Skyline Heights: Immediate Jeopardy Violation - MT
The facility's own wound treatment policy, revised in May 2025, required evidence-based treatments following current standards and physician orders. Staff were supposed to notify doctors when treatment orders were missing and base decisions on wound characteristics including stage, size, infection presence, and resident preferences.
The policy mandated ongoing monitoring of treatment effectiveness. Staff should have watched for lack of healing progress, changes in wound characteristics, or shifts in resident goals.
Inspectors documented violations affecting few residents but classified the harm level as immediate jeopardy — the most serious citation category reserved for situations where residents face imminent risk of serious injury, harm, impairment, or death.
The inspection report did not detail specific cases or identify which aspects of wound care failed. However, immediate jeopardy citations typically involve situations where facilities ignore obvious signs of deterioration, fail to follow doctor orders, or provide treatment that worsens conditions rather than promoting healing.
Pressure injuries represent a particular concern in nursing homes, often developing when residents remain in the same position too long or receive inadequate repositioning. The facility's policy specifically required staff to differentiate pressure injuries from other types of wounds like diabetic ulcers or moisture-related skin damage.
Treatment decisions were supposed to consider wound depth, tunneling, drainage characteristics, pain levels, and infection signs. The policy also emphasized resident preferences and end-of-life goals in treatment planning.
Federal regulators completed their inspection on November 19. The facility must submit a correction plan addressing how it will resolve the immediate jeopardy violations and prevent future occurrences.
Skyline Heights operates at 1807 24th Street West in Billings.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Skyline Heights Nursing and Rehabilitation from 2025-11-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
SKYLINE HEIGHTS NURSING AND REHABILITATION in BILLINGS, MT was cited for immediate jeopardy violations during a health inspection on November 19, 2025.
The facility's own wound treatment policy, revised in May 2025, required evidence-based treatments following current standards and physician orders.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.