Skyline Heights Nursing and Rehabilitation

Skyline Heights Nursing and Rehabilitation is a Nursing Home in Montana

Skyline Heights Nursing and… is a Nursing Home in Montana

Skyline Heights Nursing and Rehabilitation

1807 24th St W, Billings, MT 59101 View Map

Skyline Heights Nursing and Rehabilitation is a Nursing Home in Montana

Skyline Heights Nursing and… is a Nursing Home in Montana

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Overview of Skyline Heights Nursing and Rehabilitation

Overlooking Billings, Montana, Skyline Heights Healthcare (Formerly Valley Health Care Center) is an exceptional community that offers comprehensive skilled care services, including long-term care, short-term care, and various recovery therapies. Residents at Skyline Heights Healthcare can enjoy various activities and services designed to enhance their quality of life, including rehabilitation therapies, social services, and personalized care plans. With 24/7 professional support, the community is well-equipped to care for individuals with complex medical conditions or those recovering from surgery, illness, or injury.

Skyline Heights Healthcare strives to provide compassionate, personalized care tailored to each resident’s needs. Their goal is to create a comfortable and healing environment where every individual feels respected and valued. The community offers a range of amenities and programs, such as physical, occupational, and speech therapies, cardiac care, stroke recovery, wound care, and advanced therapy modalities. Additionally, they provide essential services like dental care, dialysis, hospice care, and podiatry services, ensuring comprehensive support for all residents.

(406) 656-5010
Home Information SKYLINE HEIGHTS NURSING AND REHABILITATION
  • Occupancy trails most facilities in the state, suggesting excess open capacity. The facility operates with a larger bed count than most state competitors, supporting broader intake. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.

  • Home revenue ranks in the upper tier statewide, reflecting strong billing volume. Payroll spending sits in the top tier, showing a strong investment in staffing resources. Total income trails most communities, suggesting tighter operating margins.

  • Medicare nights run higher than most peers, indicating robust short-stay referrals. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights lead the state, showing strong demand from market-rate residents.

Occupancy
Beds
150
Occupancy
54.1%
Total Bed Days Available
54750
Avg. Length of Stay
64 days
Avg. Residents per Day
71
Finance
Home Revenue
$16,320,051.00
Payroll Costs
$3,760,148.00
Profit
$-1,355,576.00
Total Home Costs
$10,237,693.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
23%
House Specifics:
CCN
275020
Owner Name
PRECIADO, ANNA
Rural vs. Urban
Urban
County
Yellowstone
Type of Control
Proprietary — Individual
Operations
Total Admissions
394
Total Discharges
399
% Medicaid Admissions
12%
% Medicare Admissions
55%
% Private Pay Admissions
34%
% Medicaid Discharges
9%
% Medicare Discharges
39%
% Private Pay Discharges
51%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
1 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
1 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
1 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
2 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
2.99 hrs
Number of Fines
5
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
14762
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
5583
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
5241
Years in operation
2 years in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 57 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

License Status
Current
Facility Type
Long Term Care
License Date
January 6, 2024
License Expiration
May 31, 2027

Additional licensing details

License number: 65

Ownership & operating entity

Skyline Heights Nursing and Rehabilitation is administrated by Rodenberger, Monica.

What does this home offer?

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Accept Medicaid: Yes

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Building Type: Single-story

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Accept Medicaid

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Care Cost

Types of Care at Skyline Heights Nursing and Rehabilitation

Nursing Home

Comparison Chart

The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Compare Nursing Homes around Billings
Yellowstone River Nursing and Rehabilitation
AL

For seniors needing help with daily tasks but not full-time nursing.

SNF

24/7 care needed

Billings
160
No
67
CALDWELL, SARAH
67.9%
$17,844,437.00
$4,791,561.00
26.9%
104.80
1/5
3.5685
1/5
2/5
2/5
3
Skyline Heights Nursing and Rehabilitation
SNF

24/7 care needed

Billings
150
No
57
PRECIADO, ANNA
54.1%
$16,320,051.00
$3,760,148.00
23%
70.70
1/5
2.9879
1/5
1/5
2/5
5
Billings Nursing and Rehab
HC

Hospice Care

MC

Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

24/7 care needed

Billings
100
No
56
-
75.6%
$6,611,675.00
$1,722,702.00
26.1%
79.70
-
3.1488
-
-
-
4

Places of interest near Skyline Heights Nursing and Rehabilitation

Address 4.9 miles from city center

Address 1807 24th St W, Billings, MT 59101

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

116
Total Staff
97
Employees
19
Contractors
26,642
Total Hours (Quarter)
32
Avg Staff/Day
9.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse2010.3 Yes
Licensed Practical Nurse1210.4 Yes
Certified Nursing Assistant4910 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
85 staff
10hs shift avg
Physicians & Practitioners
3 staff
8.1hs shift avg
Therapy Services
18 staff
7.4hs shift avg
Activities & Recreation
1 staff
8.3hs shift avg
Social Services
2 staff
7.3hs shift avg
Dietary Services
4 staff
7.2hs shift avg
Other Services
2 staff
8hs shift avg
Contractor Analysis
5.2%
of total hours from contractors
1,377 contractor hours this quarter
Registered Nurse: 6 Certified Nursing Assistant: 12 Licensed Practical Nurse: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant37124911,04391100%10
Registered Nurse146203,96891100%10.3
Licensed Practical Nurse111122,6778998%10.4
Physical Therapy Aide8081,8377886%7.3
Speech Language Pathologist5051,3497481%7.2
Respiratory Therapy Technician4041,0187178%7.4
Qualified Social Worker2028836875%7.3
RN Director of Nursing2026486167%8
Other Dietary Services Staff4045445459%7.2
Administrator1015126470%8
Dental Services Staff1014966268%8
Physical Therapy Assistant1014756066%7.9
Nurse Practitioner2024515662%8
Mental Health Service Worker1013924954%8
Therapeutic Recreation Specialist1012232730%8.3
Clinical Nurse Specialist1011081314%8.3
Medication Aide/Technician1011211%11.5
Nurse Aide in Training101722%3.4

Health Inspection History

Source: CMS Health Citations (Feb 2023 – Mar 2025)

9
Inspections
74
Total Citations
0
Critical (J-L)
11
Serious (G-I)
8.22
Citations/Inspection
Mar 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
2
Moderate (D-F)
61
Serious (G-I)
11
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
22
30% of total
Pharmacy Services
9
12% of total
Resident Rights
6
8% of total
Abuse, Neglect & Exploitation
6
8% of total
Infection Control
3
4% of total
Administration
2
3% of total
Citation Sources
Standard Inspections 58
Complaint Investigations 30
State Comparison (MT)
Avg Citations (State)
29.7
This Facility: 74
Avg Critical (State)
0.3
This Facility: 0
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Mar 27, 2025 G Abuse/NeglectF0600 Corrected
Mar 27, 2025 D Nursing ServicesF0726 Corrected
Mar 27, 2025 E NutritionF0803 Corrected
Mar 27, 2025 E PharmacyF0755 Corrected
Mar 27, 2025 G PharmacyF0760 Corrected
Jan 30, 2025 F AdministrationF0865 Corrected
Jan 30, 2025 E Infection ControlF0880 Corrected
Jan 30, 2025 D Infection ControlF0883 Corrected
Jan 30, 2025 F Nursing ServicesF0725 Corrected
Jan 30, 2025 E NutritionF0804 Corrected
Jan 30, 2025 E NutritionF0808 Corrected
Jan 30, 2025 D PharmacyF0756 Corrected
Jan 30, 2025 D PharmacyF0758 Corrected
Jan 30, 2025 F PharmacyF0761 Corrected
Jan 30, 2025 D Quality of CareF0677 Corrected
Jan 30, 2025 D Quality of CareF0684 Corrected
Jan 30, 2025 G Quality of CareF0686 Corrected
Jan 30, 2025 D Quality of CareF0695 Corrected
Jan 30, 2025 E Quality of CareF0791 Corrected
Jan 30, 2025 D Care PlanningF0655 Corrected
Jan 30, 2025 E Care PlanningF0657 Corrected
Jan 30, 2025 D Resident RightsF0554 Corrected
Nov 20, 2024 D Quality of CareF0684 Corrected
Oct 03, 2024 D Nursing ServicesF0726 Corrected
Oct 03, 2024 E Quality of CareF0677 Corrected
Oct 03, 2024 D Quality of CareF0689 Corrected
May 20, 2024 F NutritionF0812 Corrected
May 20, 2024 D Quality of CareF0677 Corrected
Jan 18, 2024 E Abuse/NeglectF0600 Corrected
Jan 18, 2024 D Abuse/NeglectF0610 Corrected
Jan 18, 2024 F NutritionF0804 Corrected
Jan 18, 2024 F NutritionF0812 Corrected
Jan 18, 2024 E PharmacyF0755 Corrected
Jan 18, 2024 D PharmacyF0761 Corrected
Jan 18, 2024 D Quality of CareF0684 Corrected
Jan 18, 2024 G Quality of CareF0690 Corrected
Jan 18, 2024 D Care PlanningF0636 Corrected
Jan 18, 2024 D Care PlanningF0638 Corrected
Jan 18, 2024 D Care PlanningF0644 Corrected
Jan 18, 2024 D Care PlanningF0655 Corrected
Jan 18, 2024 D Care PlanningF0656 Corrected
Jan 18, 2024 D Care PlanningF0657 Corrected
Jan 18, 2024 D Resident RightsF0585 Corrected
Jan 18, 2024 D Resident RightsF0622 Corrected
Jan 18, 2024 C Resident RightsF0623 Corrected
Oct 12, 2023 D NutritionF0800 Corrected
Oct 12, 2023 E Quality of CareF0677 Corrected
Oct 12, 2023 D Quality of CareF0686 Corrected
Mar 21, 2023 E Abuse/NeglectF0610 Open
Feb 02, 2023 D Abuse/NeglectF0600 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Resident Census by Payment Source
81 Total Residents
Medicare 10 (12.3%)
Medicaid 52 (64.2%)
Private Pay/Other 19 (23.5%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
10.0 Score
11% better than avg State avg: 11.2

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
20.4 Score
6% better than avg State avg: 21.8

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
12.7%
Lost Too Much Weight
4.7%
Urinary Tract Infection
4.6%
Depressive Symptoms
5.4%
Falls with Major Injury
3.9%
Pneumococcal Vaccine
94.9%
Antipsychotic Use
14.4%
Walking Ability Worsened
25.0%
Influenza Vaccine
85.5%
High Risk Residents with Pressure Ulcers
3.6%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
23.6%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
88.9% 16% better than avg State: 76.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
2.3% 30% worse than avg State: 1.8%
Influenza Vaccine
86.3% 17% better than avg State: 73.8%

Penalties & Fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total Fines $781K State avg: $87K 796% worse than avg
Number of Fines 7 State avg: 2.3
Payment Denials 2 63 total days
Compared to State Average Facility: $781K | State Avg: $87K
Penalty History

Showing first 5 of 9 penalties (Feb 2023 - Nov 2025)

Nov 19, 2025 Civil Money Penalty
$104K
Aug 28, 2025 Civil Money Penalty
$112K
Jan 30, 2025 Civil Money Penalty
$385K
Jan 30, 2025 Payment Denial
56 days
Feb 20, 2024 Civil Money Penalty
$5K
Dec 26, 2023 Civil Money Penalty
$9K
Jul 17, 2023 Civil Money Penalty
$5K
Feb 2, 2023 Civil Money Penalty
$161K
Feb 2, 2023 Payment Denial
7 days
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Guides for Better Senior Living

From costs to care, explore the most important topics to make informed decisions about your future.

Claim What’s Yours: Financial Aid for Montana Seniors

Program
State Program Name
Eligibility
Benefits
Big Sky Waiver
Montana Medicaid Big Sky Waiver
Official government program page
  • General: Age 65+ or disabled, Montana resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • MT Specifics: Rural state; limited providers in some areas.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), home modifications ($1,500 avg.), meals ($6/meal).
Montana Community First Choice
  • General: Age 65+ or disabled, Montana resident, Medicaid- eligible.
  • Income Limits: ~$1,732/month (individual, Medicaid threshold).
  • Asset Limits: $2,000 (individual).
  • MT Specifics: Less intensive than waiver; rural focus.
  • Services: Personal care (up to 40 hours/month), homemaker services, respite (varies).
Big Sky Rx
  • General: Age 65+ or disabled, Montana resident, enrolled in Medicare Part D, income below limit.
  • Income Limits (2025): ~$2,510/month (individual), ~$3,380/month (couple).
  • Asset Limits: Not assessed.
  • MT Specifics: Covers up to $38.75/month premium; statewide via AAAs.
  • Services: Prescription drug premium assistance (~$465/year), reducing out-of-pocket costs.
Medicare Savings Program (MSP)
Montana Medicare Savings Program
  • General: Age 65+ or disabled, Montana resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • MT Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Montana Caregiver Support Program (via NFCSP)
Montana Caregiver Support Program
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).
  • Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits: Not assessed; need-based.
  • MT Specifics: 10 AAAs; prioritizes low-income, rural caregivers.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($50/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
Montana SCSEP
  • General: Age 55+, unemployed, low-income, Montana resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • MT Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Montana VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, Montana resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • MT Specifics: High veteran demand in rural areas.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Claim What’s Yours Financial Aid for Montana Seniors

Montana Medicaid Big Sky Waiver

Big Sky Waiver

Requirements:
  • General:
    Age 65+ or disabled, Montana resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • MT Specifics:
    Rural state; limited providers in some areas.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), home modifications ($1,500 avg.), meals ($6/meal).
MT CFC

Montana Community First Choice

Requirements:
  • General:
    Age 65+ or disabled, Montana resident, Medicaid- eligible.
  • Income Limits:
    ~$1,732/month (individual, Medicaid threshold).
  • Asset Limits:
    $2,000 (individual).
  • MT Specifics:
    Less intensive than waiver; rural focus.
Benefits without Contact:
  • Services: Personal care (up to 40 hours/month), homemaker services, respite (varies).
Montana Big Sky Rx

Big Sky Rx

Requirements:
  • General:
    Age 65+ or disabled, Montana resident, enrolled in Medicare Part D, income below limit.
  • Income Limits (2025):
    ~$2,510/month (individual), ~$3,380/month (couple).
  • Asset Limits:
    Not assessed.
  • MT Specifics:
    Covers up to $38.75/month premium; statewide via AAAs.
Benefits without Contact:
  • Services: Prescription drug premium assistance (~$465/year), reducing out-of-pocket costs.
Montana Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Montana resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • MT Specifics:
    Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Montana Caregiver Support Program

Montana Caregiver Support Program (via NFCSP)

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).
  • Income Limits (2025):
    Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits:
    Not assessed; need-based.
  • MT Specifics:
    10 AAAs; prioritizes low-income, rural caregivers.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($50/day), training, supplies (~$500/year).
Montana SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Montana resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • MT Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Montana VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, Montana resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • MT Specifics:
    High veteran demand in rural areas.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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