Page 3 of Best Assisted Living in Montana

Why trust this guide? Our editorial team analyzed 89 assisted living communities in MT using MT Dept. of Public Health & Human Services (DPHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MT
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Last updated
We analyzed These are the facilities in Montana our team has analyzed — not a count of every assisted living provider in Montana.
89 homes
Other senior care options in Montana:

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Info below is compiled from the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
A named contact for the facility. Hover the name to see their role — Administrator (state administrator of record or facility-provided administrator), Nursing Director, Medical Director, or Staff. The most authoritative available is shown.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Formal complaint investigations counted in the state record—distinct from every routine licensure inspection.
How many inspections had one or more deficiencies recorded. Compare to total inspections to see how often problems were found on visit.
Total count of deficiencies (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of deficiencies this facility receives each time it's inspected, calculated as total deficiencies ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Sapphire Lutheran Homes
AL
IL
MC
Hamilton
40
Facility 40
MT AVG 61
Rank #37 / 66
No
82
Facility 82
MT AVG 40
Rank #10 / 85
-
2
Facility 2
MT AVG 7
Rank #24 / 59
-Cole Harden1
0
Facility 0
MT AVG 3
Rank #1 / 62
1
Facility 1
MT AVG 3.5
Rank #12 / 62
2
Facility 2
MT AVG 21
Rank #7 / 51
2.0
Facility 2.0
MT AVG 4.2
Rank #13 / 51
Rainbow Senior Living Of Great Falls
AL
IL
Great Falls
106
Facility 106
MT AVG 61
Rank #9 / 66
No
91
Facility 91
MT AVG 40
Rank #2 / 85
-
31
Facility 31
MT AVG 7
Rank #2 / 59
A+Dawn Mounts14
17
Facility 17
MT AVG 3
Rank #61 / 62
14
Facility 14
MT AVG 3.5
Rank #61 / 62
72
Facility 72
MT AVG 21
Rank #49 / 51
5.1
Facility 5.1
MT AVG 4.2
Rank #44 / 51
St. John‘s United
AL
HC
HOS
IL
MC
NH
RC
SNF
Billings
104
Facility 104
MT AVG 61
Rank #12 / 66
Yes
6
Facility 6
MT AVG 40
Rank #78 / 85
Private Rooms
2
Facility 2
MT AVG 7
Rank #24 / 59
-Karna Rhodes4
0
Facility 0
MT AVG 3
Rank #1 / 62
4
Facility 4
MT AVG 3.5
Rank #37 / 62
33
Facility 33
MT AVG 21
Rank #45 / 51
8.3
Facility 8.3
MT AVG 4.2
Rank #48 / 51
Rosetta Assisted Living – Missoula
AL
Missoula (Westside)
17
Facility 17
MT AVG 61
Rank #54 / 66
No
53
Facility 53
MT AVG 40
Rank #30 / 85
Studio / 1 Bed / 2 Bed
2
Facility 2
MT AVG 7
Rank #24 / 59
-Ashely Torbett1
3
Facility 3
MT AVG 3
Rank #43 / 62
1
Facility 1
MT AVG 3.5
Rank #12 / 62
3
Facility 3
MT AVG 21
Rank #12 / 51
3.0
Facility 3.0
MT AVG 4.2
Rank #25 / 51
Autumn Springs Assisted Living
AL
Billings
66
Facility 66
MT AVG 61
Rank #27 / 66
No
51
Facility 51
MT AVG 40
Rank #32 / 85
-
21
Facility 21
MT AVG 7
Rank #5 / 59
A+Margo Ball5
4
Facility 4
MT AVG 3
Rank #49 / 62
5
Facility 5
MT AVG 3.5
Rank #46 / 62
12
Facility 12
MT AVG 21
Rank #30 / 51
2.4
Facility 2.4
MT AVG 4.2
Rank #22 / 51
Birchwood at Hillcrest
AL
RC
Bozeman (East Main)
47
Facility 47
MT AVG 61
Rank #34 / 66
Yes
10
Facility 10
MT AVG 40
Rank #71 / 85
Studio
2
Facility 2
MT AVG 7
Rank #24 / 59
--1
0
Facility 0
MT AVG 3
Rank #1 / 62
1
Facility 1
MT AVG 3.5
Rank #12 / 62
3
Facility 3
MT AVG 21
Rank #12 / 51
3.0
Facility 3.0
MT AVG 4.2
Rank #25 / 51
Spring Creek Inn Memory Care Community
AL
MC
Bozeman (West Winds)
67
Facility 67
MT AVG 61
Rank #26 / 66
Yes
24
Facility 24
MT AVG 40
Rank #55 / 85
Private Rooms / Semi-Private Rooms
1
Facility 1
MT AVG 7
Rank #39 / 59
-Stacia Jensen7
11
Facility 11
MT AVG 3
Rank #59 / 62
7
Facility 7
MT AVG 3.5
Rank #54 / 62
26
Facility 26
MT AVG 21
Rank #41 / 51
3.7
Facility 3.7
MT AVG 4.2
Rank #38 / 51
Hidden Meadows
AL
MC
Columbia Falls
32
Facility 32
MT AVG 61
Rank #44 / 66
No
2
Facility 2
MT AVG 40
Rank #85 / 85
-
12
Facility 12
MT AVG 7
Rank #13 / 59
A+Grace Santiago1
2
Facility 2
MT AVG 3
Rank #38 / 62
1
Facility 1
MT AVG 3.5
Rank #12 / 62
3
Facility 3
MT AVG 21
Rank #12 / 51
3.0
Facility 3.0
MT AVG 4.2
Rank #25 / 51
Highgate at Bozeman
AL
IL
MC
Bozeman
97
Facility 97
MT AVG 61
Rank #15 / 66
Yes
66
Facility 66
MT AVG 40
Rank #17 / 85
-
21
Facility 21
MT AVG 7
Rank #5 / 59
-Chis Darnell4
5
Facility 5
MT AVG 3
Rank #54 / 62
4
Facility 4
MT AVG 3.5
Rank #37 / 62
12
Facility 12
MT AVG 21
Rank #30 / 51
3.0
Facility 3.0
MT AVG 4.2
Rank #25 / 51
Parkhaven
AL
IL
MC
Manhattan
62
Facility 62
MT AVG 61
Rank #30 / 66
No
57
Facility 57
MT AVG 40
Rank #24 / 85
-
3
Facility 3
MT AVG 7
Rank #17 / 59
-Crystal Hamilton5
2
Facility 2
MT AVG 3
Rank #38 / 62
5
Facility 5
MT AVG 3.5
Rank #46 / 62
10
Facility 10
MT AVG 21
Rank #27 / 51
2.0
Facility 2.0
MT AVG 4.2
Rank #13 / 51

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other MT assisted living community we track that reports that metric, not just the 89 on this page. See how we rank facilities

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Overview of Sapphire Lutheran Homes

With 40 beds, Sapphire Lutheran Homes offers assisted living, independent living, and memory care in Hamilton, MT. Along with support with daily tasks, housekeeping services are also provided. The community also accommodates those living with memory-related conditions in a supervised environment. Licensed nurses and CNAs, as well as 24-hour staffing, ensure accessibility of care at all times.

Residents can choose one-bedroom or two-bedroom apartments. Furthermore, a library and game rooms create places for reading and games. Physical, social, and spiritual wellness activities and regular exercise sessions also provide organized ways to take part in those areas.

The area has a Walk Score of 82 out of 100, meaning it is very walkable and most errands can be completed on foot, so a resident who no longer drives may still get out independently. Cole Harden serves as the administrator.

Contact Sapphire Lutheran Homes

Overview of Rainbow Senior Living of Great Falls

Rainbow Senior Living of Great Falls is a senior living community in downtown Great Falls, Montana, at 20 3rd Street North. It offers both assisted living and independent living, which means residents are not locked into a single level of support. Someone who wants more autonomy can keep it, while someone who needs more hands-on daily help can receive that without leaving the building or starting a new housing search elsewhere. That flexibility can matter a great deal when a person’s needs shift over time.

The community is well established, with three decades of operation behind it, and is one of the larger options in the area at 106 beds. It currently runs at about 49 percent occupancy, with 52 of those beds filled, so there is room to accommodate new residents. Walkability is where the location genuinely stands out. A Walk Score of 91 places the community in Walker’s Paradise range, meaning most daily errands can be handled on foot, which changes the rhythm of a day for both residents keeping their independence and family members visiting often.

Inspections are handled by the Montana Department of Public Health and Human Services, and their reviews have tended to focus on a familiar set of areas for senior care, including medication management, staffing and staff credentials, environmental safety, care planning, and resident rights. Families touring the community can ask how those areas are managed day to day.

Contact Rainbow Senior Living Of Great Falls

Overview of St. John‘s United

St. John‘s United offers assisted living, home care, hospice care, independent living, memory care, nursing care, respite care, and skilled nursing in Billings, MT. Assisted living includes help with daily tasks such as bathing, dressing, and medication, while independent living is for residents who want private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering. Skilled nursing provides licensed nursing care on site around the clock.

Home care supports a person in their own residence, and hospice care supports someone receiving end of life care. Respite care provides a short stay when a usual caregiver needs time away, while nursing care serves residents who need ongoing clinical support. Private rooms give each resident a room of their own. With multiple care levels, St. John‘s United may be a good fit for a resident whose needs could change over time; Karna Rhodes serves as the administrator, and pets are allowed.

Contact St. John‘s United

Overview of Rosetta Assisted Living – Missoula

Rosetta Assisted Living, Missoula offers assisted living in Missoula, MT. Assisted living provides help with daily living activities, so residents can receive support with routine tasks while living in the community. The community is in the Westside neighborhood, and administrator Ashely Torbett oversees its daily operations.

With 17 beds, Rosetta Assisted Living, Missoula is a small community, which may suit someone who prefers a smaller assisted living setting. Rehabilitation services are available, giving residents access to those services through the facility. A Walk Score of 53 out of 100 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to handle certain nearby errands independently.

Contact Rosetta Assisted Living – Missoula

Overview of Autumn Springs Assisted Living

Autumn Springs Assisted Living provides assisted living in Billings, MT, with help for daily tasks such as dressing, bathing, and medication while residents maintain their own living space. The 66-bed community offers one-bedroom and two-bedroom units; a two-bedroom unit can suit a couple moving together, while a one-bedroom unit is designed for one resident.

Respite care offers a short stay when a usual caregiver needs time away, and short-term rehabilitation supports a temporary recovery period. Rehabilitation services are also available for residents who need support during recovery.

A Walk Score of 51 places the area in the somewhat walkable band, meaning some errands can be done on foot and a resident who no longer drives may be able to handle certain nearby errands independently. Margo Ball serves as the administrator, and Autumn Springs Assisted Living may be a good fit for someone who needs help with daily tasks while living in a one-bedroom or two-bedroom unit.

Contact Autumn Springs Assisted Living

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.

Starting Price $5,020/Month

Contact Birchwood at Hillcrest

Overview of Spring Creek Inn Memory Care Community

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.

Contact Spring Creek Inn Memory Care Community

Hidden Meadows

240 Hidden Meadow Ln, Columbia Falls, MT 59912
Overview of Hidden Meadows

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.

Contact Hidden Meadows

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.

Starting Price $4,995/Month

Contact Highgate at Bozeman

Parkhaven

100 Hamilton Court, Manhattan, MT 59741
Overview of Parkhaven

Assisted living, independent living, and memory care are what Parkhaven covers in Manhattan, MT. Assisted living handles dressing, bathing, and medication. Independent living provides community services and none of that daily care. Memory care secures the setting and supervises within it when a wandering risk arises.
Respite care is listed as well, a short-term option while a primary caregiver travels or recovers. Staff are present through the day and the night. Because the levels are licensed together, needs that grow later do not oblige a move to another community.
At 57, the Walk Score leaves some errands doable only b y car. Crystal Hamilton is the administrator.

Contact Parkhaven

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
No paid rankings Communities cannot pay to influence placement.
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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 89 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.

Assisted Living in Montana at a glance

Avg Monthly Cost: $6,510The average monthly cost across facilities in Montana. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 40/ 100The average Walk Score across facilities in Montana. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 61The average licensed bed capacity across facilities in Montana. Individual facilities can vary widely from this average.
National Average: 90