St. John’s United

    3940 Rimrock Rd, Billings, MT 59102
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate professional care for mom

    I moved my mom to St. John's and have been very pleased - the staff are caring, professional, punctual, and genuinely attentive, and the therapists (especially nurse Susie, PTs Huw G. and Chanda, and OT Camelan) were knowledgeable and helped with her recovery. The facility is clean, welcoming, active (free summer concerts, good community involvement), offers CNA/nursing training and supportive management, and handled long-term and hospice care with compassion. I'm grateful to Blaine and several standout caregivers and would definitely recommend St. John's for quality, patient-focused elder care.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.07·(41)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.9
    • Staff

      4.0
    • Meals

      2.0
    • Amenities

      2.0
    • Value

      1.0

    Pros

    • Engaging community activities and free summer concert series
    • Attractive, landscaped campus and cottage-style living
    • Strong rehabilitation services and effective therapists
    • Compassionate and attentive nursing and CNA staff
    • Welcoming and friendly front-line staff
    • Transitional-care unit with focused recovery programs
    • On-site respite services and new respite house
    • CNA training and career-development opportunities
    • Supportive hospice and end-of-life services
    • Opportunities for family involvement and community events

    Cons

    • Staffing shortages and high turnover
    • Insufficient staff training and onboarding
    • Inconsistent quality of clinical care
    • Delays in attending to personal-care needs
    • Pest-control concerns
    • Maintenance and cleanliness inconsistencies
    • Inconsistent meal quality and dining service
    • Construction and renovation disruptions affecting access
    • Limited availability of on-site medical services
    • Gaps in resident transfer and safety protocols
    • Weak management responsiveness and leadership instability
    • Gaps in family communication and transparency
    • High out-of-pocket costs for residents and families

    Summary of reviews

    St. John’s United presents a mixed picture: several operational strengths are evident alongside recurring operational weaknesses. Positives include an attractive campus with cottage-style living, a well-regarded transitional-care program, robust rehabilitation services, and active community programming such as a free summer concert series. Many accounts highlight skilled therapists and individual nursing/CNA staff who provide focused, compassionate care and successful rehabilitation outcomes. The facility also offers on-site respite services, hospice support, and career-development opportunities such as CNA training.

    Care and staffing show notable variability. While some staff members and therapy teams are described as highly effective and attentive, other comments describe staffing shortages, high turnover, and gaps in training. These staffing issues are linked to inconsistent clinical performance, delays in attending to personal-care needs, and uneven knowledge during resident transfers. There are also concerns about transfer and safety protocols that prospective families should review closely. Overall, clinical quality appears to depend significantly on the unit and the current staffing mix.

    Dining, housekeeping, and the physical environment are similarly mixed. Community activities and landscaped grounds are strong assets, and parts of the facility are clean and well-maintained. However, other accounts point to maintenance and cleanliness inconsistencies, pest-control concerns, torn or outdated furnishings, and occasional complaints about meal temperature and consistency. Ongoing construction and renovation activity has also been mentioned as a source of disruption, including restricted access in some areas.

    Management, communication, and costs are important areas of concern. Multiple indicators point to leadership and responsiveness challenges: inconsistent family communication, difficulty obtaining clear answers about services, and instances where families felt information or access was constrained. Reviewers also expressed concern about reduced on-site medical services and relatively high out-of-pocket costs. At the same time, other families described positive interactions with specific managers and staff who were accommodating and helpful.

    Notable patterns: strong rehabilitation therapy and community engagement are recurring strengths, while staffing stability, training, infection/pest control, and management responsiveness are recurring vulnerabilities. For prospective residents and families, it is advisable to tour multiple areas of the campus, observe mealtime and staffing levels, ask specific questions about staffing ratios, transfer and safety protocols, pest-control measures, recent renovation timelines, and out-of-pocket cost breakdowns. Checking recent inspection records and speaking with current residents or families can help clarify whether operational issues have been addressed since earlier concerns were raised.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of St. John’s United

    St. John’s United is located at 3940 Rimrock Rd, Billings, MT, 59102.

    About St. John’s United

    St. John's United sits at 3490 Rimrock Road in Billings, Montana, and operates as a non-profit retirement community and assisted living facility that's also tied to Lutheran Social Services and other local groups, and the place spreads across several campuses and offers a wide range of services for people at all stages of life, from young children in daycare centers to seniors needing assisted living, memory care, nursing care, and hospice. The community aims to provide hope, dignity, and love, and they serve families with things like adoption programs, counseling, and pregnancy support, and they even have a licensed, state-regulated adoption agency that helps birth parents, adoptive families, and children with legal support and guidance, so there's a strong community and family focus that goes beyond traditional elder care.

    St. John's United has many types of living spaces, including cottages, apartments, condos, private rooms, and even respite suites, and the campuses offer independent living, supportive and assisted living, skilled nursing, and Alzheimer's care, along with programs like short-term rehabilitation and outpatient therapy, while amenities include things like outdoor areas, trails, gardens, a bowling alley, a wellness center, fitness gyms, WiFi, dining halls with dietary accommodations, salon services, chapels for spiritual care, community game rooms, computer centers, and parking. Residents use community shuttles, get meals provided, see visiting professionals, get help with medication and ADLs, and have options for housekeeping, laundry, cable, and special programs such as art classes and music events, and the site keeps pets in mind and lets guests stay overnight, so families feel a bit more at home.

    Medical care is offered by a team that has nurses, therapists, a nutrition specialist, and a full pharmacy on site, so residents can get physical therapy, rehab services, occupational therapy, personal care, medication help, and wellness classes, and there are safety features like emergency alert pendants, controlled access, and security to help residents feel secure, but it's important to note that some reviews mention care needs sometimes go unmet due to management issues, so while most describe the place as beautiful and full of community spirit, experiences may differ based on staff or staff turnover. The facility partners with groups like Sapphire Lutheran Homes and Missions United, and it manages more than 180 nursing home beds, plus services like adult day care, home health care, hospice, pharmacy, and even an adaptive device library to help with mobility.

    On top of that, St. John's United runs child care centers, provides general counseling, and runs large volunteer and community programs, so there's a multi-generational feeling, and there's support for all ages under one umbrella, which is pretty rare, so the mission to provide meaning and healing to all ages gets reflected in the way you might find both a state-of-the-art rehab center and a lively program for youth or new parents on the same campus. Social activities include games, culinary nights, music, spiritual programs, and multigenerational events, and the Foundation helps run funding campaigns for those who want to support the place, while the services are coordinated by a large team of over 700 staff and volunteers, making the organization more responsive than most but also bringing the expected challenges when it comes to consistent quality across such a big operation.

    People looking at St. John's United get a full range of care options, including at-home care for those who want to stay where they're most comfortable, and when needs change, they can step into more supportive environments like memory care or skilled nursing, so there's not much need to move elsewhere when health changes. Amenities like Luther's Lodge, the Helen Jorgenson Rehab Center, and the Center for Generations, along with services like public wellness classes, pharmacy, adaptive device loans, pastoral care, and transportation options, round out the practical offerings, but the most unique detail falls to their focus on supporting people and families during big life changes, whether that's growing older, seeking adoption, or dealing with loss. St. John's United provides care, housing, and programs for people from childhood up through old age, and while the experience can vary based on staffing and campus, the commitment to serving and supporting the greater Billings community is clear.

    People often ask...

    St. John’s United offers independent living, assisted living, memory care, continuing care retirement community, and skilled nursing.

    There are 30 photos of St. John’s United on Mirador.

    Yes, St. John’s United allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 3940 Rimrock Rd, Billings, MT 59102.

    No, St. John’s United does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of St. John’s United. The information above has not been verified or approved by the owner or operator. For exact information, please contact St. John’s United directly. There is no cost for this service. We are compensated by the community you select.

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