St John's Lutheran Home
St John's Lutheran Home is a 4-star rated nursing home in Billings, MT with 186 beds. CMS sub-ratings: health inspections 3/5, staffing 5/5, quality measures 4/5.
The facility has 37 health violations on record. Federal fines total $51,650 across 5 enforcement actions. Most recent inspection: August 3, 2023.
Data synthesized from CMS.gov and Montana public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Data current as of June 20, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
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Fines and Penalties by Year
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Health Violations by Year
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Ensure that residents are free from significant medication errors.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide and implement an infection prevention and control program.
Perform COVID19 testing on residents and staff.
Ensure staff are vaccinated for COVID-19
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Perform COVID19 testing on residents and staff.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Ensure medication error rates are not 5 percent or greater.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Provide and implement an infection prevention and control program.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide activities to meet all resident's needs.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Provide and implement an infection prevention and control program.
Provide housekeeping and maintenance services.
Ensure each resident receives an accurate assessment by a qualified health professional.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Store, cook, and serve food in a safe and clean way.
Frequently Asked Questions About St John's Lutheran Home
Compare Nursing Homes in Billings, MT
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| St John's Lutheran Home this facility | 4/5 | 37 | 186 |
| Aspen Meadows Health And Rehabilitation Center | 2/5 | 91 | 90 |
| River Ridge Rehabilitation And Nursing Llc | 2/5 | 90 | 129 |
| Ponderosa Pines Health Care | 1/5 | 0 | 36 |
| Skyline Heights Nursing And Rehabilitation | 1/5 | 144 | 150 |
| Yellowstone River Nursing And Rehabilitation | 1/5 | 104 | 160 |
| Billings Rehabilitation And Nursing Llc | 0/5 | 108 | 100 |
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal.
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