Nursing homeFAID #7468
Skyline Heights Nursing and Rehabilitation
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing1/5 quality measuresSource: CMS Care Compare
Photo via Google · Skyline Heights Nursing and Rehabilitation
Public record summary
What we can show you for free.
Bed capacity
150
CMS facility ID
275020
Care type
Nursing home
County
Yellowstone
Facility name
Skyline Heights Nursing and Rehabilitation
Street address
1807 24TH ST W
City / state / ZIP
Billings, MT 59102
Phone
(406) 656-5010
Website
About this facility — Skyline Heights Nursing and Rehabilitation
Skyline Heights Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Billings, Montana. It is licensed for 150 beds — well above the median for skilled nursing facilities in Montana (75 beds).
It is one of 38 senior care facilities in Billings and 62 skilled nursing facilities across Montana. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Skyline Heights Nursing and Rehabilitation 96 times across 16 inspections in the last three years, including 9 food-safety citations, and CMS has imposed $413,752 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Eduro Healthcare
Ownership type
For profit - Limited Liability company
Registered owners & officers
Bewsey, Michael
Officer — since 2023
Monroe, Dustin
Officer — since 2023
Preciado, Anna
Managing employee — since 2023
Regulatory standing
Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1967-01-01
CMS overall rating
1 of 5 stars
Health deficiencies
15 at the last standard inspection
Federal fines
$413,752 total
Last standard inspection
2026-03-12
Nurse staffing
3.3 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$361 per day (≈ $10,970/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
59% Medicaid · 12% Medicare · 30% private/other
Occupancy
54% (fiscal year 2023)
Vs. state median
2% above the MT median of $355/day — full state cost breakdown
Services & coverage
Licensed beds
150
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 9 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-23Health inspectionComplaint-triggered1 citation
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-05-15
2026-03-12Health inspectionComplaint-triggered8 citations
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-04-03
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-04-02
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-03
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2026-04-03
F-0761
E · No harm found
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.
Corrected 2026-04-03
F-0801
F · No harm foundFood safety
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.
Corrected 2026-05-14
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-03
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-03
12 earlier / fire-safety inspections (87 citations)
2025-12-31Health inspectionComplaint-triggered3 citations
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-01-20
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-20
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-20
2025-11-19Health inspectionComplaint-triggered3 citations
F-0656
G · Actual harmFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-11-27
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-27
F-0726
G · Actual harmFrom a complaint
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.
Corrected 2025-11-27
2025-03-27Health inspectionComplaint-triggered5 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-28
F-0726
D · No harm foundFrom a complaint
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.
Corrected 2025-04-19
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-25
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-04-19
F-0803
E · No harm foundFood safetyFrom a complaint
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.
Corrected 2025-04-19
2025-01-30Health inspection17 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-03-26
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-02-21
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-03-25
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-25
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-27
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-21
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-21
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-02-21
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-02-21
F-0758
D · No harm found
Implement 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.
Corrected 2025-02-21
F-0761
F · No harm found
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.
Corrected 2025-03-25
F-0791
E · No harm found
Provide or obtain dental services for each resident.
Corrected 2025-03-27
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-25
F-0808
E · No harm foundFood safety
Ensure 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.
Corrected 2025-03-27
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-06-25
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-02-21
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-02-21
2024-11-20Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-12
2024-10-03Health inspectionComplaint-triggered3 citations
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-01
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-01
F-0726
D · No harm foundFrom a complaint
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.
Corrected 2024-11-01
2024-05-20Health inspectionComplaint-triggered2 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-10
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-10
2024-01-18Health inspectionComplaint-triggered17 citations
F-0585
D · No harm foundFrom a complaint
Honor 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.
Corrected 2024-02-13
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-13
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-02-13
F-0622
D · No harm found
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-02-13
F-0623
C · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-02-13
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-02-13
F-0638
D · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-02-13
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-02-13
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-02-13
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-13
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-13
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-13
F-0690
G · Actual harmFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-02-13
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-13
F-0761
D · No harm found
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.
Corrected 2024-02-13
F-0804
F · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-13
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-13
2023-10-12Health inspectionComplaint-triggered3 citations
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-27
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-27
F-0800
D · No harm foundFood safetyFrom a complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2023-11-27
2026-03-12Fire-safety inspection7 citations
K-0222
D · No harm found
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.
Corrected 2026-04-02
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-04-02
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-02
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-04-02
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-04-02
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-04-02
K-0927
D · No harm found
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2026-04-02
2025-01-30Fire-safety inspection16 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-02-28
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-02-28
E-0009
F · No harm found
Include a process for Emergency Preparedness collaboration.
Corrected 2025-02-28
E-0029
F · No harm found
Develop a communication plan.
Corrected 2025-02-28
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2025-02-28
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2025-02-28
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-02-28
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-02-28
K-0222
D · No harm found
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.
Corrected 2025-02-28
K-0225
D · No harm found
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-02-28
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-02-28
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-28
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-28
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-28
K-0754
D · No harm found
Provide properly sized and located linen or trash receptacles.
Corrected 2025-02-28
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-08
2024-01-18Fire-safety inspection10 citations
K-0222
D · No harm found
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.
Corrected 2024-02-28
K-0241
D · No harm found
Have correct number of accessible exits for each story.
Corrected 2024-02-28
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-02-28
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2024-02-28
K-0325
D · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-02-28
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-28
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-02-28
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-02-28
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-02-28
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-02-28
Federal penalties
2025-11-19Fine$77,103
2025-08-28Fine$72,768
2025-01-30Fine$250,357
2024-02-20Fine$4,893
2023-12-26Fine$8,631
2025-01-30Medicare payment denial — 56 days
Total fines$413,752
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 275020.
Visitor reviews
What people say on Google.
3.0★★★★★39 ratings on Google
★Emily catalano · 2026-04-14 · via Google“Probably one of the worst nursing homes. They do not care or take care of their residents and honestly should be turned in for mistreatment on all residents. We have walked into my aunts room on more then one occasion and she was completely naked no oxygen and no nursing staff in site. She’s went all day without being changed went multiple days without a bath. The give more medication then needed …”
★★★★★Penny Hotzel · 2025-09-08 · via Google“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, he has made friends with many of the residents and also staff,they all look out for each other. They have care conferences every three months. Resident council meetings,also family counsel meetings. So if you have any complaint…”
★Leah H · 2025-09-30 · via Google“They seem to over medicate and even if you inform the staff multiple times to various people and different people voice this concern nothing is done. We checked my mother in on a Thursday and she died 5 days later. Careful placing your loved ones in their care.”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 96 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered