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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMontanaSkyline Heights Nursing and Rehabilitation

Skyline Heights Nursing and Rehabilitation

1807 24th St W, Billings, MT 591024066565010
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
2/5
Beds
150
certified
This facility has been flagged for abuse.
Special Focus Facility: SFF Candidate
6 fine(s) totaling $499,695

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 150 certified beds with an average of 66.2 residents per day (44% occupancy)

• Last health inspection found 28 deficiencies (inspected Jan 30, 2025)

• Has been fined a total of $499,695 across 6 fine(s)

• Total nursing staff: 3.31 hours per resident per day

• Staff turnover rate: 83.7% (high)

• Part of the Eduro Healthcare chain (37 facilities)

Skyline Heights Nursing and Rehabilitation is a 1-star Medicare and Medicaid certified nursing home in Billings, Montana with 150 certified beds. It has been operating since 1967. The facility scored below average compared to Montana facilities.

Beds
150
Avg Residents/Day
66.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1967
Sprinklers
Yes
Council
Resident
County
Yellowstone
Last Inspection
Jan 30, 2025
Deficiencies (Cycle 1)
28
Weighted Score
497.8
Infection Citations
0

Deficiency Citations (80)

F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Dec 31, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Dec 31, 2025Corrected: NoCycle: 1
F0657Potential 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.

Survey: Dec 31, 2025Corrected: NoCycle: 1
F0656Actual Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 19, 2025Corrected: NoCycle: 1
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 19, 2025Corrected: NoCycle: 1
F0726Actual Harm

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.

Survey: Nov 19, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Mar 27, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Mar 27, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 27, 2025Corrected: NoCycle: 1
F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 27, 2025Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Mar 27, 2025Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0657Potential 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.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0686Actual Harm

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

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0761Potential 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.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0808Potential for Harm

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.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 20, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Oct 3, 2024Corrected: NoCycle: 2

+ 50 more deficiencies

Total Fines
$499,695
Number of Fines
6
Payment Denials
1
Total Penalties
7

Penalty History

FineFeb 20, 2024
$4,893
FineJul 17, 2023
$5,244
FineDec 26, 2023
$8,631
FineAug 28, 2025
$111,950
FineNov 19, 2025
$118,620
FineJan 30, 2025
$250,357
Payment DenialJan 30, 2025
56 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.88 hrs
National avg: 2.35 hrs
LPN0.71 hrs
National avg: 0.86 hrs
RN0.73 hrs
National avg: 0.68 hrs
Total Nursing3.31 hrs
National avg: 3.89 hrs
Weekend Total2.89 hrs
National avg: 0.00 hrs
Physical Therapist0.15 hrs
National avg: 0.07 hrs
Total Turnover
83.7%
RN Turnover
83.3%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
EDURO HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2023
BEWSEY, MICHAEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual100%Jun 1, 2023
BEWSEY, MICHAELCORPORATE OFFICERIndividualN/AJun 1, 2023
MONROE, DUSTINCORPORATE OFFICERIndividualN/AJun 1, 2023
PRECIADO, ANNAW-2 MANAGING EMPLOYEEIndividualN/AJun 1, 2023

Nearby Nursing Homes

All Montana facilities

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Yellowstone River Nursing and Rehabilitation

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St John's Lutheran Home

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Health
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Billings Rehabilitation and Nursing LLC

Billings, MT · 100 beds

Not Rated
For profit$62,797 in finesAbuse
Health
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Staffing
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Quality
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4.0 mi

River Ridge Rehabilitation and Nursing LLC

Billings, MT · 129 beds

For profit$80,893 in fines
Health
Staffing
Quality
6.6 mi

Frequently Asked Questions

What is the CMS rating for Skyline Heights Nursing and Rehabilitation?▾
Skyline Heights Nursing and Rehabilitation has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has Skyline Heights Nursing and Rehabilitation had any health inspection violations?▾
Skyline Heights Nursing and Rehabilitation had 28 deficiency citations in its most recent health inspection (Jan 30, 2025). The facility has been fined a total of $499,695 across 6 fine(s).
What are the staffing levels at Skyline Heights Nursing and Rehabilitation?▾
Skyline Heights Nursing and Rehabilitation provides 3.31 total nursing staff hours per resident per day, including 0.73 RN hours, 0.71 LPN hours, and 1.88 nurse aide hours. The total staff turnover rate is 83.7%.
How many beds does Skyline Heights Nursing and Rehabilitation have?▾
Skyline Heights Nursing and Rehabilitation has 150 certified beds with an average of 66.2 residents per day, resulting in approximately 44% occupancy. The facility is For profit - Limited Liability company owned and is part of the Eduro Healthcare chain.
Are there other nursing homes near Skyline Heights Nursing and Rehabilitation?▾
Yes, there are 5 other nursing homes in Billings, Montana with an average rating of 1.8/5. You can compare all facilities on the Billings nursing homes page.

Part of Eduro Healthcare

This chain operates 37 facilities. View all →