Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SKYLINE HEIGHTS NURSING AND REHABILITATION

BILLINGS, MT · 150 certified beds · Last Life Safety survey March 12, 2026

CMS Certification Number 275020 · first certified January 1967

Ownership

Operated by EDURO HEALTHCARE · For profit - Limited Liability company

Ownership changed June 1, 2023 (change of ownership)from VALLEY SKILLED NURSING FACILITY, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MT

33 citations — more than 93% of the 61 certified nursing homes in MT. Compared within MT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 13. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was March 2026. Facilities in MT are typically surveyed 12–13 months after the last one (median 12), measured over 104 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

7 of the 33 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 33 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MT, and nationally. Surveyors differ markedly between states, so the MT figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	33
Median facility in MT	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
January 18, 2024	10
January 30, 2025	16
March 12, 2026	7

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	3	2026-03-12
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	3	2026-03-12
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-03-12
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2026-03-12
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	2	2026-03-12
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2026-03-12
K-0324	Provide properly protected cooking facilities.	1	2024-01-18
K-0712	Have simulated fire drills held at unexpected times.	1	2024-01-18

What the citations cover

Citations by CMS category

Smoke Deficiencies 13
Emergency Preparedness Deficiencies 7
Egress Deficiencies 7
Miscellaneous Deficiencies 3
Other 3

Citations by CMS category
Category	Citations
Smoke Deficiencies	13
Emergency Preparedness Deficiencies	7
Egress Deficiencies	7
Miscellaneous Deficiencies	3
Gas, Vacuum, and Electrical Systems Deficiencies	3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 12, 2026 — 7 citations

Citations issued on March 12, 2026
Tag	What the surveyor checks	Status
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (April 2, 2026)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (April 2, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 2, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (April 2, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (April 2, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 2, 2026)
K-0927	Have proper fire barriers, ventilation and signs for the transfilling of oxygen.	Deficient, Provider has date of correction (April 2, 2026)

January 30, 2025 — 16 citations

Citations issued on January 30, 2025
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (February 28, 2025)
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (February 28, 2025)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (February 28, 2025)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (February 28, 2025)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (February 28, 2025)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (February 28, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (February 28, 2025)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (February 28, 2025)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (February 28, 2025)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (February 28, 2025)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (February 28, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (February 28, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 28, 2025)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (February 28, 2025)
K-0754	Provide properly sized and located linen or trash receptacles.	Deficient, Provider has date of correction (February 28, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 8, 2025)

January 18, 2024 — 10 citations

Citations issued on January 18, 2024
Tag	What the surveyor checks	Status
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (February 28, 2024)
K-0241	Have correct number of accessible exits for each story.	Deficient, Provider has date of correction (February 28, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (February 28, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 28, 2024)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (February 28, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 28, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (February 28, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 28, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 28, 2024)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (February 28, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.