Nursing HomeInspections

Skyline Heights Nursing and Rehabilitation

Nursing home in Billings, MT

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

Call (406) 656-5010Send a messageMap ↗

Public-record details

Address
1807 24th St W, Billings, MT 59102
Phone
(406) 656-5010
Listed under
For-profit
Medicare CCN
275020
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
1 of 5
Certified beds
150
Average residents per day
76
Ownership
For-profit, limited Liability company
Legal business name
Billings Nursing and Rehab Center LLC
Chain
Eduro Healthcare (34 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1967
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 275020. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 12, 2026. CMS lists 63 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 12, 2023 to Apr 23, 2026): 28 from complaint inspections, 7 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Apr 23, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 12, 2026Post nurse staffing information every day.
Nursing and Physician Services		B
Potential for minimal harm, pattern
Mar 12, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 12, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 12, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 12, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Mar 12, 2026Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Mar 12, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Mar 12, 2026Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
Dec 31, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 31, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 31, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 63. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $413,752 and 1 denial of Medicare payment for new admissions in the last three years.

Nov 19, 2025Fine: $77,103
Aug 28, 2025Fine: $72,768
Jan 30, 2025Fine: $250,357
Jan 30, 2025Payment denial for 56 days from Apr 30, 2025
Feb 20, 2024Fine: $4,893
Dec 26, 2023Fine: $8,631

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.26 hours
Registered nurse (RN) time per resident per day
0.50 hours
Nurse aide time per resident per day
1.93 hours
Total nurse staffing on weekends
2.89 hours
Nursing staff turnover (yearly)
75%
RN turnover (yearly)
63%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Billings

St John's Lutheran Home3940 Rimrock Rd · Billings, MT 59102 · (406) 655-5600 · Nonprofit40 health citations in 3 inspection cycles · last standard inspection Jul 17, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Aspen Meadows Health and Rehabilitation Center3155 Ave C · Billings, MT 59102 · (406) 656-8818 · For-profit36 health citations in 3 inspection cycles · last standard inspection Mar 26, 2026 · $115,183 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Billings Rehabilitation and Nursing LLC600 S 27th St · Billings, MT 59101 · (406) 259-8000 · For-profit52 health citations in 3 inspection cycles · last standard inspection Feb 26, 2026 · $62,797 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)River Ridge Rehabilitation and Nursing LLC1415 Yellowstone River Rd · Billings, MT 59105 · (406) 245-9330 · For-profit63 health citations in 3 inspection cycles · last standard inspection Jan 15, 2026 · $80,893 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Yellowstone River Nursing and Rehabilitation2115 Central Ave · Billings, MT 59102 · (406) 656-6500 · For-profit58 health citations in 3 inspection cycles · last standard inspection Aug 28, 2025 · $142,698 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 6 in Billings →