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Data / Nursing homes / Montana / Skyline Heights Nursing and Rehabilitation

Skyline Heights Nursing and Rehabilitation, Billings, MT: 1 star rating, fined $481,582 across 6 fines and had 1 payment denial

Skyline Heights Nursing and Rehabilitation in Billings, MT is run by Billings Nursing and Rehab Center LLC, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $481,582 across 6 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 64 health citations from inspections in that time, the latest survey on July 16, 2026, and 8 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Address
1807 24th St W, Billings, MT 59102
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
150
Residents per day
79 on average
Ownership type
For profit, limited liability company
Legal business name
Billings Nursing and Rehab Center LLC
Chain
Eduro Healthcare, 34 facilities
Special focus
Special focus candidate
Fines
$481,582 across 6 fines, three years to October 1, 2026
Payment denials
1
Health citations
64, of which 8 with actual harm or immediate jeopardy
Latest survey
July 16, 2026
CMS Certification Number
275020
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 16, 2026Fine$67,830Not listeddata.cms.gov
November 19, 2025Fine$77,103Not listeddata.cms.gov
August 28, 2025Fine$72,768Not listeddata.cms.gov
January 30, 2025Fine$250,357Not listeddata.cms.gov
January 30, 2025Payment denialNot listedApril 30, 202556data.cms.gov
February 20, 2024Fine$4,893Not listeddata.cms.gov
December 26, 2023Fine$8,631Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 16, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedAugust 17, 2026data.cms.gov
April 23, 2026F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
March 12, 2026F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 12, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 12, 2026F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 14, 2026data.cms.gov
March 12, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 12, 2026F732Post nurse staffing information every day.B: pattern, minimal harm potentialCorrectedApril 3, 2026data.cms.gov
March 12, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 12, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 2, 2026data.cms.gov
March 12, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
December 31, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2026data.cms.gov
December 31, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2026data.cms.gov
December 31, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2026data.cms.gov
November 19, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.G: isolated, actual harmCorrectedNovember 27, 2025data.cms.gov
November 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedNovember 27, 2025data.cms.gov
November 19, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.G: isolated, actual harmCorrectedNovember 27, 2025data.cms.gov
March 27, 2025F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedApril 19, 2025data.cms.gov
March 27, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedApril 28, 2025data.cms.gov
March 27, 2025F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
March 27, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 25, 2025data.cms.gov
March 27, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
January 30, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedFebruary 21, 2025data.cms.gov
January 30, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 30, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 30, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 25, 2025data.cms.gov
January 30, 2025F808Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
January 30, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 25, 2025data.cms.gov
January 30, 2025F791Provide or obtain dental services for each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
January 30, 2025F761Ensure 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
January 30, 2025F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 30, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 30, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 30, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 30, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
January 30, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 25, 2025data.cms.gov
January 30, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2025data.cms.gov
January 30, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
January 30, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 26, 2025data.cms.gov
November 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2024data.cms.gov
October 3, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 1, 2024data.cms.gov
October 3, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 1, 2024data.cms.gov
October 3, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 1, 2024data.cms.gov
May 20, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 10, 2024data.cms.gov
May 20, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2024data.cms.gov
January 18, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G: isolated, actual harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C: widespread, minimal harm potentialCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
January 18, 2024F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 13, 2024data.cms.gov
October 12, 2023F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2023data.cms.gov
October 12, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2023data.cms.gov
October 12, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (1 managers, 2 officers, directors or trustees). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.