Page 5 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. 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.
Missoula Health and Rehabilitation Center
AL
MC
NH
RC
SNF
Missoula (Upper Rattlesnake)
49
Facility 49
MT AVG 61
Rank #33 / 66
No
13
Facility 13
MT AVG 40
Rank #66 / 85
-
17
Facility 17
MT AVG 7
Rank #10 / 59
Rebecca Davis3
1
Facility 1
MT AVG 3
Rank #29 / 62
3
Facility 3
MT AVG 3.5
Rank #32 / 62
37
Facility 37
MT AVG 21
Rank #47 / 51
12.3
Facility 12.3
MT AVG 4.2
Rank #51 / 51
Home Park Assisted Living
AL
Sheridan
14
Facility 14
MT AVG 61
Rank #61 / 66
No
16
Facility 16
MT AVG 40
Rank #62 / 85
Private Rooms-Jason George4
0
Facility 0
MT AVG 3
Rank #1 / 62
4
Facility 4
MT AVG 3.5
Rank #37 / 62
16
Facility 16
MT AVG 21
Rank #34 / 51
4.0
Facility 4.0
MT AVG 4.2
Rank #40 / 51
The Legacy in the Heights
AL
Billings (Heights)
40
Facility 40
MT AVG 61
Rank #37 / 66
Yes
57
Facility 57
MT AVG 40
Rank #24 / 85
Suite
1
Facility 1
MT AVG 7
Rank #39 / 59
Claire Banderob2
1
Facility 1
MT AVG 3
Rank #29 / 62
0
Facility 0
MT AVG 3.5
Rank #1 / 62
--
Logan Health Assisted Living – Shelby
AL
Shelby
40
Facility 40
MT AVG 61
Rank #37 / 66
No
56
Facility 56
MT AVG 40
Rank #27 / 85
--Lisa Leck1
0
Facility 0
MT AVG 3
Rank #1 / 62
1
Facility 1
MT AVG 3.5
Rank #12 / 62
4
Facility 4
MT AVG 21
Rank #17 / 51
4.0
Facility 4.0
MT AVG 4.2
Rank #40 / 51
At Home Assisted Living
AL
IL
MC
Missoula
20
Facility 20
MT AVG 61
Rank #52 / 66
No
4
Facility 4
MT AVG 40
Rank #81 / 85
Studio / 1 Bed / 2 Bed
21
Facility 21
MT AVG 7
Rank #5 / 59
Dorothy Cantrell20
21
Facility 21
MT AVG 3
Rank #62 / 62
20
Facility 20
MT AVG 3.5
Rank #62 / 62
166
Facility 166
MT AVG 21
Rank #51 / 51
8.3
Facility 8.3
MT AVG 4.2
Rank #48 / 51
High Country Care
AL
Bozeman (Eastedge Meadows)
7
Facility 7
MT AVG 61
Rank #66 / 66
Yes
6
Facility 6
MT AVG 40
Rank #78 / 85
-
1
Facility 1
MT AVG 7
Rank #39 / 59
Dana Archer4
0
Facility 0
MT AVG 3
Rank #1 / 62
4
Facility 4
MT AVG 3.5
Rank #37 / 62
11
Facility 11
MT AVG 21
Rank #28 / 51
2.8
Facility 2.8
MT AVG 4.2
Rank #24 / 51
Masonic Home of Montana
AL
Helena (Helena Valley Northeast)
40
Facility 40
MT AVG 61
Rank #37 / 66
Yes--
1
Facility 1
MT AVG 7
Rank #39 / 59
Connie Klotz1
3
Facility 3
MT AVG 3
Rank #43 / 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
Caslen Living Centers Inc – Livingston
AL
Livingston
30
Facility 30
MT AVG 61
Rank #46 / 66
No
89
Facility 89
MT AVG 40
Rank #4 / 85
--Lorilee Huttinger3
1
Facility 1
MT AVG 3
Rank #29 / 62
3
Facility 3
MT AVG 3.5
Rank #32 / 62
11
Facility 11
MT AVG 21
Rank #28 / 51
3.7
Facility 3.7
MT AVG 4.2
Rank #38 / 51
MT Gems – Ruby House
AL
MC
Great Falls
19
Facility 19
MT AVG 61
Rank #53 / 66
No
85
Facility 85
MT AVG 40
Rank #6 / 85
Private Rooms
3
Facility 3
MT AVG 7
Rank #17 / 59
Robin Fleek3
0
Facility 0
MT AVG 3
Rank #1 / 62
1
Facility 1
MT AVG 3.5
Rank #12 / 62
--
Golden Options Care
AL
ADC
HC
RC
Montana City
15
Facility 15
MT AVG 61
Rank #57 / 66
Yes
12
Facility 12
MT AVG 40
Rank #67 / 85
-
2
Facility 2
MT AVG 7
Rank #24 / 59
Roma Gleed3
0
Facility 0
MT AVG 3
Rank #1 / 62
3
Facility 3
MT AVG 3.5
Rank #32 / 62
23
Facility 23
MT AVG 21
Rank #40 / 51
7.7
Facility 7.7
MT AVG 4.2
Rank #47 / 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 Missoula Health and Rehabilitation Center

Missoula Health and Rehabilitation Center has been part of its Rattlesnake Dr neighborhood for 17 years now, a 49-bed nursing home tucked into a stretch of Missoula where you pretty much need a car to get anywhere. Right now it’s running at 80 percent occupancy, and the average resident stays close to six months, 179 days to be exact.

The clinical side of things centers on rehabilitation. Residents have access to rehabilitation services, respite care, and short-term rehab, the kind of support that matters whether someone’s recovering from a hip replacement or settling in for longer-term nursing care. Nursing staff put in an average of 4 hours and 15 minutes of total nursing care per resident each day, which gives a sense of how much hands-on attention is built into the daily rhythm here. A wellness program rounds out the picture.

Coverage-wise, the facility takes Medicare, Medicaid, and private pay, so families have options no matter where they are in figuring out how to fund care. Rebecca Davis administers the facility, and Karrie Holt holds the Executive Director role.

Montana’s Department of Public Health and Human Services, Quality Assurance Division, handles inspections statewide, and here those inspections have tended to circle back to medication management, infection control, and food service rather than anything tied to direct hands-on resident care.

Put together, this is a smaller nursing home built around rehabilitation and sustained nursing support, the kind of place suited to someone who needs real clinical attention day to day, not just a place to land.

Contact Missoula Health and Rehabilitation Center

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 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 Masonic Home of Montana

With an enduring commitment spanning over a century, the Masonic Home of Montana is a well-established assisted living community with deep-rooted connections. Nestled in Helena, Montana, this community thrives on meaningful interactions and genuine bonds among residents, staff, volunteers, families, and friends.

With unwavering dedication and specialized training, the staff offers dignified personal care, fostering independence. Experience the warmth of The Masonic Home of Montana, where tradition and compassionate care intertwine to create a welcoming haven for seniors seeking a nurturing and fulfilling lifestyle.

Contact Masonic Home of Montana

Overview of Home Park Assisted Living

Nestled in the heart of Sheridan, MT, Home Park Assisted Living is a vibrant community where residents thrive amid majestic views and abundant outdoor activities. Committed to compassionate care, it fosters an environment where residents and staff form lasting relationships akin to an extended family. Every aspect is guided by values of safety, fun, and love, ensuring elders feel genuinely at home.

Home Park offers top-tier assisted living amenities, including 10 private rooms with picturesque views and multiple payment options, reflecting a dedication to inclusive care. From 24-hour staffing to tailored meal plans, residents benefit from a range of services to enhance their quality of life. Additionally, scenic walking paths and inviting outdoor spaces allow residents to enjoy the tranquility of nature while feeling supported and independent.

Contact Home Park Assisted Living

Overview of Logan Health Assisted Living – Shelby

Logan Health Assisted Living – Shelby is a 40-bed assisted living community at 111 2nd Street in Shelby, Montana, part of Toole County. The building offers 38 state-licensed apartments in a moderately walkable neighborhood, with a Walk Score of 56 that allows some errands to be handled on foot. Lisa Leck serves as administrator.

Residents have access to 24-hour staffing from licensed nurses and certified nursing assistants. Respite care is available for families with loved ones coming from the hospital who need assistance for short-term coverage during their immediate recovery. Social and recreational programs run on a regular schedule, and the community participates in a foundation and a community health needs assessment initiative.

The building includes an exercise room, a library, and a sunroom, along with a landscaped courtyard for residents who want time outdoors. Logan Health Assisted Living – Shelby accepts Medicaid, though not Medicare, which shapes the coverage picture for families weighing long-term costs.

State inspections at this community have centered on environmental and hazardous-materials safety along with care planning and documentation, areas that affect care, so regulators examine them. The setting suits older adults in the Shelby area who want licensed nursing support close to home along with respite options for family caregivers.

Contact Logan Health Assisted Living – Shelby

Overview of At Home Assisted Living

At Home Assisted Living provides assisted living, independent living, and memory care in Missoula, MT. Assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident keeps a private living space; independent living provides private living with community services and no daily care; memory care offers a secured setting with supervision for someone at risk of wandering.

The community has 20 beds, making it a smaller setting where staff and residents can get to know each other. Its range of care levels may suit a resident whose needs grow over time, because moving to another level can happen without leaving the community or starting over socially. Dorothy Cantrell serves as the administrator.

Contact At Home Assisted Living

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 Caslen Living Centers Inc – Livingston

Caslen Living Centers Inc – Livingston is a 30-bed assisted living community at 1301 Wineglass Lane in Livingston, Montana. The facility sits in a very walkable part of Park County, with a Walk Score of 89 that puts most daily errands within reach on foot. Lorilee Huttinger administers the community.

Residents have access to licensed nurses and certified nursing assistants along with around-the-clock staffing. The building includes a courtyard, and residents can take advantage of on-site dining and organized transportation. A volunteer program adds another layer of activity, and housekeeping support is part of daily life at the community.

State inspections in Montana are carried out by the Department of Public Health and Human Services, Quality Assurance Division. Reviews of the community have tended to center on medication management, documentation of care plans, environmental safety, and dietary service rather than direct resident care.

Caslen Living Centers Inc – Livingston suits older adults looking for a small, walkable assisted living community with licensed nursing support and daily staffing close to downtown Livingston.

Contact Caslen Living Centers Inc – Livingston

Overview of Bozeman Lodge

Bozeman Lodge Independent and Assisted Living is situated in the stunning Gallatin Valley. This assisted living community is surrounded by the beauty of Montana’s majestic views, Bozeman Lodge stands as an exceptional option for seniors looking for the ideal lifestyle during their golden years.
Bozeman Lodge is a community that holds a firm belief that life should be filled with enrichment. The core of their mission revolves around establishing and maintaining nurturing and cozy surroundings for those in their care. Bozeman Lodge is committed to offering activities that add joy to life, dependable, polite service, and delectable cuisine as part of its unwavering approach. Embrace a life of fulfillment and contentment at Bozeman Lodge, where each day is an opportunity to thrive.

Contact Bozeman Lodge

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