Montana › Yellowstone County › Billings
St John'S Lutheran Home
3940 Rimrock Rd, Billings, MT 59102
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
St John'S Lutheran Home, in Billings, Montana, is certified for 186 beds under non-profit, corporation ownership.
CMS gives it 4 of 5 stars overall, above the Montana median of 3; the health inspection rating is 3, staffing 5 and quality measures 4.
Inspectors recorded 40 health deficiencies across the three most recent survey cycles (13, 19, 8 by cycle, most recent first), none at the actual-harm level. That is 21.5 per 100 beds, fewer than the state median of 40.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 5.4 hours per resident per day (1.3 RN), above the Montana median of 3.9; nursing staff turnover is 44.6%.
Compared with county, state and nation
| Measure | This facility | Yellowstone Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 40 | 52 | 27 | 28.7 |
| Citations per 100 beds | 21.5 | 42.0 | 40.0 | 26.8 |
| Total nurse hours per resident day | 5.4 | 3.3 | 3.9 | 3.9 |
| RN hours per resident day | 1.3 | 0.6 | 0.9 | 0.7 |
| Nursing staff turnover | 44.6% | 71.8% | 53.4% | 45.8% |
| Fines listed | $0 | $80,893 | $27,013 | — |
County and state figures are medians across facilities (7 in the county, 61 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Montana average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Jul 2025, 15 Aug 2024.
Severity mix: D ×28 E ×8 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 Jul 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 Jul 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 Jul 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | Past Non-Compliance |
| 1 Jul 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 Jul 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 Jul 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 17 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Aug 2025 |
| 17 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Aug 2025 |
| 17 Jul 2025 | F0585 | 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. | D | Standard survey | 30 Aug 2025 |
| 17 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Aug 2025 |
| 17 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Aug 2025 |
| 17 Jul 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 30 Aug 2025 |
| 17 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Aug 2025 |
| 15 Aug 2024 | F0803 | 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. | F | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0732 | Post nurse staffing information every day. | E | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Sep 2024 |
| 15 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Sep 2024 |
| 15 Aug 2024 | F0758 | 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. | D | Standard survey | 16 Sep 2024 |
| 15 Aug 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 16 Sep 2024 |
| 23 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 19 Apr 2024 |
| 3 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Sep 2023 |
| 3 Aug 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 15 Sep 2023 |
| 3 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Sep 2023 |
| 3 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 15 Sep 2023 |
| 3 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Sep 2023 |
| 3 Aug 2023 | F0758 | 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. | D | Complaint investigation | 15 Sep 2023 |
| 3 Aug 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 15 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 44.6%, RNs 28.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.9% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.3% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.3% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.9% | 19.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: St Johns Lutheran Ministries Inc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Yellowstone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aspen Meadows Health and Rehabilitation Center | Billings | 90 | 2 | 3 | 2 | 36 | 40.0 | $115K | 26 Mar 2026 |
| Billings Rehabilitation and Nursing LLC | Billings | 100 | 2 | 2 | 2 | 52 | 52.0 | $63K | 21 May 2026 |
| River Ridge Rehabilitation and Nursing LLC | Billings | 129 | 2 | 2 | 3 | 63 | 48.8 | $81K | 15 Jan 2026 |
| Laurel Health & Rehabilitation Center | Laurel | 79 | 1 | 1 | 2 | 41 | 51.9 | $7K | 29 Jan 2026 |
| Skyline Heights Nursing and RehabilitationSFF Candidate | Billings | 150 | 1 | 1 | 2 | 63 | 42.0 | $414K | 23 Apr 2026 |
| Yellowstone River Nursing and Rehabilitation | Billings | 160 | 1 | 1 | 2 | 58 | 36.3 | $143K | 6 May 2026 |
All 7 facilities in Yellowstone County
Questions and answers
How many deficiencies has St John'S Lutheran Home been cited for?
40 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has St John'S Lutheran Home been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at St John'S Lutheran Home compare?
Reported total nurse staffing is 5.4 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates St John'S Lutheran Home?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was St John'S Lutheran Home last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 17 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.