Worth Considering
1
Facilities graded B or better with zero fines
Best Nursing Homes in Billings, Montana
1 of 6 nursing homes in Billings (17%) meet our strict criteria. The Montana statewide average is 29%.
1 recommended · 0 caution · 5 avoid · data
City Average
1.5
★
+0.00 vs state
Total Beds
815
across 6 facilities
High Risk Facilities
5
5 Grade F
$1,055,962 in combined fines
Zero Fines
1
/6
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why This One?
The nursing home market in Billings, Montana is limited and not ideal, with only 1 of 6 facilities recommended. Families should be cautious, as 5 facilities have incurred a total of $1,055,962 in fines, highlighting the need for careful consideration when choosing care options.
Qualified (Grade B, Trust Score 70-79)
- 1 ST JOHN'S LUTHERAN HOME (70) — St. John's Lutheran Home stands out with its impressive CMS 4★ rating and a solid B grade, reflecting its commitment to quality care. As a non-profit facility, it focuses on community well-being, providing compassionate services in a comfortable environment. With a trust score of 70/100 and no fines, residents can feel confident in their care.
The other 5 Billings facilities didn't qualify — 5 carry Grade D or F ratings and 5 have fines totaling $1.1M.
Recommended
St. John's Lutheran Home stands out with its impressive CMS 4★ rating and a solid B grade, reflecting its commitment to quality care. As a non-profit facility, it focuses on community well-being, providing compassionate services in a comfortable environment. With a trust score of 70/100 and no fines, residents can feel confident in their care.
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Billings Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 4 stars | 1.5 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 5?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 5 Grade F — critical inspection failures
- Facilities with fines
- 5 Have fines totaling $1,055,962
Questions Billings Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Billings's city average is 1.5 stars
-
2
"Have you received any fines in the past 3 years?"
5 of 6 Billings facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Billings avg is 0 min
-
4
"What were your most recent inspection findings?"
Billings facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Billings, MT are recommended?
1 of 6 nursing homes in Billings (17%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Billings "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Billings?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.