Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ST JOHN'S LUTHERAN HOME

BILLINGS, MT · 186 certified beds · Last Life Safety survey July 30, 2026

CMS Certification Number 275024 · first certified January 1967

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

16
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
3
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within MT

16 citations — more than 53% of the 61 certified nursing homes in MT. Compared within MT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 4 citations; the earlier surveys on file averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 9 months from now. This facility’s last Life Safety survey was July 2026. Facilities in MT are typically surveyed 12–13 months after the last one (median 12), measured over 106 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations in CMS's current file

Compared with the median facility in MT, and nationally. Surveyors differ markedly between states, so the MT figure is the meaningful one.

This facility16MT median15National median11
Citations in CMS's current file, compared
MeasureCitations
This facility16
Median facility in MT15
Median facility nationally11

Survey history

Citations at each Life Safety survey
42024-0882025-0742026-07
Citations at each Life Safety survey
Survey dateCitations
August 15, 20244
July 17, 20258
July 30, 20264

Most-cited tags

Most-cited tags at this facility
K-09112K-02112K-03532K-03631K-09181K-03721K-02221K-09061
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0911Meet requirements for the installation and maintenance of electrical systems.22026-07-30
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22025-07-17
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-07-17
K-0363Install corridor and hallway doors that block smoke.12025-07-17
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-07-30
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12025-07-17
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12026-07-30
K-0906Ensure gas cylinders are properly stored.12025-07-17

What the citations cover

Citations by CMS category
  • Egress Deficiencies 6
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Egress Deficiencies6
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 30, 2026 — 4 citations

Citations issued on July 30, 2026
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (September 18, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 18, 2026)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (September 18, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 18, 2026)

July 17, 2025 — 8 citations

Citations issued on July 17, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 4, 2025)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (September 4, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (September 4, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 5, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 4, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 4, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 4, 2025)
K-0906Ensure gas cylinders are properly stored.Deficient, Provider has date of correction (September 4, 2025)

August 15, 2024 — 4 citations

Citations issued on August 15, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 3, 2024)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (October 3, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 3, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (October 3, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.