Skilled Nursing

SKYLINE HEIGHTS NURSING AND REHABILITATION

1807 24TH ST W, BILLINGS, MT 59102

150beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

Special Focus Candidate — This facility has been identified as a candidate for the Special Focus Facility program, indicating below-average inspection performance.

2.8h

Hrs/resident · weekday

Expected: 3.3h

3.0h

Hrs/resident · weekend

vs 2.8h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
75%
LPNs
CNAs
84%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0684Severity JNov 19, 2025

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

Corrected: Nov 27, 2025

62 standard deficiencies in the last 3 years

View all
0757Severity DApr 23, 2026

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

0880Severity FMar 12, 2026

Provide and implement an infection prevention and control program.

0812Severity FMar 12, 2026

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0801Severity FMar 12, 2026

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.

0761Severity EMar 12, 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.

0732Severity BMar 12, 2026

Post nurse staffing information every day.

0684Severity EMar 12, 2026

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

0657Severity DMar 12, 2026

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0605Severity DMar 12, 2026

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0657Severity DDec 31, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0609Severity DDec 31, 2025

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

0552Severity DDec 31, 2025

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

0726Severity GNov 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.

0656Severity GNov 19, 2025

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

0803Severity EMar 27, 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.

0760Severity GMar 27, 2025

Ensure that residents are free from significant medication errors.

0755Severity EMar 27, 2025

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

0726Severity DMar 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.

0600Severity GMar 27, 2025

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

0883Severity DJan 30, 2025

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

0880Severity EJan 30, 2025

Provide and implement an infection prevention and control program.

0865Severity FJan 30, 2025

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

0808Severity EJan 30, 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.

0804Severity EJan 30, 2025

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

0791Severity EJan 30, 2025

Provide or obtain dental services for each resident.

0761Severity FJan 30, 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.

0758Severity DJan 30, 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.

0756Severity DJan 30, 2025

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

0725Severity FJan 30, 2025

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

0695Severity DJan 30, 2025

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

0686Severity GJan 30, 2025

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

0684Severity DJan 30, 2025

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

0677Severity DJan 30, 2025

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

0657Severity EJan 30, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0655Severity DJan 30, 2025

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

0554Severity DJan 30, 2025

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

0684Severity DNov 20, 2024

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

0726Severity DOct 3, 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.

0689Severity DOct 3, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0677Severity EOct 3, 2024

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

0812Severity FMay 20, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0677Severity DMay 20, 2024

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

0812Severity FJan 18, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Severity FJan 18, 2024

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

0761Severity DJan 18, 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.

0755Severity EJan 18, 2024

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

0690Severity GJan 18, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0684Severity DJan 18, 2024

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

0657Severity DJan 18, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0656Severity DJan 18, 2024

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

0655Severity DJan 18, 2024

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

0644Severity DJan 18, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0638Severity DJan 18, 2024

Assure that each resident’s assessment is updated at least once every 3 months.

0636Severity DJan 18, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0623Severity CJan 18, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0622Severity DJan 18, 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.

0610Severity DJan 18, 2024

Respond appropriately to all alleged violations.

0600Severity EJan 18, 2024

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

0585Severity DJan 18, 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.

0800Severity DOct 12, 2023

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0686Severity DOct 12, 2023

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

0677Severity EOct 12, 2023

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

View full inspection history on Medicare.gov

Civil Monetary Penalties

Fined 6 times · $418,996 total

Nov 19, 2025$77,103Fine
Aug 28, 2025$72,768Fine
Jan 30, 2025$250,357Fine
Feb 20, 2024$4,893Fine
Dec 26, 2023$8,631Fine
Jul 17, 2023$5,244Fine
View on Medicare.gov

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

BILLINGS NURSING AND REHAB CENTER LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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