nursing home in Billings, MT

St John's Lutheran Home

3940 Rimrock Rd, Billings, MT 59102 · (406) 655-5600

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★5
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

St John's Lutheran Home at a glance

St John's Lutheran Home is a 186-bed non-profit nursing home in Billings, Montana (Yellowstone County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Montana average of 2.9.

Residents receive about 5.4 hours of nursing care per day (1.3 of them from registered nurses), better than the state average of 4 hours.

Its most recent standard health inspection (July 17, 2025) found 13 health citations. The Montana average is 11.1.

It has not received a federal fine in the past three years.

Nursing staff turnover is 44.6% per year (state average 54.8%).

Facility details

Type
Nursing home
Ownership
Non Profit - Corporation
Beds
186
Certified for
Medicare and Medicaid
Medicare-certified since
January 1, 1967
Continuing care retirement community
Yes
Resident/family council
Resident
County
Yellowstone County
CMS Certification Number
275024

Ratings

MeasureThis facilityMontana avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 52.9 / 53 / 5Average
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)5 / 53.6 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)4 / 53 / 53.6 / 5Average
Long-stay quality rating (higher is better)2 / 52.8 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)5 / 53.3 / 53.3 / 5Better

Staffing

This facility5.40 hrsMontana average4.05 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Montana and U.S. averages
MeasureThis facilityMontana avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)5.40 hrs4.05 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)1.30 hrs0.98 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)3.42 hrs2.57 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)4.97 hrs3.59 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)44.6%54.8%45.8%Average
Registered nurse turnover (yearly) (lower is better)28%48.3%42.9%Better
Administrators who left in the past year (lower is better)001Better

Inspections

This facility13Montana average11U.S. average9
Health citations in the most recent inspection: this facility vs. Montana and U.S. averages
MeasureThis facilityMontana avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)13119Worse
Citations from complaint investigations (latest cycle) (lower is better)743Worse
Weighted health inspection score ⓘ (lower is better)90104.780.6Worse

Penalties

This facility0Montana average2U.S. average1
Fines in the past 3 years: this facility vs. Montana and U.S. averages
MeasureThis facilityMontana avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)021Better
Total fines in the past 3 years (lower is better)$0$55,610$30,972Better
All federal penalties in the past 3 years (lower is better)021Better

Size

MeasureThis facilityMontana avg.U.S. avg.vs. U.S.
Certified beds18685107
Average residents per day775786
Occupancy41.1%69.3%80.9%

Long-stay residents

This facility3.2%Montana average4.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Montana and U.S. averages
MeasureThis facilityMontana avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.2%4.4%3.2%Average
Long-stay residents with pressure ulcers (lower is better)4.8%6.3%4.6%Average
Long-stay residents given antipsychotic medication (lower is better)17.9%20.4%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)3.3%2.9%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0%2.1%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)22.9%18.7%13.9%Worse
Long-stay residents whose walking worsened (lower is better)24.3%17.2%14.1%Worse
Long-stay residents who lose too much weight (lower is better)10%6.2%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)2.9%5.6%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.6%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)18.2%15.8%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)29.6%24.1%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%93.6%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)95.2%96.5%93.6%Average

Short-stay residents

This facility0.3%Montana average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Montana and U.S. averages
MeasureThis facilityMontana avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.3%1.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)82.1%73.8%79.8%Average
Short-stay residents given a pneumonia vaccine (higher is better)98%81.2%82%Better

Inspection citations

State inspectors cited this home for 40 health deficiencies and 26 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
July 1, 2026
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected August 8, 2026
July 1, 2026
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected August 8, 2026
July 1, 2026
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected August 8, 2026
July 1, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected August 8, 2026
July 1, 2026
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Past Non-Compliance
July 1, 2026
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected August 8, 2026
July 1, 2026
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected August 8, 2026
July 17, 2025
Fire safety
Ensure gas cylinders are properly stored.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0906
F
Potential harm, widespread
Corrected September 4, 2025
July 17, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected September 4, 2025
July 17, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected September 4, 2025
July 17, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected September 4, 2025
July 17, 2025
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
D
Potential harm, isolated
Corrected September 4, 2025
July 17, 2025
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
D
Potential harm, isolated
Corrected September 4, 2025
July 17, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected September 5, 2025
July 17, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
D
Potential harm, isolated
Corrected September 4, 2025
July 17, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected August 30, 2025
July 17, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected August 30, 2025
July 17, 2025
Standard
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Tag F0585
D
Potential harm, isolated
Corrected August 30, 2025
July 17, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected August 30, 2025
July 17, 2025
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected August 30, 2025
July 17, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected August 30, 2025
July 17, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected August 30, 2025
August 15, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected October 3, 2024
August 15, 2024
Fire safety
Meet other general requirements that are deficient.
Egress Deficiencies · Tag K0300
E
Potential harm, pattern
Corrected October 3, 2024
August 15, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected October 3, 2024
August 15, 2024
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
D
Potential harm, isolated
Corrected October 3, 2024
August 15, 2024
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
F
Potential harm, widespread
Corrected September 16, 2024
August 15, 2024
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
E
Potential harm, pattern
Corrected September 16, 2024
August 15, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected September 16, 2024
August 15, 2024
Standard
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Tag F0800
E
Potential harm, pattern
Corrected September 16, 2024
August 15, 2024
Standard
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Tag F0802
E
Potential harm, pattern
Corrected September 16, 2024
August 15, 2024
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
E
Potential harm, pattern
Corrected September 16, 2024
August 15, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected September 16, 2024
August 15, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected September 16, 2024
August 15, 2024
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected September 16, 2024
August 15, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected September 16, 2024
August 15, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected September 16, 2024
August 15, 2024
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected September 16, 2024
August 15, 2024
Standard
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected September 16, 2024
August 15, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected September 16, 2024
August 15, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected September 16, 2024
August 15, 2024
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected September 16, 2024
August 15, 2024
Standard
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Tag F0745
D
Potential harm, isolated
Corrected September 16, 2024
August 15, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected September 16, 2024
April 23, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected April 19, 2024
August 3, 2023
Fire safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies · Tag K0342
F
Potential harm, widespread
Corrected September 21, 2023
August 3, 2023
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
F
Potential harm, widespread
Corrected September 21, 2023
August 3, 2023
Fire safety
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.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected September 21, 2023
August 3, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected September 21, 2023
August 3, 2023
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
F
Potential harm, widespread
Corrected September 21, 2023
August 3, 2023
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected September 21, 2023
August 3, 2023
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected September 21, 2023
August 3, 2023
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected September 21, 2023
August 3, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected September 21, 2023
August 3, 2023
Fire safety
Meet other general requirements that are deficient.
Egress Deficiencies · Tag K0300
F
Potential harm, widespread
Corrected September 21, 2023
August 3, 2023
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected September 21, 2023
August 3, 2023
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected September 21, 2023
August 3, 2023
Fire safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies · Tag K0225
E
Potential harm, pattern
Corrected September 21, 2023
August 3, 2023
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
D
Potential harm, isolated
Corrected September 21, 2023
August 3, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected September 15, 2023
August 3, 2023
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected September 15, 2023
August 3, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected September 15, 2023
August 3, 2023
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected September 15, 2023
August 3, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 15, 2023
August 3, 2023
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected September 15, 2023
August 3, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected September 15, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
DAVIES, WILLIAM
Individual
corporate directorNOT APPLICABLE05/01/2021
HERBERG, CONNIE
Individual
corporate directorNOT APPLICABLE05/01/2018
MACDONALD, MARGARET
Individual
corporate directorNOT APPLICABLE05/01/2018
MORSE, MINA
Individual
corporate directorNOT APPLICABLE05/01/2018
RONNEBERG, JOHN
Individual
corporate directorNOT APPLICABLE05/01/2018
THOMPSON, TIM
Individual
corporate directorNOT APPLICABLE05/01/2016
MORSE, MINA
Individual
corporate officerNOT APPLICABLE05/01/2021
PEARSALL, GERALD
Individual
corporate officerNOT APPLICABLE01/11/2012
RHODES, KARNA
Individual
corporate officerNOT APPLICABLE09/16/2013
TROST, DAVID
Individual
corporate officerNOT APPLICABLE05/02/2016
PEARSALL, GERALD
Individual
operational/managerial controlNOT APPLICABLE01/11/2012
RHODES, KARNA
Individual
operational/managerial controlNOT APPLICABLE01/01/2007
TROST, DAVID
Individual
operational/managerial controlNOT APPLICABLE01/01/1995
PEARSALL, GERALD
Individual
w-2 managing employeeNOT APPLICABLE01/11/2012
RHODES, KARNA
Individual
w-2 managing employeeNOT APPLICABLE01/01/2007
TROST, DAVID
Individual
w-2 managing employeeNOT APPLICABLE05/02/2001

Other nursing homes near St John's Lutheran Home

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    ★★★★★2Below average
  2. Skyline Heights Nursing and Rehabilitation

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    For-profit · 150 beds · Part of Eduro Healthcare

    • Special Focus candidate
    ★★★★★1Much below average
  3. Yellowstone River Nursing and Rehabilitation

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    ★★★★★1Much below average
  4. Billings Rehabilitation and Nursing LLC

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    ★★★★★2Below average
  5. River Ridge Rehabilitation and Nursing LLC

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  6. Laurel Health & Rehabilitation Center

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Frequently asked questions

What is St John's Lutheran Home's rating?

St John's Lutheran Home has 3 out of 5 stars on the CMS overall star rating. The average for Montana nursing homes is 2.9 stars.

How many inspection citations did St John's Lutheran Home receive?

Its most recent standard health inspection found 13 citations, compared with a Montana average of 11.1. Every citation is listed on this page with its severity.

Does St John's Lutheran Home accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns St John's Lutheran Home?

It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.

Where is St John's Lutheran Home and how do I contact it?

St John's Lutheran Home is at 3940 Rimrock Rd, Billings, MT 59102. Phone: (406) 655-5600.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.