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HomeMontanaSt John's Lutheran Home

St John's Lutheran Home

3940 Rimrock Rd, Billings, MT 591024066555600WebsiteGoogle Maps
5.0on Google(4 reviews)
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
5/5
Quality
4/5
Beds
186
certified

How St John's Lutheran Home Compares in Montana

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.

CMS overall rating
4/5
MT average
2.9/5
Above state average
Health inspection rating
3/5
MT average
2.8/5
Close to state average
Staffing rating
5/5
MT average
3.6/5
Above state average
Nursing hours per resident
5.40 hrs/day
MT average
4.05 hrs/day
Above state average
RN hours per resident
1.30 hrs/day
MT average
0.98 hrs/day
Above state average
Staff turnover
44.6%
MT average
54.8%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 overall CMS rating is above the Montana average of 2.9/5.
Reported nursing time is 5.40 hours per resident per day, above the state average of 4.05.
Reported RN time is 1.30 hours per resident per day, above the state average of 0.98.
Staff turnover is 44.6%, lower than the Montana average of 54.8%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
20
deficiency citations
Inspected Aug 15, 2024
Most recent cycle
7
deficiency citations
Inspected Jul 17, 2025
The most recent cycle recorded 13 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,365/mo
Montana median
Private Room
$9,429/mo
Montana median
Yellowstone County 65+
29,043
17.5% of county
County Population
165,524
Yellowstone County

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.

Beds
186
Avg Residents/Day
76.5
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1967
Sprinklers
Yes
Council
Resident
County
Yellowstone
Last Inspection
Jul 17, 2025
Deficiencies (Cycle 1)
7
Weighted Score
69.0
Infection Citations
0

Deficiency Citations (33)

F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 17, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 17, 2025Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Jul 17, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jul 17, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 17, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 17, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jul 17, 2025Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0800Potential for Harm

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0802Potential for Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0745Potential for Harm

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Aug 15, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Apr 23, 2024Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 3, 2023Corrected: NoCycle: 3
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Aug 3, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 3, 2023Corrected: NoCycle: 3
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Aug 3, 2023Corrected: NoCycle: 3

+ 3 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide3.42 hrs
National avg: 2.32 hrs
LPN0.68 hrs
National avg: 0.86 hrs
RN1.30 hrs
National avg: 0.69 hrs
Total Nursing5.40 hrs
National avg: 3.86 hrs
Weekend Total4.97 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
44.6%
RN Turnover
28.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (16)

NameRoleTypeOwnership %Since
PEARSALL, GERALDW-2 MANAGING EMPLOYEEIndividualN/AJan 11, 2012
RHODES, KARNAW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2007
TROST, DAVIDW-2 MANAGING EMPLOYEEIndividualN/AMay 2, 2001
DAVIES, WILLIAMCORPORATE DIRECTORIndividualN/AMay 1, 2021
HERBERG, CONNIECORPORATE DIRECTORIndividualN/AMay 1, 2018
MACDONALD, MARGARETCORPORATE DIRECTORIndividualN/AMay 1, 2018
MORSE, MINACORPORATE DIRECTORIndividualN/AMay 1, 2018
RONNEBERG, JOHNCORPORATE DIRECTORIndividualN/AMay 1, 2018
THOMPSON, TIMCORPORATE DIRECTORIndividualN/AMay 1, 2016
MORSE, MINACORPORATE OFFICERIndividualN/AMay 1, 2021
PEARSALL, GERALDCORPORATE OFFICERIndividualN/AJan 11, 2012
RHODES, KARNACORPORATE OFFICERIndividualN/ASep 16, 2013
TROST, DAVIDCORPORATE OFFICERIndividualN/AMay 2, 2016
PEARSALL, GERALDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 11, 2012
RHODES, KARNAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2007
TROST, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 1995

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for St John's Lutheran Home and nearby alternatives.

All Montana facilities
St John's Lutheran Home
Billings, MTCurrent facility
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: None
Aspen Meadows Health and Rehabilitation Center
Billings, MT1.7 mi
CMS
2/5
Health
3/5
Staffing
2/5
Recorded fines: $115,183
Skyline Heights Nursing and Rehabilitation
Billings, MT2.1 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $418,996
Yellowstone River Nursing and Rehabilitation
Billings, MT3.1 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $99,463
Billings Rehabilitation and Nursing LLC
Billings, MT6.0 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $62,797
River Ridge Rehabilitation and Nursing LLC
Billings, MT8.3 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $80,893
Laurel Health & Rehabilitation Center
Laurel, MT11.1 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $7,163
FacilityDistanceCMSHealthStaffingRecorded fines
St John's Lutheran Home
Billings, MT · Current facility
—4/53/55/5None recorded
Aspen Meadows Health and Rehabilitation Center
Billings, MT
1.7 mi2/53/52/5$115,183
Skyline Heights Nursing and Rehabilitation
Billings, MT
2.1 mi1/51/52/5$418,996
Yellowstone River Nursing and Rehabilitation
Billings, MT
3.1 mi1/51/52/5$99,463
Billings Rehabilitation and Nursing LLC
Billings, MT
6.0 mi2/52/52/5$62,797
River Ridge Rehabilitation and Nursing LLC
Billings, MT
8.3 mi2/52/53/5$80,893
Laurel Health & Rehabilitation Center
Laurel, MT
11.1 mi1/51/52/5$7,163

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.

Frequently Asked Questions

What is the CMS rating for St John's Lutheran Home?▾
St John's Lutheran Home has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 5/5, and quality measures rating of 4/5. This facility is rated above average.
How much does St John's Lutheran Home cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Montana is $8,365/month for a semi-private room and $9,429/month for a private room (Genworth/CareScout 2024). St John's Lutheran Home participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has St John's Lutheran Home had any health inspection violations?▾
St John's Lutheran Home had 7 deficiency citations in its most recent health inspection (Jul 17, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at St John's Lutheran Home?▾
St John's Lutheran Home provides 5.40 total nursing staff hours per resident per day, including 1.30 RN hours, 0.68 LPN hours, and 3.42 nurse aide hours. The total staff turnover rate is 44.6%.
How many beds does St John's Lutheran Home have?▾
St John's Lutheran Home has 186 certified beds with an average of 76.5 residents per day, resulting in approximately 41% occupancy. The facility is Non profit - Corporation owned.
Are there other nursing homes near St John's Lutheran Home?▾
Yes. This page lists 6 nearby nursing homes in Montana, including 5 in Billings. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about St John's Lutheran Home?▾
On Google Maps, St John's Lutheran Home has a rating of 5.0 out of 5 based on 4 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 4/5.