Skyline Heights Nursing And Rehabilitation
1807 24Th St W, Billings, MT, 59102
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Eduro Healthcare
- Certified beds
- 150 · avg 76 residents/day
- Total nursing staff turnover
- 84.3% — higher than most Montana nursing homesMontana avg: 55.6% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 75% — higher than most Montana nursing homesMontana avg: 49.3% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Montana averageMontana avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $418,996 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 275020
- Certified beds
- 150 beds · avg 76 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Billings Nursing And Rehab Center Llc
- Chain affiliation
- Eduro Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Eduro Healthcare chain — 35 facilities across 7 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (4 on record)
- Anna Preciado
W-2 Managing Employee · since 2023
- Dustin Monroe
Corporate Officer · since 2023
- Eduro Healthcare Llc
5% or Greater Direct Ownership Interest · 100% · since 2023
- Michael c Bewsey
5% or Greater Indirect Ownership Interest · 100% · since 2023
Recent change of ownership
June 2023 (3 years ago) · acquired from Bella Terra of Billings
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 63)
- D0757·Apr 23, 2026Complaint
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E0684·Mar 12, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F0880·Mar 12, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Mar 12, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0801·Mar 12, 2026
Nutrition and Dietary Deficiencies
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.
- E0761·Mar 12, 2026
Pharmacy Service Deficiencies
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.
- B0732·Mar 12, 2026
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0657·Mar 12, 2026
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal penalties
By year
- 20253 fines · $400K · 1 payment denial
- 20241 fine · $4,893
- 20232 fines · $14K
Most recent events
- Nov 19, 2025Fine · $77K
- Aug 28, 2025Fine · $73K
- Jan 30, 2025Payment denial · 56 days · starting Apr 30, 2025
- Jan 30, 2025Fine · $250K
- Feb 20, 2024Fine · $4,893
- Dec 26, 2023Fine · $8,631
Largest single fine on record: $250K.
Fire-safety citations
33 Life-Safety-Code citations on file. Most recent: Mar 12, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Skyline Heights Nursing And Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.