Nursing homes › Montana › Skyline Heights Nursing and Rehabilitation
1807 24Th St W, Billings, MT 59102 · 4066565010 · 150 certified beds
Per CMS filings, this facility is affiliated with Eduro Healthcare, a group operating 35 facilities in 7 states. Group record: average rating 2.4/5, 5 abuse citation icons, 2 facilities on the Special Focus list, $2,770,280 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.26 (Montana median: 3.87). RN hours: 0.50. Weekend total: 2.89. Nursing staff turnover: 75%.
All-time on record: 63 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-23 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2026-05-15 |
| 2026-03-12 | 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. | F | Health | corrected 2026-05-14 |
| 2026-03-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-04-03 |
| 2026-03-12 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-04-03 |
| 2026-03-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2026-04-03 |
| 2026-03-12 | 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 | Health | corrected 2026-04-03 |
| 2026-03-12 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-04-03 |
| 2026-03-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-04-02 |
| 2026-03-12 | Post nurse staffing information every day. | B | Health | corrected 2026-04-03 |
| 2025-12-31 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2026-01-20 |
| 2025-12-31 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-01-20 |
| 2025-12-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-01-20 |
| 2025-11-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2025-11-27 |
| 2025-11-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | complaint | corrected 2025-11-27 |
| 2025-11-19 | 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 | complaint | corrected 2025-11-27 |
| 2025-03-27 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-04-28 |
| 2025-03-27 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2025-04-19 |
| 2025-03-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-06-25 |
| 2025-03-27 | 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 | complaint | corrected 2025-04-19 |
| 2025-03-27 | 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 | complaint | corrected 2025-04-19 |
| 2025-01-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2025-02-21 |
| 2025-01-30 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Health | corrected 2025-02-21 |
| 2025-01-30 | 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. | F | Health | corrected 2025-03-25 |
| 2025-01-30 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2025-06-25 |
| 2025-01-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2025-03-25 |
| 2025-01-30 | Provide or obtain dental services for each resident. | E | Health | corrected 2025-03-27 |
| 2025-01-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-06-25 |
| 2025-01-30 | 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. | E | Health | corrected 2025-03-27 |
| 2025-01-30 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-02-21 |
| 2025-01-30 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-03-26 |
| 2025-01-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-02-21 |
| 2025-01-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-06-25 |
| 2025-01-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-03-27 |
| 2025-01-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-02-21 |
| 2025-01-30 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-02-21 |
| 2025-01-30 | 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. | D | Health | corrected 2025-02-21 |
| 2025-01-30 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-02-21 |
| 2024-11-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-12-12 |
| 2024-10-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-11-01 |
| 2024-10-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-11-01 |
| Date | Type | Amount |
|---|---|---|
| 2025-11-19 | Fine | $77,103 |
| 2025-08-28 | Fine | $72,768 |
| 2025-01-30 | Fine | $250,357 |
| 2025-01-30 | Payment Denial | 56 days payment denial |
| 2024-02-20 | Fine | $4,893 |
| 2023-12-26 | Fine | $8,631 |
| 2023-07-17 | Fine | $5,244 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BEWSEY, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2023 |
| MONROE, DUSTIN | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 275020. Corrections: data@carerecords.org.