3932 PALISADES PARK DR, Billings, MT 59102
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
Call for pricing
Prices not published
About St John's Lutheran Home
St. John's Lutheran Home brings together compassionate skilled nursing and rehabilitation care in Billings, Montana. Our team focuses on recovery and comfort during transitions, helping residents regain independence with personalized support every step of the way.
Community at a glance
Capacity
186 residents
Location
Billings, MT
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
3940 RIMROCK RD, Billings, Montana 59102
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 17, 2025, state inspectors cited 13 health deficiencies (the Montana average is 11.1).
Nurses and nurse aides spend 5 hours 24 minutes with each resident a day, above the Montana average of 4 hours 3 minutes.
Medicare has not fined St John's Lutheran Home in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 5 hours 24 minutesAbove the Montana average |
| Registered nurse time per resident, per day | 1 hour 18 minutesAbove the Montana average |
| Nursing staff who left in the past year | 45%Below the Montana average |
Inspections
33 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 1, 2026 · Complaint investigation · 7 citations
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 8, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 8, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 8, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 8, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed before the inspectionKeep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 8, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 8, 2026
July 17, 2025 · Standard inspection · 6 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Aug 30, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Aug 30, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 30, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 30, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 30, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 30, 2025
July 17, 2025 · Complaint investigation · 1 citation+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 30, 2025
August 15, 2024 · Standard inspection · 18 citations+
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.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Sep 16, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Sep 16, 2024Post nurse staffing information every day.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Sep 16, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Sep 16, 2024Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 16, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 16, 2024Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 16, 2024Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 16, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Sep 16, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 16, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 16, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 16, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 16, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 16, 2024Provide medically-related social services to help each resident achieve the highest possible quality of life.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 16, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 16, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 16, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 16, 2024
April 23, 2024 · Complaint investigation · 1 citation+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintAlready fixed by Apr 19, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- Non profit - Corporation
- Legal business name
- St Johns Lutheran Ministries Inc
- Medicare-certified beds
- 186
- Average residents per day
- 77
- Accepts
- Medicare and Medicaid
- First certified
- January 1, 1967
- Inside a hospital
- No
- Continuing care retirement community
- Yes
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 275024
Location
Loading map…
3940 RIMROCK RDBillings, MT 59102
12 other communities within 10 miles
Senior living near Billings
4001 PARKHILL DR, Billings, MT 59106
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
Call for pricing
Prices not published
3758 AVENUE B, Billings, MT 59102
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
Call for pricing
Prices not published
Questions about St John's Lutheran Home
How did St John's Lutheran Home do on its last inspection?+
State inspectors visited on July 17, 2025 and cited 13 health deficiencies, 7 of them from complaint investigations. The Montana average is 11.1.
How much nursing care does each resident get at St John's Lutheran Home?+
Nurses and aides spend 5 hours 24 minutes with each resident per day, including 1 hour 18 minutes from registered nurses. 45% of nursing staff left over the past year.
Has St John's Lutheran Home been fined by Medicare?+
Medicare's records show no fines against St John's Lutheran Home in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.