Nursing HomeInspections

St John's Lutheran Home

Nursing home in Billings, MT

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
3940 Rimrock Rd, Billings, MT 59102
Phone
(406) 655-5600
Listed under
Nonprofit, 4–5 star overall rating, No fines or payment denials in 3 years, Part of a retirement community
Medicare CCN
275024
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
186
Average residents per day
80
Ownership
Nonprofit, corporation
Legal business name
St Johns Lutheran Ministries INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1967
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 275024. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 30, 2026. CMS lists 37 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 23, 2024 to Jul 30, 2026): 11 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 30, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 30, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 30, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Jul 30, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jul 1, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 17, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 37. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.61 hours
Registered nurse (RN) time per resident per day
0.99 hours
Nurse aide time per resident per day
2.92 hours
Total nurse staffing on weekends
4.12 hours
Nursing staff turnover (yearly)
47%
RN turnover (yearly)
36%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Billings

Aspen Meadows Health and Rehabilitation Center3155 Ave C · Billings, MT 59102 · (406) 656-8818 · For-profit38 health citations in 3 inspection cycles · last standard inspection Mar 26, 2026 · $91,549 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
River Ridge Rehabilitation and Nursing LLC1415 Yellowstone River Rd · Billings, MT 59105 · (406) 245-9330 · For-profit66 health citations in 3 inspection cycles · last standard inspection Jan 15, 2026 · $80,893 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Billings Rehabilitation and Nursing LLC600 S 27th St · Billings, MT 59101 · (406) 259-8000 · For-profit53 health citations in 3 inspection cycles · last standard inspection Feb 26, 2026 · $21,847 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)
Skyline Heights Nursing and Rehabilitation1807 24th St W · Billings, MT 59102 · (406) 656-5010 · For-profit64 health citations in 3 inspection cycles · last standard inspection Mar 12, 2026 · $481,582 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)
Yellowstone River Nursing and Rehabilitation2115 Central Ave · Billings, MT 59102 · (406) 656-6500 · For-profit60 health citations in 3 inspection cycles · last standard inspection Aug 28, 2025 · $127,566 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 6 in Billings →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error