ALM's inspection grade is 61 / 100, a D- — 22 points below the Montana average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.
ALM's inspection grade is 61 / 100, a D- — 22 points below the Montana average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 25th out of 29 nursing homes we track 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.
3h 14mStandout metric: LPN / LVN is +86% above Montana average
4 of 6 metrics below Montana average
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. 14 total: 11 of the facility's own employees and 3 agency contractors.
14 staff · 9.9-hour shifts
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. 10 total: 9 of the facility's own employees and 1 agency contractor.
10 staff · 10.6-hour shifts
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. 49 total: 44 of the facility's own employees and 5 agency contractors.
49 staff · 10.1-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
109
100 employees · 9 contractors · 34 on an average day
109 total staff / 74 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.47 : 1
↓ 15% · MT 1.74This facility: 1.47 staff per resident, 15% below the Montana average of 1.74 (among Montana facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
109 staff ÷ 74 residents
See full Montana ranking →
Average hours one staff member works on a day they are on shift, across every role.
9.3 h
↑ 8% · MT 8.6 hThis facility: 9.3 h, 8% above the Montana average of 8.6 h (among Montana facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
29,149 staff hours this quarter
See full Montana ranking →98.7% of staff hours were worked by the facility's own employees
Montana average: 89.5% · Contractors this quarter: Certified Nursing Assistant (5), Registered Nurse (3), Licensed Practical Nurse (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A mid-sized community that may balance personal attention with shared amenities and social activities.
150
Rank #6 / 37Bed count — State benchmarked This nursing home is ranked 6th out of 37 nursing homes we track in Montana for bed count. Shows this facility's certified or reported bed count compared to other Montana facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #6 / 27Years in operation — State benchmarked This nursing home is ranked 6th out of 27 nursing homes we track in Montana for years in operation. Shows how long this facility has been in operation compared to other Montana facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #13 / 40Walk Score — State benchmarked This nursing home is ranked 13th out of 40 nursing homes we track in Montana for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Montana facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #22 / 25Occupancy rate — State benchmarked This nursing home is ranked 22nd out of 25 nursing homes we track in Montana for occupancy. Shows this facility's occupancy rate versus the Montana average, with its Statewide rank out of 25. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on residents per day and 150 beds.
Lower than the Montana average: 71.9%
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Skyline Heights Nursing and Rehabilitation is administered by Monica Rodenberger.
22 points below the Montana average for CMS-certified facilities (83/100)
Category breakdown
226 severity-weighted points (63 deficiencies) · 2× higher than the typical CMS-certified MT facility (median: 107)
$413,752 in fines · 6 enforcement actions
35 days to fix issues · slower than the typical CMS-certified MT facility (median: 34)
100% corrected
63 of 63 citations corrected Latest inspection: Apr 23, 2026 · 1 citation (Pharmacy, moderate), corrected
Most cited category: Quality of Life & Care, 15 of 63 citations · 9 categories in total
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Showing the 50 most recent of 63 citations.
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
35 of 63 citations resulted from standard inspections; 22 of 63 resulted from complaint investigations; and 6 of 63 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
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 Aug 2026
6 penalties in the past 3 years
Latest: Nov 19, 2025 · $77,103 civil money penalty
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$77,103
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$72,768
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$250,357
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
56 days
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$4,893
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,631Totals count every penalty on record; the history lists the past 3 years. Montana and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the Montana average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 66% · MT 3.0This facility: 1.0, 66% below the MT average of 3.0 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↑ 30% · MT 2.3This facility: 3.0, 30% above the MT average of 2.3 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
13.3
Score · lower is better
↑ 26% · MT 10.6This facility: 13.3, 26% above the MT average of 10.6 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
26.4
Score · lower is better
↑ 31% · MT 20.1This facility: 26.4, 31% above the MT average of 20.1 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 6 worse, 2 near MT average
8 short-stay measures: 3 better, 1 worse, 1 near MT average, 3 compared with US only
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
↓ 1% · MT 18.7This facility: 18.5, 1% below the MT average of 18.7 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
32.6%
↑ 89% · MT 17.2This facility: 32.6, 89% above the MT average of 17.2 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.1%
↑ 17% · MT 24.1This facility: 28.1, 17% above the MT average of 24.1 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
3.6%
↑ 23% · MT 2.9This facility: 3.6, 23% above the MT average of 2.9 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
↓ 23% · MT 4.4This facility: 3.4, 23% below the MT average of 4.4 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.6%
↓ 28% · MT 6.3This facility: 4.6, 28% below the MT average of 6.3 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
7.4%
↑ 20% · MT 6.2This facility: 7.4, 20% above the MT average of 6.2 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
4.2%
↓ 24% · MT 5.6This facility: 4.2, 24% below the MT average of 5.6 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
19.5%
↓ 5% · MT 20.4This facility: 19.5, 5% below the MT average of 20.4 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
↓ 2% · MT 96.5This facility: 94.5, 2% below the MT average of 96.5 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.5%
↓ 9% · MT 93.7This facility: 85.5, 9% below the MT average of 93.7 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.42
↑ 12% · MT 1.27This facility: 1.42, 12% above the MT average of 1.27 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.64
↓ 24% · MT 2.17This facility: 1.64, 24% below the MT average of 2.17 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
49.0%
↓ 9% · US 53.7This facility: 49.0, 9% below the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
55.4%
↑ 10% · US 50.6This facility: 55.4, 10% above the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
↑ 132% · MT 1.2This facility: 2.9, 132% above the MT average of 1.2 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
↑ 10% · MT 81.2This facility: 89.0, 10% above the MT average of 81.2 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.3%
↑ 17% · MT 73.8This facility: 86.3, 17% above the MT average of 73.8 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.1%
↑ 4% · MT 19.4This facility: 20.1, 4% above the MT average of 19.4 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
10.3%
↓ 31% · MT 15.0This facility: 10.3, 31% below the MT average of 15.0 (among MT facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
42% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
74Residents 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.
Skyline Heights Nursing and Rehabilitation’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 26 Montana nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, but less than last year
−10.2% operating margin
+9.2 pts vs prior year
An operating loss in 6 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$1.2M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Montana homes
48.2% payroll share of revenue
MT average 49.9%Rank #17 / 26Payroll % of net patient revenue — State benchmarked This nursing home is ranked 17th out of 26 nursing homes we track in Montana for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Montana average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.2M while revenue rose $3.1M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Montana homes.
Big revenue, persistent losses
| Metric | FY 2024 | vs prior year | Trend 2015 → 2024Trend | MT median | Compared with MT homesRank in MT | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $11.6M | +$3.1M | Trend 20152024 | MT median $8.2M | Rank in MT Rank #3 / 26Net patient revenue — State benchmarked This nursing home is ranked 3rd out of 26 nursing homes we track in Montana for net patient revenue. Shows this facility's net patient revenue compared to the Montana average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 92% of homes | Top 8% in MT Higher net patient revenue than 92% of MT homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $12.8M | +$2.6M | Trend 20152024 | MT median — | Rank in MT Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$1.2M | +$0.5M | Trend 20152024 | MT median — | Rank in MT Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −10.2% | +9.2 pts | Trend 20152024 | MT median — | Rank in MT Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | MT median — | Rank in MT Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$1.2M | +$0.2M | Trend — | MT median — | Rank in MT Not ranked | Loss The bottom line is below zero even after other income. |
Staff spending in line with Montana homes
| Metric | FY 2024 | vs prior year | Trend 2015 → 2024Trend | MT median | Compared with MT homesRank in MT | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.6M | +$1.2M | Trend 20152024 | MT median $4.3M | Rank in MT Rank #3 / 26Payroll costs — State benchmarked This nursing home is ranked 3rd out of 26 nursing homes we track in Montana for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Montana average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 92% of homes | Top 8% in MT by size Higher payroll than 92% of MT homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 48.2% | −3.8 pts | Trend 20152024 | MT median 48.8% | Rank in MT Rank #17 / 26Payroll % of net patient revenue — State benchmarked This nursing home is ranked 17th out of 26 nursing homes we track in Montana for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Montana average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Montana that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 36% of homes | Near MT average The MT average is 49.9% of revenue. Within 3 points of it reads as near the average. |
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Montana payroll average.
% of net patient revenue
Payroll share Operating margin MT payroll average No report
| Metric | 2015 | 2016 | 2017 | 2018no report | 2019 | 2020 | 2021 | 2022 | 2023no report | 2024 |
|---|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $9.5M | $10.0M | $9.5M | $10.2M | $9.7M | $9.5M | $8.6M | $11.6M | ||
| Operating expenses | $9.8M | $10.4M | $9.5M | $10.0M | $10.3M | $10.7M | $10.2M | $12.8M | ||
| Net patient income | −$0.3M | −$0.4M | $0.0M | $0.2M | −$0.6M | −$1.3M | −$1.7M | −$1.2M | ||
| Operating margin | −3.6% | −4.1% | 0.2% | 2.3% | −5.7% | −13.4% | −19.4% | −10.2% | ||
| Net income | −$0.3M | −$0.4M | $0.1M | $0.5M | $1.4M | $0.7M | −$1.4M | −$1.2M | ||
| Payroll costs | $4.2M | $4.4M | $4.6M | $4.7M | $4.6M | $4.2M | $4.5M | $5.6M | ||
| Payroll share of revenue | 44.0% | 43.9% | 48.1% | 45.7% | 47.7% | 44.1% | 52.0% | 48.2% | ||
| Beds | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | ||
| Gross revenue | $10.1M | $10.6M | $9.5M | $16.2M | $16.1M | $19.0M | $16.3M | $12.3M | ||
| Salaries | $3.6M | $3.8M | $3.9M | $4.0M | $3.9M | $3.6M | $3.8M | $4.9M | ||
| Wage-related costs | $0.6M | $0.6M | $0.6M | $0.6M | $0.7M | $0.6M | $0.7M | $0.7M | ||
| Contract labor | $1.5M | $1.8M | $1.2M | $1.7M | $1.9M | $2.7M | $2.2M | $1.9M | ||
| Other operating costs | $5.7M | $6.0M | $4.9M | $5.3M | $5.6M | $6.6M | $5.8M | $7.2M | ||
| Net patient revenue per day | $278 | $294 | $292 | $326 | $342 | $354 | $335 | $392 | ||
| Cost per day | $289 | $306 | $292 | $318 | $362 | $402 | $400 | $432 | ||
| Average length of stay | 78.5 days | 76.1 days | 74.4 days | 59.1 days | 77.9 days | 56.0 days | 64.1 days | 88.2 days |
Showing 2024–2022 · scroll sideways for 7 earlier years
Earlier and partial years are in the download. Download CSV
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (42% of admissions), and a typical Medicare stay runs around 22 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.5 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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Info below is compiled from CMS reports & the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Montana average is: 49.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Billings Nursing and Rehab | NH HOS RC SNF | Billings (South Side) | 100
Facility
100
MT AVG
97
Rank
#16 / 37 | C+ |
78.6%
Facility
78.6%
MT AVG
71.9%
Rank
#11 / 25 | +9% | 3.24
Facility
3.24
MT AVG
4.78
Rank
#17 / 29 | +27% | -32% | $62.8k
Facility
$62.8k
MT AVG
$80.5k
Rank
#19 / 30 | 52
Facility
52
MT AVG
31.0
Rank
#23 / 30 | 5.2
Facility
5.2
MT AVG
5.7
Rank
#12 / 30 | 2 | 79 | - |
56
Facility
56
MT AVG
47
Rank
#15 / 40 | - | $8.2MFiscal year ending 12/2024
Facility
$8.2MFiscal year ending 12/2024
MT AVG
$8.1M
Rank
#14 / 26 | $4.3MFiscal year ending 12/2024
Facility
$4.3MFiscal year ending 12/2024
MT AVG
$4.0M
Rank
#13 / 26 | 52.8%Fiscal year ending 12/2024
Facility
52.8%Fiscal year ending 12/2024
MT AVG
49.9%
Rank
#5 / 26 | 275120 | ||||
| Eagle Cliff Healthcare Community | NH AL HOS RC SNF | Billings (Heights) | 129
Facility
129
MT AVG
97
Rank
#8 / 37 | C |
66.7%
Facility
66.7%
MT AVG
71.9%
Rank
#18 / 25 | -7% | 3.62
Facility
3.62
MT AVG
4.78
Rank
#13 / 29 | -29% | -24% | $80.9k
Facility
$80.9k
MT AVG
$80.5k
Rank
#23 / 30 | 63
Facility
63
MT AVG
31.0
Rank
#28 / 30 | 10.5
Facility
10.5
MT AVG
5.7
Rank
#30 / 30 | 3 | 86 | - |
3
Facility
3
MT AVG
47
Rank
#39 / 40 | Amin Family Limited Partnership | $8.2MFiscal year ending 12/2024
Facility
$8.2MFiscal year ending 12/2024
MT AVG
$8.1M
Rank
#13 / 26 | $4.3MFiscal year ending 12/2024
Facility
$4.3MFiscal year ending 12/2024
MT AVG
$4.0M
Rank
#14 / 26 | 51.8%Fiscal year ending 12/2024
Facility
51.8%Fiscal year ending 12/2024
MT AVG
49.9%
Rank
#8 / 26 | 275123 | ||||
| Yellowstone River Nursing and Rehabilitation | NH SNF | Billings (East Central) | 160
Facility
160
MT AVG
97
Rank
#5 / 37 | C- |
71.4%
Facility
71.4%
MT AVG
71.9%
Rank
#14 / 25 | -1% | 3.82
Facility
3.82
MT AVG
4.78
Rank
#20 / 29 | +50% | -20% | $142.7k
Facility
$142.7k
MT AVG
$80.5k
Rank
#28 / 30 | 58
Facility
58
MT AVG
31.0
Rank
#24 / 30 | 5.8
Facility
5.8
MT AVG
5.7
Rank
#19 / 30 | 6 | 114 | - |
67
Facility
67
MT AVG
47
Rank
#8 / 40 | Sarah Caldwell | $14.3MFiscal year ending 12/2024
Facility
$14.3MFiscal year ending 12/2024
MT AVG
$8.1M
Rank
#2 / 26 | $7.0MFiscal year ending 12/2024
Facility
$7.0MFiscal year ending 12/2024
MT AVG
$4.0M
Rank
#2 / 26 | 49%Fiscal year ending 12/2024
Facility
49%Fiscal year ending 12/2024
MT AVG
49.9%
Rank
#12 / 26 | 275029 | ||||
| Skyline Heights Nursing and Rehabilitation | NH HOS SNF | W Billings (Colton Heights Apartments) | 150
Facility
150
MT AVG
97
Rank
#6 / 37 | D- |
52.8%
Facility
52.8%
MT AVG
71.9%
Rank
#22 / 25 | -27% | 3.24
Facility
3.24
MT AVG
4.78
Rank
#25 / 29 | -18% | -32% | $413.8k
Facility
$413.8k
MT AVG
$80.5k
Rank
#30 / 30 | 63
Facility
63
MT AVG
31.0
Rank
#28 / 30 | 5.7
Facility
5.7
MT AVG
5.7
Rank
#17 / 30 | 7 | 79 | - |
57
Facility
57
MT AVG
47
Rank
#13 / 40 | Anna Preciado | $11.6MFiscal year ending 12/2024
Facility
$11.6MFiscal year ending 12/2024
MT AVG
$8.1M
Rank
#3 / 26 | $5.6MFiscal year ending 12/2024
Facility
$5.6MFiscal year ending 12/2024
MT AVG
$4.0M
Rank
#3 / 26 | 48.2%Fiscal year ending 12/2024
Facility
48.2%Fiscal year ending 12/2024
MT AVG
49.9%
Rank
#17 / 26 | 275020 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MT nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities
Skyline Heights Nursing and Rehabilitation is located in W 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. Somewhat 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 52.8%.
Skyline Heights Nursing and Rehabilitation has been operating for approximately 2 years, based on available licensing and registration records.
No, Skyline Heights Nursing and Rehabilitation has a no-pet policy.
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