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

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 2.99/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
2/5

Capacity and availability

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Montana average
Occupancy rate 54.1%
Residents per day (avg) 71
Occupancy rate
54.1%
Residents per day (avg)
71

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

37% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

45% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

18% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Finances and operations

Proprietary home
Other
Home revenue
$6.3M
Operating loss
-$167.6K
Proprietary home Other
Home revenue
$6,266,230.00
Operating loss
$-167,634.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
35.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.2M
Total costs $6.4M
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?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Building type icon
Building type icon

Building Type: Single-story

Care cost icon
Care cost icon

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

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

SNF

Nursing Homes 24/7 care needed

Billings
160
No
67
CALDWELL, SARAH
65.6%
$7,573,930.00
$3,542,199.00
46.8%
104.80
1/5
3.5685
1/5
2/5
2/5
3
Skyline Heights Nursing and Rehabilitation
SNF

Nursing Homes 24/7 care needed

Billings
150
No
57
PRECIADO, ANNA
54.1%
$6,265,886.00
$2,207,176.00
35.2%
70.70
1/5
2.9879
1/5
1/5
2/5
5
Billings Nursing and Rehab
HC

Hospice Care

MC

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

SNF

Nursing Homes 24/7 care needed

Billings
100
No
56
-
70.6%
$3,997,017.00
$1,184,478.00
29.6%
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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Address

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)
Citations
74
Montana average: 29.7
Critical Citations
0
Montana average: 0.3
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 Montana 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 Montana 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 Montana: 76.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
2.3% 30% worse than avg Montana: 1.8%
Influenza Vaccine
86.3% 17% better than avg Montana: 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 Montana avg: $87K 796% worse than avg
Number of Fines 7 Montana avg: 2.3
Payment Denials 2 63 total days
Compared to Montana Average Facility: $781K | Montana 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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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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