Best Assisted Living in Billings, MT

Overview of St. John‘s United – the Vista

The Vista is a haven of vibrant living within the esteemed St. John’s United community. Here, an exquisite tapestry of lifestyle options awaits, promising a harmonious blend of freedom and compassionate care. With a team of dedicated 24-hour licensed nurses, the retirement experience transcends expectations, as top-notch services elevate every aspect of life, be it independent living, supportive living, or memory care.

From onsite lab clinics and wellness centers to an array of recreational activities, every moment is an opportunity for enrichment and enjoyment. Courtesy transportation ensures that exploring the surrounding areas is a breeze, while daily meals crafted with nutrition and flavor in mind nourish the body and soul. The meticulous attention to detail extends to housekeeping and laundry services, providing a worry-free living experience. As an added convenience, an onsite pharmacy and rehabilitation services are readily available, while a 24-hour portable emergency call system ensures peace of mind. The well-designed assisted living apartments, all conveniently located on the ground level, provide a sense of familiarity and ease.

Overview of Morningstar Senior Living of Billings

Morningstar Senior Living of Billings is a cherished haven that families in Montana place their utmost trust in. With a wide array of options ranging from independent living to assisted living and memory care, this home caters to the unique needs and preferences of every individual. From expertly navigating veteran benefits and long-term care insurance to uncovering medicare benefits and exploring companion living options, their dedicated team is here to guide and support you every step of the way.

Their on-site therapeutic services ensure that residents have access to specialized care, while the convenience of surrounding physicians ensures peace of mind. They also provide home health and hospice services, ensuring that their residents receive the utmost comfort and support throughout their journey. Moreover, prepare to be swept away by the elegance that adorns their dining spaces, where high ceilings create an atmosphere of grandeur and sophistication. Their commitment to going above and beyond extends beyond the physical space, as they have partnered with Elder Life Financial Services to provide a seamless experience for their residents.

Overview of St. John‘s United

St. John’s United operates a 104-bed nursing facility at 3940 Rimrock Road, Billings, Montana, administered by Karna Rhodes and owned by Gerald Pearsall. This voluntary non-profit church-affiliated community is car-dependent (Walk Score 6), 7.9 miles from downtown Billings with immediate access to Fuller Family Medicine. Current census: 26 residents (25% occupancy), average stay 129 days. Payer mix: 63% Medicare (28 days typical), 36% private pay (5–6 months), 1% Medicaid (18–19 years).
Staffing (Q4 2025): 262 total personnel including 29 RNs, 14 LPNs, and 164 CNAs. Total nursing delivers 5 hours 16 minutes per resident per day (35% above Montana average); weekend nursing reaches 4 hours 43 minutes (38% above state norm). Staff-to-resident ratio of 3.32:1 significantly exceeds benchmarks.
Care modalities include nursing home, independent and assisted living, memory care, home care, and hospice. Amenities: private rooms, aquatic center, fitness center, restaurant-style dining, housekeeping, and storage. 2023 financials: $34.4 million revenue, $19.6 million payroll, $984,311 net income. The facility ranks first statewide in payroll investment.
Quality outcomes show mixed results. Long-stay residents experience falls with major injury at 3.0% (31% better than state), pressure ulcers at 4.3% (32% better), and urinary tract infection at 2.0% (27% better). However, weight loss reaches 11.4% (85% worse), functional decline scores 23.4 (8% worse), and antipsychotic use stands at 20.8% (9% worse). No monetary penalties in three years.
The inspection record reveals significant compliance challenges. Over 34 months (August 2023–July 2025), four inspections yielded 33 deficiencies; 686% above Montana’s per-inspection average. July 2025 annual inspection cited 6 deficiencies: grievance policy gaps, medication errors exceeding 5%, incomplete care plans, expired food disposal, hand hygiene failures, and infection control breaches. A concurrent complaint investigation identified 2 deficiencies for delayed abuse/investigative findings reporting (2 days late).
August 2024 routine inspection documented 15 deficiencies spanning medication assessment, delayed abuse reporting, assessment accuracy, care planning, fall prevention, psychotropic medication governance, dietary and kitchen sanitation failures, and vaccination gaps. An August 2024 complaint investigation substantiated 2 deficiencies: delayed neglect reporting and 3-hour late insulin delivery. April 2024 complaint investigation found 1 deficiency: incorrect antiepileptic dosing for 27 days.
August 2023 routine inspection identified 7 deficiencies including unmet caregiver preferences, dementia care planning gaps, pressure ulcer management, missing equipment, absent nonpharmacological interventions, medication errors, and refrigerator temperature control failures. An August 2023 complaint investigation confirmed 1 deficiency for absent nonpharmacological documentation preceding antipsychotic initiation.
All violations carry moderate severity; no critical or serious citations exist. Deficiency patterns center on medication management, care planning, incident reporting timeliness, infection prevention, dietary operations, and failure to implement nonpharmacological approaches before chemical restraint, demonstrating compliance persistence without documented systemic resolution

The Legacy in the Heights is an esteemed senior residence who qualifies for one of Montana’s best assisted living communities. Within the walls of this distinguished home, thoughtfully designed suites await, offering a haven of comfort and convenience. Each suite is meticulously equipped with ADA showers, kitchenettes, refrigerators, and a host of thoughtful amenities.

Residents are treated to a range of exceptional amenities, including a state-of-the-art exercise room designed to promote physical well-being. Indulge in the luxuries of the salon, where moments of pampering and rejuvenation await. The blissful embrace of the jetted tub promises moments of pure relaxation, creating a sanctuary within this remarkable abode. To further enhance the resident experience, meticulous weekly housekeeping, nursing assessments, and laundry services are provided, ensuring a carefree and tranquil lifestyle. The presence of an emergency call system also ensures residents’ safety and security, while scheduled transportation for community outings adds a touch of adventure and exploration to their days.

Overview of Mission Ridge

A member of the St. John’s senior living home, Mission Ridge is a senior home nestled amidst the breathtaking landscapes of Billings, Montana. At Mission Ridge, residents experience vibrant senior care living. The retirement home is the definition of high quality care, offering luxurious amenities and personalized services that redefine senior living. Within a secure and supportive environment, a dedicated team works tirelessly to create a sanctuary where confusion dissipates, memories are cherished, and patience is ever-present.

Mission Ridge strives to provide a stress-free and enjoyable environment for its residents, ensuring that the community is safe and secure. Moreover, they house professional and caring staff who assist with everyday living and provide residents with a 24-hour emergency call system. Finally, private apartments include a balcony or patio and a washer/dryer unit available. 

Overview of Tendernest

Tendernest is one of the trusted assisted living and memory care communities in Billings. The senior living community is a comfortable and safe senior living home where residents are guaranteed to feel welcomed in a friendly atmosphere. Management and staff excel in delivering a high standard of quality care in a small home-like setting. Tendernest places its value on growth for its residents in a nurturing environment.

The Tendernest lifestyle revolves on the comfort and stability of its residents through personalized care available 24/7 which includes bathing, grooming, assistance with mobility, housekeeping, transportation, medication management, and stimulating activities and programs. 

Overview of St. John‘s United – Wyndstone

Experience the captivating allure of WyndStone of St. John’s United, a senior home nestled amidst the breathtaking landscapes of Billings, Montana. It is where vibrant independent living, assisted living, and compassionate memory care seamlessly converge. This residence is the definition of high quality care, offering a haven of luxurious amenities and personalized services that redefine senior living. Within a secure and supportive environment, a dedicated team works tirelessly to create a sanctuary where confusion dissipates, memories are cherished, and patience is nurtured.

With weekly housekeeping and maintenance services, they can bid farewell to mundane chores and embrace the freedom to pursue their passions. The accessibility of garage access and ample storage space ensures that their personal belongings are always within reach, adding to the convenience and comfort of their living space. Residents can also immerse themselves in the soothing waters of the aquatic center or engage in invigorating workouts at the state-of-the-art fitness facility, where their physical and mental well-being are nurtured. The exquisite restaurant-style dining experience caters to their culinary desires, offering a diverse array of flavors and gourmet creations to satisfy even the most discerning palates.

Overview of Your Home Away From Home Assisted Living

Make the most of your best years at Your Home Away From Home Assisted Living, a distinguished family owned community in Bilings, MT, offering assisted living. With eight cozy accommodations, both private and semi-private, residents can keep their peace of mind and receive exceptional care around the clock. Housekeeping and laundry are also taken care of, ensuring residents can feel at ease during their stay.

A jam-packed calendar of engaging activities and enriching programs to keep residents active and socially connected. Here, residents also enjoy delightful and healthy meals that cater to their dietary needs and preferences. Medication reminders and transportation services are also available for convenience and safety. With its two distinct locations, the community ensures residents can find the place that best matches their needs and preferences for a blissful retirement.

Overview of Sweetwater Assisted Living

From its remarkable amenities to thoughtfully designed living spaces, every detail in Sweetwater Retirement Community has been carefully curated to offer an extraordinary retirement experience. This distinguished residence boasts a diverse range of options, including independent living and assisted living for seniors, ensuring that every individual finds their perfect home. Here, residents will find joy in even the simplest tasks and events, as the community transforms mundane moments into cherished experiences.

The home features a state-of-the-art movie theater, a library and computer room, a wellness center, a chapel, a salon, and so much more. Their safety is also paramount, with emergency response systems providing a sense of reassurance and security. They can also seamlessly navigate their surroundings with scheduled transportation services, while the attentive weekly housekeeping ensures a hassle-free lifestyle. Those yearning for independence and privacy will quickly see that Sweetwater’s townhome villas are the epitome of refined living. Beyond the exquisite amenities and captivating living spaces, it is the unique culture of this community that truly sets it apart. Here, a spirit of unity and belonging flourishes, forging lasting connections and creating a tapestry of shared experiences.

Overview of St. John‘s United Wyndstone

Experience the captivating allure of WyndStone of St. John’s United, a senior home nestled amidst the breathtaking landscapes of Billings, Montana. It is where vibrant independent living, assisted living, and compassionate memory care seamlessly converge. This residence is the definition of high-quality care, offering luxurious amenities and personalized services that redefine senior living. Within a secure and supportive environment, a dedicated team works tirelessly to create a sanctuary where confusion dissipates, memories are cherished, and patience is ever-present.

With weekly housekeeping and maintenance services, they can bid farewell to mundane chores and embrace the freedom to pursue their passions. The garage access and ample storage space ensure that their personal belongings are always within reach, adding to the convenience and comfort of their living space. Residents can also immerse themselves in the soothing waters of the aquatic center or engage in invigorating workouts at the state-of-the-art fitness facility, where their physical and mental well-being are nurtured. The exquisite restaurant-style dining experience caters to their culinary desires, offering a wide array of flavors and gourmet creations to satisfy even the most discerning palates.