ST John's Lutheran Home

Nursing Home · Billings, MT

CMS overall rating 4/5 Non profit - Corporation

CMS certification number275024

Contact & location

3940 Rimrock RD
Billings, MT 59102
Yellowstone County
Phone
(406) 655-5600
ZIP code
59102 – all care providers

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Facility details

Certified beds
186
Residents per day
76.5 (41% occupied)
Ownership
Non profit - Corporation
Legal name
ST Johns Lutheran Ministries INC
Medicare certified since
January 1, 1967
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 2.9
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 5/5
State avg 3.6
Quality measures★★★★★ 4/5
State avg 3.0
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
5.40 (state 4.05 · U.S. 3.86)
Registered nurses (RN)
1.30 (state 0.98 · U.S. 0.69)
Licensed practical nurses
0.68 (state 0.50 · U.S. 0.86)
Nurse aides
3.42 (state 2.57 · U.S. 2.32)
Weekend total
4.97 (state 3.59 · U.S. 3.42)
Nursing staff turnover
44.6 (state 54.8 · U.S. 45.8)%
RN turnover
28.0 (state 48.3 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
July 17, 2025
Health deficiencies (last cycle)
13.0 (state 11.5 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
40 health · 26 fire safety
DateCitationSeverityStatus
2026-07-01 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-07-01 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-07-01 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-07-01 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Past Non-Compliance
2026-07-01 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-07-01 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-07-01 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2025-07-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-08-30
2025-07-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-08-30
2025-07-17 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.
F0585 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-30
2025-07-17 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-30
2025-07-17 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-30
2025-07-17 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-30
2025-07-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-30
2024-08-15 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.
F0803 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F0800 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-08-15 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-16
2024-04-23 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-19
2023-08-03 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-09-15
2023-08-03 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-15
2023-08-03 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-15
2023-08-03 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-15
2023-08-03 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-15
2023-08-03 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.
F0758 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-15
2023-08-03 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-15

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Davies, William (individual)Corporate Director · NOT APPLICABLE
Herberg, Connie (individual)Corporate Director · NOT APPLICABLE
Macdonald, Margaret (individual)Corporate Director · NOT APPLICABLE
Morse, Mina (individual)Corporate Director · NOT APPLICABLE
Ronneberg, John (individual)Corporate Director · NOT APPLICABLE
Thompson, Tim (individual)Corporate Director · NOT APPLICABLE
Morse, Mina (individual)Corporate Officer · NOT APPLICABLE
Pearsall, Gerald (individual)Corporate Officer · NOT APPLICABLE
Rhodes, Karna (individual)Corporate Officer · NOT APPLICABLE
Trost, David (individual)Corporate Officer · NOT APPLICABLE
Pearsall, Gerald (individual)Operational/managerial Control · NOT APPLICABLE
Rhodes, Karna (individual)Operational/managerial Control · NOT APPLICABLE
Trost, David (individual)Operational/managerial Control · NOT APPLICABLE
Pearsall, Gerald (individual)W-2 Managing Employee · NOT APPLICABLE
Rhodes, Karna (individual)W-2 Managing Employee · NOT APPLICABLE
Trost, David (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of ST John's Lutheran Home?

ST John's Lutheran Home has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in Montana.

How many beds does ST John's Lutheran Home have?

It has 186 certified beds and cares for about 77 residents per day.

Has ST John's Lutheran Home been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of ST John's Lutheran Home?

(406) 655-5600. The facility is located at 3940 Rimrock RD, Billings, MT 59102.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.