SKYLINE HEIGHTS NURSING AND REHABILITATION – Nursing Home, BILLINGS, Montana
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
7 substantiated complaints
Special Focus Facility: SFF Candidate
Last cited survey: 12 March 2026 · 100 health and 100 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
1807 24TH ST W
BILLINGS, MT 59102
Phone: (406) 656-5010
Compare to MT average
See how this facility compares to the MT state average among rated nursing homes (73 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | MT average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 1 | 3.08 | 4 |
| Health inspection | 1 | 2.86 | 3 |
| Staffing | 2 | 3.6 | 5 |
| Quality measures | 2 | 3.26 | 4 |
| Certified beds | 150 | 85.7 | — |
| Citations on file (health + fire) | 348 | ~6.6 health* | — |
- ASPEN MEADOWS HEALTH AND REHABILITATION CENTER — 2★ overall
- BILLINGS REHABILITATION AND NURSING LLC
- RIVER RIDGE REHABILITATION AND NURSING LLC — 2★ overall
- ST JOHN'S LUTHERAN HOME — 4★ overall
- YELLOWSTONE RIVER NURSING AND REHABILITATION — 1★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| BEWSEY, MICHAEL C | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 100.00 | 06/01/2023 |
| BEWSEY, MICHAEL C | CORPORATE OFFICER | Individual | - | 06/01/2023 |
| PRECIADO, ANNA | W-2 MANAGING EMPLOYEE | Individual | - | 06/01/2023 |
| MONROE, DUSTIN | CORPORATE OFFICER | Individual | - | 06/01/2023 |
| EDURO HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 06/01/2023 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
200 citations on file · Latest survey: 12 March 2026 · 100 health · 100 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-03-12 | F880 | F — Minimal harm, widespread | Health | Provide and implement an infection prevention and control program. |
| 2026-03-12 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2026-03-12 | F801 | F — Minimal harm, widespread | Health | 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. |
| 2026-03-12 | F761 | E — Minimal harm, pattern | Health | 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. |
| 2026-03-12 | F732 | B — No actual harm, pattern | Health | Post nurse staffing information every day. |
| 2026-03-12 | F684 | E — Minimal harm, pattern | Health | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2026-03-12 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2026-03-12 | F605 | D — Minimal harm, isolated | Health | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. |
| 2025-12-31 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2025-12-31 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2025-12-31 | F657 | D — Minimal harm, isolated | Health | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2025-12-31 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2025-12-31 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2025-12-31 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2025-12-31 | F552 | D — Minimal harm, isolated | Health | Ensure that residents are fully informed and understand their health status, care and treatments. |
| 2025-12-31 | F552 | D — Minimal harm, isolated | Health | Ensure that residents are fully informed and understand their health status, care and treatments. |
| 2025-12-31 | F552 | D — Minimal harm, isolated | Health | Ensure that residents are fully informed and understand their health status, care and treatments. |
| 2025-11-19 | F726 | G — Actual harm, isolated | Health | 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. |
| 2025-11-19 | F726 | G — Actual harm, isolated | Health | 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. |
| 2025-11-19 | F726 | G — Actual harm, isolated | Health | 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. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-03-12 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2026-03-12 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2026-03-12 | K927 | D — Minimal harm, isolated | Fire Safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. |
| 2026-03-12 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2026-03-12 | K374 | E — Minimal harm, pattern | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2026-03-12 | K355 | E — Minimal harm, pattern | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2026-03-12 | K222 | D — Minimal harm, isolated | Fire Safety | 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. |
| 2025-01-30 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-01-30 | K293 | E — Minimal harm, pattern | Fire Safety | Have properly located and lighted "Exit" signs. |
| 2025-01-30 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2025-01-30 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-01-30 | K374 | E — Minimal harm, pattern | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2025-01-30 | K754 | D — Minimal harm, isolated | Fire Safety | Provide properly sized and located linen or trash receptacles. |
| 2025-01-30 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-01-30 | E4 | F — Minimal harm, widespread | Fire Safety | Develop and maintain an Emergency Preparedness Program (EP). |
| 2025-01-30 | E6 | F — Minimal harm, widespread | Fire Safety | Conduct risk assessment and an All-Hazards approach. |
| 2025-01-30 | E9 | F — Minimal harm, widespread | Fire Safety | Include a process for Emergency Preparedness collaboration. |
| 2025-01-30 | E29 | F — Minimal harm, widespread | Fire Safety | Develop a communication plan. |
| 2025-01-30 | E30 | F — Minimal harm, widespread | Fire Safety | List the names and contact information of those in the facility. |
| 2025-01-30 | E37 | F — Minimal harm, widespread | Fire Safety | Establish staff and initial training requirements. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| Quality of Resident Care Rating | 2 |
| Quality of Resident Care Rating (Long Stay) | 4 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 2 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 2.47339 |
| Reported LPN Staffing Hours per Resident per Day | 0.68849 |
| Reported RN Staffing Hours per Resident per Day | 0.58472 |
| Reported Licensed Staffing Hours per Resident per Day | 1.27321 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.16408 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.10241 |
| Casemix CNA Staffing Hours per Resident per Day | 2.03167 |
| Casemix LPN Staffing Hours per Resident per Day | 0.74989 |
| Casemix RN Staffing Hours per Resident per Day | 0.34789 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.12945 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.51327 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.72473 |
| Adjusted RN Staffing Hours per Resident per Day | 0.6155 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.33065 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-04-18 |
Date of Standard Health Survey (Cycle 2) | 2018-06-14 |
Total Number of Health Deficiencies (Cycle 1) | 8 |
Number of Standard Health Deficiencies (Cycle 1) | 8 |
Health Deficiency Score (Cycle 1) | 60 |
Number of Health Revisits (Cycle 1) | 2 |
Health Revisit Score (Cycle 1) | 30 |
Total Health Score (Cycle 1) | 90 |
Total Number of Health Deficiencies (Cycle 2) | 11 |
Number of Standard Health Deficiencies (Cycle 2) | 11 |
Number of Complaint Health Deficiencies (Cycle 2) | 3 |
Health Deficiency Score (Cycle 2) | 52 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 52 |
Date of Standard Health Survey (Cycle 3) | 2016-12-15 |
Total Number of Health Deficiencies (Cycle 3) | 16 |
Number of Standard Health Deficiencies (Cycle 3) | 11 |
Number of Complaint Health Deficiencies (Cycle 3) | 5 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 128 |
Total Health Score (Cycle 3) | 128 |
Total Weighted Health Survey Score | 281.75 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 40 |
Number of Substantiated Complaints | 7 |
Number of Fines | 6 |
Total Amount of Fines in Dollars | 418996 |
Number of Payment Denials | 1 |
Total Number of Penalties | 7 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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