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Compare Assisted Living around Montana
The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.
Click column headers to sort
| The Iris Senior Living |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Great Falls | 83
Facility
83
MT AVG
89
Rank
#39 / 106 | Yes |
74
Facility
74
MT AVG
44
Rank
#20 / 159 | Studio / 1 Bed / 2 Bed | 48
Facility
48
MT AVG
—
Rank
#1 / 88 | A+ | Kathy Kuntz | 3 | - | - | 0 | 0.0 |
| Brookdale Springmeadows |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bozeman (South Meadow) | 85
Facility
85
MT AVG
89
Rank
#38 / 106 | Yes |
8
Facility
8
MT AVG
44
Rank
#140 / 159 | Studio / 1 Bed | 48
Facility
48
MT AVG
—
Rank
#1 / 88 | A+ | Crissy Freese | 9 | 4 | 6 | 20 | 2.2 |
| Touchmark on Saddle Drive – Helena |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Helena | 82
Facility
82
MT AVG
89
Rank
#41 / 106 | Yes |
8
Facility
8
MT AVG
44
Rank
#140 / 159 | Studio / 1 Bed / 2 Bed | 2
Facility
2
MT AVG
—
Rank
#33 / 88 | - | Christina Milar | 6 | 1 | 1 | 0 | 0.0 |
| Edgewood Helena |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Helena | 80
Facility
80
MT AVG
89
Rank
#42 / 106 | No |
10
Facility
10
MT AVG
44
Rank
#137 / 159 | Studio / 1 Bed / 2 Bed | 1
Facility
1
MT AVG
—
Rank
#57 / 88 | - | Julia Morrow | 13 | 8 | 6 | 21 | 1.6 |
| The Springs at Butte |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Butte | 65
Facility
65
MT AVG
89
Rank
#55 / 106 | Yes |
19
Facility
19
MT AVG
44
Rank
#119 / 159 | Studio / 1 Bed / 2 Bed | 2
Facility
2
MT AVG
—
Rank
#33 / 88 | - | Aimee Charon | 8 | 4 | 3 | 5 | 0.6 |
| The Village Senior Residence |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Missoula (Old Fort Road) | 117
Facility
117
MT AVG
89
Rank
#13 / 106 | No |
49
Facility
49
MT AVG
44
Rank
#69 / 159 | Studio / 1 Bed / 2 Bed | 2
Facility
2
MT AVG
—
Rank
#33 / 88 | - | , | 12 | 4 | 8 | 15 | 1.3 |
| Spring Creek Inn Memory Care Community |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Bozeman (West Winds) | 67
Facility
67
MT AVG
89
Rank
#52 / 106 | Yes |
24
Facility
24
MT AVG
44
Rank
#112 / 159 | Private Rooms / Semi-Private Rooms | 1
Facility
1
MT AVG
— | - | Stacia Jensen | 17 | 11 | 8 | 26 | 1.5 |
| The Springs at Bozeman |
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bozeman (Gallatin Center) | 105
Facility
105
MT AVG
89
Rank
#20 / 106 | No |
36
Facility
36
MT AVG
44
Rank
#95 / 159 | Studio / 1 Bed / 2 Bed | 2
Facility
2
MT AVG
—
Rank
#33 / 88 | - | Kelly Flock | 5 | 2 | 1 | 2 | 0.4 |
| MorningStar Senior Living of Billings |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Billings | 106
Facility
106
MT AVG
89
Rank
#18 / 106 | Yes |
18
Facility
18
MT AVG
44
Rank
#121 / 159 | Studio / 1 Bed / 2 Bed | 12
Facility
12
MT AVG
—
Rank
#20 / 88 | - | , | 19 | 13 | 8 | 29 | 1.5 |
| St. John‘s United |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Billings | 104
Facility
104
MT AVG
89
Rank
#21 / 106 | No |
6
Facility
6
MT AVG
44
Rank
#144 / 159 | Private Rooms | 1
Facility
1
MT AVG
—
Rank
#57 / 88 | - | Karna Rhodes | 1 | - | - | 33 | 33.0 |
| Birchwood at Hillcrest |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Bozeman (East Main) | 47
Facility
47
MT AVG
89
Rank
#66 / 106 | Yes |
10
Facility
10
MT AVG
44
Rank
#137 / 159 | Studio | 2
Facility
2
MT AVG
—
Rank
#33 / 88 | - | , | 5 | - | 1 | 3 | 0.6 |
| The Legacy in the Heights |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Billings (Heights) | 40
Facility
40
MT AVG
89
Rank
#70 / 106 | Yes |
57
Facility
57
MT AVG
44
Rank
#51 / 159 | Suite | 1
Facility
1
MT AVG
—
Rank
#57 / 88 | - | Claire Banderob | 2 | 1 | - | 0 | 0.0 |
| Silver Springs Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Townsend | 24
Facility
24
MT AVG
89
Rank
#87 / 106 | No |
14
Facility
14
MT AVG
44
Rank
#128 / 159 | Private Rooms | 2
Facility
2
MT AVG
—
Rank
#33 / 88 | - | Jason George | 6 | - | 4 | 8 | 1.3 |
| Mission Ridge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Billings | 70
Facility
70
MT AVG
89
Rank
#48 / 106 | Yes |
9
Facility
9
MT AVG
44
Rank
#139 / 159 | 1 Bed / 2 Bed | 2
Facility
2
MT AVG
—
Rank
#33 / 88 | - | Mark Wagstaff | 5 | - | 2 | 8 | 1.6 |
| Golden Eagle Plaza Senior Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Great Falls (Southside) | 42
Facility
42
MT AVG
89
Rank
#68 / 106 | Yes |
46
Facility
46
MT AVG
44
Rank
#73 / 159 | Studio / 1 Bed | 27
Facility
27
MT AVG
—
Rank
#6 / 88 | A+ | Judy Lindquist | 11 | 3 | 9 | 32 | 2.9 |
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La Casa Personal Care is a 32-bed assisted living facility at 408 Lasater Avenue, Plentywood, Sheridan County, Montana. Administrator is Benny Richardson. New facility with one year in operation, licensed October 30, 2024. Offers assisted living, memory care, respite care, and rehabilitation services with 24-hour staffing.
Provides personalized care plans, medication management, and activities. Amenities include local transportation, assistance with daily activities, activities and recreational programs, all meals and snacks, daily housekeeping, Direct TV, all utilities, and common living area. Specific programs include adult day care, nutrition and exercise, and activities. Walk score is 60.
Does not accept Medicaid or Medicare.
Plentywood is located in Sheridan County in northeastern Montana near the North Dakota and Canadian borders. Sheridan Memorial Hospital is the primary nearby acute-care resource.
One inspection on January 31, 2019, documented 1 deficiency, 83 percent better than Montana average of 5.8. The renewal inspection identified 1 deficiency: three spray bottles with liquid in locked storage closet lacked labels. No complaint investigations or enforcement actions documented. Limited inspection history available; only single inspection record visible.
Compliance trend and pattern cannot be determined from single deficiency dating to early 2019.
Labeling and storage practices for chemical and cleaning agents should be verified directly with administrators to confirm current protocols and maintenance since 2019 inspection.
Kenhodro Inc. Dba Frontier Assisted Living is a 52-bed assisted living facility specializing in Alzheimer’s and dementia care at 121 S 3rd Street, Livingston, Park County, Montana. Administrator is Carissa Walsh. Offers independent living, assisted living, memory care, and respite care with 24-hour staffing and rehabilitation.
Amenities include beauty salon, television lounge, activities room. Does not accept Medicaid or Medicare.
Livingston is in Park County, south-central Montana. Livingston HealthCare is primary nearby resource.
Twelve inspections from 2019 to 2025 document 81 total deficiencies, averaging 10.7 per year, 84 percent worse than Montana average of 5.8.
September 10, 2025, renewal: 8 deficiencies including no disaster plan review since 2014, incomplete staff training records, residents not provided service plan copies, loose pills in medication cart, uncovered food in refrigerator, carpets needing cleaning. July 15, 2025, complaint: 1 deficiency where a resident did not receive 44 medication doses June 1–11 with no practitioner notification. December 31, 2024, complaint: 2 deficiencies; namely: resident smoking in room, areas with stained bedding and feces. October 16, 2024, renewal: 10 deficiencies including 6 of 6 staff lacking dementia training, 9 of 9 resident files missing service plan copies, missing temperature logs, no fire drills since January 2023.
July 24, 2024, complaint: 2 deficiencies (carpets with debris, bathrooms needing cleaning, freezer dirty). August 9, 2023, complaint: 2 deficiencies (staff not documenting medication effectiveness, unlicensed staff administered lorazepam 60 times).
August 9, 2023, renewal: 21 deficiencies including dirty resident rooms, no disaster plan, no activities, unsecured oxygen, non-flame-resistant window treatments, 20 overnight shifts with one staff. October 6, 2022, renewal: 7 deficiencies including incomplete disaster plan, no policy review since 2016, no activities, missing fire drills. June 8, 2021, complaint: 4 deficiencies (missing corrective actions, medical marijuana not documented, no policy). February 2, 2021, complaint: 5 deficiencies including urine odor, dirty areas, MAR discrepancies, unsecured oxygen.
November 4, 2020, complaint: 4 deficiencies including no keypad codes, facility dirty, cardboard blocking access. May 7, 2019, renewal: 9 deficiencies including uncertified residents, missing corrective actions, staff lacking abuse prevention training, inconsistent practitioner notification. No fines or suspensions.
Chronic pattern spanning 6 years: medication errors, environmental cleanliness failures, unsafe storage, inadequate training, and repeated regulatory violations without improvement.
Medication administration, staff dementia training, oxygen safety, disaster preparedness, environmental cleaning standards, and corrective action documentation should be verified regarding compliance improvements since September 2025.
Logan Health Assisted Living – Shelby is a 40-bed assisted living facility at 111 2nd Street, Shelby, Toole County, Montana. Administrator is Lisa Leck. Offers 38 state-licensed apartments with personalized respite care services and memory care. Accepts Medicaid but not Medicare.
Provides 24-hour staffing. Extensive amenities include refrigerator/freezer, microwave, private bathroom with shower, satellite TV, telephone jacks, utilities, carpeting, vertical blinds, emergency communication system, individually controlled heating and cooling, complete building and grounds maintenance, exercise room, library, sunroom, wireless internet access, complimentary laundry facilities, handicap accessible apartments and whirlpool, elevator, private mailboxes, formal dining room, patio, landscaped courtyard, and off-street parking. Specific programs include classes, community health needs assessment, volunteer programs, foundation, and newsroom.
Shelby is located in Toole County in north-central Montana. Shelby Medical Center is primary nearby acute-care resource.
One inspection on October 19, 2021, documented 4 deficiencies, 31 percent better than Montana average of 5.8. The renewal inspection identified 4 deficiencies: 10 unsecured oxygen cannisters in second floor storage room, 2 of 4 resident files showing service for two meals per day by choice with additional meals available at extra cost, 2 of 4 residents without documented needs assessment prior to admission, resident admitted following hospital discharge after toe amputation with active dressing but no updated service plan addressing new care needs. No complaint investigations or enforcement actions documented. Limited inspection history available; only single inspection record visible.
Compliance trend cannot be determined from single inspection dating to 2021.
Oxygen storage and handling procedures, resident intake assessment documentation, and service plan update protocols following medical events should be verified directly with administrators before enrollment.
Pioneer Care and Rehabilitation is a Medicare-certified skilled nursing and rehabilitation facility located in Dillon, MT. It offers skilled nursing services, resident-centered activities, and social services to support residents during their stay. The facility is staffed around the clock to provide comfort and specialized care.
Mountain View Health and Rehabilitation of Cascadia is a leading healthcare provider in rehabilitation and skilled nursing care located in Eureka, Montana. The facility focuses on patient-centered rehabilitation with 24-hour skilled nursing care, offering transitional and long-term care in a comfortable environment. Residents receive individualized attention and care from experienced staff, along with a variety of activities and amenities.
Crest Nursing Home is located in Butte, MT, and provides both short-term skilled nursing and long-term care. The facility focuses on individualized health care and rehabilitation services to help residents achieve their highest level of independence. Crest Nursing Home is committed to creating a comfortable environment for residents and their families.
Wibaux County Nursing Home is a Medicare-certified, 40-bed innovative and caring facility owned by The County of Wibaux. It provides skilled nursing and intermediate care, with both private and semi-private rooms available. The facility is dedicated to promoting health and supporting the comfort of aging individuals.
Northern Pines Rehabilitation and Nursing is located in Cut Bank, Montana. It specializes in short-term care and 24/7 skilled nursing care, providing private and semi-private suites with comprehensive support. The facility offers various therapies and daily recreational activities to enhance residents' quality of life.
Valle Vista Rehabilitation and Nursing LLC is located in Lewistown, Montana. It specializes in short-term care and 24/7 skilled nursing care, providing private and semi-private suites with comprehensive support. The facility emphasizes high-quality care, compassionate staff, and a variety of recreational and social activities.
Continental Care and Rehabilitation is a Medicare certified skilled nursing and rehabilitation facility located in Butte, MT. It offers skilled nursing, rehabilitation services, and resident-centered activities. The facility is staffed around the clock to provide comfort and specialized care.
Ranking Methodology
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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
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Frequently Asked Questions about Assisted Living in Montana
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.
How many assisted living facilities are listed on this page?
This page features 15 assisted living facilities in Montana. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right assisted living facility in Montana?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Montana, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting assisted living facilities in Montana?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
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