Aspen Meadows Health and Rehabilitation Center
Billings · 1.5 mi · 90 beds
Citations0Substantiated0
ST John's Lutheran Home
3940 RIMROCK RD, Billings, MT, 59102
Nursing home186 licensed beds0 citations on record
3 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 7 deficiencies against ST John's Lutheran Home in Billings, Montana at its most recent standard inspection on 2025-07-17, 1 of them arising from complaints. Medicare rates it 4 out of 5 overall.
4 / 5Medicare overall rating
186certified beds
7deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.33
Potential for minimal harmThe least serious band.0
Most recentFFDDDDDFEEEEEEEDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0585 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-07-17 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0803 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · F0800 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · F0802 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · F0806 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-08-15 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · F0655 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-08-15 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are5 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS5.39802
Nursing staff turnoverShare of nursing staff who left in a year44.6%
Ownership
Who owns ST John's Lutheran Home
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| PEARSALL, GERALD | Individual | NOT APPLICABLE | since 01/11/2012 |
| RHODES, KARNA | Individual | NOT APPLICABLE | since 01/01/2007 |
| TROST, DAVID | Individual | NOT APPLICABLE | since 05/02/2001 |
| DAVIES, WILLIAM | Individual | NOT APPLICABLE | since 05/01/2021 |
| HERBERG, CONNIE | Individual | NOT APPLICABLE | since 05/01/2018 |
| MACDONALD, MARGARET | Individual | NOT APPLICABLE | since 05/01/2018 |
| MORSE, MINA | Individual | NOT APPLICABLE | since 05/01/2018 |
| RONNEBERG, JOHN | Individual | NOT APPLICABLE | since 05/01/2018 |
| THOMPSON, TIM | Individual | NOT APPLICABLE | since 05/01/2016 |
| MORSE, MINA | Individual | NOT APPLICABLE | since 05/01/2021 |
| PEARSALL, GERALD | Individual | NOT APPLICABLE | since 01/11/2012 |
| RHODES, KARNA | Individual | NOT APPLICABLE | since 09/16/2013 |
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Skyline Heights Nursing and Rehabilitation
Billings · 2.3 mi · 150 beds
Citations0Substantiated0
Yellowstone River Nursing and Rehabilitation
Billings · 3.3 mi · 160 beds
Citations0Substantiated0
Contact
Ask ST John's Lutheran Home a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 275024.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction