Nursing home
Skyline Heights Nursing and Rehabilitation
1807 24Th St W, Billings, MT 59102 · Map
For profit - Limited Liability company · Part of Eduro Healthcare (36 facilities) · 150 certified beds
Skyline Heights Nursing and Rehabilitation is a Medicare-certified nursing home in Billings, Montana. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.31 hours per resident per day, below the Montana average of 3.97. Its most recent inspection on Jan 30, 2025 cited 28 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 6 fines totaling $460,513In CMS records: 7 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Skyline Heights Nursing and Rehabilitation compares
This facility vs. the Montana and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Montana avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.31 | 3.97 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.73 | 0.94 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.88 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 83.7% | 55.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 28.0 | 11.3 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 6 fines totaling $460,513, 7 total penalties, 1 Medicare payment denial.
What inspectors found at Skyline Heights Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Mar 12, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop 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 Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 12, 2026 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Develop 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 Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Dec 31, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 19, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1807 24Th St W
Billings, MT 59102 - CMS certification #
- 275020
- Ownership
- For profit - Limited Liability company
- Certified beds
- 150
- Avg residents/day
- 66.2
- Provider type
- Medicare and Medicaid
- First certified
- 1967-01-01
- Chain
- Eduro Healthcare (36 facilities)
- Setting
- Urban
Part of Eduro Healthcare
Eduro Healthcare operates 36 nursing facilities across the United States. View all Eduro Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Skyline Heights Nursing and Rehabilitation using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice, diabetes care
- Workplace safety 1 OSHA workplace safety inspection since 2017, 1 violation cited
Full public records, with dates and sources
Care and services
From the community’s website
What Skyline Heights Nursing and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24/7 Nursing Care
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Care
(page, checked Oct 12, 2026) - Offers diabetes care.
We offer a wide array of skilled nursing services, including pain management, diabetes management, and more to be able to address any and all of your recovery needs.
(page, checked Oct 12, 2026) - Smoke-free.
For the safety and welfare of all residents and staff, we are a non-smoking facility.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 15, 2017: referral inspection, partial (safety). Case closed Jul 17, 2017. 1 violation cited (1 other). Penalties: $4,889 proposed, $2,445 now. OSHA record. OSHA recorded the employer as Valley Nursing, INC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Portable fire extinguishers (1910.157(g)(3)). Penalty $4,889 proposed, $2,445 now. To be fixed by Jul 11, 2017.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Intermountain Health St Vincent Regional Hospital, Billings. 2.9 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Aspen Meadows Health and Rehabilitation Center, Billings. 0.5 miles away, straight line.
- Nearest home health agency office
- Home And Care Billings, Billings. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Juro's Pharmacy Health and Wellness. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 59102 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Dci Big Sky, Billings, 3.0 miles away, straight line (CMS rating 3 of 5 stars)
Billings Clinic Dialysis, Billings, 3.5 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 59102.
Stillwater Hospice, office in Billings, 1.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Compassus Hospice Billings, office in Billings, 3.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
St Johns United Hospice, office in Billings, 3.3 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Billings Clinic Specialty Supplies And Services, LLC, Billings. 3.3 miles away, straight line. 4 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire very low, tornado very low, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Skyline Heights Nursing and Rehabilitation a good nursing home?
CMS gives Skyline Heights Nursing and Rehabilitation an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Skyline Heights Nursing and Rehabilitation staffed?
Skyline Heights Nursing and Rehabilitation reports 3.31 total nurse hours per resident per day, compared with the Montana average of 3.97.
Has Skyline Heights Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 28 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Skyline Heights Nursing and Rehabilitation have?
Skyline Heights Nursing and Rehabilitation is certified for 150 beds.