ST JOHN'S LUTHERAN HOME

BILLINGS, MT · 186 beds · Non profit - Corporation

86 Trust Score
Grade: A LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 5-star staffing rating
  • No fines or penalties on record
  • Above-average RN staffing (1.46 hrs vs 1.11 state avg)

Quick Facts

★★★★☆
CMS Overall
★★★☆☆
Health Inspection
7
0.6x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

July 16, 2025

7 deficiencyies
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0585 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

August 14, 2024

13 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0657 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0732 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0745 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide medically-related social services to help each resident achieve the highest possible quality of life.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0800 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

F0802 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

F0803 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F0806 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

See full violation history →

Staffing

1.46
RN hrs/res/day
0.63
LPN hrs/res/day
3.03
CNA hrs/res/day
4.40
Weekend hrs/res/day
45%
Total nurse turnover
41%
RN turnover

A nurse checks on each resident roughly every 4.7 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Independent (not part of a chain)
  • PEARSALL, GERALD

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/11/2012

    Individual
  • RHODES, KARNA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2007

    Individual
  • TROST, DAVID

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/1995

    Individual
  • DAVIES, WILLIAM

    CORPORATE DIRECTOR

    Since since 05/01/2021

    Individual
  • HERBERG, CONNIE

    CORPORATE DIRECTOR

    Since since 05/01/2018

    Individual
  • MACDONALD, MARGARET

    CORPORATE DIRECTOR

    Since since 05/01/2018

    Individual
  • MORSE, MINA

    CORPORATE DIRECTOR

    Since since 05/01/2018

    Individual
  • RONNEBERG, JOHN

    CORPORATE DIRECTOR

    Since since 05/01/2018

    Individual
  • THOMPSON, TIM

    CORPORATE DIRECTOR

    Since since 05/01/2016

    Individual
  • MORSE, MINA

    CORPORATE OFFICER

    Since since 05/01/2021

    Individual
  • PEARSALL, GERALD

    CORPORATE OFFICER

    Since since 01/11/2012

    Individual
  • RHODES, KARNA

    CORPORATE OFFICER

    Since since 09/16/2013

    Individual
  • TROST, DAVID

    CORPORATE OFFICER

    Since since 05/02/2016

    Individual
  • PEARSALL, GERALD

    W-2 MANAGING EMPLOYEE

    Since since 01/11/2012

    Individual
  • RHODES, KARNA

    W-2 MANAGING EMPLOYEE

    Since since 01/01/2007

    Individual
  • TROST, DAVID

    W-2 MANAGING EMPLOYEE

    Since since 05/02/2001

    Individual

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