Page 2 of Best Assisted Living in Billings, MT

Why trust this guide? Our editorial team analyzed 14 assisted living communities in Billings, MT using MT Dept. of Public Health & Human Services (DPHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MT
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Last updated
We analyzed These are the facilities in Billings, MT our team has analyzed — not a count of every assisted living provider in Billings, MT.
14 homes
Other senior care options in Billings:
Avg Monthly Cost: $6,798The average monthly cost across facilities in Billings, MT. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 23/ 100The average Walk Score across facilities in Billings, MT. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 79The average licensed bed capacity across facilities in Billings, MT. Individual facilities can vary widely from this average.
National Average: 90
Overview of Primrose Personal Care Home

Primrose Personal Care Home is an assisted living and memory care community in Billings, Montana, located on Maurine Street about 4.5 miles from the city center. The home has been serving the Billings area for 15 years, giving it a settled operating history in the community. It is led by principal Hunter Johnson.

The community is a single-story building, a layout many families appreciate because it keeps living spaces on one level and avoids stairs and elevators for residents with mobility concerns. Housing comes in studio and one-bedroom options, so residents can choose between a compact, easy-to-manage space or a little more room. The single-level design also tends to make the setting feel more residential and navigable than a larger multi-story community.

Because Primrose offers both assisted living and memory care, it can support residents who need help with everyday tasks as well as those living with Alzheimer’s or other forms of dementia. That combination can matter to families planning ahead, since a resident whose care needs change over time may be able to remain in a familiar setting. Day-to-day life is supported by transportation services and fitness and recreation programming, which help residents stay connected to the wider Billings area and active within the community.

The neighborhood scores 25 out of 100 for walkability, so a few errands may be reachable on foot while most outings will involve a short drive. For visiting family, the location off Maurine Street is an easy stop within Billings.

Contact Primrose Personal Care Home

Overview of Sweetwater Assisted Living

Sweetwater Assisted Living, also known as Sweetwater Retirement Community, is a senior living community in Billings, Montana, located on Sweet Water Drive about four and a half miles from the city center. It offers a full range of care under one roof, including independent living, assisted living, memory care, and respite care, which gives families the option to stay in one familiar place as needs change over time. The community is led by director Jeannette Ivan.

Housing is set in a two-story building with studio, one-bedroom, and two-bedroom layouts, and room sizes range from roughly 497 to just over 1,000 square feet. For residents who want more space and privacy, Sweetwater also offers townhome villas. Pets are welcome, which can matter a great deal to residents bringing a companion animal along.

Daily life is supported by a movie theater, a library and computer room, a wellness center, a chapel, and an on-site salon. Practical services round out the setting, with scheduled transportation for appointments and outings, weekly housekeeping, and emergency response systems in place for added peace of mind. Fitness and recreation programming give residents regular ways to stay active and connected.

The surrounding neighborhood has a Walk Score of 27, so a few errands may be reachable on foot while most trips will involve transportation, which the community helps arrange. Families weighing Sweetwater may want to tour the villa and apartment options in person to see which layout best fits their loved one.

Contact Sweetwater Assisted Living

Overview of St. John‘s United – WyndStone

St. John’s United – Wyndstone is an assisted living community on Wyndstone Way in Billings, Montana. It sits in an area with limited walkability, scoring 3, so most errands and outings demand a car. The three-storey building offers one- and two-bed housing options, giving occupants and families selections in their living space.

Assisted living communities provide support with daily living tasks: bathing, dressing, medication management, and meals, while encouraging residents to uphold as much independence as possible. Many families appreciate this setting for the balance it strikes between offered support and personal autonomy. The smaller scale often creates a calmer culture than bigger communities.

An in-person tour by families considering St. John’s United – Wyndstone is the best way to understand the community, see available apartments, and get a sense of daily life and culture there. Visiting also presents a chance to meet staff and throw questions specific to your dearest one’s needs and preferences.

Contact St. John‘s United – WyndStone

Overview of Bella Terra Billings

Bella Terra Billings provides assisted living and skilled nursing services on North 24th Street West in the North Park neighborhood of Billings, Montana. The single-level design ensures that residents can walk between their private or semi-private suites and the main dining room without navigating stairs. The daily program combines senior housing, prepared meals, and local medical transportation with on-site physical therapy.

The clinical team focuses on post-hospital recovery, orthopedic rehab, pulmonary care, and oncology services. Daily nursing care averages 2 hours and 53 minutes per resident, which includes 44 minutes from registered nurses alongside assistance from licensed practical nurses and certified nursing aides, while physical therapists provide an additional 9 minutes of daily rehab support.

The area has a walk score of 41 out of 100, meaning it is mostly car-dependent, though it sits close to local hospitals and physician offices.

Older adults looking for short-term rehabilitation options can contact the intake department to check on current room availability. Arranging an in-person walkthrough is a direct way to see the therapy rooms, view the suite options, and review the admission guidelines.

Contact Bella Terra Billings

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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Frequently Asked Questions about Assisted Living in Billings, MT

What is the average cost of assisted living in Billings, MT?

The average monthly cost of assisted living in Billings, MT is approximately $4,500. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Billings, MT?

Assisted living in Billings, MT typically ranges from $4,000–$6,500 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Billings, MT?

Assisted living facilities in Billings, MT typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

What's the difference between assisted living and memory care in Montana?

Assisted living in Montana supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Montana?

Assisted living in Montana is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Montana Medicaid cover assisted living?

Montana Medicaid does not directly pay room-and-board for assisted living, but most states (including Montana) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.