The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
St. John’s United
Registered name: ST JOHN'S LUTHERAN HOME
BILLINGS, MT · Medicare-certified · 186 beds
In good standing
Non-profit
Data as of July 1, 2026
4 of 5 overall
St. John’s United in Billings has a 4 out of 5 star overall rating, with strong staffing (5 stars; 5.40 nurse hours per resident per day vs. the 4.1 federal benchmark) and quality measures (4 stars). Its health inspection rating is 3 stars, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.398 hrs/resident/day
Quality measures
Last inspection: July 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.398.
Staffing detail
- Registered nurses
- 1.30
- Licensed practical nurses
- 0.68
- Nurse aides
- 3.42
- Weekend nursing
- 4.97
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 28%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
21.2%18.4%Improving
Residents with a fall causing major injury
2.2%2.1%No change
Residents with pressure ulcers (bedsores)
5.9%3.7%Improving
Residents with a urinary tract infection
6.7%2.1%Improving
Residents who lost too much weight
11.6%14.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.9%7.1%Improving
Residents whose ability to walk got worse
16%28.4%Worsening
Long-stay residents on antianxiety or sleep medication
20.9%14%Improving
Short-stay residents newly given an antipsychotic
0%1.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
34.4%19%Improving
Residents with depressive symptoms
2.4%2.4%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
95.6%95.8%No change
Short-stay residents given the seasonal flu vaccine
—82.1%—
Short-stay residents given the pneumonia vaccine
99.1%97.4%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 76.5 residents on an average day (41% of 186 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.