Yellowstone City-County Health Dept

CCN

271502The number CMS certifies the facility under, not a provider identifier

Status

Active

Provider type

Hospice

Ownership

Combination Government & Non-Profit

Control type

Combination Government and Nonprofit

Participating since

May 6, 1988

Last certification

Feb 1, 2012

Address

2626 1St Ave S
Billings, MT 59101
(406) 247-3200

• Yellowstone City-County Health Department

  dba RiverStone Health (Hospice)

  • Community Based Hospice Care Agency
  • Billings, MT
  • NPI 1093776106
  Medicare enrollment

• Caregivers rated the hospice agency a 9 or 10 90
  • State average 85
  • National average 83
  • Period from 10/01/2023-09/30/2025
• The hospice team always communicated well 87
  • State average 84
  • National average 82
  • Period from 10/01/2023-09/30/2025
• The hospice team always provided timely help 86
  • State average 79
  • National average 78
  • Period from 10/01/2023-09/30/2025
• The hospice team always treated the patient with respect 96
  • State average 94
  • National average 91
  • Period from 10/01/2023-09/30/2025
• The hospice team provided the right amount of emotional and spiritual support 96
  • State average 93
  • National average 91
  • Period from 10/01/2023-09/30/2025
• The patient always got the help they needed for pain and symptoms 82
  • State average 78
  • National average 76
  • Period from 10/01/2023-09/30/2025
• YES, they would definitely recommend the hospice 95
  • State average 88
  • National average 85
  • Period from 10/01/2023-09/30/2025

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

• Nathan Bates

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Billings, MT
  • NPI 1720508963
• Michael David Geurin, MD

  • Family Medicine Physician
  • Billings, MT
  • NPI 1073726048
• Jean-Yves Reshad Nazroo, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Pontiac, MI
  • NPI 1568081800
• Larry A. Severa, MD

  • Family Medicine Physician
  • Billings, MT
  • NPI 1770504052
• Katherine Zimmerman, APRN, FNP

  • Family Nurse Practitioner
  • Billings, MT
  • NPI 1679045603

• Beliefs & Values Addressed (if desired by the patient) 99.57
  • State average 99.15
  • National average 99.27
  • Period from 10/01/2024 - 09/30/2025
• Burdensome transitions, Type 1 (% live discharges) 16.2
  • State average 4.4
  • National average 8.5
  • Period from 01/01/2023 - 12/31/2024
• Burdensome transitions, Type 2 (% live discharges) 0
  • State average 2.6
  • National average 2.1
  • Period from 01/01/2023 - 12/31/2024
• CHC/GIP provided (% days) 0.2
  • State average 0.3
  • National average 0.5
  • Period from 01/01/2023 - 12/31/2024
• Early live discharges (% live discharges) 0
  • State average 7.8
  • National average 7.3
  • Period from 01/01/2023 - 12/31/2024
• Gaps in nursing visits (% elections) 58.8
  • State average 44.4
  • National average 52.4
  • Period from 01/01/2023 - 12/31/2024
• Hospice and Palliative Care Composite Process Measure 96.52
  • State average 94.29
  • National average 96.15
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Dyspnea Screening 100
  • State average 99.19
  • National average 99.53
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Dyspnea Treatment 98.36
  • State average 98.07
  • National average 98.59
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Pain Assessment 100
  • State average 97.14
  • National average 98.27
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Pain Screening 97.83
  • State average 98.48
  • National average 99
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Treatment Preferences 100
  • State average 99.86
  • National average 99.8
  • Period from 10/01/2024 - 09/30/2025
• Hospice Care Index Overall Score 10
  • State average 8.9
  • National average 8.8
  • Period from 01/01/2023 - 12/31/2024
• Hospice Visits in the Last Days of Life 77
  • State average 59.9
  • National average 48.3
  • Period from 01/01/2023 - 12/31/2024
• Late live discharges (% live discharges) 10.8
  • State average 30.7
  • National average 37.4
  • Period from 01/01/2023 - 12/31/2024
• Nurse care minutes per routine home care days (minutes) 15.5
  • State average 13.8
  • National average 19.9
  • Period from 01/01/2023 - 12/31/2024
• Patient Treated with an Opioid Who Are Given a Bowel Regimen 100
  • State average 99.64
  • National average 98.46
  • Period from 10/01/2024 - 09/30/2025
• Per-beneficiary spending (U.S. dollars $) 11,924
  • State average 11,920.9 (computed here)
  • National average 19,227
  • Period from 01/01/2023 - 12/31/2024
• Skilled nursing minutes on weekends (% minutes) 10.4
  • State average 7.3
  • National average 9.6
  • Period from 01/01/2023 - 12/31/2024
• Visits near death (% decedents) 99.5
  • State average 91.4
  • National average 89.3
  • Period from 01/01/2023 - 12/31/2024

• Provider of Services: the certification, provider type, beds and status.
• Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
• NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.