Billings · 59102
Aspen Meadows Health and Rehabilitation Center
3155 Ave C
Billings, MT 59102
Skyline Heights Nursing and Rehabilitation
⌖ Billings, MT · Yellowstone County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds150
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Skyline Heights Nursing and Rehabilitation
Skyline Heights Nursing and Rehabilitation is a 150-bed for-profit nursing home in Billings, MT. Medicare rates it 1 out of 5 stars overall (much below average); the average in Montana is 2.9. Medicare lists it as a candidate for its Special Focus program because of a history of serious problems. At its last full inspection (Mar 2026), inspectors found 16 problems, more than the Montana average of 11.2. 4 citations in its recent inspections were for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 16 min a day with each resident, less than the Montana average of 4 hr 03 min. About 75% of its nursing staff left in the past year. Medicare fined it $413,752 in the last three years. Its quality ratings are similar for short-term rehab (2 of 5) and long-term care (1 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Is this your home? Tell families what makes it special: add photos, a description, care programs and amenities, and answer anything Medicare’s data flags.
Key details
Facility nameSkyline Heights Nursing And Rehabilitation
LocationYellowstone County, Montana
Phone(406) 656-5010
Address1807 24th St W, Billings, MT 59102 · Yellowstone County
CMS provider number275020
Ownership typeFor-profit (limited liability company)
Operating companyEduro Healthcare · 34 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 1, 1967 (59 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
7 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Special Focus Facility candidateYesMedicare lists this home as a candidate for its Special Focus program, which follows homes with a history of quality problems more closely.Ask about this
- Serious health citations1 for immediate jeopardy and 3 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jul 2026 (within the past year). All 4 were later corrected.Ask about this
- Fines and penalties5 fines totaling $413,752; 1 Medicare payment denialFederal penalties from the last three years, most recently in Nov 2025 (within the past year). The national average is $30,972 per home.Ask about this
- Health citations at last inspection16 (Mar 2026)Montana average: 11.2. Most citations are minor and corrected within weeks.Worse than state average
- Nurse staffing per resident3 hr 16 min a dayMontana average: 4 hr 03 minWorse than state average
- Registered nurse time per resident30 min a dayMontana average: 59 minWorse than state average
- Nursing staff turnover75% a yearMontana average: 55%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Montana average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital20.4%State average: 19.2%About average
- Needed an emergency room visit14.4%State average: 14.5%About average
- Newly given antipsychotic drugs2.9%State average: 1.2%Worse than average
Physical therapist time: about 5 minutes per resident a day. That is more than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury3.4%State average: 4.4%Better than average
- Pressure sores (bedsores)4.6%State average: 6.3%Better than average
- Given antipsychotic drugs19.5%State average: 20.4%About average
- Hospital stays per 1,000 resident days1.9State average: 1.4Worse than average
Source: Medicare (CMS) quality measures, compared with the Montana average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Montana, Medicaid pays for 56% of resident days at a typical home.
- 64% Medicaid
- 11% Medicare
- 24% Private pay, insurance and other
Beds in use, on average54%Montana typical: 71%
Cost of care per resident day$432Montana typical: $374
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 2 stars in January 2019. It has ranged from 1 to 4 stars and changed 10 times.
Overall rating1★
Health inspections1★
Staffing2★
Quality of care1★
Nurse hours per resident per day3.3
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 2 | 2 | 4 | 3.0 |
| Jan 2020 | 3 | 2 | 4 | 4 | 3.6 |
| Jan 2021 | 3 | 2 | 3 | 5 | 3.8 |
| Jan 2022 | 1 | 2 | 1 | 2 | 3.9 |
| Jan 2023 | 1 | 1 | 3 | 2 | 3.6 |
| Jan 2024 | 1 | 1 | 1 | 1 | 2.7 |
| Feb 2025 | 1 | 1 | 1 | 2 | 3.1 |
| Feb 2026 | 1 | 1 | 2 | 2 | 3.3 |
| Sep 2026 | 1 | 1 | 2 | 1 | 3.3 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
Loading…
Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
Other nursing homes near Billings
Looking at more than one home? Here are other facilities from the directory in Billings and the nearby area.
Billings · 59102
Yellowstone River Nursing and Rehabilitation
2115 Central Ave
Billings, MT 59102
Billings · 59102
St John's Lutheran Home
3940 Rimrock Rd
Billings, MT 59102
Explore the area
View more homes nearby
Browse nursing homes in Billings and the surrounding area.
See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.