Home›Browse›Montana›Billings›St John's Lutheran Home

Nursing homeFAID #7470

St John's Lutheran Home

3940 RIMROCK RD, BILLINGS, MT, 59102

(406) 655-5600

www.stjohnsunited.org

186 licensed beds

★★★★★4/5CMS Five-Star overall3/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · St. John’s United

Address

3940 Rimrock Rd

Billings, MT 59102

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Public record summary

What we can show you for free.

Bed capacity

186

CMS facility ID

275024

Care type

Nursing home

County

Yellowstone

Facility name

St John's Lutheran Home

Street address

3940 RIMROCK RD

City / state / ZIP

Billings, MT 59102

Phone

(406) 655-5600

Website

www.stjohnsunited.org

About this facility — St John's Lutheran Home

St John's Lutheran Home is a Medicare/Medicaid-certified skilled nursing facility in Billings, Montana. It is licensed for 186 beds — well above the median for skilled nursing facilities in Montana (75 beds).

It is one of 38 senior care facilities in Billings and 62 skilled nursing facilities across Montana. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited St John's Lutheran Home 66 times across 11 inspections in the last three years, including 7 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Jerry Pearsall

Ownership type

Non profit - Corporation

Registered owners & officers

Davies, William

Director — since 2021

Herberg, Connie

Director — since 2018

Macdonald, Margaret

Director — since 2018

Morse, Mina

Director · Officer — since 2018

Pearsall, Gerald

Managing employee · Officer · Operational control — since 2012

Rhodes, Karna

Managing employee · Officer · Operational control — since 2007

Ronneberg, John

Director — since 2018

Thompson, Tim

Director — since 2016

Trost, David

Managing employee · Officer · Operational control — since 1995

Regulatory standing

Licensed / certified since

1967-01-01

CMS overall rating

4 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-07-17

Nurse staffing

5.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$606 per day (≈ $18,420/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

48% Medicaid · 12% Medicare · 40% private/other

Occupancy

60% (fiscal year 2023)

Vs. state median

71% above the MT median of $355/day — full state cost breakdown

Services & coverage

Licensed beds

186

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Monday: 8:00 AM – 4:00 PM · Tuesday: 8:00 AM – 4:00 PM · Wednesday: 8:00 AM – 4:00 PM · Thursday: 8:00 AM – 4:00 PM · Friday: 8:00 AM – 4:00 PM · Saturday: Closed · Sunday: Closed

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-01Health inspectionComplaint-triggered7 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

F-0600

D · No harm foundFrom a complaint

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

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

F-0609

D · No harm foundFrom a complaint

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

F-0658

E · No harm foundFrom a complaint

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

F-0755

D · No harm foundFrom a complaint

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

2025-07-17Health inspectionComplaint-triggered7 citations

F-0585

D · No harm found

Honor 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.

Corrected 2025-08-30

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-08-30

F-0656

D · No harm found

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

Corrected 2025-08-30

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-08-30

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-08-30

F-0812

F · No harm foundFood safety

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

Corrected 2025-08-30

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-08-30

6 earlier / fire-safety inspections (52 citations)

2024-08-15Health inspectionComplaint-triggered18 citations

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-09-16

F-0609

D · No harm foundFrom a complaint

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

Corrected 2024-09-16

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-09-16

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-09-16

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-09-16

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-16

F-0689

D · No harm found

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

Corrected 2024-09-16

F-0732

E · No harm found

Post nurse staffing information every day.

Corrected 2024-09-16

F-0745

D · No harm found

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-09-16

F-0755

D · No harm foundFrom a complaint

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

Corrected 2024-09-16

F-0758

D · No harm found

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 2024-09-16

F-0800

E · No harm foundFood safety

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2024-09-16

F-0802

E · No harm foundFood safety

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-09-16

F-0803

F · No harm foundFood safety

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.

Corrected 2024-09-16

F-0806

E · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-09-16

F-0812

E · No harm foundFood safety

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

Corrected 2024-09-16

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-09-16

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-09-16

2024-04-23Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

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

Corrected 2024-04-19

2023-08-03Health inspectionComplaint-triggered7 citations

F-0561

D · No harm found

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

Corrected 2023-09-15

F-0656

D · No harm found

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

Corrected 2023-09-15

F-0686

D · No harm found

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

Corrected 2023-09-15

F-0695

D · No harm found

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

Corrected 2023-09-15

F-0758

D · No harm foundFrom a complaint

Corrected 2023-09-15

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-09-15

F-0812

F · No harm foundFood safety

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

Corrected 2023-09-15

2025-07-17Fire-safety inspection8 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-09-04

K-0225

D · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-09-04

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-09-04

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-05

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-09-04

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-09-04

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-09-04

K-0906

F · No harm found

Ensure gas cylinders are properly stored.

Corrected 2025-09-04

2024-08-15Fire-safety inspection4 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-10-03

K-0300

E · No harm found

Meet other general requirements that are deficient.

Corrected 2024-10-03

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-03

K-0911

D · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-10-03

2023-08-03Fire-safety inspection14 citations

K-0211

F · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-09-21

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-09-21

K-0223

D · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-09-21

K-0225

E · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2023-09-21

K-0271

F · No harm found

Have exits that are accessible at all times.

Corrected 2023-09-21

K-0300

F · No harm found

Meet other general requirements that are deficient.

Corrected 2023-09-21

K-0342

F · No harm found

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2023-09-21

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-21

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-09-21

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-09-21

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-09-21

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-09-21

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-09-21

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-09-21

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 275024.

Visitor reviews

What people say on Google.

4.134 ratings on Google

★★★★Linda Roberts · 2025-04-03 · via Google
“I have been blessed to live here at St John's for almost seven years. Sure, there are times I get frustrated when things do not go the way I want them to, but all-in-all the staff has been here for me when I needed them; they are friendly, cheerful, and so willing to help if they can. I recommend St John's United Retirement, Assisted Living, and Long-term Care facilities to anyone looking for a …”

★★★★★Natalie McDonald · 2025-07-09 · via Google
“Mom has been at Langemo Cottage for a short time. They staff has been wonderful, and I could say great things about most of them. But, this review is for Blaine. He is always working so hard, practically running to ensure things are getting done. I don't know if I have come across a more diligent worker, and he takes pride in everything he does. He seems to truly care about the residents, and is a…”

★mary fitzgerald · 2024-12-15 · via Google
“We were paying over $12,000. each month, out of pocket, for abysmal care. After nearly 2 years, we finally moved our brother out of the cottage and into another care facility. The CNA's at Jensen Cottage were unprofessional and poorly trained. The few that were on duty could often be found only in their office playing Solitaire and eating. If we needed to request assistance, we felt as if we w…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 66 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Federal NPI Registry (NPPES)

NPI 1588653679

Monthly federal file

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered