Independent Living Home

St. John‘s United

Independent Living Home

St. John‘s United

3940 Rimrock Rd, Billings, MT 59102 View map
Overview of St. John‘s United

Experience the captivating allure of WyndStone of St. John’s United, a senior home nestled amidst the breathtaking landscapes of Billings, Montana. It is where vibrant independent living, assisted living, and compassionate memory care seamlessly converge. This residence is the definition of high-quality care, offering luxurious amenities and personalized services that redefine senior living. Within a secure and supportive environment, a dedicated team works tirelessly to create a sanctuary where confusion dissipates, memories are cherished, and patience is ever-present.

With weekly housekeeping and maintenance services, they can bid farewell to mundane chores and embrace the freedom to pursue their passions. The garage access and ample storage space ensure that their personal belongings are always within reach, adding to the convenience and comfort of their living space. Residents can also immerse themselves in the soothing waters of the aquatic center or engage in invigorating workouts at the state-of-the-art fitness facility, where their physical and mental well-being are nurtured. The exquisite restaurant-style dining experience caters to their culinary desires, offering a wide array of flavors and gourmet creations to satisfy even the most discerning palates.

(406) 655-5600

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Montana average: 2.8/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Montana average: 2.6/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
Montana average: 2.9/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Montana average: 3.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
5h 16m per day

This home provides 35% more nursing time per resident than the Montana average.

Montana average: 3h 54m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 104

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Montana average
Occupancy rate 60.1%
Residents per day (avg) 75
Occupancy rate
60.1%
Residents per day (avg)
75

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

63% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

36% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 18 - 19 years

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$40.6M
Surplus of revenue
$984.3K
Voluntary non-profit community Operated by a church.
Home revenue
$40,605,684.00
Surplus of revenue
$984,311.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$16.5M
40.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$23.1M
Total costs $39.6M
Bed community size
104-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 6 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

License details

Facility type
Long Term Care
Status Current
Issuance August 20, 2024
Expiration August 19, 2027

Additional licensing details

License number: 12420

Ownership & operating entity

St. John‘s United is administrated by Rhodes, Karna.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at St. John‘s United

Independent Living Assisted Living Memory Care Home Care Hospice Care

Inspection History

In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.

Breakdown by inspection type
  • 1 renewal/recertification inspection

Results

0 with issues

1 without issues

Latest inspection

Date:July 8, 2024
Type:Renewal Inspection
Results:no issues found

Inspection history

07/08/2024 Renewal Inspection
no issues found

Health Inspection History

Inspections
Total health inspections 4

Montana average 5.1


Last Health inspection on Jul 2025

Total health citations 33
Citations per inspection
8.25

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

28 of 33 citations resulted from standard inspections; 2 of 33 resulted from complaint investigations; and 3 of 33 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Montana average

Montana average: 0.3


Serious Health citations More info 0
100% better than Montana average

Montana average: 2.2

0 critical citations More info Montana average: 0.3

0 serious citations More info Montana average: 2.2

33 moderate citations More info Montana average: 26.5

0 minor citations More info Montana average: 0.7
Citations history (last 3 years)
Abuse/Neglect moderate citation Jul 17, 2025
Corrected

Infection Control moderate citation Jul 17, 2025
Corrected

Nutrition moderate citation Jul 17, 2025
Corrected

Pharmacy moderate citation Jul 17, 2025
Corrected

Compare Independent Living around Billings

The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
St. John‘s United
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Home Care

HC

Hospice Care

Billings
150
No
-
6
Private Rooms
Mission Ridge
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Home Care

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Billings
70
Yes
-
9
Private Rooms
Holiday Aspen View
IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Billings
-
Yes
-
60
Studio / 1 Bed / 2 Bed / Cottage
Affinity at Billings
IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Billings
-
No
-
32
Studio / 1 Bed / 2 Bed
Sweetwater Assisted Living
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Billings (West End)
-
Yes
A+
27
Studio / 1 Bed / 2 Bed

Places of interest near St. John‘s United

Address 7.9 miles from city center — 0.81 miles to nearest hospital (Fuller Family Medicine)

Address 3940 Rimrock Rd, Billings, MT 59102

Calculate Travel Distance to St. John‘s United

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

241
Total Staff
197
Employees
44
Contractors
44,850
Total Hours (Quarter)
59
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse2810 Yes
Licensed Practical Nurse1410.1 Yes
Certified Nursing Assistant1418.4 Yes
Staff by Category
Administration
2 staff
3.7hs shift avg
Nursing Staff
190 staff
9hs shift avg
Physicians & Practitioners
6 staff
8.2hs shift avg
Therapy Services
32 staff
6.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
5.1hs shift avg
Dietary Services
6 staff
6.8hs shift avg
Other Services
4 staff
8.1hs shift avg
Contractor Analysis
7%
of total hours from contractors
3,126 contractor hours this quarter
Licensed Practical Nurse: 1 Certified Nursing Assistant: 39 Registered Nurse: 3 Medical Director: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant1023914119,95991100%8.4
Registered Nurse253286,65691100%10
Licensed Practical Nurse131144,48391100%10.1
Occupational Therapy Assistant7072,0198695%6.8
Clinical Nurse Specialist5051,9946571%8.3
Mental Health Service Worker4041,8006571%8.1
Nurse Aide in Training7071,6068593%10.5
Other Dietary Services Staff5051,5607886%7.6
Speech Language Pathologist6069997886%7
Physical Therapy Assistant7079557178%6.2
Physical Therapy Aide2029426571%7.5
Respiratory Therapy Technician8086876875%5.7
Nurse Practitioner1014125257%7.9
Administrator1012386066%4
Dietitian1012165560%3.9
Occupational Therapy Aide2021885358%3.5
Qualified Social Worker101971921%5.1
Medical Director011401618%2.5

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
79 residents
Residents by payment source
Medicare
28 residents (35.4%)
Medicaid
25 residents (31.6%)
Private pay or other
26 residents (32.9%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.5
In line with Montana average

Montana average: 11.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.4
8% worse than Montana average

Montana average: 21.8

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 18.7%
In line with Montana average

Montana average: 19.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.0%
In line with Montana average

Montana average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 31.6%
26% worse than Montana average

Montana average: 25.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.0%
31% better than Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.3%
32% better than Montana average

Montana average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.0%
27% better than Montana average

Montana average: 2.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 11.4%
85% worse than Montana average

Montana average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.6%
44% better than Montana average

Montana average: 4.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.8%
9% worse than Montana average

Montana average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.5%
In line with Montana average

Montana average: 93.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
7% better than Montana average

Montana average: 93.7%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
27% better than Montana average

Montana average: 76.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.2%
32% better than Montana average

Montana average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 82.1%
11% better than Montana average

Montana average: 73.8%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Montana Seniors

Get financial aid guidance

Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled, Montana resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural state; limited providers in some areas.

Montana Community First Choice

MT CFC

Age 65+ or disabled, Montana resident, Medicaid- eligible.

~$1,732/month (individual, Medicaid threshold).

$2,000 (individual).

Less intensive than waiver; rural focus.

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled, Montana resident, enrolled in Medicare Part D, income below limit.

~$2,510/month (individual), ~$3,380/month (couple).

Not assessed.

Covers up to $38.75/month premium; statewide via AAAs.

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled, Montana resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

10 AAAs; prioritizes low-income, rural caregivers.

Senior Community Service Employment Program (SCSEP)

Montana SCSEP

Age 55+, unemployed, low-income, Montana resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Montana resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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