See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Skyline Heights Nursing and Rehabilitation

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

1807 24th St W, Billings, MT 59102150 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 39 Google reviews

5
4
3
2
1
Skyline Heights Nursing and Rehabilitation Nursing Home in Billings, MT — Street View
Street View

Watch Skyline Heights Nursing and Rehabilitation

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

10/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (28 vs median 9.0)
  • High staff turnover (84%)
  • High RN turnover (83%)

Bottom 25% in MT · Below recommended RN staffing · Very high staff turnover · Worst in EDURO HEALTHCARE chain · $460,513 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

While the therapy department is frequently praised for helping patients recover, the facility has a recurring pattern of serious neglect regarding hygiene and meal service. If you choose this facility, ensure you have a plan for frequent, unscheduled visits to monitor your loved one's care and medication adherence.

Google Reviews

Google Reviews

39 reviews on Google
Skyline Heights Nursing and Rehabilitation receives highly polarized feedback, with many families reporting serious concerns regarding neglect, poor hygiene, and inconsistent medication management. While some patients praise the therapy department and specific nursing staff for their recovery efforts, others describe a facility where residents are ignored, meals are served cold, and communication with families is severely lacking.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean2.0ActivitiesN/AMeds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective physical and occupational therapy teams
  • Friendly and supportive nursing staff
  • Active resident and family council meetings
  • Clear goal-setting for rehab patients

Concerns

  • Poor hygiene and infrequent bathing of residents (mentioned by 5 reviewers)
  • Meals served cold or significantly delayed (mentioned by 4 reviewers)
  • Lack of communication with family members (mentioned by 3 reviewers)
  • Inconsistent or poor medication management (mentioned by 2 reviewers)
  • Neglect and lack of staff responsiveness (mentioned by 6 reviewers)

Rating Trends

Tap a year to see what changed

234'18(3)'20(2)'22(3)'24(3)'26(3)

Distribution · 38 analyzed

5
17
4
4
3
0
2
0
1
17

How They Respond to Reviews

23%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard great things about your therapy teams; how do you work with families to set specific rehabilitation goals for new residents?
  • 2What specific steps are in place to ensure residents receive timely meals and that food is served at the proper temperature?
  • 3How does the nursing team manage medication schedules to ensure everything is administered accurately and on time?
  • 4What is your process for keeping family members updated on a resident's health status and daily well-being?
  • 5Can you tell us about your protocols for maintaining high standards of personal hygiene and cleanliness for all residents?
  • 6How does the facility handle medical emergencies or urgent care needs during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

My only complaint is with the nutrition department. If you didn't go out to the dining room you would be served your meals very late... Then it was often cold when it finally arrived.

Rehab patient's family · 2022★★★★

My mom fell twice and no one called...I can go on and on. If your parents or grandparents get sent here for rehab...be afraid, be very afraid.

Resident's family · 2023☆☆☆☆

My brother has been a resident there since Feb. 2025. I can’t say enough good things about the facility, and the staff they are great. My brother has been very happy there.

Long-term resident's family · 2025★★★★★
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.58hrs
78%
Registered nurses for medical care
Total Nursing
3.16hrs
77%
All nurses + aides combined
Staff Turnover
84%
Lower is better (< 30% = good)
RN Turnover
75%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

8

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility30.3%
Worse than Avg
Here
30.3%
US
15.3%
MT
19.1%
Yellowstone
28.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.4%
Worse than Avg
Here
29.4%
US
19.4%
MT
25.2%
Yellowstone
27.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility85.5%
Worse than Avg
Here
85.5%
US
95.5%
MT
93.7%
Yellowstone
89.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.6%
Mixed vs Avgs
Here
5.6%
US
12.1%
MT
5.0%
Yellowstone
5.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.5%
Worse than Avg
Here
21.5%
US
19.5%
MT
16.4%
Yellowstone
16.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.0%
Mixed vs Avgs
Here
19.0%
US
14.4%
MT
19.4%
Yellowstone
22.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.3%
Better than Avg
Here
86.3%
US
79.8%
MT
73.8%
Yellowstone
70.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.4%
Better than Avg
Here
88.4%
US
81.8%
MT
79.2%
Yellowstone
75.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.8%
Worse than Avg
Here
2.8%
US
1.6%
MT
1.4%
Yellowstone
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
7penalties
Above state avg (11.3)
28 complaint-triggered
$460,513 in fines

This facility shows concerning patterns of recurring deficiencies, particularly in care planning, nursing competency, and medication management, with families filing multiple complaints that triggered 27 of the 127 total deficiencies. Issues with resident protection from abuse and neglect appear repeatedly across surveys, indicating persistent problems despite corrections. While all deficiencies show correction dates, the repetitive nature of core care failures across multiple years suggests systemic challenges that families should carefully evaluate before choosing this facility.

Apr 23, 2026Complaint
1
0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Mar 12, 2026Routine
14
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0927Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 12, 2026Complaint
1
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Dec 31, 2025Complaint
3
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Nov 19, 2025Complaint
3
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0656Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0726Actual harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

Mar 27, 2025Complaint
5
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

Federal Penalties

Fine

Nov 19, 2025

$77,103

Fine

Aug 28, 2025

$72,768

Fine

Jan 30, 2025

$250,357

Payment Denial

Jan 30, 2025

56-day denial

Fine

Feb 20, 2024

$4,893

Fine

Dec 26, 2023

$8,631

Fine

Jul 17, 2023

$5,244

Ownership & Operations

Who Operates This Facility

Owner / Operator

Skyline Heights Nursing and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Eduro Healthcare

Chain Size

35 facilities nationwide

Chain avg rating: 2.4/5 · Rank 27 of 36 (Worst)

Ownership & Management

Key personnel

Preciado, AnnaW-2 Managing EmployeeBewsey, MichaelOfficer / DirectorMonroe, DustinOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call