Nursing Home in Billings, MT · CMS Data August 2026

St John's Lutheran Home

How Does St John's Lutheran Home Rate?

St John's Lutheran Home is a 186-bed nonprofit nursing home in Billings, MT. CMS rates it 4 out of 5 stars overall (August 2026), with 3 for health inspections, 5 for staffing and 4 for quality measures. Residents got an average of 5.4 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on July 17, 2025, cited 13 health deficiencies.

CMS overall rating: 4 of 5
Nursing per resident per day: 5.4 hours
Deficiencies at last inspection: 13
Certified beds: 186

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

3940 Rimrock Rd
Billings, MT 59102

4 of 5 CMS overall · Above average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

Loading map…

Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for St John's Lutheran Home
Rating	Stars	CMS label
Overall rating	4 of 5	Above average
Health inspections	3 of 5	Average
Staffing	5 of 5	Much above average
Quality measures	4 of 5	Above average
Quality for long-stay residents	2 of 5	Below average
Quality for short-stay residents	5 of 5	Much above average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at St John's Lutheran Home and the national median
Measure	This home	National median
Total nursing hours per resident per day	5.4 hours	3.7 hours
Registered nurse hours per resident per day	1.3 hours	0.6 hours
Nurse aide hours per resident per day	3.4 hours	2.2 hours
Total nursing hours per resident on weekends	5.0 hours	3.3 hours
Nursing staff turnover (past year)	45%	45%
Registered nurse turnover (past year)	28%	42%

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for St John's Lutheran Home
Last standard health inspection	July 17, 2025
Health deficiencies cited at that inspection	13
Deficiencies from complaint inspections (same rating cycle)	7
Fines in the past 3 years	None
Payment denials in the past 3 years	0

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at St John's Lutheran Home who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for St John's Lutheran Home
Residents who	This home	National median	Compared
Received an antipsychotic medication	18%	13%	Higher than the national median
Received an antianxiety or hypnotic medication	18%	18%	Higher than the national median
Had a fall with major injury	3.2%	2.8%	Higher than the national median
Have pressure ulcers	4.8%	4.2%	Higher than the national median
Lost too much weight	10%	4.7%	Higher than the national median
Were physically restrained	0.0%	0.0%	At the national median
Have depressive symptoms	2.9%	3.6%	Lower than the national median
Needed more help with daily activities over time	23%	13%	Higher than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about St John's Lutheran Home
Certified beds	186
Average residents per day	77
Ownership	Non profit - Corporation
Legal business name	ST JOHNS LUTHERAN MINISTRIES INC
Certified for	Medicare and Medicaid
First certified	January 1967
Setting	Part of a continuing care retirement community
Councils	Resident council

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Montana's Montana Long-Term Care Ombudsman Program ((800) 332-2272) can answer questions about residents' rights. See all nursing homes and senior care in Montana.