Best Assisted Living in Montana

The Grandview at Benefis has been open for three years now, sitting at 3015 18th Ave S in Great Falls, Montana. It’s a 71-bed community, administered by David Krebs, and it covers three levels of care under one roof: assisted living, nursing home care, and memory care. The neighborhood itself is car-dependent territory, with a Walk Score of 26, so most errands are going to mean driving rather than walking.

Great Falls Clinic Hospital sits just 0.17 miles away, close enough that in a real emergency, the distance barely factors in. That’s worth weighing seriously for anyone comparing options where hospital access could matter.

Because assisted living, nursing home care, and memory care all exist in the same building, a resident can move between them as needs change, without a family having to restart the search for a new placement somewhere else. That kind of built-in continuity tends to matter most exactly when you’re not expecting to need it.

Registered nurses provide 2 hours and 8 minutes of care per resident each day, and nurse aides add another 2 hours and 16 minutes. There’s also physical therapy on-site, at 19 minutes per resident per day.

The Grandview at Benefis is a newer facility that’s leaned hard into flexibility: three care levels in one location, a hospital close enough to matter, and staffing that reflects real day-to-day clinical presence. For a family anticipating that a resident’s needs might shift over time, that combination of continuity and proximity is a very useful thing.

The Living Centre has spent 12 years in Stevensville, Montana, operating out of a 50-bed building at 63 Main St. 31 of those beds are filled, putting occupancy at 61%. It’s not in a walkable stretch of town; a Walk Score of 38 means a handful of errands might be doable on foot, but most trips are going to mean getting in a car.

Residents get physical therapy through the facility’s rehab services, there’s a doctor on staff, and staffing runs around the clock. Home care is also offered as a separate service line. On the nursing side, residents receive close to five hours of total nursing care each day, and just over an hour of that comes specifically from registered nurses, with nurse aides covering roughly three and a half hours of daily hands-on care.

There’s a library, a spa, and a dining room, plus the Indulge Salon, a named on-site program for residents who want salon services without leaving the building. The activity calendar rotates through musical performances, games, and fitness sessions, so there’s more than one way for residents to fill their days. For families sorting out how to pay, The Living Centre accepts Medicare, Medicaid, and private pay, which covers most of the common paths people use to fund a nursing home stay.

On the regulatory side, state inspections here have tended to focus on a handful of recurring areas: environmental and hazardous materials safety, care planning and documentation, resident rights and protections, and fall and injury prevention. That’s a fairly standard set of focus areas across nursing homes generally, not something unique to this facility.

What all of this points to is a mid-sized nursing home built around rehabilitation and consistent nursing oversight, with a rounded set of daily amenities and broad payment flexibility layered on top. For a family looking at short-term rehab or longer-term nursing care with multiple ways to cover the cost, that combination is the clearest signal the community offers.

Overview of The Springs at Missoula

The Springs at Missoula is a captivating residence nestled in the heart of Missoula, Montana. This vibrant and serene community is bursting with its own unique charm, offering a comprehensive range of living options, including independent living, assisted living apartments, and specialized memory care benefits for those with dementia. At The Springs, residents are treated to a culinary experience like no other, with delectable, seasonally inspired menus that cater to their discerning tastes. The community takes pride in providing ample opportunities for connection and engagement, ensuring that every resident can find fulfillment and joy in their daily activities.
One of the hallmarks of The Springs is its exceptional array of community amenities. Residents are greeted with lush green spaces and elegant dining options, creating an ambiance of sophistication and comfort. The community boasts a charming café, a rejuvenating salon and barbershop, and a state-of-the-art fitness center that promotes an active and healthy lifestyle. Convenient on-site laundry facilities add to the ease and convenience of everyday living. Moreover, The Springs warmly welcomes furry friends, embracing a pet-friendly environment that enhances the sense of home and companionship.

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

Located in the heart of Bozeman, Montana, The Springs at Bozeman is an exquisite assisted living community with a cozy charm. Residents can enjoy each day to the fullest, where a warm and welcoming atmosphere prevails. This community offers a unique opportunity to experience retirement living that is comfortable, secure, and filled with joy and excitement.
This senior living community boasts an array of unparalleled amenities to enrich the lives of seniors. With various dining options, including multiple inviting venues and an on-site pub, residents can savor their meals and socialize. For those seeking an active lifestyle, The Springs at Bozeman presents a remarkable fitness center with a heated indoor pool and spa. Engaging in a plethora of activities, residents have the chance to forge cherished memories with loved ones. Beyond this, The Springs offers a full-service salon, inviting relaxing spaces, and two spacious outdoor courtyards. Step into the embrace of The Springs at Bozeman’s cozy embrace and discover the simplicity and delight that retirement living can bring.

Embark on a journey of compassionate care and rehabilitation at Gallatin Rest Home. This premier assisted living community offers skilled nursing and rehabilitation communities renowned for its commitment to exceptional care. Nestled in Bozeman, Montana, this assisted living community is esteemed and firmly established its reputation based on unwavering dedication to quality care.

Situated for easy access along North 7th Avenue and North 19th Avenue, its location is notably convenient. The distinctive nature of licensed nursing homes lies in the specialized services they offer and the qualifications upheld by their staff. Additionally, it’s a certified Medicare/Medicaid facility with 94 beds and proudly maintains a tobacco-free environment.

Missoula Health and Rehabilitation Center has been part of its Rattlesnake Dr neighborhood for 17 years now, a 49-bed nursing home tucked into a stretch of Missoula where you pretty much need a car to get anywhere. Right now it’s running at 80 percent occupancy, and the average resident stays close to six months, 179 days to be exact.

The clinical side of things centers on rehabilitation. Residents have access to rehabilitation services, respite care, and short-term rehab, the kind of support that matters whether someone’s recovering from a hip replacement or settling in for longer-term nursing care. Nursing staff put in an average of 4 hours and 15 minutes of total nursing care per resident each day, which gives a sense of how much hands-on attention is built into the daily rhythm here. A wellness program rounds out the picture.

Coverage-wise, the facility takes Medicare, Medicaid, and private pay, so families have options no matter where they are in figuring out how to fund care. Rebecca Davis administers the facility, and Karrie Holt holds the Executive Director role.

Montana’s Department of Public Health and Human Services, Quality Assurance Division, handles inspections statewide, and here those inspections have tended to circle back to medication management, infection control, and food service rather than anything tied to direct hands-on resident care.

Put together, this is a smaller nursing home built around rehabilitation and sustained nursing support, the kind of place suited to someone who needs real clinical attention day to day, not just a place to land.

Offering assisted living and memory care services, The Grandview at Benefis is a residential care community on 18th Avenue South in Great Falls. Operating for three years, it’s home to 71 residents. It accepts assisted living and memory care occupants, providing a residential setting for seniors needing support with care and daily activities.

The facility sits in a quiet area of Great Falls with a Walk Score of 26. Most errands and appointments then need transportation. For families assessing the home, visiting in person is crucial to get a sense of living spaces, daily routines, and offered programs. Staffing includes nursing coverage all day, with registered nurses and nursing aides providing care support.

The Grandview at Benefis has been inspected by state health authorities, and families can request details about its compliance and operations during tours.

Overview of Touchmark on Saddle Drive – Helena

A beautiful senior living community that offers exquisite living options such as cottages or condo-style rooms for residents of independent living, assisted living, and memory care living. Regardless of what kind of living option you are in, management and staff are guaranteed to provide resort-like accommodations with exceptional hospitality. The luxurious and elegant senior living community is beautiful, offering a dedicated environment wherein every need of each old is met.  Touchmark on Saddle Drive strives to provide its residents with a comfortable lifestyle of everyday living, making it an ideal place to call a new home.

Many studio, 1-bedroom, and 2-bedroom apartments have a full kitchen, walk-in closets, air conditioning, central heating, washer, and dryer. Inclusive services include scheduled transportation, housekeeping, religious services, and a full-service salon. Touchmark also provides a private dining room, guest suites, activity rooms, and courtyards– to name a few.

Overview of Birchwood at Hillcrest

Birchwood at Hillcrest is the assisted-living section of Hillcrest Senior Living that offers cozy apartments near Aspen Pointe. Being only two minutes from Bozeman Health Deaconess Hospital adds to the feeling of safety. Caregivers, led by nurses, are there 24/7, making Birchwood a comforting place where assistance is straightforward. 

The Birchwood staff knows how to assist in a kind and respectful way. This assisted living community makes senior living better by helping residents with ADLs while respecting each of their needs. To experience the warmth and care of Birchwood and let their caring team show how they can help and be a meaningful part of the senior living journey.