All citations for Yellowstone River Nursing and Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Yellowstone River Nursing and Rehabilitation

Last standard health inspection on record

August 28, 2025

Showing 1 to 25 of 60 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 6, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 7, 2026).

  3. Harm to a resident

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of May 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

    The home is disputing this citation.

  4. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  5. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  6. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2023).

  7. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  8. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  9. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  10. No harm, with potential for more than minimal harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Widespread (many residents). CMS level F.

    Health citation F-0925, Environmental Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  11. No harm, with potential for more than minimal harm

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0850, Administration Deficiencies. Inspection of November 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 14, 2025).

  12. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  13. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

  14. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of June 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  15. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  16. No harm, with potential for more than minimal harm

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0553, Resident Rights Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  17. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  18. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  19. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  20. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 26, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 21, 2023).

  21. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2023).

  22. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of June 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2023).

  23. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2023).

  24. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of August 27, 2026. Found during a complaint inspection.

    The home has a plan to correct it (October 2, 2026).

  25. No harm, with potential for more than minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of July 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.