Page 2 of Best Assisted Living in Montana

Silver Springs Assisted Living provides a warm, inclusive community on the outskirts of Townsend, MT, where residents live amid serene surroundings. Rooted in compassion and care, this community’s mission is to provide a safe, enjoyable environment where residents are valued and supported. Dignity, independence, and respect guide every aspect of life within the community, fostering meaningful connections and a sense of belonging.

Furthermore, Silver Springs boasts excellent amenities, including 16 private rooms. With round-the-clock staffing and personalized care plans, residents receive expert support while enjoying engaging activities and nutritious meals. Scenic walking paths, tranquil ponds, and inviting outdoor spaces offer residents opportunities for relaxation and connection with nature, ensuring a fulfilling and vibrant living experience.

Hidden Meadows, located in Columbia Falls, MT, is a senior living community specializing in providing assisted living services with memory care. Their wonderful staff are well trained in caring for their residents living with Alzheimer’s and other forms of dementia, providing them with round-the-clock care, and monitoring treatment effectiveness as each resident progresses. Additionally, they help residents and families explore alternatives as needed, noting which works well in improving the residents, or maintaining its good condition.
As part of their care services, Hidden Meadows also offers a rich array of amenities that offers both comfort and convenience, to their residents who require a supportive environment to thrive. Such amenities include; emergency call system in accommodation units, housekeeping and laundry services, meal preparation services, as well as assistance with daily living activities including incontinence management, and medication management.

Overview of River‘s Bend Assisted Living

Nestled in Malta, Montana, River’s Bend Assisted Living is a haven for seniors seeking comfort, companionship, and personalized care. This assisted living community offers a serene escape from the hustle and bustle of city life, providing a tranquil environment for residents to call home. River Bend offers supportive services to residents who can function independently in most areas of daily life but require assistance and monitoring for safety and well-being.

At River’s Bend Assisted Living, compassion and community are at the forefront. Residents find a place to live and experience a warm embrace where their well-being is the top priority. The dedicated staff ensures each individual receives the necessary support while maintaining independence. River’s Bend Assisted Living fosters an environment where residents can thrive, engage in meaningful activities, and build lasting friendships. With 12 private rooms available, residents can comfortably enjoy personalized care. River’s Bend accepts multiple payment sources, including private pay, insurance, veterans benefits, and Medicaid, ensuring accessibility for residents with diverse financial needs.

Overview of Your Home Away From Home Assisted Living

Make the most of your best years at Your Home Away From Home Assisted Living, a distinguished family owned community in Bilings, MT, offering assisted living. With eight cozy accommodations, both private and semi-private, residents can keep their peace of mind and receive exceptional care around the clock. Housekeeping and laundry are also taken care of, ensuring residents can feel at ease during their stay.

A jam-packed calendar of engaging activities and enriching programs to keep residents active and socially connected. Here, residents also enjoy delightful and healthy meals that cater to their dietary needs and preferences. Medication reminders and transportation services are also available for convenience and safety. With its two distinct locations, the community ensures residents can find the place that best matches their needs and preferences for a blissful retirement.

Rosetta Assisted Living is a senior living community in the serene surroundings of Missoula, Montana. With a focus on assisted living with memory care, this community provides a tranquil and comforting environment for its residents. 

The dedicated caregivers at Rosetta Assisted Living undergo specialized training to ensure compassionate and knowledgeable care for seniors with Alzheimer’s disease and other types of dementia. In addition to memory care services, Rosetta Assisted Living also offers Respite and Adult Day Care options, providing support and assistance for both short-term and daytime care needs.

Overview of Son Heaven Assisted Living II

Located on Ferndale Lane in Helena, Montana, Son Heaven Assisted Living II is an assisted living community that recently opened. The one-story home provides a home-like environment for seniors who need assistance with daily activities but want to live as independently as possible. With 15 beds, the smaller size may appeal to families seeking a more personal setting and one-on-one attention.

This property is in a neighborhood with a Walk Score of 30. Families would need to rely on transportation for most errands and appointments. The location may work well for residents with family members who can provide regular rides or for those who do not rely on walking to nearby services.

Over the past nine years, state inspections have reviewed the home’s operations and identified opportunities to improve service plan documentation and updates. Families interested in Son Heaven Assisted Living II should take a tour and ask how these care planning practices are managed daily.

The Village Senior Residence is an assisted living community in Missoula, Montana, located on Old Fort Road about 3.4 miles from the city center. One of its most practical features is proximity to medical care, with Community Medical Center’s emergency department roughly a fifth of a mile away, which can offer real peace of mind for families whose loved one may need quick access to a hospital.

The community is one of the larger assisted living options in the area, with 117 beds, and it is relatively new, having been in operation for about two years. That newer building often means more current layouts and systems, and the larger size typically supports more common spaces and organized group activities than a small residential home can offer. The neighborhood scores 49 out of 100 for walkability, so a few errands may be reachable on foot while most outings will involve a short drive. Pets are welcome, which matters to residents who want to bring a companion animal along.

State inspection history for the community is mixed over the years, with a clean renewal review on record alongside earlier findings tied to building safety and care documentation. Families touring the community can ask how those safety and recordkeeping practices are handled day to day, which is a useful window into how the home operates.

Overview of Mission Ridge

Mission Ridge is an assisted living community in Billings, Montana, set on Rimrock Road about five miles from the city center. It is part of the St. John’s senior living family, which connects it to an established regional network of senior care. The community is designed for older adults who want help with everyday activities while keeping a comfortable, apartment-style home of their own.

Housing options include one-bedroom and two-bedroom apartments, and the private units come with a balcony or patio along with an in-unit washer and dryer. This is a mid-size, three-story community with 70 beds, a scale that often allows for a steady daily routine and familiar faces among staff and neighbors. For families, that middle ground can strike a nice balance between personal attention and the range of shared spaces a larger building can offer.

Residents are supported by a 24-hour emergency call system, and the community provides transportation services along with fitness and recreation options to help with both errands and daily engagement. Pets are welcome, which can be an important comfort for someone moving from a longtime home.

State inspections have most often noted documentation and recordkeeping matters, along with minor housekeeping and safety items, rather than concerns about direct resident care, and no complaints were substantiated. The setting is car-dependent, with a Walk Score of 9 out of 100, so most outings involve a drive, which makes the community’s own transportation service a practical everyday feature.

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

Overview of BeeHive Homes of Great Falls

BeeHive Homes is one of the premier assisted living homes in Great Falls that offers a range of care options, including memory care and respite care. They ensure that their dedicated team of care staff is deeply inclusive and compassionate when attending to any need a resident may have; there is no doubt that seniors will immediately feel a sense of belonging the moment they step into community grounds. BeeHive provides the city with the highest quality of care because of its resident-centered approach to holistic wellness for seniors.

The BeeHive lifestyle is catered to by a personal approach that the dedicated staff practices with the residents by genuinely getting to know them and understanding their unique needs. Seniors receive 24/7 support, individualized care, medication management, and assistance after illness or medical procedure.