Bella Terra of Billings
1807 24th St W, Billings MT 59102 · (406) 656-5010 · 55.26% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Bella Terra of Billings is located in Billings, Montana, a city with a population of 128,125 people. This nursing home is a very respectable facility, with an overall grade of B. This proved to be one of the top three nursing homes in the city. Fortunately, this nursing home did not have any weak links in any of the major categories discussed below. More information about these categories can be found below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 150 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Short-term Care Quality
To pair with its strong overall grade, we awarded this nursing home a grade of A- for short-term care. Our short-term care grades are based on the nursing home's quantity of highly-skilled highly skilled professionals. This includes a vast scope of nursing services, ranging from registered nurses to physical and speech therapists, in addition to other types of therapy. When we assessed this facility's nursing hours, we found it offered more care from registered nurses than most nursing homes. Lastly, we assessed the percentage of residents who were able to return to the community from this nursing home. It outperformed the vast majority of facilities with 67.1 percent of its patients returning home.
Nurse Quality
This facility received high grades in the area of nursing as well. In fact, it received one of our highest grades in that category with a score of A-. In computing a facility's nursing grade, we weigh the number of hours nurses are with patients as well as the levels of training of the nurses. This nursing home provides an impressive 4 hours of nursing care per resident per day. Finally, we also looked at nursing quality-based metrics in determining our nursing grades. These include minimizing residents' pressure ulcers and major falls. We view these metrics as predictive indicators of the quality of nursing care being provided, since better care tends to reduce these problems.
Facility Inspections
In addition, this nursing home also performed well in our inspection category, which is based on the nursing home's recent government inspection reports. In fact, we awarded it a grade of B+ for that category, which is among our best scores. Arguably the most critical factor we look at in computing our inspection scores is deficiencies. Deficiencies can be found on a facility's recent inspection reports. Places with better scores in this area most likely dodged the most severe deficiencies involving patient abuse or death. This place was assessed 8 deficiencies on its inspection report, but fortunately none of the deficiencies were considered severe. This means that CMS didn't deem any of these deficiencies to cause an imminent threat to resident health or safety. A couple relatively minor deficiencies aren't necessarily the end of the world.
Long-term Care Quality
Moving on to the last category, this facility was awarded a decent long-term care score of C. In determining these long-term care grades, we quantify the facility's personal care services. On top of providing impressive levels of nursing care and other staffing, this nursing home provided the pneumonia vaccine to 95.66929 percent of its patients. Vaccines are vital to keeping patients out of the hospital. This combination proved to be successful as this place keeps its residents out of the hospital. Although it had 1.84 hospitalizations per one thousand long-term resident days, its risk adjusted statistic was better than the majority of nursing homes due to it having some more complex patients.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Bella Terra of Billings Quality Metrics
Minimizes Pressure Ulcers
This figure tells you the percentage of long-term stay patients that suffered from pressure ulcers or bed sores. We use this statistic in calculating our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint is a measure of the percentage of long-term stay patients that have sustained a fall which resulted in serious injury. We use this statistic in determining nursing ratings.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents who have had a urinary tract infection. UTI's are considered by many in the nursing home industry to be a measure of nursing care . UTI's are often associated with lower quality nursing care. Nevertheless, this statistic can be skewed for certain nursing homes due to varying reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This statistic measures the percent of long-term stay patients taking antipsychotic drugs. While antipsychotic medications serve an important medical purpose, it is important to confirm these medications are being used only where medically required. In limited situations, excessive reliance on these medications may suggest that a nursing home is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of patients given antianxiety drugs. These drugs are generally prescribed to residents experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percentage of patients who are demonstrating depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percent of patients that were administered the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint measures the percent of long-term patients that needed additional assistance with activities of daily living over time. ADL's include activities such as dressing and continence.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents who remained mobile levels over time. Preserving mobility is often a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of hospitalizations per 1,000 days of patient care. There is a correlation between avoiding hospitalizations and the quality of long-term care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of rehospitalizations per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per thousand days of short-term care. There is typically a correlation between staying out of the emergency room and the overall quality of care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percentage of short-term residents who saw functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of independence with ADL's often correlates with superior rehabilitation.
Percentage of Resident
Higher is Better