St John's Lutheran Home: Staffing, Turnover, and Inspection Record
St John's Lutheran Home is a 186-bed nonprofit nursing home in Billings, Montana. In the CMS August 2026 release it reported 3.42 nurse aide hours per resident per day, 33% above the Montana average of 2.57, and 44.6% nursing staff turnover (Montana average 54.8%).
St John's Lutheran Home
3940 Rimrock RdBillings, MT 59102
Yellowstone County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At St John's Lutheran Home, nurse aides logged 3.42 hours per resident per day, 33% above the Montana average. With about 77 residents a day, that works out to roughly 261 aide hours a day, or about 33 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Montana avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.42 | 2.57 | 2.32 |
| Licensed practical nurses | 0.68 | 0.50 | 0.86 |
| Registered nurses | 1.30 | 0.98 | 0.69 |
| All nursing staff | 5.40 | 4.05 | 3.86 |
| All nursing staff, weekends | 4.97 | 3.59 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
44.6% of nursing staff at St John's Lutheran Home left over the year CMS measured, against a Montana average of 54.8% and a US average of 45.8%. Registered nurse turnover was 28.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Montana average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. St John's Lutheran Home holds 4 of 5 overall; the Montana average is 2.9.
About St John's Lutheran Home
- Ownership: Non profit - Corporation
- Legal name: St Johns Lutheran Ministries Inc
- Medicare and Medicaid certified since: Jan 1, 1967
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near St John's Lutheran Home
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Aspen Meadows Health and Rehabilitation Center Billings | 1.7 | 90 | 2.38 | 3.63 | 76.2% | 2 | $115,183 |
| Skyline Heights Nursing and Rehabilitation Billings · SFF candidate | 2.1 | 150 | 1.93 | 3.26 | 74.7% | 1 | $413,752 |
| Yellowstone River Nursing and Rehabilitation Billings | 3.1 | 160 | 1.80 | 3.15 | 71.8% | 1 | $142,698 |
| Billings Rehabilitation and Nursing LLC Billings | 6.0 | 100 | 2.20 | 3.34 | 72.5% | 2 | $62,797 |
| River Ridge Rehabilitation and Nursing LLC Billings | 8.3 | 129 | 1.93 | 3.23 | 50.0% | 2 | $80,893 |
| Laurel Health & Rehabilitation Center Laurel | 11.1 | 79 | 1.89 | 3.24 | 67.6% | 1 | $7,163 |
| Beartooth Rehabilitation and Nursing LLC Columbus · SFF candidate · abuse citation | 32.8 | — | 1.86 | 2.95 | — | 1 | $50,592 |
| Awe Kualawaache Care Center Crow Agency | 58.3 | 40 | 2.45 | 4.08 | 61.5% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.