Skyline Heights Nursing and Rehabilitation

1807 24th St W, Billings, MT 59102 · (406) 656-5010
For profit - Limited Liability company · 150 certified beds

Skyline Heights Nursing and Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 8 citations (the Montana average is 11.2). It was fined 5 times in the last three years, $413,752 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on March 12, 2026 found 8 citations. What an inspection citation means

• 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.March 12, 2026 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 12, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.March 12, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 12, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.March 12, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.March 12, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 12, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.March 12, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Some

Complaint inspections, last three years

Inspections after complaints found 29 citations.

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 16, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.April 23, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 12, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are fully informed and understand their health status, care and treatments.December 31, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 31, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.December 31, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 19, 2025 · F0656 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 19, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• 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.November 19, 2025 · F0726 · Level of harm: Actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 27, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
• 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.March 27, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 27, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.March 27, 2025 · F0760 · Level of harm: Actual harm · Residents affected: Few
• 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.March 27, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 20, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.October 3, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 3, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.October 3, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.May 20, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 20, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.January 18, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 18, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.January 18, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJanuary 18, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.January 18, 2024 · F0690 · Level of harm: Actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.January 18, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide care and assistance to perform activities of daily living for any resident who is unable.October 12, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.October 12, 2023 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.October 12, 2023 · F0800 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $77,103November 19, 2025
• Fine of $72,768August 28, 2025
• Fine of $250,357January 30, 2025
• Fine of $4,893February 20, 2024
• Fine of $8,631December 26, 2023
• Medicare payment denial for 56 daysStarting April 30, 2025

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home