St. John’s United

    3940 Rimrock Rd, Billings, MT, 59102
    4.0 · 34 reviews
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    3.0

    Wonderful caregivers, systemic management issues

    I loved the beautiful campus, summer concerts, and many truly outstanding caregivers - nurse Susie and therapists Huw G., Chanda and Camelan helped me/my mom recover and I'm grateful for their professionalism and kindness. However management problems, high staff turnover, poor training, safety lapses (including a bed-bug episode and neglected main building during reconstruction), reduced services and rude responses to questions meant I moved to a different facility. Food, decor and some hygiene/care standards were inconsistent and out-of-pocket costs felt high. Bottom line: wonderful, dedicated front-line staff and therapists - but be cautious about systemic management and safety issues.

    Pricing

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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

    3.97 · 34 reviews

    Overall rating

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

      3.9
    • Staff

      3.9
    • Meals

      2.0
    • Amenities

      2.0
    • Value

      1.0

    Pros

    • Well-funded Mission Ridge and Cottages
    • Pleasant Transitional Care area
    • Beautiful campus and grounds (noted at Christmas)
    • Free summer concert series and active social events
    • Friendly, cheerful, and welcoming staff
    • Attentive, punctual staff with clear communication
    • Dedicated, compassionate nursing and CNA staff in many units
    • Effective, knowledgeable physical and occupational therapists
    • Highly praised individual staff members (e.g., nurse Susie; PTs Huw G., Chanda; OT Camelan)
    • Helpful home healthcare services and supportive discharge/rehab outcomes
    • Strong hospice and end-of-life care reported
    • Clean and efficient care reported by some residents/families
    • Long-term residency satisfaction among many residents
    • CNA classes and internal training/career-start opportunities
    • Patient-focused, nurturing environment in several units

    Cons

    • Bed bug infestation reported
    • Neglected, outdated main building and decor
    • Ongoing reconstruction/construction-related disruption and mess
    • Limited entry/exit and blocked access at times
    • Staffing shortages and high staff turnover
    • Management problems and reports of unprofessional management
    • Poorly trained or unprepared staff in some units
    • Safety concerns and risk to residents
    • Neglect of basic hygiene and personal care in some cases
    • Complaints about food quality and cold/mediocre meals
    • Torn furniture and facility disrepair
    • Reduced medical services compared with expectations
    • Residents sometimes ignored or not sufficiently engaged
    • Overpriced out-of-pocket costs reported
    • Rude staff or staff refusing to show facility areas/questions
    • Inconsistent care quality across different units
    • Cottage manager reported as unfit for caregiving
    • Blocking or obstructing transfers and family inquiries
    • Some residents relocated to 'better' facilities due to issues

    Summary review

    Overall sentiment across the collected review summaries is mixed and polarized: many reviewers express strong appreciation for individual caregivers, therapy teams, the campus atmosphere, and social programming, while others describe serious operational and care-quality failures. Positive feedback repeatedly highlights warm social environments, high-quality rehabilitation therapy, and specific staff members who deliver compassionate, effective care. Negative feedback centers on systemic issues — pest problems, building neglect, staffing instability, management dysfunction, safety and hygiene lapses, and inconsistent food and medical services.

    Care quality and clinical services show a split pattern. Several reviewers credit St. John’s (and its home healthcare services) with effective rehabilitation and recovery outcomes, naming specific therapists (Huw G., Chanda, Camelan) and a nurse (Susie) as instrumental in positive experiences. These accounts describe professional, patient, and knowledgeable therapy staff and nursing/CNA teams that provided timely, attentive care, even hospice and end-of-life support that families found comforting. Conversely, other reviews report abysmal care: poorly trained or unprepared staff, neglect of basic hygiene, and incidents that reviewers interpreted as safety risks. There are multiple mentions that some units or cottages deliver excellent, compassionate caregiving while other areas suffer from inadequate training, overwork, or inattentive employees, producing a highly inconsistent resident experience.

    Staffing, training, and management emerge as central themes. Positive comments note dedicated, loving CNAs and nurses, opportunities for career starts, internal CNA classes, and staff who clearly love their jobs. Those strengths often translate into strong, person-centered care in certain units. At the same time, frequent reports of staffing shortages and high turnover, coupled with management problems and instances of rudeness or obstruction by staff, create an environment where continuity and institutional reliability are compromised. Reviewers pointed to management failures including refusal to show areas, blocking transfers or family questions, and a perceived inability to address or prevent ongoing problems (e.g., pest control, training deficits). One reviewer specifically described a cottage manager as unfit for caregiving, illustrating how leadership at the unit level can materially affect resident care.

    Facilities and campus life are another contrast point. The campus and some residences (Mission Ridge and the Cottages) are described as well-funded and beautiful, with special mentions of holiday displays and a popular free summer concert series that contribute to a lively, welcoming atmosphere. These features are a strong positive for resident quality of life. However, the main building is repeatedly described as neglected and outdated, with torn furniture and areas under disruptive reconstruction. More serious facility-level issues include at least one report of a bed bug infestation and limited/controlled entry and exit during construction or for other reasons, which raises concerns about infection control, resident autonomy, and visitor access.

    Dining and amenities receive mostly negative comments: there are repeated complaints of mediocre or cold food and declines in food service quality. By contrast, activity programming (concerts, seasonal events) is frequently praised and considered a highlight by many residents and families. Several reviewers emphasize clean, efficient service in some units, but others report disrepair and an overall decline in the physical environment.

    Patterns and implications: the reviews indicate a bifurcated organization where pockets of excellent, patient-focused care and strong therapy outcomes coexist with systemic operational problems. Strengths cluster around individual caregivers and specific departments (notably therapy teams and some skilled nursing/CNA groups) as well as campus-based social life. Weaknesses appear to be institution-wide: inconsistent management, staffing shortages, maintenance and pest control failures, and uneven training that together create safety risks and variable resident experiences. Financial concerns (perceived high out-of-pocket costs) and reduced medical services also contribute to family frustration.

    Recommendation-style conclusion: Prospective residents and families should view St. John’s as an option with real strengths (excellent therapists, committed caregivers in certain units, attractive campus programming) but also with significant, documented risks. Before deciding, verify current status on the specific unit you would occupy: ask for recent inspection reports, pest-control records, staffing ratios and turnover rates, unit-level leadership and training programs, recent incident/complaint resolutions, and the exact scope of medical services provided. If possible, arrange to observe mealtime, hygiene routines, and therapy sessions, speak directly with current resident families in the particular unit, and get written clarity on fees and out-of-pocket costs. The facility may be the best fit for some residents — particularly where specific staff or cottages are highly rated — but reviewers’ serious concerns about management, safety, and physical plant issues merit careful, targeted due diligence.

    Location

    Map showing location of St. John’s United

    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.

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