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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.

Inspection History Overview

Data current as of May 6, 2026 · Source: CMS Provider Data

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Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 4 penalties totaling $41,760

$38,786

Fine

$1,325

Fine

$994

Fine

$655

Fine

2019 1 penalties totaling $9,890

$9,890

Fine

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Health Violations by Year

2023 7 violations

Tag 0561 D Aug 3, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Sep 15, 2023
Tag 0656 D Aug 3, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 15, 2023
Tag 0686 D Aug 3, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 15, 2023
Tag 0695 D Aug 3, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Sep 15, 2023
Tag 0758 D Aug 3, 2023

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: Sep 15, 2023
Tag 0760 D Aug 3, 2023

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 15, 2023
Tag 0812 F Aug 3, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 15, 2023

2022 6 violations

Tag 0600 G Jul 21, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 26, 2022
Tag 0610 D Jul 21, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Aug 26, 2022
Tag 0686 G Jul 21, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 26, 2022
Tag 0880 F Jul 21, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 19, 2022
Tag 0886 D Jul 21, 2022

Perform COVID19 testing on residents and staff.

✓ Corrected: Aug 26, 2022
Tag 0888 F Jul 21, 2022

Ensure staff are vaccinated for COVID-19

✓ Corrected: Aug 26, 2022

2021 3 violations

Tag 0756 D Jun 24, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Aug 6, 2021
Tag 0812 F Jun 24, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 6, 2021
Tag 0886 E Jun 24, 2021

Perform COVID19 testing on residents and staff.

✓ Corrected: Aug 6, 2021

2019 14 violations

Tag 0580 G Aug 22, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Oct 4, 2019
Tag 0623 D Aug 22, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Oct 4, 2019
Tag 0625 D Aug 22, 2019

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.

✓ Corrected: Oct 4, 2019
Tag 0658 D Aug 22, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Oct 4, 2019
Tag 0758 D Aug 22, 2019

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: Oct 4, 2019
Tag 0759 D Aug 22, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Oct 4, 2019
Tag 0761 E Aug 22, 2019

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.

✓ Corrected: Oct 4, 2019
Tag 0880 E Aug 22, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 4, 2019
Tag 0609 D Mar 8, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 19, 2019
Tag 0656 D Mar 8, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 22, 2019
Tag 0679 D Mar 8, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Apr 22, 2019
Tag 0755 E Mar 8, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 22, 2019
Tag 0761 E Mar 8, 2019

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.

✓ Corrected: Apr 22, 2019
Tag 0880 D Mar 8, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 19, 2019

2017 7 violations

Tag 0253 E Nov 8, 2017

Provide housekeeping and maintenance services.

✓ Corrected: Dec 22, 2017
Tag 0278 D Nov 8, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Dec 18, 2017
Tag 0314 D Nov 8, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Dec 23, 2017
Tag 0323 E Nov 8, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Dec 23, 2017
Tag 0328 E Nov 8, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Dec 18, 2017
Tag 0329 D Nov 8, 2017

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.

✓ Corrected: Dec 22, 2017
Tag 0371 E Nov 8, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Dec 22, 2017

Frequently Asked Questions About St John's Lutheran Home

What violations has St John's Lutheran Home received?
St John's Lutheran Home has 37 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of St John's Lutheran Home?
St John's Lutheran Home has a 4-star rating out of 5 from CMS. This is an above-average rating, indicating better quality care compared to most nursing homes. The rating is based on health inspections, staffing levels, and quality measures.
When was St John's Lutheran Home last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is St John's Lutheran Home safe?
Safety at St John's Lutheran Home should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact St John's Lutheran Home?
Phone: (406) 655-5600. Address: 3940 Rimrock Rd, Billings, MT. For visiting hours and admission information, call the facility directly.
What services does St John's Lutheran Home offer?
St John's Lutheran Home is a skilled nursing facility with 186 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near Billings, MT?
Compare St John's Lutheran Home with other nursing homes in Billings, MT on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.

Compare Nursing Homes in Billings, MT

Facility Rating Violations Beds
St John's Lutheran Home (this facility) ★★★★☆ 37 186
Aspen Meadows Health And Rehabilitation Center ★★★☆☆ 83 90
River Ridge Rehabilitation And Nursing Llc ★★☆☆☆ 90 129
Ponderosa Pines Health Care ★☆☆☆☆ 0 36
Skyline Heights Nursing And Rehabilitation ★☆☆☆☆ 144 150
Yellowstone River Nursing And Rehabilitation ★☆☆☆☆ 104 160
Billings Rehabilitation And Nursing Llc ☆☆☆☆☆ 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, using professional regulatory data auditing protocols.

Last verified: August 3, 2023 | Our methodology | Editorial standards | Report an error

This page is maintained by NursingHomeNews.org and is not affiliated with St John's Lutheran Home.

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