Skyline Heights Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
Skyline Heights Nursing and Rehabilitation is a 150-bed for-profit nursing home in Billings, Montana, part of Eduro Healthcare. In the CMS August 2026 release it reported 1.93 nurse aide hours per resident per day, 25% below the Montana average of 2.57, and 74.7% nursing staff turnover (Montana average 54.8%).
Skyline Heights Nursing and Rehabilitation
1807 24th St WBillings, MT 59102
Yellowstone County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Skyline Heights Nursing and Rehabilitation, nurse aides logged 1.93 hours per resident per day, 25% below the Montana average. With about 76 residents a day, that works out to roughly 147 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Montana avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.93 | 2.57 | 2.32 |
| Licensed practical nurses | 0.83 | 0.50 | 0.86 |
| Registered nurses | 0.50 | 0.98 | 0.69 |
| All nursing staff | 3.26 | 4.05 | 3.86 |
| All nursing staff, weekends | 2.89 | 3.59 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
74.7% of nursing staff at Skyline Heights Nursing and Rehabilitation left over the year CMS measured, against a Montana average of 54.8% and a US average of 45.8%. Registered nurse turnover was 62.5%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 12, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 15 health deficiencies (Montana average 11.5). CMS lists 5 fines totaling $413,752 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 19, 2025 | Fine | $77,103 |
| Aug 28, 2025 | Fine | $72,768 |
| Jan 30, 2025 | Fine | $250,357 |
| Jan 30, 2025 | Payment Denial | 56 days from Apr 30, 2025 |
| Feb 20, 2024 | Fine | $4,893 |
| Dec 26, 2023 | Fine | $8,631 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Skyline Heights Nursing and Rehabilitation holds 1 of 5 overall; the Montana average is 2.9.
About Skyline Heights Nursing and Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Eduro Healthcare, 34 homes
- Legal name: Billings Nursing and Rehab Center LLC
- Medicare and Medicaid certified since: Jan 1, 1967
- Councils: resident council
- Area: urban
Nursing homes near Skyline Heights Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Aspen Meadows Health and Rehabilitation Center Billings | 0.5 | 90 | 2.38 | 3.63 | 76.2% | 2 | $115,183 |
| Yellowstone River Nursing and Rehabilitation Billings | 1.4 | 160 | 1.80 | 3.15 | 71.8% | 1 | $142,698 |
| St John's Lutheran Home Billings | 2.1 | 186 | 3.42 | 5.40 | 44.6% | 4 | None |
| Billings Rehabilitation and Nursing LLC Billings | 4.0 | 100 | 2.20 | 3.34 | 72.5% | 2 | $62,797 |
| River Ridge Rehabilitation and Nursing LLC Billings | 6.6 | 129 | 1.93 | 3.23 | 50.0% | 2 | $80,893 |
| Laurel Health & Rehabilitation Center Laurel | 12.0 | 79 | 1.89 | 3.24 | 67.6% | 1 | $7,163 |
| Beartooth Rehabilitation and Nursing LLC Columbus · SFF candidate · abuse citation | 34.4 | — | 1.86 | 2.95 | — | 1 | $50,592 |
| Awe Kualawaache Care Center Crow Agency | 56.2 | 40 | 2.45 | 4.08 | 61.5% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.