Occupancy rate
25%
In line with Montana averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Independent Living in Billings
CMS overall rating
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.
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.
St. John‘s United
Independent Living in Billings
CMS overall rating
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.
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.
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
Occupancy rate
25%
Residents per day
26
Occupancy rate
25%
Residents per day
26
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
$40.6M
Surplus of revenue
$984.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$16.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$23.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$39.6M
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
In line with Montana averageOccupied beds
26 / 104
Average residents
55 per day
Facility TypeLong Term Care
StatusCurrent
IssuanceAugust 20, 2024
ExpirationAugust 19, 2027
License Number12420
St. John‘s United is administrated by Rhodes, Karna.
What does this home offer?
Housing Options: Private Rooms
Building Type: Single-story
Transportation Services
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
Show Inspection Reports
Latest inspection
Date
July 8, 2024
Renewal Inspection
Results
no issues found
Inspection history
07/08/2024
Renewal Inspection
no issues found
33 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Montana average: 21 deficiencies
Inspection Report Summary for St. John‘s United
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.
Health Inspection History
Inspections
Total health inspections
4
Montana average 5.1
Last Health inspection on Jul 2025
Total health citations
33
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
0
0
100% better than Montana averageMontana average: 0.3
Serious Health citations
0
0
100% better than Montana averageMontana average: 2.2
0 critical citations
0 serious citations
33 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 17, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 17, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 17, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 17, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 17, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 17, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 17, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Independent Living around Billings The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Filter by care type
| 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 | 150 | No | 6 | Private Rooms | 1 | - | Rhodes, Karna | 1 | 0 | 33 |
| Mission Ridge |
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 | 70 | Yes | 9 | Private Rooms | 2 | - | Wagstaff, Mark | 5 | 2 | 8 |
| Holiday Aspen View |
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 | - | Yes | 60 | Private Rooms | - | - | - | 0 | 0 | 0 |
| Affinity at Billings |
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 | - | No | 32 | Private Rooms | - | - | - | 0 | 0 | 0 |
| Sweetwater Assisted Living |
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.
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 (West End) | - | Yes | 27 | Private Rooms | - | A+ | - | 0 | 0 | 0 |
Places of interest near St. John‘s United
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)
Calculate Travel Distance to St. John‘s United
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
241
Employees
197
Contractors
44
Staff to resident ratio
3.05:1
72% better than Montana averageMontana average ratio: 1.77:1
Avg staff/day
59
Average shift
8.4 hours
0% compared with Montana averageMontana average: 8.6 hours
Total staff hours (quarter)
44,850
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
28
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
141
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
7%
3,126 contractor hours this quarter
Certified Nursing Assistant: 39
Registered Nurse: 3
Licensed Practical Nurse: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 102 | 39 | 141 | 19,959 | 91 | 100% | 8.4 |
| Registered Nurse | 25 | 3 | 28 | 6,656 | 91 | 100% | 10 |
| Licensed Practical Nurse | 13 | 1 | 14 | 4,483 | 91 | 100% | 10.1 |
| Occupational Therapy Assistant | 7 | 0 | 7 | 2,019 | 86 | 95% | 6.8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,994 | 65 | 71% | 8.3 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,800 | 65 | 71% | 8.1 |
| Nurse Aide in Training | 7 | 0 | 7 | 1,606 | 85 | 93% | 10.5 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,560 | 78 | 86% | 7.6 |
| Speech Language Pathologist | 6 | 0 | 6 | 999 | 78 | 86% | 7 |
| Physical Therapy Assistant | 7 | 0 | 7 | 955 | 71 | 78% | 6.2 |
| Physical Therapy Aide | 2 | 0 | 2 | 942 | 65 | 71% | 7.5 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 687 | 68 | 75% | 5.7 |
| Nurse Practitioner | 1 | 0 | 1 | 412 | 52 | 57% | 7.9 |
| Administrator | 1 | 0 | 1 | 238 | 60 | 66% | 4 |
| Dietitian | 1 | 0 | 1 | 216 | 55 | 60% | 3.9 |
| Occupational Therapy Aide | 2 | 0 | 2 | 188 | 53 | 58% | 3.5 |
| Qualified Social Worker | 1 | 0 | 1 | 97 | 19 | 21% | 5.1 |
| Medical Director | 0 | 1 | 1 | 40 | 16 | 18% | 2.5 |
141 Certified Nursing Assistant
% of Days
100%
28 Registered Nurse
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
7 Occupational Therapy Assistant
% of Days
95%
5 Clinical Nurse Specialist
% of Days
71%
4 Mental Health Service Worker
% of Days
71%
7 Nurse Aide in Training
% of Days
93%
5 Other Dietary Services Staff
% of Days
86%
6 Speech Language Pathologist
% of Days
86%
7 Physical Therapy Assistant
% of Days
78%
2 Physical Therapy Aide
% of Days
71%
8 Respiratory Therapy Technician
% of Days
75%
1 Nurse Practitioner
% of Days
57%
1 Administrator
% of Days
66%
1 Dietitian
% of Days
60%
2 Occupational Therapy Aide
% of Days
58%
1 Qualified Social Worker
% of Days
21%
1 Medical Director
% of Days
18%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79
Medicare
28
35.4% of residents
Medicaid
25
31.6% of residents
Private pay or other
26
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.5
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.4
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.7%
Percent of long-stay residents whose need for help with daily activities has increased
18.7%
In line with Montana averageMontana average: 19.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.0%
Percent of long-stay residents whose ability to move independently worsened
20.0%
In line with Montana averageMontana average: 20.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.6%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
31% better than Montana averageMontana average: 4.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.3%
Percent of long-stay high risk residents with pressure ulcers
4.3%
32% better than Montana averageMontana average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.0%
Percent of long-stay residents with a urinary tract infection
2.0%
27% better than Montana averageMontana average: 2.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
11.4%
Percent of long-stay residents who lose too much weight
11.4%
85% worse than Montana averageMontana average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.6%
Percent of long-stay residents who have depressive symptoms
2.6%
44% better than Montana averageMontana average: 4.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.8%
Percent of long-stay residents who received an antipsychotic medication
20.8%
9% worse than Montana averageMontana average: 19.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
In line with Montana averageMontana average: 93.8%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than Montana averageMontana average: 93.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
27% better than Montana averageMontana average: 76.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
32% better than Montana averageMontana average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
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.
Financial Trends
Historical financial and operational data for St. John‘s United based on CMS SNF Cost Reports.
Occupancy Rate
60.1%
↓ 0.4pp vs 2022
Net Income
$984.3K
↑ ~$5.0M vs 2022
Total Payroll
$19.6M
↓ ~$35.8K vs 2022
Profit Margin
2.9%
↑ 14.0pp vs 2022
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