St. John‘s United

Nursing Home, Assisted Living, Home Care, Hospice Care, Independent Living, Memory Care, Respite Care & Skilled Nursing · Billings, MT

CMS overall rating

St. John‘s United

Q: Is St. John‘s United in a walkable area?

St. John‘s United has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.

Q: What is the license number of St. John‘s United?

According to MT state health department records, St. John‘s United's license number is 12420.

Q: When does St. John‘s United's license expire?

According to MT state health department records, St. John‘s United's license expires on August 19, 2027.

Q: What is the occupancy rate at St. John‘s United?

St. John‘s United's occupancy is 25%.

Q: How long has St. John‘s United been in business?

St. John‘s United has been operating for approximately 1 year, based on available licensing and registration records.

Q: Are pets allowed at St. John‘s United?

Yes, St. John‘s United allows residents to bring their pets.

Q: Does St. John‘s United operate as a for-profit or non-profit?

St. John‘s United is registered as a non-profit in MT.

Nursing Home, Assisted Living, Home Care, Hospice Care, Independent Living, Memory Care, Respite Care & Skilled Nursing · Billings, MT

CMS overall rating

3940 Rimrock Rd, Billings, MT 59102 View map

Calculator: See prices in your area

St. John‘s United accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

St. John‘s United accepts Medicare, Medicaid, and private pay.

Overview of St. John‘s United

St. John’s United operates a 104-bed nursing facility at 3940 Rimrock Road, Billings, Montana, administered by Karna Rhodes and owned by Gerald Pearsall. This voluntary non-profit church-affiliated community is car-dependent (Walk Score 6), 7.9 miles from downtown Billings with immediate access to Fuller Family Medicine. Current census: 26 residents (25% occupancy), average stay 129 days. Payer mix: 63% Medicare (28 days typical), 36% private pay (5–6 months), 1% Medicaid (18–19 years).
Staffing (Q4 2025): 262 total personnel including 29 RNs, 14 LPNs, and 164 CNAs. Total nursing delivers 5 hours 16 minutes per resident per day (35% above Montana average); weekend nursing reaches 4 hours 43 minutes (38% above state norm). Staff-to-resident ratio of 3.32:1 significantly exceeds benchmarks.
Care modalities include nursing home, independent and assisted living, memory care, home care, and hospice. Amenities: private rooms, aquatic center, fitness center, restaurant-style dining, housekeeping, and storage. 2023 financials: $34.4 million revenue, $19.6 million payroll, $984,311 net income. The facility ranks first statewide in payroll investment.
Quality outcomes show mixed results. Long-stay residents experience falls with major injury at 3.0% (31% better than state), pressure ulcers at 4.3% (32% better), and urinary tract infection at 2.0% (27% better). However, weight loss reaches 11.4% (85% worse), functional decline scores 23.4 (8% worse), and antipsychotic use stands at 20.8% (9% worse). No monetary penalties in three years.
The inspection record reveals significant compliance challenges. Over 34 months (August 2023–July 2025), four inspections yielded 33 deficiencies; 686% above Montana’s per-inspection average. July 2025 annual inspection cited 6 deficiencies: grievance policy gaps, medication errors exceeding 5%, incomplete care plans, expired food disposal, hand hygiene failures, and infection control breaches. A concurrent complaint investigation identified 2 deficiencies for delayed abuse/investigative findings reporting (2 days late).
August 2024 routine inspection documented 15 deficiencies spanning medication assessment, delayed abuse reporting, assessment accuracy, care planning, fall prevention, psychotropic medication governance, dietary and kitchen sanitation failures, and vaccination gaps. An August 2024 complaint investigation substantiated 2 deficiencies: delayed neglect reporting and 3-hour late insulin delivery. April 2024 complaint investigation found 1 deficiency: incorrect antiepileptic dosing for 27 days.
August 2023 routine inspection identified 7 deficiencies including unmet caregiver preferences, dementia care planning gaps, pressure ulcer management, missing equipment, absent nonpharmacological interventions, medication errors, and refrigerator temperature control failures. An August 2023 complaint investigation confirmed 1 deficiency for absent nonpharmacological documentation preceding antipsychotic initiation.
All violations carry moderate severity; no critical or serious citations exist. Deficiency patterns center on medication management, care planning, incident reporting timeliness, infection prevention, dietary operations, and failure to implement nonpharmacological approaches before chemical restraint, demonstrating compliance persistence without documented systemic resolution

Facility Direct Line (406) 655-5600

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Montana state averages

Total nursing care / resident

5h 16m per day

This facility Montana avg (4h 32m per day)

vs Montana avg

+16%

0 of 6 metrics below state avg

Standout metric Weekend RN is +59% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	1h 17m per day	▲ 40% State avg: 55m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	34m per day	▲ 15% State avg: 30m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	3h 6m per day	▲ 22% State avg: 2h 32m per day · National avg: 2h 20m per day
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 28m per day	▲ 26% State avg: 3h 33m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	6m per day	▲ 45% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	1h 5m per day	▲ 59% State avg: 41m per day · National avg: 29m per day

Capacity and availability

129 days

104-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 6 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

25%

Lower than the Montana average: 61.7%

Occupied beds

26 / 104

Average occupied beds in Montana homes 55 beds

Facility TypeLong Term Care

StatusCurrent

IssuanceAugust 20, 2024

ExpirationAugust 19, 2027

License Number12420

St. John‘s United is administered by Karna Rhodes.

Since 2023 · 3 years of data 33 deficiencies 1 inspection

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2023 vs. Montana state average

Overall vs. MT average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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 inspection Average deficiencies per inspection.	33	3	This facility has 1000% more deficiencies per inspection than a typical Montana nursing home (33 vs. MT avg 3).↑ 1000% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MT Average	vs. MT Avg
Total inspections Combined count of all inspections conducted at this facility.	1	7	This facility has had 86% fewer total inspections than the Montana average (1 vs. MT avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 86% fewer

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

July 17, 2025 annual inspection found six deficiencies including grievance policy failures, medication errors over 5%, expired food use, poor infection control, and incomplete care plans.
Complaint investigations in 2024 and 2025 repeatedly found delayed reporting of resident neglect, abuse, and investigative findings, increasing risk of psychosocial harm.
August 15, 2024 routine inspection cited 15 deficiencies including delayed medication administration, incomplete care plans, poor dietary sanitation, and failure to post nurse staffing information.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

Montana average 5.1

Last Health inspection on Jul 2025

Total health citations

Montana average 29.7

Citations per inspection

8.25

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).

Breakdown of citation severity (last 3 years)

Critical health citations

100% better than Montana average

Montana average: 0.3

Serious health citations

100% better than Montana average

Montana average: 2.2

0 critical citations Montana average: 0.3

0 serious citations Montana average: 2.2

33 moderate citations Montana average: 26.5

0 minor citations 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

Total staff 262

Employees 158

Contractors 104

Staff to resident ratio 3.32 : 1

79% more staff per resident than Montana average

Avg staff/day 60

Average shift 8 hours

7% worse than Montana average

Total staff hours (quarter) 44,397

Nursing staff breakdown

10 hours

164

8.1 hours

Contractor staffing

7,897 contractor hours this quarter

Certified Nursing Assistant: 73 Physical Therapy Assistant: 7 Respiratory Therapy Technician: 6 Speech Language Pathologist: 5 Licensed Practical Nurse: 3 Physical Therapy Aide: 3 Registered Nurse: 2 Occupational Therapy Aide: 2 Qualified Social Worker: 2 Medical Director: 1

Staff by category


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

164 Certified Nursing Assistant

% of Days 100%

29 Registered Nurse

% of Days 100%

14 Licensed Practical Nurse

% of Days 100%

5 Clinical Nurse Specialist

% of Days 70%

6 Occupational Therapy Assistant

% of Days 92%

4 Mental Health Service Worker

% of Days 71%

5 Other Dietary Services Staff

% of Days 82%

7 Physical Therapy Assistant

% of Days 84%

5 Speech Language Pathologist

% of Days 75%

6 Nurse Aide in Training

% of Days 51%

3 Physical Therapy Aide

% of Days 73%

6 Respiratory Therapy Technician

% of Days 77%

2 Qualified Social Worker

% of Days 67%

2 Occupational Therapy Aide

% of Days 70%

1 Nurse Practitioner

% of Days 57%

1 Dietitian

% of Days 68%

1 Administrator

% of Days 60%

1 Medical Director

% of Days 17%

View All Staffing Data in Billings

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 11.5

In line with Montana average

Montana average: 11.2

Functional decline score 23.4

8% worse than Montana average

Montana average: 21.8

Long-stay resident measures

Need for Help with Daily Activities Increased 18.7%

In line with Montana average

Montana average: 19.4%

Walking Ability Worsened 20.0%

In line with Montana average

Montana average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence 31.6%

26% worse than Montana average

Montana average: 25.2%

Falls with Major Injury 3.0%

31% better than Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers 4.3%

32% better than Montana average

Montana average: 6.3%

Urinary Tract Infection 2.0%

27% better than Montana average

Montana average: 2.8%

Lost Too Much Weight 11.4%

85% worse than Montana average

Montana average: 6.1%

Depressive Symptoms 2.6%

44% better than Montana average

Montana average: 4.7%

Antipsychotic Use 20.8%

9% worse than Montana average

Montana average: 19.1%

Pneumococcal Vaccine 91.5%

In line with Montana average

Montana average: 93.8%

Influenza Vaccine 100.0%

7% better than Montana average

Montana average: 93.7%

Short-stay resident measures

Pneumococcal Vaccine 97.3%

27% better than Montana average

Montana average: 76.4%

Antipsychotic medication increase 1.2%

32% better than Montana average

Montana average: 1.8%

Influenza Vaccine 82.1%

11% better than Montana average

Montana average: 73.8%

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

Total residents 79

Medicare

35.4% of residents

Medicaid

31.6% of residents

Private pay or other

32.9% of residents

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.

Financial Trends

Historical financial and operational data for St. John‘s United from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 60.1% ↓ 0.4pp vs 2022

Net Patient Income -$5.2M ↓ ~$1.4M vs 2022

Payroll Costs $17.6M ↑ ~$1.0M vs 2022

Operating Margin -17.4% ↓ 5.5pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	91.4%	91.8%	92.8%	92.7%	91.4%	90.6%	91.8%	87.6%	103.2%	73.7%	64.1%	60.5%	60.1%
Beds	186	186	186	186	186	186	186	186	165	165	186	186	150
Net Income	-$8,744,365	-$9,833,945	-$9,096,946	-$1,670,490	-$1,435,981	-$1,062,967	-$255,808	-$817,857	$1,906,407	$1,705,709	$2,838,211	-$3,986,058	$984,311
Gross Revenue	$17,640,060	$20,422,704	$21,814,941	$31,810,974	$33,106,781	$33,928,794	$35,379,897	$36,027,192	$35,706,982	$31,605,414	$31,863,274	$35,857,656	$34,417,985
Operating Expenses	$24,863,884	$27,097,452	$27,336,791	$28,777,641	$30,621,429	$30,659,819	$30,936,758	$31,966,855	$31,700,972	$32,542,221	$33,777,762	$35,315,405	$35,149,687
Net Patient Income	-$10,149,978	-$11,300,702	-$10,618,982	-$2,665,185	-$3,069,296	-$2,381,790	-$1,612,947	-$2,189,064	-$1,582,533	-$4,402,855	-$5,288,159	-$3,758,648	-$5,203,388
Net Patient Revenue	$14,713,906	$15,796,750	$16,717,809	$26,112,456	$27,552,133	$28,278,029	$29,323,811	$29,777,791	$30,118,439	$28,139,366	$28,489,603	$31,556,757	$29,946,299
Payroll Costs	$13,607,690	$14,544,142	$15,262,861	$16,288,187	$17,183,566	$17,948,906	$18,360,117	$19,383,201	$18,651,413	$18,248,099	$16,528,997	$16,591,742	$17,626,038
Operating Margin %	-69.0%	-71.5%	-63.5%	-10.2%	-11.1%	-8.4%	-5.5%	-7.4%	-5.3%	-15.7%	-18.6%	-11.9%	-17.4%
Medicare %	9.5%	12.1%	12.0%	12.1%	11.7%	13.6%	14.8%	14.9%	15.5%	9.8%	8.9%	9.9%	12.1%
Medicaid %	44.1%	45.3%	42.3%	43.9%	45.0%	45.9%	48.7%	47.1%	47.0%	49.4%	45.7%	47.0%	47.7%
Private %	46.5%	42.6%	45.8%	44.0%	43.3%	40.5%	36.5%	38.1%	37.5%	40.8%	45.4%	43.2%	40.2%
Net Patient Revenue/Day	$237	$253	$265	$415	$444	$459	$470	$500	$578	$633	$655	$768	$859
Cost/Day	$401	$434	$434	$457	$493	$497	$496	$537	$608	$732	$777	$859	$1,009
Avg Length of Stay	235.8 days	216.2 days	154.0 days	148.0 days	133.8 days	128.4 days	127.0 days	117.8 days	107.9 days	156.1 days	244.3 days	159.3 days	129.1 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$29.9M

Net patient income

-$5.2M

Nonprofit Nonprofit Corporation

Net patient revenue

$29.9M

Net patient income

-$5.2M

Other income

$6.2M

Payroll costs

$17.6M 58.9% of net patient revenue

Other operating costs

$17.5M

Total costs

$35.1M

What does this home offer?

Pets Allowed

Housing Options: Private Rooms

Building Type: Single-story

Transportation Services

Fitness and Recreation

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (63% of admissions), and a typical Medicare stay runs around 28 days.

Coverage residents most often arrive under.

Medicare 63%

Private pay 36%

Medicaid 1%

Coverage residents most often leave under.

Medicare 66%

Private pay 26%

Medicaid 9%

5.5 miles from city center Estimated distance in miles from Billings's city center to St. John‘s United's address, calculated via Google Maps.

Quick search

Calculate Travel Distance to St. John‘s United

Add your location

Compare Assisted Living around Billings

Info below is compiled from CMS reports & the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


St. John‘s United		AL HC HOS IL MC NH RC SNF	Billings	104 Facility 104 MT AVG 70 Rank #21 / 103	25.0% Facility 25.0% MT AVG 61.5 Rank #30 / 32	-59%	5.27 Facility 5.27 MT AVG 4.53 Rank #4 / 33				-29%	+16%	$0 Facility $0 MT AVG $83.8k Rank #1 / 34	33 Facility 33 MT AVG 29.7 Rank #18 / 34	8.3 Facility 8.3 MT AVG 5.7 Rank #30 / 34	-	26	-	6 Facility 6 MT AVG 43 Rank #144 / 159	Gerald Pearsall	$29.9MFiscal year ending 12/2023 Facility $29.9MFiscal year ending 12/2023 MT AVG $6.3M Rank #1 / 32	$17.6MFiscal year ending 12/2023 Facility $17.6MFiscal year ending 12/2023 MT AVG $2.8M Rank #1 / 32	58.9%Fiscal year ending 12/2023 Facility 58.9%Fiscal year ending 12/2023 MT AVG 45.6% Rank #23 / 32	275024
Eagle Cliff Healthcare Community		AL HOS NH RC SNF	Billings (Heights)	129 Facility 129 MT AVG 70 Rank #10 / 103	27.9% Facility 27.9% MT AVG 61.5 Rank #27 / 32	-55%	3.54 Facility 3.54 MT AVG 4.53 Rank #18 / 33				-29%	-22%	$80.9k Facility $80.9k MT AVG $83.8k Rank #27 / 34	64 Facility 64 MT AVG 29.7 Rank #32 / 34	10.7 Facility 10.7 MT AVG 5.7 Rank #33 / 34	4	36	-	3 Facility 3 MT AVG 43 Rank #148 / 159	Amin Family Limited Partnership	$4.2MFiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $4.2MFiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $6.3M Rank #20 / 32	$1.6MFiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $1.6MFiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $2.8M Rank #26 / 32	38.2%Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 38.2%Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG 45.6% Rank #26 / 32	275123
Yellowstone River Nursing and Rehabilitation		AL NH SNF	Billings (East Central)	160 Facility 160 MT AVG 70 Rank #6 / 103	-	-	3.57 Facility 3.57 MT AVG 4.53 Rank #15 / 33				+50%	-21%	$141.5k Facility $141.5k MT AVG $83.8k Rank #32 / 34	49 Facility 49 MT AVG 29.7 Rank #26 / 34	6.1 Facility 6.1 MT AVG 5.7 Rank #25 / 34	5	2	-	67 Facility 67 MT AVG 43 Rank #33 / 159	Sarah Caldwell	$9.9MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $9.9MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $6.3M Rank #2 / 32	$5.7MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $5.7MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $2.8M Rank #3 / 32	57.8%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 57.8%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG 45.6% Rank #27 / 32	275029
Skyline Heights Nursing and Rehabilitation		AL HOS NH SNF	W Billings (Colton Heights Apartments)	150 Facility 150 MT AVG 70 Rank #7 / 103	50.8% Facility 50.8% MT AVG 61.5 Rank #21 / 32	-17%	2.99 Facility 2.99 MT AVG 4.53 Rank #31 / 33				-18%	-34%	$419.0k Facility $419.0k MT AVG $83.8k Rank #34 / 34	74 Facility 74 MT AVG 29.7 Rank #34 / 34	8.2 Facility 8.2 MT AVG 5.7 Rank #29 / 34	11	76	-	57 Facility 57 MT AVG 43 Rank #51 / 159	Anna Preciado	$8.6MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $8.6MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $6.3M Rank #3 / 32	$4.5MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $4.5MFiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $2.8M Rank #5 / 32	52%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 52%Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG 45.6% Rank #30 / 32	275020
Billings Nursing and Rehab	-	AL HOS NH RC SNF	Billings (South Side)	100 Facility 100 MT AVG 70 Rank #26 / 103	73.0% Facility 73.0% MT AVG 61.5 Rank #16 / 32	+19%	3.15 Facility 3.15 MT AVG 4.53 Rank #29 / 33	-	-	-	+27%	-30%	$62.8k Facility $62.8k MT AVG $83.8k Rank #24 / 34	45 Facility 45 MT AVG 29.7 Rank #25 / 34	5.6 Facility 5.6 MT AVG 5.7 Rank #16 / 34	3	73	-	56 Facility 56 MT AVG 43 Rank #57 / 159	-	$5.2MFiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $5.2MFiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $6.3M Rank #19 / 32	$2.0MFiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $2.0MFiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG $2.8M Rank #21 / 32	39.1%Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 39.1%Fiscal year ending 06/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. MT AVG 45.6% Rank #11 / 32	275120

Nursing Home Explorer

Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled

General Montana resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

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

Rural state; limited providers in some areas.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Home modifications ($1,500 avg.) Meals ($6/meal)

Montana Community First Choice

MT CFC

Age 65+ or disabled

General Montana resident, Medicaid- eligible.

Income Limits ~$1,732/month individual, Medicaid threshold

Asset Limits $2,000 individual

Less intensive than waiver; rural focus.

Benefits

Personal care (up to 40 hours/month) Homemaker services Respite (varies)

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled

General Montana resident, enrolled in Medicare Part D, income below limit.

Income Limits (2025) ~$2,510/month (individual), ~$3,380/month (couple).

Asset Limits Not assessed.

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

Benefits

Prescription drug premium assistance (~$465/year) Reducing out-of-pocket costs

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled

General Montana resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

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

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

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Age —

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

Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.

Asset Limits Not assessed; need-based.

10 AAAs; prioritizes low-income, rural caregivers.

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

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

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General Montana resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth limit

High veteran demand in rural areas.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Is St. John‘s United in a walkable area?

St. John‘s United has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of St. John‘s United?

According to MT state health department records, St. John‘s United's license number is 12420.

When does St. John‘s United's license expire?

According to MT state health department records, St. John‘s United's license expires on August 19, 2027.

What is the occupancy rate at St. John‘s United?

St. John‘s United's occupancy is 25%.

How long has St. John‘s United been in business?

St. John‘s United has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at St. John‘s United?

Yes, St. John‘s United allows residents to bring their pets.

Does St. John‘s United operate as a for-profit or non-profit?

St. John‘s United is registered as a non-profit in MT.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

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

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

St. John‘s United

Overview of St. John‘s United

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Contact St. John‘s United

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

164 Certified Nursing Assistant

29 Registered Nurse

14 Licensed Practical Nurse

5 Clinical Nurse Specialist

6 Occupational Therapy Assistant

4 Mental Health Service Worker

5 Other Dietary Services Staff

7 Physical Therapy Assistant

5 Speech Language Pathologist

6 Nurse Aide in Training

3 Physical Therapy Aide

6 Respiratory Therapy Technician

2 Qualified Social Worker

2 Occupational Therapy Aide

1 Nurse Practitioner

1 Dietitian

1 Administrator

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near St. John‘s United

Calculate Travel Distance to St. John‘s United

Compare Assisted Living around Billings

Financial Assistance for Assisted Living in Montana

Big Sky Waiver

Montana Community First Choice

Big Sky Rx

Medicare Savings Program (MSP)

Montana Caregiver Support Program (via NFCSP)

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

Guides for Better Senior Living

Financial Assistance for
Assisted Living in Montana