Nursing home report
BILLINGS, MT · Medicare-certified · 150 beds
Skyline Heights Nursing and Rehabilitation in Billings, MT has a 1-star overall rating, with 1-star health inspection and quality ratings and 2-star staffing. It is a special focus candidate/facility, has $400,228 in fines over the last 24 months, and reported nurse staffing of 3.26 hours per resident per day versus the 4.1 federal benchmark.
Health inspections
Staffing
3.2603 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2603.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2025 — isolated incident, actual harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited November 2025 — isolated incident, actual harm.
F-Tag 726 — 42 CFR §483.35 — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2025 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited March 2025 — isolated incident, actual harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 8 health deficiencies.
Health inspection found 3 health deficiencies.
A federal fine of $77,103 was recorded.
Health inspection found 3 health deficiencies.
A federal fine of $72,768 was recorded.
A federal payment denial was recorded.
A federal fine of $250,357 was recorded.
On record with Medicare: 6 fines · $418,996 in total fines · 1 payment denial.
Federal fine
Nov 19, 2025
Federal fine
Aug 28, 2025
Medicare/Medicaid payment denial
Jan 30, 2025
Federal fine
Jan 30, 2025
Federal fine
Feb 20, 2024
Federal fine
Dec 26, 2023
Federal fine
Jul 17, 2023
Now operated by Skyline Heights Nursing and Rehabilitation, previously Bella Terra of Billings.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
