SKYLINE HEIGHTS NURSING AND REHABILITATION

Special Focus Facility candidate · Yellowstone · MT · For profit - Limited Liability company · EDURO HEALTHCARE chain · 150 certified beds · CCN 275020 · BILLINGS NURSING AND REHAB CENTER LLC


SKYLINE HEIGHTS NURSING AND REHABILITATION operates 150 certified beds in BILLINGS, Montana. Its Medicare and Medicaid certification dates to 1967-01-01. It averages 76.2 residents a day.

What harm was found in the violations cited at SKYLINE HEIGHTS NURSING AND REHABILITATION?

CMS lists 63 health-inspection deficiencies for SKYLINE HEIGHTS NURSING AND REHABILITATION, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-23.

Survey dateTagDeficiencySeverity
2026-04-23F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2026-03-12F0801, F0812, F0880Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2026-03-12F0684, F0761Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.E
2026-03-12F0605, F0657Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2026-03-12F0732Post nurse staffing information every day.B
2025-12-31F0552, F0609, F0657Ensure that residents are fully informed and understand their health status, care and treatments. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-11-19F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2025-11-19F0656, F0726Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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.G
2025-03-27F0600, F0760Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that residents are free from significant medication errors.G
2025-03-27F0755, F0803Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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.E
2025-03-27F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D
2025-01-30F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-01-30F0725, F0761, F0865Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities.F
2025-01-30F0657, F0791, F0804, F0808, F0880Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide or obtain dental services for each resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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. / Provide and implement an infection prevention and control program.E
2025-01-30F0554, F0655, F0677, F0684, F0695, F0756, F0758, F0883Allow residents to self-administer drugs if determined clinically appropriate. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2024-11-20F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-10-03F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2024-10-03F0689, F0726Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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.D
2024-05-20F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-05-20F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-01-18F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G
2024-01-18F0804, F0812Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-01-18F0600, F0755Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-01-18F0585, F0610, F0622, F0636, F0638, F0644, F0655, F0656, F0657, F0684, F0761Honor 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. / Respond appropriately to all alleged violations. / 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.D
2024-01-18F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C
2023-10-12F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2023-10-12F0686, F0800Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D

Why was SKYLINE HEIGHTS NURSING AND REHABILITATION fined 5 times?

DateTypeAmount
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

Has SKYLINE HEIGHTS NURSING AND REHABILITATION had payment denied by Medicare?

Payment denial startLength in days
2025-04-3056

How is SKYLINE HEIGHTS NURSING AND REHABILITATION staffed relative to the MT average?

MeasureThis facilityMT average
Total nurse staffing hours per resident per day3.260314.04638
Total nursing staff turnover (%)74.754.8
Average number of residents per day76.256.7

Who owns SKYLINE HEIGHTS NURSING AND REHABILITATION, and what chain is it in?

SKYLINE HEIGHTS NURSING AND REHABILITATION is registered with CMS as For profit - Limited Liability company, operates under the legal business name BILLINGS NURSING AND REHAB CENTER LLC and belongs to the EDURO HEALTHCARE chain.

RoleOwnerAssociation date
W-2 MANAGING EMPLOYEEPRECIADO, ANNAsince 06/01/2023
CORPORATE OFFICERBEWSEY, MICHAEL, MONROE, DUSTINsince 06/01/2023

Were you or a family member harmed at SKYLINE HEIGHTS NURSING AND REHABILITATION?