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C
Below Standard

SKYLINE HEIGHTS NURSING AND REHABILITATION

1807 24TH ST W · BILLINGS, MT 59102

4066565010 · For profit - Limited Liability company

150 beds66.2 residents110 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SKYLINE HEIGHTS NURSING AND REHABILITATION receives an overall staffing grade of C (Below Standard). With 3.3247 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7368 HPRD, below the recommended 0.75. It is 0.57 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.12% compared to weekdays. The facility has low agency staff usage (2.51% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3247 HPRD — needs 0.16 more hours per resident per day.
⚠️RN staffing (0.7368 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.51%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3247hrs/resident/day▼ 0.57
CMS benchmark: 3.48
RN HPRD
0.7368hrs/resident/day▲ 0.05
Recommended: 0.75
Weekend Drop-off
17.12%
3.4938 weekday → 2.8955 weekend
Agency Staff
2.51%
1.34% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8822hrs/resident/day
Direct care aides
LPN HPRD
0.7057hrs/resident/day
Licensed practical nurses
Consistency
0.4276std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Yellowstone County Average-0.21 HPRD
3.53
03.32 HPRD
vs. Montana State Average-0.66 HPRD
3.98
03.32 HPRD
vs. National Average-0.57 HPRD
3.90
03.32 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SKYLINE HEIGHTS NURSING AND REHABILITATION ★
BILLINGS · This facility
—
C
3.32470.7368★☆☆☆☆
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER
BILLINGS
0.5 mi
C
3.48630.4232★★☆☆☆
YELLOWSTONE RIVER NURSING AND REHABILITATION
BILLINGS
1.4 mi
C
3.34780.7171★☆☆☆☆
ST JOHN'S LUTHERAN HOME
BILLINGS
2 mi
A
4.9221.4007★★★★☆
BILLINGS REHABILITATION AND NURSING LLC
BILLINGS
3.9 mi
C
3.22680.7276☆☆☆☆☆
RIVER RIDGE REHABILITATION AND NURSING LLC
BILLINGS
6.6 mi
C
3.24560.4456★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
80
Total Deficiencies
$499,695
Fines Assessed
Dec 31, 2025Health
3 deficiencies cited
▼
Nov 19, 2025Health
3 deficiencies cited· Includes actual harm
▼
Mar 27, 2025Health
5 deficiencies cited· Includes actual harm
▼
Jan 30, 2025Health
17 deficiencies cited· Includes actual harm
▼
Nov 20, 2024Health
1 deficiency cited
▼
Oct 3, 2024Health
3 deficiencies cited
▼
May 20, 2024Health
2 deficiencies cited
▼
Jan 18, 2024Health
17 deficiencies cited· Includes actual harm
▼
Oct 12, 2023Health
3 deficiencies cited
▼
Mar 21, 2023Health
1 deficiency cited
▼
Feb 2, 2023Health
25 deficiencies cited· Includes actual harm
▼

Penalty History

Nov 19, 2025Fine
$118,620
Aug 28, 2025Fine
$111,950
Jan 30, 2025Fine
$250,357
Jan 30, 2025Payment Denial
Feb 20, 2024Fine
$4,893
Dec 26, 2023Fine
$8,631
Jul 17, 2023Fine
$5,244
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.