Nursing home
St John's Lutheran Home
3940 Rimrock Rd, Billings, MT 59102 · Map
Non profit - Corporation · 186 certified beds
St John's Lutheran Home is a Medicare-certified nursing home in Billings, Montana. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.91 hours per resident per day, above the Montana average of 3.97. Its most recent inspection on Jul 17, 2025 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How St John's Lutheran Home compares
This facility vs. the Montana and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Montana avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.91 | 3.97 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.40 | 0.94 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.91 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 44.6% | 55.6% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 11.3 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at St John's Lutheran Home
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential 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.
Resident Assessment and Care Planning Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential 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.
Resident Rights Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential 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.
Nutrition and Dietary Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Aug 15, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3940 Rimrock Rd
Billings, MT 59102 - CMS certification #
- 275024
- Ownership
- Non profit - Corporation
- Certified beds
- 186
- Avg residents/day
- 74.9
- Provider type
- Medicare and Medicaid
- First certified
- 1967-01-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around St John's Lutheran Home using Google Maps.
Other public records
- Website says Respite stays, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What St John's Lutheran Home says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
NEW – Respite Suites, A Senior Day Program
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
We also provide transitional care, hospice and rehabilitation to anyone in our community who needs these services.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Intermountain Health St Vincent Regional Hospital, Billings. 4.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Aspen Meadows Health and Rehabilitation Center, Billings. 1.7 miles away, straight line.
- Nearest home health agency office
- Home And Care Billings, Billings. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharm406. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 59102 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Dci Big Sky, Billings, 2.9 miles away, straight line (CMS rating 3 of 5 stars)
Billings Clinic Dialysis, Billings, 5.5 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 59102.
Stillwater Hospice, office in Billings, 1.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Compassus Hospice Billings, office in Billings, 5.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
St Johns United Hospice, office in Billings, 5.3 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Billings Clinic Specialty Supplies And Services, LLC, Billings. 5.2 miles away, straight line. 4 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Billings, MT, risk to homes is greater than 71% of communities in Montana and 88% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire relatively high, tornado relatively low, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is St John's Lutheran Home a good nursing home?
CMS gives St John's Lutheran Home an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is St John's Lutheran Home staffed?
St John's Lutheran Home reports 4.91 total nurse hours per resident per day, compared with the Montana average of 3.97.
Has St John's Lutheran Home had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does St John's Lutheran Home have?
St John's Lutheran Home is certified for 186 beds.