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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 6th out of 34 homes in Montana. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 43m per day | ▲ 38% State avg: 3h 25m per day · National avg: 3h 25m per day |
Lower than the Montana average: 61.7%St. John‘s United is administrated by Karna Rhodes.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 33 | 21 | This facility has 57% more total deficiencies than a typical Montana nursing home (33 vs. MT avg 21).↑ 57% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 11 | 7 | This facility has 57% more deficiencies per year than a typical Montana nursing home (11 vs. MT avg 7).↑ 57% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 33 | 4.2 | This facility has 686% more deficiencies per inspection than a typical Montana nursing home (33 vs. MT avg 4.2).↑ 686% worse |
Inspections
| This Facility | MT Average | vs. MT Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 1 | 5 | This facility has 80% fewer total inspections than a typical Montana nursing home (1 vs. MT avg 5).↓ 80% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 17, 2025, identified deficiencies related to grievance policy implementation, care planning, medication administration errors, food safety, and infection control practices. Earlier inspections showed similar issues with care planning, medication management, dietary services, and timely abuse reporting, along with additional concerns about resident assessments, fall prevention, and psychotropic medication use. Complaint investigations substantiated delays in reporting incidents of resident abuse and neglect, as well as medication errors, but enforcement actions such as fines or license suspensions were not listed in the available reports. The main themes across inspections involved care planning, medication administration, dietary and infection control practices, and timely reporting of incidents. The pattern of findings suggests ongoing challenges with compliance, as deficiencies have persisted over multiple inspections without clear improvement.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMontana average 5.1
Last Health inspection on Jul 2025
Montana average 29.7
Montana average 5.72
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).
100% better than Montana averageMontana average: 0.3
100% better than Montana averageMontana average: 2.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
79% better than Montana average
7% worse than Montana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,897 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 91 | 73 | 164 | 20,672 | 92 | 100% | 8.1 |
| Registered Nurse | 27 | 2 | 29 | 6,453 | 92 | 100% | 10 |
| Licensed Practical Nurse | 11 | 3 | 14 | 3,964 | 92 | 100% | 10 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,111 | 64 | 70% | 8 |
| Occupational Therapy Assistant | 6 | 0 | 6 | 1,765 | 85 | 92% | 6.1 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,707 | 65 | 71% | 8.1 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,479 | 75 | 82% | 7.5 |
| Physical Therapy Assistant | 0 | 7 | 7 | 1,342 | 77 | 84% | 7 |
| Speech Language Pathologist | 0 | 5 | 5 | 928 | 69 | 75% | 6.6 |
| Nurse Aide in Training | 6 | 0 | 6 | 822 | 47 | 51% | 9.7 |
| Physical Therapy Aide | 0 | 3 | 3 | 694 | 67 | 73% | 7.1 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 651 | 71 | 77% | 4.8 |
| Qualified Social Worker | 0 | 2 | 2 | 466 | 62 | 67% | 6.5 |
| Occupational Therapy Aide | 0 | 2 | 2 | 427 | 64 | 70% | 4.8 |
| Nurse Practitioner | 1 | 0 | 1 | 408 | 52 | 57% | 7.8 |
| Dietitian | 1 | 0 | 1 | 252 | 63 | 68% | 4 |
| Administrator | 1 | 0 | 1 | 220 | 55 | 60% | 4 |
| Medical Director | 0 | 1 | 1 | 37 | 16 | 17% | 2.3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageMontana average: 11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.4
8% worse than Montana averageMontana average: 21.8
Percent of long-stay residents whose need for help with daily activities has increased
18.7%
In line with Montana averageMontana average: 19.4%
Percent of long-stay residents whose ability to move independently worsened
20.0%
In line with Montana averageMontana average: 20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.6%
26% worse than Montana averageMontana average: 25.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
31% better than Montana averageMontana average: 4.3%
Percent of long-stay high risk residents with pressure ulcers
4.3%
32% better than Montana averageMontana average: 6.3%
Percent of long-stay residents with a urinary tract infection
2.0%
27% better than Montana averageMontana average: 2.8%
Percent of long-stay residents who lose too much weight
11.4%
85% worse than Montana averageMontana average: 6.1%
Percent of long-stay residents who have depressive symptoms
2.6%
44% better than Montana averageMontana average: 4.7%
Percent of long-stay residents who received an antipsychotic medication
20.8%
9% worse than Montana averageMontana average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
In line with Montana averageMontana average: 93.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than Montana averageMontana average: 93.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
27% better than Montana averageMontana average: 76.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
32% better than Montana averageMontana average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
11% better than Montana averageMontana average: 73.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
63% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for St. John‘s United based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 31Payroll — State benchmarkedThis home is ranked 1st out of 31 homes in Montana. Shows total annual staff payroll benchmarked to the Montana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
7.9 miles from city center
Estimated distance in miles from Billings's city center to St. John‘s United's address, calculated via Google Maps.
— 0.81 miles to nearest hospital (Fuller Family Medicine)
Add your location
St. John‘s United is located in Billings, Montana.
Here are the financial assistance programs available to residents in Montana.
| St. John‘s United |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Billings | 104 | 25.0% | -59% | 5.27 | -29% | +16% | $0 | 33 | 8.3 | - | 26 | 6 | Gerald Pearsall | $40.6M | $19.6M | 48.4% | 275024 | ||||
| Holiday Aspen View |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Billings | 90 | 71.5% | +16% | 3.49 | -6% | -23% | $118.5k | 32 | 5.3 | 3 | 67 | 60 | - | $3.3M | $2.0M | 58.4% | 275140 |
St. John‘s United has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to MT state health department records, St. John‘s United's license number is 12420.
According to MT state health department records, St. John‘s United's license expires on August 19, 2027.
St. John‘s United's occupancy is 25%.
Karna Rhodes is the administrator of St. John‘s United.
St. John‘s United has 104 beds.
(406) 655-5600 will put you in contact with the team at St. John‘s United.
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