Page 4 of Best Assisted Living in Montana

Why trust this guide? Our editorial team analyzed 88 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.
88 homes
Other senior care options in Montana:
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: 45/ 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: 70The average licensed bed capacity across facilities in Montana. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Montana

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 to lowest based on our ranking 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. 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. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
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.
At Home Assisted Living
AL
IL
MC
Missoula
20
Facility 20
MT AVG 70
Rank #88 / 103
No
4
Facility 4
MT AVG 45
Rank #144 / 149
Studio / 1 Bed / 2 Bed
21
Facility 21
MT AVG 7
Rank #8 / 91
Dorothy Cantrell20
21
Facility 21
MT AVG 3
Rank #73 / 73
20
Facility 20
MT AVG 3.5
Rank #73 / 73
166
Facility 166
MT AVG 21
Rank #59 / 59
8.3
Facility 8.3
MT AVG 3.0
Rank #55 / 59
Highgate Great Falls
AL
MC
Great Falls (Devonshire Townhouses)
68
Facility 68
MT AVG 70
Rank #48 / 103
Yes
70
Facility 70
MT AVG 45
Rank #28 / 149
-
1
Facility 1
MT AVG 7
Rank #62 / 91
Karen Miszler4
1
Facility 1
MT AVG 3
Rank #34 / 73
4
Facility 4
MT AVG 3.5
Rank #41 / 73
5
Facility 5
MT AVG 21
Rank #19 / 59
1.3
Facility 1.3
MT AVG 3.0
Rank #7 / 59
The Legacy in the Heights
AL
Billings (Heights)
40
Facility 40
MT AVG 70
Rank #68 / 103
Yes
57
Facility 57
MT AVG 45
Rank #51 / 149
Suite
1
Facility 1
MT AVG 7
Rank #62 / 91
Claire Banderob2
1
Facility 1
MT AVG 3
Rank #34 / 73
0
Facility 0
MT AVG 3.5
Rank #1 / 73
--
Westpark Village
AL
IL
MC
RC
Billings
181
Facility 181
MT AVG 70
Rank #5 / 103
No
64
Facility 64
MT AVG 45
Rank #37 / 149
--Megan Brinton7
0
Facility 0
MT AVG 3
Rank #1 / 73
7
Facility 7
MT AVG 3.5
Rank #63 / 73
32
Facility 32
MT AVG 21
Rank #49 / 59
4.6
Facility 4.6
MT AVG 3.0
Rank #48 / 59
Echoview Assisted Living, LLC
AL
MC
Kalispell
8
Facility 8
MT AVG 70
Rank #101 / 103
No
11
Facility 11
MT AVG 45
Rank #131 / 149
-
3
Facility 3
MT AVG 7
Rank #27 / 91
Cameron Stewart1
0
Facility 0
MT AVG 3
Rank #1 / 73
1
Facility 1
MT AVG 3.5
Rank #14 / 73
1
Facility 1
MT AVG 21
Rank #2 / 59
1.0
Facility 1.0
MT AVG 3.0
Rank #2 / 59
MT Gems – Ruby House
AL
MC
Great Falls
19
Facility 19
MT AVG 70
Rank #89 / 103
No
85
Facility 85
MT AVG 45
Rank #8 / 149
Private Rooms
3
Facility 3
MT AVG 7
Rank #27 / 91
Robin Fleek3
0
Facility 0
MT AVG 3
Rank #1 / 73
1
Facility 1
MT AVG 3.5
Rank #14 / 73
--
St. John‘s United – The Vista
AL
NH
Billings
104
Facility 104
MT AVG 70
Rank #21 / 103
Yes
7
Facility 7
MT AVG 45
Rank #140 / 149
-
1
Facility 1
MT AVG 7
Rank #62 / 91
Karna Rhodes1
0
Facility 0
MT AVG 3
Rank #1 / 73
0
Facility 0
MT AVG 3.5
Rank #1 / 73
--
High Country Care
AL
Bozeman (Eastedge Meadows)
7
Facility 7
MT AVG 70
Rank #103 / 103
Yes
6
Facility 6
MT AVG 45
Rank #141 / 149
-
1
Facility 1
MT AVG 7
Rank #62 / 91
Dana Archer4
0
Facility 0
MT AVG 3
Rank #1 / 73
4
Facility 4
MT AVG 3.5
Rank #41 / 73
11
Facility 11
MT AVG 21
Rank #29 / 59
2.8
Facility 2.8
MT AVG 3.0
Rank #25 / 59
Meadowlark Assisted Living
AL
MC
RC
Great Falls
24
Facility 24
MT AVG 70
Rank #84 / 103
Yes
83
Facility 83
MT AVG 45
Rank #12 / 149
-
2
Facility 2
MT AVG 7
Rank #35 / 91
-4
3
Facility 3
MT AVG 3
Rank #48 / 73
4
Facility 4
MT AVG 3.5
Rank #41 / 73
7
Facility 7
MT AVG 21
Rank #24 / 59
1.8
Facility 1.8
MT AVG 3.0
Rank #11 / 59
Renaissance Senior Care
AL
ADC
MC
Great Falls
11
Facility 11
MT AVG 70
Rank #100 / 103
Yes
55
Facility 55
MT AVG 45
Rank #60 / 149
-
1
Facility 1
MT AVG 7
Rank #62 / 91
Brittney Rogers4
2
Facility 2
MT AVG 3
Rank #43 / 73
4
Facility 4
MT AVG 3.5
Rank #41 / 73
9
Facility 9
MT AVG 21
Rank #27 / 59
2.3
Facility 2.3
MT AVG 3.0
Rank #22 / 59

Rank badges are statewide: each community is ranked against every MT community we track that reports that metric, not just the 88 on this page.

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Overview of At Home Assisted Living

At Home Assisted Living has been part of Missoula, Montana’s senior care landscape for 21 years now, operating out of 1300 Speedway Ave under administrator Dorothy Cantrell. It’s a small operation, just 20 beds, which puts it on the more intimate end of the spectrum compared to larger assisted living communities.

Getting around the neighborhood without a car isn’t really an option. The Walk Score here is 4, firmly in car-dependent territory, so residents and anyone visiting should plan on driving for errands and outings rather than walking them.

On the care side, staff are on-site and available 24/7, which matters most in the moments families worry about most: emergencies, falls, sudden health changes. Two specific supports stand out: residents managing diabetes get help monitoring insulin levels, and those with limited mobility receive hands-on assistance with transfers, like moving from a bed to a wheelchair. They’re the kind of daily, physical support that often determines whether someone can safely stay in assisted living instead of stepping up to skilled nursing.

Montana’s Department of Public Health and Human Services handles inspections here, and those inspections have tended to center on a familiar set of areas: medication management, staffing and staff credentials, and care planning and documentation. That’s a fairly standard regulatory focus across the assisted living sector, not something specific to how this community stands out.

What At Home Assisted Living adds up to is a small, established assisted living community built around hands-on daily support, particularly for residents managing chronic conditions like diabetes or navigating mobility limitations. It’s a place shaped less by amenities and more by consistent, present staffing, which will matter most to families whose loved one needs that kind of steady, physical support day to day.

Contact At Home Assisted Living

Overview of Highgate Great Falls

Nestled in the beautiful surroundings of Great Falls, Montana, Highgate at Great Falls Lakes offers a range of exceptional senior living options. The Manor provides Assisted Living, while the Cottage specializes in Memory Care for individuals affected by Alzheimer’s & Dementia. Highgate understands the importance of tailoring their services to meet you where you are on your journey. Whether you seek the convenience of a home-like environment without the responsibilities or desire activities that stimulate the mind, nourish the body, and enrich the soul, Highgate is dedicated to providing a personalized experience.

With over 25 years of experience in building community and promoting purposeful living, Highgate at Great Falls values the well-being of every resident. Recognizing the importance of socially, mentally, and physically enriching experiences, they offer a Life Enhancement Program that encourages active participation in physical activities, intellectual stimulation, socialization, philanthropic endeavors, and spiritual wellness. Highgate is committed to creating an environment where older adults can thrive, find joy, and lead a life of purpose.

Contact Highgate Great Falls

Overview of The Legacy in the Heights

The Legacy in the Heights is an esteemed senior residence who qualifies for one of Montana’s best assisted living communities. Within the walls of this distinguished home, thoughtfully designed suites await, offering a haven of comfort and convenience. Each suite is meticulously equipped with ADA showers, kitchenettes, refrigerators, and a host of thoughtful amenities.

Residents are treated to a range of exceptional amenities, including a state-of-the-art exercise room designed to promote physical well-being. Indulge in the luxuries of the salon, where moments of pampering and rejuvenation await. The blissful embrace of the jetted tub promises moments of pure relaxation, creating a sanctuary within this remarkable abode. To further enhance the resident experience, meticulous weekly housekeeping, nursing assessments, and laundry services are provided, ensuring a carefree and tranquil lifestyle. The presence of an emergency call system also ensures residents’ safety and security, while scheduled transportation for community outings adds a touch of adventure and exploration to their days.

Contact The Legacy in the Heights

Overview of Westpark Village

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.

Contact Westpark Village

Overview of Echoview Assisted Living

Nestled in the tranquil landscapes of Kalispell, Montana, Echoview Assisted Living emerges as a haven for seniors in pursuit of compassionate care and a homelike environment. Specializing in Alzheimer’s and dementia-related illnesses, this intimate residential care home is committed to providing personalized attention to its cherished residents. The dedicated caregivers at Echoview bring a wealth of experience and deep support, recognizing and respecting the unique needs of each individual.

If you seek a place where independence is honored and care is delivered with genuine warmth, Echoview Assisted Living eagerly awaits. Echoview goes beyond standard care, customizing its services, including meal preparation, hygiene, cleaning, supervision, and engaging activities, to ensure the comfort and well-being of each resident. Companionship is at the heart of their approach, cultivating trusted relationships that contribute to the overall sense of belonging.

Contact Echoview Assisted Living, LLC

Overview of Mt Gems – Ruby House

Mt Gems – Ruby House is an assisted living home in Great Falls, Montana, located on 2nd Avenue South about half a mile from the city center. It is a small, single-story residence with 19 beds, a scale that many families find calmer and more personal than a large multi-level community. The single-story layout also means no stairs or elevators to navigate, which can matter a great deal for residents with limited mobility. Housing here is offered in private rooms, giving each resident their own space and a measure of privacy within a close-knit setting.

The home has been in operation for three years, and its size lends itself to a familiar daily rhythm where staff and residents come to know one another well. Transportation services help residents keep up with errands, appointments, and outings beyond the home, while fitness and recreation options give structure to the day and encourage residents to stay active. For families weighing a smaller home against a larger community, that combination of individualized attention and support with getting around is often a deciding factor.

Its location scores 85 out of 100 for walkability, meaning most everyday errands can be handled on foot and many essentials sit within a short walk. That kind of central, walkable setting makes visiting easier for nearby family and gives residents and guests a neighborhood they can move through comfortably. Being close to the heart of Great Falls also keeps the home convenient to the shops, services, and appointments that come up in ordinary life.

Contact MT Gems – Ruby House

Overview of St. John‘s United – the Vista

Located at 3840 Rimrock Rd, St. John’s United – The Vista is an assisted living and nursing care community in Billings’ Rimrock neighborhood. It opened recently, marking its first year in operation. It’s a single-storey community with 104 beds and offers a full care continuum: independent living, assisted living, nursing care, and memory care services in one place.

To support residents’ health and daily living, St. John’s United – The Vista is staffed with 24-hour licensed nurses and offers several on-site services. These include lab clinics, wellness centers, an on-site pharmacy, and rehabilitation services. A 24-hour portable emergency call system supplies additional peace of mind for occupants and families. Practical services like courtesy transportation, housekeeping, and laundry help lessen daily burdens, while recreational activities and fitness programs bolster residents’ wellness. The assisted living apartments are found on the ground level for easy access. Residents’ daily meals are provided. The Rimrock location scores 7 on the Walk Score scale, meaning most errands require a car in this car-dependent area. Serving as the administrator is Karna Rhodes.

The Montana Department of Public Health and Human Services’ state inspections have been performed on file.

Families may want to contact St. John’s United – The Vista directly for more data regarding specific programming, room options, dining preferences, and current availability.

Contact St. John‘s United – The Vista

Overview of High Country Care

High Country Care stands is a dedicated assisted living community nestled in Bozeman, Montana. With a sincere commitment to providing exceptional care and services within a welcoming, homely environment, this community caters to the needs of its residents with utmost respect and care. At High Country Care, a distinctive dining experience awaits in the cozy ambiance of the dining area. They take pride in their personalized approach to meals, offering custom menus that delight residents with delicious, home-cooked dishes tailored to their specific dietary requirements.

Their professional team, widely regarded as some of the finest in Bozeman, is readily available to assist with a spectrum of needs. From aiding with medical reminders to crafting tailored engaging programs and exercises, their support enriches the lives of residents. The community offers generously spacious and well-lit apartments that ensure every senior resident finds comfort and familiarity. Designed with thoughtful consideration, the apartments feature windows that flood the space with natural light and safety measures to reassure family members. High Country Care is a haven where the well-being of each resident is a priority, fostering a sense of belonging and care that resonates throughout the community. 

Contact High Country Care

Overview of Meadowlark Assisted Living

Set in the tranquil area in Great Falls, MT, Meadowlark Assisted Living is a compassionate senior living community, offering excellent assisted living services. The community ensures residents lead an active and enriching life while receiving the support and care they need to thrive from a team of caregivers who truly care for their residents. Featuring 20 well-designed units, the community guarantees residents a comfortable living environment that they can freely decorate and furnish as they wish.

Centrally located in the downtown area, the community offers easy access to great shopping centers and other local amenities for a vibrant and convenient lifestyle. Residents enjoy delicious and carefully prepared meals by a hardworking team of excellent chefs, ensuring an enjoyable dining experience. Here, residents are guaranteed a safe and secure environment that allows them to flourish and thrive.

Contact Meadowlark Assisted Living

Overview of Renaissance Senior Care

Renaissance Senior Living is an assisted living and memory care community designed with signature programs to make its residents feel young and vibrant with the environment’s energy. The assisted living home aims to inspire the quality of life for seniors by maintaining a well-balanced holistic wellness. Renaissance understands that individuals are unique and have their own needs, so they provide innovative ways to attend to their residents as soon as possible.

Their all-inclusive community features include daily delicious and nutritious meals, weekly housekeeping and laundry, concierge services, and engaging activities provided.

Contact Renaissance Senior Care

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 88 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.