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Medicare-certifiedSkilled Nursing

Skyline Heights Nursing and Rehabilitation

(406) 656-5010

About Skyline Heights Nursing and Rehabilitation

Skyline Heights Nursing and Rehabilitation in Billings, Montana provides skilled nursing and rehabilitation care focused on helping patients regain independence and return home. Our experienced team delivers personalized medical care and therapy services in a supportive environment.

Community at a glance

Capacity

150 residents

Location

Billings, MT

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1807 24TH ST W, Billings, Montana 59102

(406) 656-5010

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Skyline Heights Nursing and Rehabilitation is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.

At its most recent standard inspection, on March 12, 2026, state inspectors cited 16 health deficiencies (the Montana average is 11.1).

Nurses and nurse aides spend 3 hours 16 minutes with each resident a day, below the Montana average of 4 hours 3 minutes.

Medicare fined Skyline Heights Nursing and Rehabilitation 5 times in the last three years, $413,752 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 16 minutesBelow the Montana average
Registered nurse time per resident, per day30 minutesBelow the Montana average
Nursing staff who left in the past year75%Above the Montana average

1 administrator has left the home in the past year.

Inspections

61 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 16, 2026 · Complaint investigation · 1 citation

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

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Aug 17, 2026

April 23, 2026 · Complaint investigation · 1 citation

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 15, 2026
March 12, 2026 · Standard inspection · 8 citations+
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 14, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 3, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Apr 3, 2026
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 3, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 3, 2026
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 3, 2026
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 2, 2026
  • Post nurse staffing information every day.

    Minimal harm or risk, a pattern (level B)Nursing and Physician ServicesCorrected Apr 3, 2026
December 31, 2025 · Complaint investigation · 3 citations+
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 20, 2026
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 20, 2026
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 20, 2026
November 19, 2025 · Complaint investigation · 3 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Nov 27, 2025
  • 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.

    Residents were harmed, a few residents (level G)Nursing and Physician ServicesFrom a complaintCorrected Nov 27, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Residents were harmed, a few residents (level G)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 27, 2025
March 27, 2025 · Complaint investigation · 5 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 28, 2025
  • Ensure that residents are free from significant medication errors.

    Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Apr 19, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jun 25, 2025
  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Apr 19, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Apr 19, 2025
January 30, 2025 · Standard inspection · 17 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Feb 21, 2025
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, widespread (level F)Pharmacy ServiceCorrected Mar 25, 2025
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Feb 21, 2025
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jun 25, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 21, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 25, 2025
  • Provide or obtain dental services for each resident.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 27, 2025
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 25, 2025
  • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 27, 2025
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 21, 2025
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 21, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 21, 2025
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 26, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 21, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 21, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 27, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 25, 2025
November 20, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 12, 2024
October 3, 2024 · Complaint investigation · 3 citations+
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Nov 1, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Nov 1, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 1, 2024
May 20, 2024 · Complaint investigation · 2 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Jun 10, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 10, 2024
January 18, 2024 · Standard inspection · 15 citations+
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 13, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Feb 13, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Feb 13, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 13, 2024
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 13, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 13, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 13, 2024
  • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 13, 2024
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 13, 2024
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 13, 2024
  • Assure that each resident’s assessment is updated at least once every 3 months.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 13, 2024
  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 13, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 13, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 13, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 13, 2024
January 18, 2024 · Complaint investigation · 1 citation+
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 13, 2024

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

5 fines totaling $413,752 and 1 Medicare payment denial in the last three years.

  • November 19, 2025Fine: $77,103
  • August 28, 2025Fine: $72,768
  • January 30, 2025Fine: $250,357
  • January 30, 2025Payment denial, 56 days
  • February 20, 2024Fine: $4,893
  • December 26, 2023Fine: $8,631

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Billings Nursing and Rehab Center LLC
Medicare-certified beds
150
Average residents per day
76
Accepts
Medicare and Medicaid
First certified
January 1, 1967
Part of a chain
Eduro Healthcare, 34 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
275020

Location

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1807 24TH ST WBillings, MT 59102

12 other communities within 10 miles

Senior living near Billings

Questions about Skyline Heights Nursing and Rehabilitation

How did Skyline Heights Nursing and Rehabilitation do on its last inspection?+

State inspectors visited on March 12, 2026 and cited 16 health deficiencies, 9 of them from complaint investigations. The Montana average is 11.1.

How much nursing care does each resident get at Skyline Heights Nursing and Rehabilitation?+

Nurses and aides spend 3 hours 16 minutes with each resident per day, including 30 minutes from registered nurses. 75% of nursing staff left over the past year.

Has Skyline Heights Nursing and Rehabilitation been fined by Medicare?+

Yes. Medicare fined Skyline Heights Nursing and Rehabilitation 5 times in the last three years, totaling $413,752.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Billings Skilled Nursing in Montana Skilled Nursing guide Information last updated October 2026