ST JOHN'S LUTHERAN HOME
3940 RIMROCK RD, BILLINGS, MT 59102 · CCN 275024
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 186
- Avg residents/day
- 74.9
- Phone
- 4066555600
Inspection history vs Montana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Montana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-17 | 7 | 11.5 | 9.5 | -4.5 better |
| 2 | 2024-08-15 | 19 | 10.0 | 9.8 | +9.0 worse |
| 3 | 2023-08-03 | 7 | 9.2 | 9.3 | -2.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.91 | 44.6% |
| RN staffing (reported) | 1.40 | 40.7% |
| Total nurse staffing (adjusted) | 5.12 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (33)
- DF0585Honor 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.2025-07-17 · Health · corrected 2025-08-30
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-17 · Health · corrected 2025-08-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-17 · Health · corrected 2025-08-30
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-17 · Health · corrected 2025-08-30
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-07-17 · Health · corrected 2025-08-30
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-17 · Health · corrected 2025-08-30
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-07-17 · Health · corrected 2025-08-30
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0758Implement 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.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- FF0803Ensure 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.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-08-15 · Health · corrected 2024-09-16
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-23 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-08-03 · Health · corrected 2023-09-15
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-03 · Health · corrected 2023-09-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-03 · Health · corrected 2023-09-15
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-03 · Health · corrected 2023-09-15
Potential for more than minimal harm
- DF0758Implement 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.2023-08-03 · Health · corrected 2023-09-15
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-08-03 · Health · corrected 2023-09-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-03 · Health · corrected 2023-09-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PEARSALL, GERALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-01-11 |
| RHODES, KARNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-01-01 |
| TROST, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 1995-01-01 |
| DAVIES, WILLIAM | Individual | CORPORATE DIRECTOR | — | 2021-05-01 |
| HERBERG, CONNIE | Individual | CORPORATE DIRECTOR | — | 2018-05-01 |
| MACDONALD, MARGARET | Individual | CORPORATE DIRECTOR | — | 2018-05-01 |
| MORSE, MINA | Individual | CORPORATE DIRECTOR | — | 2018-05-01 |
| RONNEBERG, JOHN | Individual | CORPORATE DIRECTOR | — | 2018-05-01 |
| THOMPSON, TIM | Individual | CORPORATE DIRECTOR | — | 2016-05-01 |
| MORSE, MINA | Individual | CORPORATE OFFICER | — | 2021-05-01 |
| PEARSALL, GERALD | Individual | CORPORATE OFFICER | — | 2012-01-11 |
| RHODES, KARNA | Individual | CORPORATE OFFICER | — | 2013-09-16 |
| TROST, DAVID | Individual | CORPORATE OFFICER | — | 2016-05-02 |
| PEARSALL, GERALD | Individual | W-2 MANAGING EMPLOYEE | — | 2012-01-11 |
| RHODES, KARNA | Individual | W-2 MANAGING EMPLOYEE | — | 2007-01-01 |
| TROST, DAVID | Individual | W-2 MANAGING EMPLOYEE | — | 2001-05-02 |
Other facilities in BILLINGS
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.