CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Montana. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
St John's Lutheran Home is a 4-star Medicare and Medicaid certified nursing home in Billings, Montana with 186 certified beds. It has been operating since 1967. Its overall CMS rating is 4 out of 5.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Allow residents to self-administer drugs if determined clinically appropriate.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
+ 3 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PEARSALL, GERALD | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 11, 2012 |
| RHODES, KARNA | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2007 |
| TROST, DAVID | W-2 MANAGING EMPLOYEE | Individual | N/A | May 2, 2001 |
| DAVIES, WILLIAM | CORPORATE DIRECTOR | Individual | N/A | May 1, 2021 |
| HERBERG, CONNIE | CORPORATE DIRECTOR | Individual | N/A | May 1, 2018 |
| MACDONALD, MARGARET | CORPORATE DIRECTOR | Individual | N/A | May 1, 2018 |
| MORSE, MINA | CORPORATE DIRECTOR | Individual | N/A | May 1, 2018 |
| RONNEBERG, JOHN | CORPORATE DIRECTOR | Individual | N/A | May 1, 2018 |
| THOMPSON, TIM | CORPORATE DIRECTOR | Individual | N/A | May 1, 2016 |
| MORSE, MINA | CORPORATE OFFICER | Individual | N/A | May 1, 2021 |
| PEARSALL, GERALD | CORPORATE OFFICER | Individual | N/A | Jan 11, 2012 |
| RHODES, KARNA | CORPORATE OFFICER | Individual | N/A | Sep 16, 2013 |
| TROST, DAVID | CORPORATE OFFICER | Individual | N/A | May 2, 2016 |
| PEARSALL, GERALD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 11, 2012 |
| RHODES, KARNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2007 |
| TROST, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 1995 |
Compare CMS ratings and recorded fines for St John's Lutheran Home and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.