St. John's Lutheran Home

Detailed report on the nursing home located in Billings, Montana (MT).

St. John's Lutheran Home is a large, non-profit, nursing home with 186 beds based at 3940 Rimrock Road in Billings, MT. The facility has 176 residents indicating 95% of its beds are occupied, which is above average within this state. The provider participates in the medicare & medicaid programs and provides resident & family counseling services. The home is located in a continuing care retirement community and is partially sprinklered. A total of 107 Medicare patients were given 3,796 days of non-swing bed care and services in 2006, and the provider was reimbursed $972,224 by Medicare. 577 Medicare patients were given outpatient care and services by this provider in 2006. The provider was reimbursed $133,019 by Medicare for these services.

On a state level, the number of registered nurse hours per resident per day is much lower than average. Certified nursing assistant hours per resident per day is average. The number of licensed practical or vocational nurse hours per resident per day is average. Licensed staff hours per resident per day is lower than average.

When compared to other nursing homes in the state, it is more likely for long-stay residents to be more depressed or anxious and long-stay residents to have their ability to move around their room get worse at St. John's Lutheran Home.

When compared to other nursing homes in the state, it is less likely for long-stay residents to have moderate to severe pain, high-risk long-stay residents to have pressure sores, low-risk long-stay residents to have pressure sores, long-stay residents to be physically restrained, short-stay residents to have delirium, short-stay residents to have moderate to severe pain, and short-stay residents to have pressure sores.

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Ownership Type

Non-Profit - Church Related

Multiple Ownership

Address

3940 Rimrock Road
Billings, MT 59102

Phone Number

(406) 655-5600

Geographic Coordinates

45.798611, -108.616626

* The accuracy of these coordinates is at a address level.

Programs Accepted

Medicare & Medicaid

Counseling Available

Resident & Family

Sprinkler System

The amount of the facility that is sprinklered. All fire code regulations at different locations must be met.

Partially Sprinklered

Beds

The total number of beds the facility operates. Each resident is assigned to a single bed.

This Provider: 186
Billings Average: 99
Yellowstone County Average: 97
Montana Average: 78
United States Average: 106

Beds Occupied

The percentage of total beds that are occupied by residents.

This Provider: 95.00%
Billings: 77.56%
Yellowstone County: 78.90%
Montana: 74.13%
United States: 84.18%

Residents

The total number of residents residing at the facility.

This Provider: 176
Billings Average: 81
Yellowstone County Average: 80
Montana Average: 57
United States Average: 90

Located in a Hospital

Indicates whether the facility is located within a hospital.

This Provider: No
Billings: 2 (22.22%)
Yellowstone County: 2 (20.00%)
Montana: 32 (34.78%)
United States: 1,271 (8.03%)

Located in a CCRC

Indicates whether the facility is located within a continuing care retirement community.

This Provider: Yes
Billings: 1 (11.11%)
Yellowstone County: 1 (10.00%)
Montana: 2 (2.17%)
United States: 1,255 (7.93%)

Recent Surveys

02/22/2007 - Health Survey
02/21/2007 - Fire Safety Survey
12/15/2005 - Health Survey
12/15/2005 - Fire Safety Survey
12/16/2004 - Health Survey
12/14/2004 - Fire Safety Survey

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Staff

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RN Hours Per Resident

The average number of registered nurse hours per resident per day.

This Provider: 0.55
Billings Average: 1.06
Yellowstone County Average: 1.02
Montana Average: 0.90
United States Average: 0.64

CNA Hours Per Resident

The average number of certified nursing assistant hours per resident per day.

This Provider: 2.86
Billings Average: 2.58
Yellowstone County Average: 2.57
Montana Average: 2.51
United States Average: 2.34

LPNLVN Hours Per Resident

The average number of licensed practical or vocational nurse hours per resident per day.

This Provider: 0.56
Billings Average: 0.83
Yellowstone County Average: 0.77
Montana Average: 0.56
United States Average: 0.79

Licensed Staff Hours Per Resident

The average number of licensed staff hours per resident per day.

This Provider: 1.11
Billings Average: 1.89
Yellowstone County Average: 1.79
Montana Average: 1.46
United States Average: 1.43

Quality Measures

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Long-Stay Residents Given Influenza Vaccination

The percentage of long-stay residents given influenza vaccination during the flu season.

This Provider: 95.00%
Billings: 91.14%
Yellowstone County: 91.63%
Montana: 90.66%
United States: 86.01%

Long-Stay Residents Whose Need for Help With Daily Activities Has Increased

The percentage of long-stay residents whose need for help with daily activities has increased.

This Provider: 14.00%
Billings: 16.50%
Yellowstone County: 16.14%
Montana: 16.75%
United States: 16.08%

High-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of high-risk long-stay residents who have pressure sores.

This Provider: 2.00%
Billings: 9.80%
Yellowstone County: 9.80%
Montana: 8.35%
United States: 12.83%

Long-Stay Residents Who Were Physically Restrained

The percentage of long-stay residents who were physically restrained.

This Provider: 1.00%
Billings: 1.67%
Yellowstone County: 1.43%
Montana: 1.95%
United States: 5.63%

Low-Risk Long-Stay Residents Who Lose Control of Their Bowels

The percentage of low-risk long-stay residents who lose control of their bowels or bladder.

This Provider: 54.00%
Billings: 45.17%
Yellowstone County: 41.00%
Montana: 48.70%
United States: 48.78%

Long-Stay Residents Who Spend Most of Their Time in Bed

The percentage of long-stay residents who spend most of their time in bed or in a chair.

This Provider: 3.00%
Billings: 1.67%
Yellowstone County: 1.57%
Montana: 2.66%
United States: 4.39%

Long-Stay Residents With a Urinary Tract Infection

The percentage of long-stay residents with a urinary tract infection.

This Provider: 7.00%
Billings: 6.33%
Yellowstone County: 6.43%
Montana: 7.21%
United States: 8.83%

Short-Stay Residents Given Influenza Vaccination

The percentage of short-stay residents given influenza vaccination during the flu season.

This Provider: 95.00%
Billings: 83.86%
Yellowstone County: 84.50%
Montana: 81.18%
United States: 72.85%

Short-Stay Residents With Delirium

The percentage of short-stay residents with delirium.

This Provider: 1.00%
Billings: 1.86%
Yellowstone County: 1.88%
Montana: 3.26%
United States: 2.12%

Short-Stay Residents With Pressure Sores

The percentage of short-stay residents with pressure sores.

This Provider: 2.00%
Billings: 20.71%
Yellowstone County: 19.63%
Montana: 18.47%
United States: 17.46%

Long-Stay Residents Given Pneumococcal Vaccination

The percentage of long-stay residents who were assessed and given pneumococcal vaccination.

This Provider: 95.00%
Billings: 85.14%
Yellowstone County: 86.38%
Montana: 86.08%
United States: 79.81%

Long-Stay Residents Who Have Moderate to Severe Pain

The percentage of long-stay residents who have moderate to severe pain.

This Provider: 1.00%
Billings: 4.50%
Yellowstone County: 4.43%
Montana: 5.62%
United States: 4.53%

Low-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of low-risk long-stay residents who have pressure sores.

This Provider: 0.00%
Billings: 2.80%
Yellowstone County: 2.67%
Montana: 2.35%
United States: 2.33%

Long-Stay Residents Who are More Depressed or Anxious

The percentage of long-stay residents who are more depressed or anxious.

This Provider: 26.00%
Billings: 16.33%
Yellowstone County: 15.86%
Montana: 16.26%
United States: 14.45%

Long-Stay Residents Who Have Catheter Inserted and Left

The percentage of long-stay residents who have/had a catheter inserted and left in their bladder.

This Provider: 7.00%
Billings: 5.33%
Yellowstone County: 5.57%
Montana: 7.33%
United States: 5.89%

Long-Stay Residents Whose Ability to Move Around Their Room Got Worse

The percentage of long-stay residents whose ability to move about in and around their room got worse.

This Provider: 23.00%
Billings: 17.33%
Yellowstone County: 14.86%
Montana: 13.55%
United States: 13.04%

Long-Stay Residents Who Lose Too Much Weight

The percentage of long-stay residents who lose too much weight.

This Provider: 9.00%
Billings: 10.83%
Yellowstone County: 10.43%
Montana: 8.28%
United States: 9.09%

Short-Stay Residents Given Pneumococcal Vaccination

The percentage of short-stay residents who were assessed and given pneumococcal vaccination.

This Provider: 90.00%
Billings: 81.00%
Yellowstone County: 82.75%
Montana: 77.65%
United States: 73.02%

Short-Stay Residents Who Had Moderate to Severe Pain

The percentage of short-stay residents who had moderate to severe pain.

This Provider: 22.00%
Billings: 42.71%
Yellowstone County: 39.75%
Montana: 36.16%
United States: 20.65%

Treatment Figures

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Non-Swing Bed Patients

The number of non-swing bed patients treated by this provider that were covered by Medicare Part A in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: 107
Billings Average: 183
Yellowstone County Average: 174
Montana Average: 84
United States Average: 133

Non-Swing Bed Patient Discharges

The number of non-swing bed patient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: 137
Billings Average: 197
Yellowstone County Average: 183
Montana Average: 85
United States Average: 124

Non-Swing Bed Utilization Days

The number of days of non-swing bed care that are chargeable to Medicare Part A facility utilization by this provider in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: 3,796
Billings Average: 4,269
Yellowstone County Average: 4,207
Montana Average: 2,316
United States Average: 4,470

Outpatients

The number of outpatients treated by this provider that were covered by Medicare Part B in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider: 577
Billings Average: 2,345
Yellowstone County Average: 2,062
Montana Average: 466
United States Average: 301

Financials

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Medicare Non-Swing Bed Payments

The total non-swing bed associated Medicare Part A payments made to this provider in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: $972,224
Billings Average: $1,118,142
Yellowstone County Average: $1,091,539
Montana Average: $571,863
United States Average: $1,318,701

Medicare Payments Per Non-Swing Bed Utilization Day

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: $256
Billings Average: $262
Yellowstone County Average: $259
Montana Average: $247
United States Average: $295

Medicare Outpatient Payments

The total outpatient associated Medicare Part B payments made to this provider in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider: $133,019
Billings Average: $1,563,275
Yellowstone County Average: $1,385,250
Montana Average: $336,171
United States Average: $266,523

Medicare Payments Per Non-Swing Bed Patient

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: $9,086
Billings Average: $6,095
Yellowstone County Average: $6,284
Montana Average: $6,846
United States Average: $9,943

Medicare Payments Per Non-Swing Bed Patient Discharge

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider: $7,097
Billings Average: $5,666
Yellowstone County Average: $5,958
Montana Average: $6,733
United States Average: $10,652

Medicare Payments Per Outpatient

The average Medicare payments made to this provider per Medicare Part B covered outpatient in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider: $231
Billings Average: $667
Yellowstone County Average: $672
Montana Average: $721
United States Average: $885

Deficiencies

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02/22/2007 - Environmental

Type:: Health
Category:: Environmental
Issue:: Make sure that the nursing home area is safe, easy to use, clean and comfortable.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 02/22/2007
Date Fixed:: 04/12/2007

02/22/2007 - Nutrition and Dietary

Type:: Health
Category:: Nutrition and Dietary
Issue:: Make sure that the attending doctor orders special diets.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 02/22/2007
Date Fixed:: 04/12/2007

02/22/2007 - Quality Care

Type:: Health
Category:: Quality Care
Issue:: Give professional services that meet a professional standard of quality.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 02/22/2007
Date Fixed:: 04/19/2007

02/22/2007 - Resident Rights

Type:: Health
Category:: Resident Rights
Issue:: Provide services to meet the needs and preferences of each resident.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 02/22/2007
Date Fixed:: 04/06/2007

02/21/2007 - Corridor Walls and Doors

Type:: Fire Safety
Category:: Corridor Walls and Doors
Issue:: corridor and hallway doors that block smoke.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 02/21/2007
Date Fixed:: 03/22/2007

02/21/2007 - Vertical Openings

Type:: Fire Safety
Category:: Vertical Openings
Issue:: exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 02/21/2007
Date Fixed:: 03/22/2007

02/21/2007 - Electrical

Type:: Fire Safety
Category:: Electrical
Issue:: properly installed electrical wiring and equipment.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Potential for minimal harm
Date Found:: 02/21/2007
Date Fixed:: 03/22/2007

02/21/2007 - Electrical

Type:: Fire Safety
Category:: Electrical
Issue:: weekly inspections and monthly testing of generators.
Found Via:: Survey
Scope:: Widespread
Level of Harm:: Potential for minimal harm
Date Found:: 02/21/2007
Date Fixed:: 04/30/2007

02/21/2007 - Hazardous Area

Type:: Fire Safety
Category:: Hazardous Area
Issue:: construction that can resist fire for one hour or an approved fire extinguishing system.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 02/21/2007
Date Fixed:: 05/16/2007

12/15/2005 - Pharmacy Service

Type:: Health
Category:: Pharmacy Service
Issue:: Properly mark drugs and other similar products.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/15/2005
Date Fixed:: 02/23/2006

12/15/2005 - Resident Assessment

Type:: Health
Category:: Resident Assessment
Issue:: Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/15/2005
Date Fixed:: 02/23/2006

12/15/2005 - Resident Assessment

Type:: Health
Category:: Resident Assessment
Issue:: Make sure that doctors visit residents regularly, as required.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/15/2005
Date Fixed:: 02/23/2006

12/15/2005 - Pharmacy Service

Type:: Health
Category:: Pharmacy Service
Issue:: Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/15/2005
Date Fixed:: 02/23/2006

12/15/2005 - Environmental

Type:: Health
Category:: Environmental
Issue:: Make sure that staff members wash their hands when needed.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/15/2005
Date Fixed:: 02/23/2006

12/15/2005 - Environmental

Type:: Health
Category:: Environmental
Issue:: Make sure that a working call system is available in each resident's room or bathroom and bathing area.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/15/2005
Date Fixed:: 02/23/2006

12/15/2005 - Environmental

Type:: Health
Category:: Environmental
Issue:: Make sure that the nursing home area is safe, easy to use, clean and comfortable.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/15/2005
Date Fixed:: 02/23/2006

12/16/2004 - Pharmacy Service

Type:: Health
Category:: Pharmacy Service
Issue:: Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/16/2004
Date Fixed:: 01/31/2005

12/16/2004 - Administration

Type:: Health
Category:: Administration
Issue:: Keep accurate and appropriate medical records.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/16/2004
Date Fixed:: 01/31/2005

12/14/2004 - Electrical

Type:: Fire Safety
Category:: Electrical
Issue:: weekly inspections and monthly testing of generators.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Potential for minimal harm
Date Found:: 12/14/2004
Date Fixed:: 03/10/2005

12/14/2004 - Building Service Equipment

Type:: Fire Safety
Category:: Building Service Equipment
Issue:: properly protected cooking facilities.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Potential for minimal harm
Date Found:: 12/14/2004
Date Fixed:: 02/12/2005

12/14/2004 - Automatic Sprinkler Systems

Type:: Fire Safety
Category:: Automatic Sprinkler Systems
Issue:: portable fire extinguishers.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Potential for minimal harm
Date Found:: 12/14/2004
Date Fixed:: 03/10/2005

12/14/2004 - Vertical Openings

Type:: Fire Safety
Category:: Vertical Openings
Issue:: exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/14/2004
Date Fixed:: 01/06/2005

12/14/2004 - Automatic Sprinkler Systems

Type:: Fire Safety
Category:: Automatic Sprinkler Systems
Issue:: automatic sprinkler systems that have been maintained in working order.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Potential for minimal harm
Date Found:: 12/14/2004
Date Fixed:: 02/12/2005

12/14/2004 - Hazardous Area

Type:: Fire Safety
Category:: Hazardous Area
Issue:: construction that can resist fire for one hour or an approved fire extinguishing system.
Found Via:: Survey
Scope:: Isolated
Level of Harm:: Minimal harm or potential for actual harm
Date Found:: 12/14/2004
Date Fixed:: 02/12/2005

12/14/2004 - Illumination and Emergency Power

Type:: Fire Safety
Category:: Illumination and Emergency Power
Issue:: proper backup exit lighting.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Potential for minimal harm
Date Found:: 12/14/2004
Date Fixed:: 12/15/2004

12/14/2004 - Electrical

Type:: Fire Safety
Category:: Electrical
Issue:: properly installed electrical wiring and equipment.
Found Via:: Survey
Scope:: Pattern
Level of Harm:: Potential for minimal harm
Date Found:: 12/14/2004
Date Fixed:: 02/12/2005

Reviews and Ratings

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Discussions

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Last Modified

Monday, July 21, 2008 2:44 PM MST

Indicates the latest change to the core data for this provider. It does not reflect changes from user input, such as reviews and discussions.

Disclosure

CiteHealth is not associated with St. John's Lutheran Home or St John's Lutheran Home. We do not endorse, sponsor, or take financial incentives from this provider.

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Billings at a Glance

Billings has a total population of 89,847, of which 21,589 are children under the age of 18 and 13,339 are seniors 65 and older. The median age is 36.8.

Total Population:: 89,847
Median Age:: 36.8
Males:: 43,214 (48.1%)
Female:: 46,633 (51.9%)
Children (0-17):: 21,589 (24.0%)
Adults (18-64):: 54,919 (61.1%)
Seniors (65+):: 13,339 (14.8%)
Age Breakdown:
Married:: 38,717 (43.1%)
Divorced:: 9,245 (10.3%)
Marriage Breakdown:
Hispanic Ethnicity:: 3,758 (4.18%)
White:: 82,539 (91.87%)
African American:: 495 (0.55%)
Asian:: 533 (0.59%)
Pacific Islander:: 38 (0.04%)
Indian:: 3,088 (3.44%)
Other:: 1,300 (1.45%)
Two or More:: 1,854 (2.06%)
Racial Breakdown:

Health

The average number of disabilities per resident is 0.30, which does not include institutionalized individuals.

Disabilities:: 0.30 (Per Capita)
Dialysis Centers:: 2
Doctors:: 886
Home Agencies:: 2
Hospitals:: 2
Nursing Homes:: 9
Medical Suppliers:: 62
Rehab Centers:: 5

Wealth

The median family income is $45,032 while the median household income is $35,147. Roughly 11.58% of the population live in poverty.

Family Income:: $45,032
Household Income:: $35,147
In Poverty:: 11.58%

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