St John's Lutheran Home
3940 Rimrock Rd · Billings, MT · 59102 · 4066555600
186 certified beds Non profit - Corporation Part of a CCRC
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 81 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.95 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.29 | 0.55–0.75 |
| Weekend hours / resident-day | 4.47 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · D July 17, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 2025
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.
Corrected August 30, 2025 · Resident Rights
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Potential for harm · D July 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected August 30, 2025 · Pharmacy Service
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Potential for harm · F July 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 30, 2025 · Nutrition and Dietary
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Potential for harm · F July 17, 2025
Provide and implement an infection prevention and control program.
Corrected August 30, 2025 · Infection Control
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Potential for harm · D August 15, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 16, 2024 · Resident Rights
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Potential for harm · D August 15, 2024
Ensure each resident receives an accurate assessment.
Corrected September 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 15, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 15, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 15, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 16, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 16, 2024 · Quality of Life and Care
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Potential for harm · E August 15, 2024
Post nurse staffing information every day.
Corrected September 16, 2024 · Nursing and Physician Services
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Potential for harm · D August 15, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected September 16, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024
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.
Corrected September 16, 2024 · Pharmacy Service
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Potential for harm · E August 15, 2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected September 16, 2024 · Nutrition and Dietary
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Potential for harm · E August 15, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected September 16, 2024 · Nutrition and Dietary
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Potential for harm · F August 15, 2024
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.
Corrected September 16, 2024 · Nutrition and Dietary
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Potential for harm · E August 15, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected September 16, 2024 · Nutrition and Dietary
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Potential for harm · E August 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 16, 2024 · Nutrition and Dietary
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Potential for harm · E August 15, 2024
Provide and implement an infection prevention and control program.
Corrected September 16, 2024 · Infection Control
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Potential for harm · D August 15, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 16, 2024 · Infection Control
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Potential for harm · D August 15, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 15, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 16, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 275024 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.