Skyline Heights Nursing And Rehabilitation
SKYLINE HEIGHTS NURSING AND REHABILITATION in BILLINGS, MT — inspection on November 19, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
staff member E stated she would add any changes in the resident to the resident's care plan, including interventions such as pressure-relieving mattresses, offloading boots for feet, and any other special needs.
Staff member E stated that any preventative measures for a resident should be care planned.During an interview on 11/5/25 at 1:42 p.m., staff member D stated she would let the nurse know if a new skin issue was identified, and the nurse would care plan for the skin concern.
Staff member D stated staff will read the resident care plans and would notify the nurse if there was something missing on the care plan. Resident #1's care plan failed to show his history of issues with the feet and failed to provide preventative interventions to guide staff in his cares.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Skyline Heights Nursing and Rehabilitation
1807 24th St W Billings, MT 59102
SUMMARY STATEMENT OF DEFICIENCIES
jeopardy to resident health or safety
the facility's policy titled Wound Treatment Management, Reviewed/Revised 5/15/2025, showed: Policy: To promote wound healing of various types of wounds, it is the policy of this facility to provide evidence-based treatments in accordance with current standards of practice and physician orders.
Treatment selection will consider wound etiology, condition, resident preferences, and risk factors.Policy Explanation and Compliance Guidelines: . 2. In the absence of treatment orders, the licensed nurse will notify the physician to obtain treatment orders.
This may be the treatment nurse, or the assigned licensed nurse in the absence of the treatment nurse.5.
Treatment decision will be based on: a.
Etiology of the wound: i.
Pressure injuries will be differentiated from non-pressure ulcers, such as arterial, venous, diabetic, moisture or incontinence related skin damage.b.
Characteristics of the wound: i.
Pressure injury stage (or level of tissue destruction if not a pressure injury). ii.
Size - including shape, depth, and presence of a tunneling and/or undermining. iii.
Volume and characteristics of exudate. iv.
Presence of pain. v.
Presence of infection or need to address bacterial bioburden. vi.
Condition of the tissue in the wound bed.c.
Location of the woundd.
Goals and preferences of the resident/representative.8.
The effectiveness of treatments will be monitored through ongoing assessment of the wound.
Considerations for the needed modifications include: a.
Lack of progression toward healing.b.
Changes in the characteristics of the wound . c.
Changes in the resident's goals and preferences, such as at end-of-life or in accordance with his/her rights.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Skyline Heights Nursing and Rehabilitation
1807 24th St W Billings, MT 59102
SUMMARY STATEMENT OF DEFICIENCIES
This was a result of the facility failing to provide necessary services for the early identification of the wound and ongoing treatment, to maintain communication with the physician, and to provide preventative interventions.Refer to F-F684 - Quality of Care - for more detail related to the resident's foot wound and care concerns.
Facility ID: