Skyline Heights Nursing and Rehabilitation
1807 24TH ST W, Billings, MT 59102
Billings, Montana · CMS verdict
CMS rates Skyline Heights Nursing and Rehabilitation at 1 of 5 stars overall - below-average on the federal scale, and below the Montana average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Skyline Heights Nursing and Rehabilitation in Billings, Montana holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 15 of 100 (grade F). The 150-bed facility operates where a semi-private nursing-home room in Montana runs a median of $8,973 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (larger bed book)
At 150 certified beds, this facility sits in the upper U.S. bed tercile (>120). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 15 is built
Each segment is a dimension's weighted points toward the score, summing to 15.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Skyline Heights Nursing and Rehabilitation's larger certified-bed book
Quality ratings
On Care Compare (data as of April 2026), Skyline Heights Nursing and Rehabilitation carries an overall CMS quality rating of 1 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (1/5), staffing (2/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Billings, Montana, this facility operates 150 certified beds with an average daily census of roughly 66 residents - an occupancy rate of about 44%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 44% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (80 total). CMS has levied 6 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Skyline Heights Nursing and Rehabilitation's lower-tercile stars compare to Montana
CMS five-star sub-ratings (0–5) for this facility against the Montana facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Montana state average. Higher is better on all four CMS measures.
Where Skyline Heights Nursing and Rehabilitation ranks in Montana
Among the 59 CMS-rated nursing homes in Montana, Skyline Heights Nursing and Rehabilitation’s 1-star overall rating is higher than 0% of them. The bars show how all Montana homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
12 Montana homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 150 |
| Residents | 66 |
| Ownership | For profit - Limited Liability company |
| County | Yellowstone |
| Penalties | 6 |
| Deficiencies | 80 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Skyline Heights Nursing and Rehabilitation's larger facility
What is the quality rating for Skyline Heights Nursing and Rehabilitation? ▾
CMS rates Skyline Heights Nursing and Rehabilitation at 1 out of 5 stars overall. The three sub-ratings behind that number: health inspection 1/5, staffing 2/5, quality measures 2/5.
How much does a nursing home cost per month in Montana? ▾
The median cost for a semi-private nursing home room in Montana is $8,973 per month ($107,675 annually). A private room averages $9,581 per month. Costs are from the CareScout 2025 survey.
What services does Skyline Heights Nursing and Rehabilitation offer? ▾
Skyline Heights Nursing and Rehabilitation is a skilled nursing facility with 150 beds with approximately 66 current residents. It operates under for profit - limited liability company ownership. The facility has recorded 80 deficiencies and 6 penalties in CMS inspections.
Does Skyline Heights Nursing and Rehabilitation have any deficiencies or penalties? ▾
Skyline Heights Nursing and Rehabilitation has multiple deficiencies (80 total) and 6 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Montana? ▾
In Montana, alternatives include assisted living ($6,075/mo), home health aides ($7,245/mo), and adult day care ($5,783/mo).
Keep reading
Also see the Montana elder-care overview and highest-rated states. Provider ID: 275020.
Read our methodology - how this data is sourced, computed, and verified.