Best Assisted Living in Billings, MT

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 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

Mission Ridge is an assisted living community in Billings, Montana, set on Rimrock Road about five miles from the city center. It is part of the St. John’s senior living family, which connects it to an established regional network of senior care. The community is designed for older adults who want help with everyday activities while keeping a comfortable, apartment-style home of their own.

Housing options include one-bedroom and two-bedroom apartments, and the private units come with a balcony or patio along with an in-unit washer and dryer. This is a mid-size, three-story community with 70 beds, a scale that often allows for a steady daily routine and familiar faces among staff and neighbors. For families, that middle ground can strike a nice balance between personal attention and the range of shared spaces a larger building can offer.

Residents are supported by a 24-hour emergency call system, and the community provides transportation services along with fitness and recreation options to help with both errands and daily engagement. Pets are welcome, which can be an important comfort for someone moving from a longtime home.

State inspections have most often noted documentation and recordkeeping matters, along with minor housekeeping and safety items, rather than concerns about direct resident care, and no complaints were substantiated. The setting is car-dependent, with a Walk Score of 9 out of 100, so most outings involve a drive, which makes the community’s own transportation service a practical everyday feature.

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.

Westpark Village, managed by the esteemed The Goodman Group, has been setting the standard for exceptional senior living since 1986. Its serene and stunning surroundings are unrivaled, offering a range of living options that cater to individual needs, including independent living, assisted living, memory care, and respite care. More than just a place to live, Westpark Village provides a welcoming and supportive environment that allows seniors to savor their golden years. 
Westpark Village boasts an array of amenities that ensure residents are comfortable and cared for, including an emergency call system, gourmet chef-inspired meals, housekeeping, linen service, Wi-Fi, basic cable TV, and personal assistance with daily activities. The facility’s innovative approach to dementia care is based on the Montessori philosophy. With top-notch service and a cozy, family-friendly ambiance, this community is a true haven for those seeking the very best in senior living.

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.

Overview of TenderNest

TenderNest is a small assisted living and memory care home in Billings, Montana, located on Parkhill Drive on the city’s west side. With just 16 beds in a single-story building, it offers an intentionally intimate setting, the kind of place where staff and residents get to know one another well and daily life stays quieter than it would in a large community. That scale often appeals to families who want close, personal attention for a loved one rather than a big campus with long amenity lists.

The home is administered by Nate Swenson and provides personalized care around the clock. Day-to-day support covers bathing, grooming, help with mobility, medication management, and housekeeping, along with transportation and an ongoing schedule of activities and programs. Because TenderNest offers memory care alongside assisted living, it can serve residents who need a more structured, supervised environment as cognitive needs change, which can spare a family a disruptive move later on.

Practical touches round out daily life here. Transportation services help residents get to appointments and errands, fitness and recreation programming supports staying active, and the home welcomes pets, which can matter a great deal to residents bringing a companion animal along. The neighborhood scores 46 out of 100 for walkability, so a few nearby destinations are reachable on foot while most outings will involve a short drive.

Location is a strong point for families managing care from a distance or coordinating with medical providers. TenderNest sits about 5.5 miles from downtown Billings and roughly a mile from SCL Health St. Vincent hospital, which keeps emergency and specialist care close at hand. Senior residential care facilities in Montana are inspected and licensed by the state Department of Public Health and Human Services, so TenderNest operates under regular state oversight. Together, the small size, the combined assisted living and memory care, and the proximity to a major hospital make it worth a closer look for families seeking a home-style setting in Billings.

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 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.