• CMS rates this facility 4/5 stars (above average)
• Has 186 certified beds with an average of 74.9 residents per day (40% occupancy)
• Last health inspection found 7 deficiencies (inspected Jul 17, 2025)
• No fines on record
• Total nursing staff: 4.91 hours per resident per day
• Staff turnover rate: 44.6%
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. The facility scored above average compared to Montana facilities.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
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 medication error rates are not 5 percent or greater.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Allow residents to self-administer drugs if determined clinically appropriate.
Ensure each resident receives an accurate assessment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Post nurse staffing information every day.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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.
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 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.
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.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Provide safe and appropriate respiratory care for a resident when needed.
+ 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 | 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 |
| 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 | 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 |