1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 35th out of 38 homes in Montana for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 35m per day | ▼ 37% State avg: 56m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▲ 38% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 53m per day | ▼ 25% State avg: 2h 32m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 50m per day | ▼ 19% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 54% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day | ▼ 36% State avg: 41m per day · National avg: 29m per day |
Skyline Heights Nursing and Rehabilitation is administered by Monica Rodenberger.
In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 90 | 21 | This facility has 329% more total deficiencies than a typical Montana nursing home (90 vs. MT avg 21).↑ 329% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 30 | 7 | This facility has 329% more deficiencies per year than a typical Montana nursing home (30 vs. MT avg 7).↑ 329% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Montana average 5.1
Last Health inspection on Mar 2025
Montana average 29.7
Montana average 5.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
44 of 74 citations resulted from standard inspections; 16 of 74 resulted from complaint investigations; and 14 of 74 came from combined inspections (standard and complaint).
100% better than Montana averageMontana average: 0.3
400% worse than Montana averageMontana average: 2.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
27% fewer staff per resident than Montana average
8% better than Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
14 total: 11 full-time employees and 3 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursAssists with medical care and medications.
10 total: 9 full-time employees and 1 contractor.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursHelps with daily care and mobility.
49 total: 44 full-time employees and 5 contractors.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
375 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 44 | 5 | 49 | 12,300 | 92 | 100% | 10.1 |
| Licensed Practical Nurse | 9 | 1 | 10 | 3,848 | 92 | 100% | 10.6 |
| Registered Nurse | 11 | 3 | 14 | 3,574 | 92 | 100% | 9.9 |
| Physical Therapy Aide | 7 | 0 | 7 | 1,747 | 75 | 82% | 7.7 |
| Mental Health Service Worker | 2 | 0 | 2 | 1,016 | 64 | 70% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 979 | 63 | 68% | 8.1 |
| Medication Aide/Technician | 3 | 0 | 3 | 788 | 62 | 67% | 12.3 |
| Qualified Social Worker | 2 | 0 | 2 | 775 | 68 | 74% | 6.3 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 718 | 62 | 67% | 7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 701 | 66 | 72% | 8 |
| Speech Language Pathologist | 4 | 0 | 4 | 523 | 70 | 76% | 6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 479 | 60 | 65% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 422 | 59 | 64% | 7 |
| Nurse Aide in Training | 1 | 0 | 1 | 170 | 24 | 26% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 104 | 13 | 14% | 8 |
Includes penalties issued in 2023-2025
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)
796% higher than Montana averageMontana average: $87K
201% more fines than Montana averageMontana average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
1129% more payment denials than Montana averageMontana average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
7 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 19, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 30, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
11% better than Montana averageMontana average: 11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.4
6% better than Montana averageMontana average: 21.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.7%
35% better than Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
25.0%
20% worse than Montana averageMontana average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.6%
6% better than Montana averageMontana average: 25.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
10% better than Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
3.6%
43% better than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
4.6%
68% worse than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
4.7%
24% better than Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
5.4%
14% worse than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
14.4%
25% better than Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
In line with Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.5%
9% worse than Montana averageMontana average: 93.7%
Number of hospitalizations per 1,000 long-stay resident days.
1.42
12% worse than Montana averageMontana average: 1.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.64
24% better than Montana averageMontana average: 2.17
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.9%
16% better than Montana averageMontana average: 76.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.3%
30% worse than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.3%
17% better than Montana averageMontana average: 73.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.1%
In line with Montana averageMontana average: 19.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.3%
31% better than Montana averageMontana average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Montana averageMontana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.0%
9% worse than Montana averageMontana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
55.4%
10% better than Montana averageMontana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
37% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
81Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Skyline Heights Nursing and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #22 / 35Payroll — State benchmarkedThis home is ranked 22nd out of 35 homes in Montana. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #13 / 35Payroll % — State benchmarkedThis home is ranked 13th out of 35 homes in Montana. Shows payroll as a percentage of revenue versus the Montana average. Well-run Montana facilities typically land around 65–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Montana that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Building Type: Single-story
Care Cost
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (45% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.9 miles from city center
Estimated distance in miles from Billings's city center to Skyline Heights Nursing and Rehabilitation's address, calculated via Google Maps.
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The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
| Yellowstone River Nursing and Rehabilitation | NH | Billings (East Central) | 160
Facility
160
MT AVG
70
Rank
#6 / 106 | - | - | 3.57
Facility
3.57
MT AVG
4.53
Rank
#18 / 38 | +50% | -21% | $141.5k
Facility
$141.5k
MT AVG
$83.8k
Rank
#36 / 39 | 49
Facility
49
MT AVG
29.7
Rank
#30 / 39 | 6.1
Facility
6.1
MT AVG
5.7
Rank
#28 / 39 | 5 | 2 | - |
67
Facility
67
MT AVG
43
Rank
#33 / 159 | Sarah Caldwell | $7.4M
Facility
$7.4M
MT AVG
$6.3M
Rank
#18 / 35 | $4.1M
Facility
$4.1M
MT AVG
$2.8M
Rank
#19 / 35 | 55.1%
Facility
55.1%
MT AVG
45.6%
Rank
#12 / 35 | 275029 | ||||
| Skyline Heights Nursing and Rehabilitation | NH HC | Billings (Colton Heights Apartments) | 150
Facility
150
MT AVG
70
Rank
#7 / 106 |
54.1%
Facility
54.1%
MT AVG
61.7%
Rank
#23 / 39 | -12% | 2.99
Facility
2.99
MT AVG
4.53
Rank
#35 / 38 | -18% | -34% | $419.0k
Facility
$419.0k
MT AVG
$83.8k
Rank
#39 / 39 | 74
Facility
74
MT AVG
29.7
Rank
#39 / 39 | 8.2
Facility
8.2
MT AVG
5.7
Rank
#34 / 39 | 11 | 76 | - |
57
Facility
57
MT AVG
43
Rank
#51 / 159 | Anna Preciado | $6.0M
Facility
$6.0M
MT AVG
$6.3M
Rank
#21 / 35 | $2.5M
Facility
$2.5M
MT AVG
$2.8M
Rank
#22 / 35 | 42.3%
Facility
42.3%
MT AVG
45.6%
Rank
#13 / 35 | 275020 | ||||
| Billings Nursing and Rehab | - | NH HC NC RC | Billings (South Side) | 100
Facility
100
MT AVG
70
Rank
#26 / 106 |
73.0%
Facility
73.0%
MT AVG
61.7%
Rank
#11 / 39 | +18% | 3.15
Facility
3.15
MT AVG
4.53
Rank
#33 / 38 | - | - | - | +27% | -30% | $62.8k
Facility
$62.8k
MT AVG
$83.8k
Rank
#27 / 39 | 45
Facility
45
MT AVG
29.7
Rank
#29 / 39 | 5.6
Facility
5.6
MT AVG
5.7
Rank
#19 / 39 | 3 | 79 | - |
56
Facility
56
MT AVG
43
Rank
#57 / 159 | - | $3.0M
Facility
$3.0M
MT AVG
$6.3M
Rank
#26 / 35 | $1.4M
Facility
$1.4M
MT AVG
$2.8M
Rank
#28 / 35 | 45%
Facility
45%
MT AVG
45.6%
Rank
#21 / 35 | 275120 |
Skyline Heights Nursing and Rehabilitation is located in Billings, Montana.
Here are the financial assistance programs available to residents in Montana.
Skyline Heights Nursing and Rehabilitation is in the Colton Heights Apartments neighborhood of Billings.
Skyline Heights Nursing and Rehabilitation has a walk score of 57. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MT state health department records, Skyline Heights Nursing and Rehabilitation's license number is 65.
According to MT state health department records, Skyline Heights Nursing and Rehabilitation's license expires on May 31, 2027.
Skyline Heights Nursing and Rehabilitation's occupancy is 54.1%.
Skyline Heights Nursing and Rehabilitation is registered as a for-profit in MT.
Monica Rodenberger is the administrator of Skyline Heights Nursing and Rehabilitation.
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