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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMontanaSt John's Lutheran Home

St John's Lutheran Home

3940 Rimrock Rd, Billings, MT 591024066555600
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
5/5
Quality
4/5
Beds
186
certified

Key Findings

• 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.

Beds
186
Avg Residents/Day
74.9
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)

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
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
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
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
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: 2
F0554Potential for Harm

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

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
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
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
F0732Potential for Harm

Post nurse staffing information every day.

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
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
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
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
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
F0883Potential for Harm

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

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
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
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
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

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 Aide2.91 hrs
National avg: 2.35 hrs
LPN0.61 hrs
National avg: 0.86 hrs
RN1.40 hrs
National avg: 0.68 hrs
Total Nursing4.91 hrs
National avg: 3.89 hrs
Weekend Total4.22 hrs
National avg: 0.00 hrs
Physical Therapist0.11 hrs
National avg: 0.07 hrs
Total Turnover
44.6%
RN Turnover
40.7%
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, GERALDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 11, 2012
RHODES, KARNAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2007
TROST, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 1995
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, GERALDW-2 MANAGING EMPLOYEEIndividualN/AJan 11, 2012
RHODES, KARNAW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2007
TROST, DAVIDW-2 MANAGING EMPLOYEEIndividualN/AMay 2, 2001

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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.
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 facility has no fines on record.
What are the staffing levels at St John's Lutheran Home?▾
St John's Lutheran Home provides 4.91 total nursing staff hours per resident per day, including 1.40 RN hours, 0.61 LPN hours, and 2.91 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 74.9 residents per day, resulting in approximately 40% occupancy. The facility is Non profit - Corporation owned.
Are there other nursing homes near St John's Lutheran Home?▾
Yes, there are 5 other nursing homes in Billings, Montana with an average rating of 1.8/5. You can compare all facilities on the Billings nursing homes page.