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Skilled nursing facility · CMS certified · CCN 275020

Skyline Heights Nursing and Rehabilitation

1807 24th St W, Billings, MT 59102 · Yellowstone County · one of 61 skilled nursing facilities in Montana
Its Medicare cost report, line by line ↓
150
certified beds
1 / 5
overall CMS rating
For-profit
ownership type
50.8%
occupancy, Oct 2026: 76 residents a day · Montana 69.3%
1.32
case mix, 0.93x the national average
3.26
nurse hours per resident day · Montana 4.05
What if · this building’s own numbers
Medicare cost report, FY2025, and the state rate file

Every slider starts where this building’s FY2025 Medicare cost report left it. Drag occupancy, the Medicaid rate or the costs, and see what the change does to revenue, cost and operating income.

00.0%
00%
$000
$000
$000
0.00
From this change, a year
+$000,000
profit from patient care, before rent, loan interest and depreciation
Where that leaves the building, a year
Patient revenue
$00,000,000
Cost to run it
$00,000,000
Profit from patient care (EBITDAR)
$0,000,000 to $0,000,000

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How Skyline Heights Nursing and Rehabilitation compares

Better than most of Yellowstone County on none of 8 lines.

Occupancy, Oct 202650.8%Behind mostHigher than 1 of the 6 other buildings in Yellowstone County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 72.9%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day3.26Mid-packHigher than 3 of the 6 other buildings in Yellowstone County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.29. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Mid-packLevel with 3 of the 6 other buildings in Yellowstone County; the other 3 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 1 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 2 of the 6 other buildings in Yellowstone County; the other 4 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 2 of the 6 other buildings in Yellowstone County; the other 4 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostHigher than 1 of the 6 other buildings in Yellowstone County

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.47Behind mostLower than all 6 other buildings in Yellowstone County

Registered nurse hours for each resident, each day. The middle of the set: 0.65. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited16Mid-packFewer than 2 of the 6 other buildings in Yellowstone County, the same as 1

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 15. Source: CMS Provider Information, Oct 2026 file.

Better than most of Montana on none of 8 lines.

Occupancy, Oct 202650.8%Behind mostHigher than 9 of the 58 other buildings in Montana

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 70.0%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day3.26Behind mostHigher than 14 of the 57 other buildings in Montana

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.87. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Behind mostLevel with 12 of the 58 other buildings in Montana; the other 46 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 10 of the 58 other buildings in Montana; the other 48 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 5 of the 58 other buildings in Montana; the other 53 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostHigher than 8 of the 58 other buildings in Montana, level with 9

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.47Behind mostHigher than 2 of the 57 other buildings in Montana

Registered nurse hours for each resident, each day. The middle of the set: 0.87. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited16Behind mostFewer than 16 of the 60 other buildings in Montana, the same as 4

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 12. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Montana
Net margin00.0%

Opens with a free account

Medicaid share of days00.0%

Opens with a free account

Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Skyline Heights Nursing and Rehabilitation
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Street View
1807 24th St W, Billings, MT
Map around Skyline Heights Nursing and Rehabilitation
Map · Yellowstone County
Yellowstone County, Montana
7 skilled nursing facilities; average overall rating 1.7, Montana 2.9.
See how Yellowstone County compares ›
Cost report, against Montana
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Montana. The rank counts from the top: 1st is the highest figure among Montana's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2025 (the year ending 2025-12-31), against the middle Montana building.

Line
This building
Rank in state
Montana median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
69.2%
31
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
8.3%
43
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
63.2%
38
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$371
41
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$394
42
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$17
43
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
4.9%
41

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating1 / 5 · state 2.9
Health inspection1 / 5 · state 2.8
Staffing1 / 5 · state 3.5
RN hours per resident per day0.47 · state 0.92
Overall rating, last 8 quarters
1 / 5for 8 straight quartersQ3’24 to Q2’26 · CMS Care Compare

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingMontananationrecent quarters
Needed more help with daily activities16.0%better than state18.5%13.5%2025Q2: 23.5%2025Q3: 18.8%2025Q4: 23.9%2026Q1: 9.1%2026Q2: 14.0%
23.5% → 14.0%
Q2’25 to Q2’26
Catheter inserted and left in2.7%worse than state2.0%0.7%2025Q2: 2.1%2025Q3: 3.8%2025Q4: 1.8%2026Q1: 2.7%2026Q2: 2.4%
2.1% → 2.4%
Q2’25 to Q2’26
Urinary tract infection3.5%worse than state3.0%1.5%2025Q2: 3.7%2025Q3: 7.1%2025Q4: 1.9%2026Q1: 1.6%2026Q2: 3.4%
3.7% → 3.4%
Q2’25 to Q2’26
Fall with major injury3.3%better than state4.4%3.2%2025Q2: 5.1%2025Q3: 5.2%2025Q4: 1.8%2026Q1: 1.6%2026Q2: 4.7%
5.1% → 4.7%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)2.1%worse than state1.2%1.5%2025Q2: 3.1%2025Q3: 3.9%2025Q4: 3.3%2026Q1: 1.5%2026Q2: 0.0%
3.1% → 0.0%
Q2’25 to Q2’26
Ability to walk independently worsened21.9%worse than state16.1%12.7%too few quarters to chart
Pressure ulcers6.3%worse than state6.2%4.5%2025Q2: 1.5%2025Q3: 5.8%2025Q4: 5.4%2026Q1: 5.5%2026Q2: 8.3%
1.5% → 8.3%
Q2’25 to Q2’26
Given an antipsychotic17.5%better than state20.7%15.4%2025Q2: 23.1%2025Q3: 19.4%2025Q4: 17.1%2026Q1: 18.4%2026Q2: 15.7%
23.1% → 15.7%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Mar 2026
last standard survey
16
deficiencies cited · Montana avg 13.1
$481,582
fines, last 3 years
2023
last change of ownership on the federal file
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Montana
state rate files
$291
median daily rate across the Montana buildings in our rate book, Jul 2026 file
Montana rates and what changed ›
Yellowstone County
buildingbedsoverallSt John's Lutheran Home1864 / 5Aspen Meadows Health and Rehabilitation Center902 / 5River Ridge Rehabilitation and Nursing LLC1292 / 5Billings Rehabilitation and Nursing LLC1001 / 5Laurel Health & Rehabilitation Center791 / 5Skyline Heights Nursing and Rehabilitation1501 / 5Yellowstone River Nursing and Rehabilitation1601 / 5
All Montana buildings in Yellowstone County ›
Also in Billings, MT
5 other certified skilled nursing facilities in Billings
buildingbedsoverallAspen Meadows Health and Rehabilitation Center902 / 5Billings Rehabilitation and Nursing LLC1001 / 5River Ridge Rehabilitation and Nursing LLC1292 / 5St John's Lutheran Home1864 / 5Yellowstone River Nursing and Rehabilitation1601 / 5
Montana at a glance
61
buildings
4,997
licensed beds
69%
occupancy
57%
for-profit
Montana market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyAspen Meadows Health and Rehabilitation CenterBillings · 0.5 mi902 / 570-85%Yellowstone River Nursing and RehabilitationBillings · 1.4 mi1601 / 570-85%St John's Lutheran HomeBillings · 2.1 mi1864 / 5under 70%Billings Rehabilitation and Nursing LLCBillings · 4.0 mi1001 / 570-85%River Ridge Rehabilitation and Nursing LLCBillings · 6.6 mi1292 / 5under 70%Laurel Health & Rehabilitation CenterLaurel · 12.0 mi791 / 570-85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Skyline Heights Nursing and Rehabilitation?
Skyline Heights Nursing and Rehabilitation in Billings, MT carries an overall CMS rating of 1 out of 5 stars in the Oct 2026 CMS file.
How many beds does Skyline Heights Nursing and Rehabilitation have?
Skyline Heights Nursing and Rehabilitation is certified for 150 beds in the Oct 2026 CMS file.
How full is Skyline Heights Nursing and Rehabilitation?
CMS's reported average residents put Skyline Heights Nursing and Rehabilitation's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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