Skyline Heights Nursing And Rehabilitation has received an F grade based on CMS data, with a score of 2/100 — placing it among the lowest-rated nursing facilities in Montana. Families considering this Billings facility should carefully review its inspection history and quality metrics.
With 3.31 total nurse hours per resident per day, Skyline Heights Nursing And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 80 deficiencies at Skyline Heights Nursing And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are fully informed and understand their health status, care and treatments..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.31 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.73 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.71 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.88 | 2.4 | Below Average |
| Weekend Total Nursing | 2.89 | 3.8 | Below Average |
| Weekend RN Hours | 0.59 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Dec 30, 2025 · Resident Rights Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Dec 30, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Dec 30, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0656 Severity GDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Nov 18, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.2% | 4.5% | Average |
| Falls with major injury | 4.4% | 3.0% | Worse |
| On antipsychotic medication | 18.7% | 14.5% | Worse |
| Urinary tract infections | 6.4% | 2.5% | Worse |
| ADL decline (daily activities) | 15.7% | 14.0% | Worse |
| Excessive weight loss | 3.8% | 7.5% | Better |
| New/worsened incontinence | 28.6% | 45.0% | Better |
⚠️ Penalties & Fines
6 penalties recorded by CMS
Total fines: $460,513
How This Grade Was Calculated
This facility's grade of F is based on a score of 2 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Montana
- FBENEFIS SENIOR SERVICES - EASTVIEWGREAT FALLS
- A
- BST JOHN'S LUTHERAN HOMEBILLINGS
- FKALISPELL REHABILITATION AND NURSING LLCKALISPELL
- F