Nursing home report
BILLINGS, MT · Medicare-certified · 150 beds
Skyline Heights Nursing and Rehabilitation has a 1-star overall rating, with 1-star health inspections, 2-star staffing and quality measures, and nurse staffing below the federal benchmark (3.16 vs 4.1 hours per resident per day). It is a special focus candidate/facility and has had $400,228 in fines in the last 24 months, with recent citations for treatment, care planning, and staff competency issues.
Health inspections
Staffing
3.1641 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1641.
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 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
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.
