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Other Senior care options in Montana:

Best Assisted Living in Montana

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 149 homes in Montana

Sources: CMS Centers for Medicare and Medicaid Services, and Montana Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Assisted Living facilities in Montana.

Watch this Video to see Montana's Top-rated Senior Communities

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 Kuntz3--00.0
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 Freese946202.2
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 Milar61100.0
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 Morrow1386211.6
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 Charon84350.6
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
-,1248151.3
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 Jensen17118261.5
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 Flock52120.4
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
-,19138291.5
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 Rhodes1--3333.0
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
-,5-130.6
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 Banderob21-00.0
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 George6-481.3
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 Wagstaff5-281.6
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 Lindquist1139322.9
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View all Nearby Homes
Overview of Northwest Home Care – Missoula

With 15 years of dedicated service, North West Home Care is the definition of professionalism and excellence in the field of home care. Their rich experience is evident in the assistance they provide, covering every stage of life. As a leading provider, they specialize in various services, including live-in caregiver support, personal care, certified nursing assistance, and private duty nursing. Northwest Home Care’s commitment lies in enhancing the lives of those they serve, a legacy they’ve upheld since 2008.

They not only focus on recruiting top-tier employees but also prioritize seamless communication with clients’ families. Their dedication extends to continuous in-service education and training, ensuring their team remains well-informed and adaptable to the evolving needs of their clients. They are a trusted partner, dedicated to making a positive difference in the lives of their clients, embodying compassion, expertise, and commitment to excellence.

Contact Northwest Home Care – Missoula

Overview of Providence Palliative Care

Providence Palliative Care helps families navigate the complexities of chronic diseases, curable illnesses, and end-of-life stages. Their dedicated team understands the pivotal nature of this phase, acknowledging the challenges it poses not just for the individuals but also for their families. With empathy at the core of their approach, Providence Palliative Care assists families in making informed decisions, providing much-needed guidance amidst the complexities of aging.
Their holistic approach encompasses not only physical comfort but also emotional and social support. By addressing pain, managing symptoms, and offering comprehensive assistance, they ease the burden on families, providing a well-rounded support system that encompasses psychological, social, spiritual, and physical aspects. Providence Palliative Care is, without a question, a compassionate companion on the challenging journey of chronic illnesses and end-of-life care.

Contact Providence Palliative Care

Hestia Advantage

700 Sw Higgins Ave Suite #102, Missoula, MT 59803
Overview of Hestia Advantage

Set in the picturesque Missoula, Montana, Hestia Advantage offers a unique community-based approach with an emphasis on building genuine relationships. Families find comfort in their unwavering commitment to values and the exceptional quality of care provided. What sets Hestia Advantage apart is their refusal to adopt a one-size-fits-all mentality. Instead, they tailor their services with a meticulous focus on individualized care, ensuring that each person receives the specialized attention they deserve.
With a dedicated 24-hour on-call team and a roster of experts, Hestia Advantage boasts a cadre of the best professionals in the field. Their expertise shines through, making them a trusted choice for those seeking unparalleled hospice care. Families in Missoula can rest assured that Hestia Advantage is not just a service provider, but a compassionate partner on the challenging journey of palliative and hospice care.

Contact Hestia Advantage

Overview of Enhabit Home Health & Hospice – Missoula

In the field of home health and hospice care, Enhabit Home Health & Hospice stands out as a team that ensures families feel not just supported, but genuinely secure and dignified. With a skilled care team specializing in sensitive cases, particularly those dealing with terminal illnesses, they bring a wealth of experience gathered over 20 years to the Missoula community.
From skilled nursing and therapies to compassionate home health aides, they cover a spectrum of needs. Their hospice care goes beyond traditional support, offering pain relief, symptom management, homemaker services, spiritual care, and even access to durable medical equipment (DME). Continuously expanding and evolving their offerings, Enhabit Home Health & Hospice serves as a trusted choice, redefining senior care standards with their comprehensive services.

Contact Enhabit Home Health & Hospice – Missoula

Overview of Montana Independent Living

Situated in the center of Helena, MT, Montana Independent Living is a bustling senior living community that promotes independence for individuals with impairments. As a Center for Independent Living, they offer a range of living alternatives customized to meet the needs of each person, making sure they get the right kind of assistance and care to live well on their own. Their comprehensive approach includes independent living skills training, peer mentoring, individual and systems advocacy, and transition services.

Montana Independent Living is committed to empowering people with disabilities and advocating for their rights, all while upholding the ideals of community, advocacy, and empowerment. Numerous resources are available to residents, such as classes on cooking, personal finance, and community living skills, in addition to organizations tailored specifically for veterans, women, men, and young people. The community also offers outdoor recreation programs and a Self-Directed Personal Assistance Program, fostering a supportive and engaging environment for all residents.

Contact Montana Independent Living

Overview of Sweetwater Retirement Community

Sweetwater Retirement Community offers the best retirement living options in Montana, catering to both assisted and independent living for seniors. The accommodations are spacious and luxurious, with options like townhome villas for those who prefer a little more space. But Sweetwater Retirement Community doesn’t just stop at providing comfortable living spaces. They also have a calendar of events that is thoughtfully crafted to cater to the interests of all residents, ensuring that each day is filled with exciting activities and events.
The community boasts a wide array of top-notch amenities, including a wellness center, library, chapel, theater, garage, billiards room, and private dining room. The meals served in the dining area are not only delicious but also home-cooked, adding a personal touch to each resident’s experience. And who doesn’t love a visit to the ice cream parlor for a sweet treat on a sunny afternoon?

Contact Sweetwater Retirement Community

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.