Best Assisted Living in Billings, MT

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

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 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 St. John‘s United – the Vista

Located at 3840 Rimrock Rd, St. John’s United – The Vista is an assisted living and nursing care community in Billings’ Rimrock neighborhood. It opened recently, marking its first year in operation. It’s a single-storey community with 104 beds and offers a full care continuum: independent living, assisted living, nursing care, and memory care services in one place.

To support residents’ health and daily living, St. John’s United – The Vista is staffed with 24-hour licensed nurses and offers several on-site services. These include lab clinics, wellness centers, an on-site pharmacy, and rehabilitation services. A 24-hour portable emergency call system supplies additional peace of mind for occupants and families. Practical services like courtesy transportation, housekeeping, and laundry help lessen daily burdens, while recreational activities and fitness programs bolster residents’ wellness. The assisted living apartments are found on the ground level for easy access. Residents’ daily meals are provided. The Rimrock location scores 7 on the Walk Score scale, meaning most errands require a car in this car-dependent area. Serving as the administrator is Karna Rhodes.

The Montana Department of Public Health and Human Services’ state inspections have been performed on file.

Families may want to contact St. John’s United – The Vista directly for more data regarding specific programming, room options, dining preferences, and current availability.

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 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 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 WyndStone

Located in the Heights neighborhood of Billings, Montana, St. John’s United – WyndStone is a senior living community offering assisted living, independent living, and memory care in one location. The multiple levels of care within the same community allow residents to remain in familiar surroundings if their care needs change over time.

The community is housed in a three-story building with one-bedroom and two-bedroom apartments. Residents have flexibility when choosing a floor plan. Pets are welcome, allowing residents to bring a companion animal. Additional features include garage parking, dedicated storage space, weekly housekeeping, and maintenance services, helping residents enjoy a more convenient and maintenance-free lifestyle.

Amenities on-site include an aquatic center, a fitness facility, restaurant-style dining, and transportation services for appointments and local errands. These support both an active lifestyle and greater convenience for residents who no longer drive.

The neighborhood has a Walk Score of 3, which means it’s car-dependent. Most errands and outings require a vehicle. John’s United – WyndStone should ask how the transportation program operates because it’s important in residents’ daily routines.

Eagle Cliff Healthcare Community is a skilled nursing and rehabilitation center that provides peaceful living for short-term or long-term residents in Yellowstone County. The skilled nursing home also provides services for memory care. Residents choosing from all kinds of living options receive supportive assistance for everyday living with enriching activities, contributing to a high success rate for recovery.

Eagle Cliff Healthcare Community has designed a personalized care plan tailored to each unique individual– inclusive of specialized therapies with licensed care professionals, skilled nurses, therapists, and post-hospital care.

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.