 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.EStandard
Jul 18, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jul 18, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard
Oct 26, 2023F880Provide and implement an infection prevention and control program.EComplaint
Oct 26, 2023F758Implement 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.DComplaint
Oct 26, 2023F610Respond appropriately to all alleged violations.DComplaint
Oct 26, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Oct 26, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Oct 26, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Jun 22, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Jun 22, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jun 22, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 22, 2023F584Honor 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.EComplaint
Jun 22, 2023F880Provide and implement an infection prevention and control program.EStandard
Jun 22, 2023F637Assess the resident when there is a significant change in conditionDStandard
Jun 22, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jun 22, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint

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.

DateTypeFinePayment denial
Aug 28, 2025Fine$87,019
Aug 28, 2025Payment DenialOct 2, 2025 · 47 days
Jun 4, 2025Fine$12,444
Jun 22, 2023Fine$38,896
Jun 12, 2023Fine$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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