Best Assisted Living in Montana

Step into the realm of unique memory care at Spring Creek Inn, where a tailored approach and specialized community settings reign supreme. Situated close to medical facilities, this specialized memory care community is well-equipped to address the precise requirements of individuals grappling with Alzheimer’s, Dementia, and other forms of memory loss.

At Spring Creek Inn, the commitment to compassionate care is unwavering, providing a haven where your loved ones can find solace and support. With a focus on personal care, this establishment endeavors to rekindle cherished memories, nurturing a profound sense of purpose for residents.

An affordable senior living facility with high-end service and beautifully designed interiors, The Village of Senior Residence is an independent living, assisted living, and memory care near Old Fort. Management and staff of the community understand that each resident is unique and has different needs, which is why they provide a program that personalizes care that is tailored to fit the needs of each individual. Life at The Village is about maintaining its accommodating hospitality and compassion for seniors over the years with an unmatched quality that many have been looking for in Missoula.

The Village’s services are straightforward and genuinely deliver with utmost professionalism found in its wellness checks, fitness activities, and social outings; as well as housekeeping, transportation, maintenance services, and meals provided.  

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.

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 The Springs at Grand Park

Nestled amidst the natural beauty of Montana, The Springs at Grand Park offers a serene and secure home for seniors seeking a peaceful retirement just a stone’s throw away from some of the best medical facilities in the tristate area. Whether you need assisted living or memory care, the team at The Springs will tailor their approach to meet your unique needs and preferences. The home’s expansive outdoor spaces provide ample opportunities for fresh air and outdoor activities, and they even welcome pets so that you can bring your furry friend along for the ride.
At The Springs, there’s always something to do or see. Take your pick from the cozy café or bistro, the art and crafts center, the game room, or the movie or theater room. And for those who love music, you’ll relish the chance to spend an afternoon of nostalgia and melodies, listening to the soothing notes of the piano. Of course, the team at The Springs understands that comfort and convenience are key, which is why they offer housekeeping, laundry services, and indoor walking paths to make life as easy and enjoyable as possible. With a warm and welcoming community and a team of compassionate professionals, The Springs at Grand Park is truly a hidden gem in Montana.

Overview of Highgate at Bozeman

Located in picturesque Southwest Montana, Highgate at Bozeman presents a harmonious blend of Independent Living, Assisted Living, and Memory Care options for seniors. This captivating assisted living community offers a serene and homelike atmosphere, highlighted by views of the Bridger and Madison mountains. This community is located close to essential amenities such as shopping, banking, and grocery stores, ensuring the utmost convenience for senior residents. 
Highgate at Bozeman enjoys a privileged setting in one of the Rocky Mountain West’s most diverse small towns. Situated just north of the iconic Yellowstone National Park, residents immerse themselves in a captivating environment that celebrates nature’s splendor and fosters a strong sense of community. Highgate at Bozeman stands as a haven where seniors can embrace their golden years while relishing in the beauty and vibrant charm of the surrounding region.

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 Rainbow Senior Living of Great Falls

Located in the heart of Great Falls, Rainbow Senior Living is a welcoming community that offers residential assisted living and independent living options. With a dedicated professional care staff and a range of convenient features, Rainbow Retirement aims to provide comfort and hospitality to its residents.

This senior living community collaborates with community members to customize living options that align with their individual preferences and aspirations. Whether you require short-term or long-term care, their flexible approach allows you to receive the level of support that suits your current health needs and lifestyle choices. With a focus on empowering residents to lead fulfilling lives, Rainbow Senior Living is committed to creating a vibrant and inclusive community in the heart of Great Falls. 

Overview of Autumn Springs Assisted Living

Autumn Springs Assisted Living is located in the picturesque city of Billings, Montana. Since its establishment in 2006, the home has been committed to providing the best senior living experience for both residents and their families. It is a locally owned and operated facility, ensuring that seniors are well-cared for in a community-based environment. It is a serene home where seniors can enjoy stress-free assisted living, independent living, and respite care. 
Their units have a variety of floor plans to choose from, all beautifully designed and well-maintained. The rooms are designed to accommodate wheelchair users, and the highly trained team assists with daily needs, such as housekeeping, laundry, and scheduled transportation. At Autumn Springs Assisted Living, seniors can enjoy their golden years peacefully and safely.

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