Starfile / Montana

SKYLINE HEIGHTS NURSING AND REHABILITATION

1807 24TH ST W, BILLINGS, MT 59102 · CCN 275020

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Inspection history vs Montana & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$460,513

Number of fines

6

Number of penalties

7

Payment denials

1

Chain

Chain

EDURO HEALTHCARE

Facilities in chain

36

Chain avg overall

2.40 / 5

Inspection citations (80)1 immediate jeopardy13 actual harm

1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-12-31 · Health · corrected 2026-01-20

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-31 · Health · corrected 2026-01-20

   Potential for more than minimal harm

3. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-12-31 · Health · corrected 2026-01-20

   Potential for more than minimal harm

4. GF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-19 · Health · corrected 2025-11-27

   Actual harm

5. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-19 · Health · corrected 2025-11-27

   Immediate jeopardy

6. GF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-11-19 · Health · corrected 2025-11-27

   Actual harm

7. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-27 · Health · corrected 2025-04-28

   Actual harm

8. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-03-27 · Health · corrected 2025-04-19

   Potential for more than minimal harm

9. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-27 · Health · corrected 2025-06-25

   Potential for more than minimal harm

10. GF0760Ensure that residents are free from significant medication errors.2025-03-27 · Health · corrected 2025-04-19

    Actual harm

11. EF0803Ensure 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.2025-03-27 · Health · corrected 2025-04-19

    Potential for more than minimal harm

12. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-01-30 · Health · corrected 2025-03-26

    Potential for more than minimal harm

13. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-01-30 · Health · corrected 2025-02-21

    Potential for more than minimal harm

14. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-30 · Health · corrected 2025-03-25

    Potential for more than minimal harm

15. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-30 · Health · corrected 2025-06-25

    Potential for more than minimal harm

16. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-30 · Health · corrected 2025-03-27

    Potential for more than minimal harm

17. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-30 · Health · corrected 2025-02-21

    Actual harm

18. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-30 · Health · corrected 2025-02-21

    Potential for more than minimal harm

19. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-01-30 · Health · corrected 2025-02-21

    Potential for more than minimal harm

20. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-01-30 · Health · corrected 2025-02-21

    Potential for more than minimal harm

21. DF0758Implement 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.2025-01-30 · Health · corrected 2025-02-21

    Potential for more than minimal harm

22. FF0761Ensure 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.2025-01-30 · Health · corrected 2025-03-25

    Potential for more than minimal harm

23. EF0791Provide or obtain dental services for each resident.2025-01-30 · Health · corrected 2025-03-27

    Potential for more than minimal harm

24. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-30 · Health · corrected 2025-06-25

    Potential for more than minimal harm

25. EF0808Ensure 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.2025-01-30 · Health · corrected 2025-03-27

    Potential for more than minimal harm

26. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-01-30 · Health · corrected 2025-06-25

    Potential for more than minimal harm

27. EF0880Provide and implement an infection prevention and control program.2025-01-30 · Health · corrected 2025-02-21

    Potential for more than minimal harm

28. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-01-30 · Health · corrected 2025-02-21

    Potential for more than minimal harm

29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-20 · Health · corrected 2024-12-12

    Potential for more than minimal harm

30. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-03 · Health · corrected 2024-11-01

    Potential for more than minimal harm

31. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-03 · Health · corrected 2024-11-01

    Potential for more than minimal harm

32. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-10-03 · Health · corrected 2024-11-01

    Potential for more than minimal harm

33. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-20 · Health · corrected 2024-06-10

    Potential for more than minimal harm

34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-20 · Health · corrected 2024-06-10

    Potential for more than minimal harm

35. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

36. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

37. DF0610Respond appropriately to all alleged violations.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

38. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

39. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-18 · Health · corrected 2024-02-13

    Potential for minimal harm

40. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

41. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

42. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

43. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

44. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

45. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

46. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

47. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-18 · Health · corrected 2024-02-13

    Actual harm

48. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

49. DF0761Ensure 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.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

50. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

51. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-18 · Health · corrected 2024-02-13

    Potential for more than minimal harm

52. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-12 · Health · corrected 2023-11-27

    Potential for more than minimal harm

53. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-12 · Health · corrected 2023-11-27

    Potential for more than minimal harm

54. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-10-12 · Health · corrected 2023-11-27

    Potential for more than minimal harm

55. EF0610Respond appropriately to all alleged violations.2023-03-21 · Health

    Potential for more than minimal harm

56. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

57. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-02-02 · Health · corrected 2023-03-20

    Actual harm

58. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

59. EF0610Respond appropriately to all alleged violations.2023-02-02 · Health · corrected 2023-04-03

    Potential for more than minimal harm

60. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

61. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

62. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

63. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

64. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

65. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-02 · Health · corrected 2023-03-20

    Actual harm

66. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-02 · Health · corrected 2023-03-20

    Actual harm

67. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

68. HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-02 · Health · corrected 2023-03-20

    Actual harm

69. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

70. GF0692Provide enough food/fluids to maintain a resident's health.2023-02-02 · Health · corrected 2023-03-20

    Actual harm

71. HF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-02-02 · Health · corrected 2023-04-03

    Actual harm

72. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

73. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

74. GF0760Ensure that residents are free from significant medication errors.2023-02-02 · Health · corrected 2023-03-20

    Actual harm

75. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

76. DF0808Ensure 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.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

77. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

78. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

79. CF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-02-02 · Health · corrected 2023-03-20

    Potential for minimal harm

80. EF0880Provide and implement an infection prevention and control program.2023-02-02 · Health · corrected 2023-03-20

    Potential for more than minimal harm

Ownership

Other facilities in BILLINGS

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.