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:

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-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. 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.
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
-1Lorilee 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
Renaissance Senior Care
AL
ADC
MC
Great Falls
11
Facility 11
MT AVG 61
Rank #63 / 66
Yes
55
Facility 55
MT AVG 40
Rank #28 / 85
-
1
Facility 1
MT AVG 7
Rank #39 / 59
Brittney Rogers4
2
Facility 2
MT AVG 3
Rank #38 / 62
4
Facility 4
MT AVG 3.5
Rank #37 / 62
9
Facility 9
MT AVG 21
Rank #26 / 51
2.3
Facility 2.3
MT AVG 4.2
Rank #21 / 51
Meadowlark Assisted Living
AL
MC
RC
Great Falls
24
Facility 24
MT AVG 61
Rank #48 / 66
Yes
83
Facility 83
MT AVG 40
Rank #9 / 85
-
2
Facility 2
MT AVG 7
Rank #24 / 59
-4
3
Facility 3
MT AVG 3
Rank #43 / 62
4
Facility 4
MT AVG 3.5
Rank #37 / 62
7
Facility 7
MT AVG 21
Rank #23 / 51
1.8
Facility 1.8
MT AVG 4.2
Rank #11 / 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
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
--
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
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
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
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
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
--

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 Caslen Living Centers Inc – Livingston

Caslen Living Centers, Livingston, in Livingston, MT, holds an assisted living license. Assisted living here is the help a resident needs with their daily tasks. Thirty beds make up the community.

Dining is on the amenity list, and there is a courtyard for spending time outside. An 89 for walking is high enough that most errands here can be done on foot, car or no car.

Lorilee Huttinger administers the community. The fit is for somebody who needs help with bathing, dressing, and medication, and would rather have it in a small setting.

Contact Caslen Living Centers Inc – Livingston

Overview of Renaissance Senior Care

Renaissance Senior Care provides assisted living, adult day care, and memory care in Great Falls, MT. Assisted living includes help with daily tasks such as bathing, dressing, and medication management, while memory care provides a secured setting with supervision for someone at risk of wandering. Adult day care offers daytime care and programming without requiring a residential stay, so the combination may suit a family seeking support that can adjust as needs change.

With 11 beds, Renaissance Senior Care is a smaller community where staff and residents can get to know each other. Private and semi-private rooms are available, giving a resident the choice of having a room alone or sharing with a companion. The community opened in 2004, and Brittney Rogers serves as the administrator.

Fenced outdoor areas include gardens, patios, and walking paths. Residents have a defined place to spend time outdoors. Pets are allowed, so a resident with a pet may be able to keep that companion at the community. The area has a Walk Score of 55 and is somewhat walkable, meaning some errands can be done on foot and a resident who no longer drives may be able to reach nearby destinations independently. Daily activities programs, supervised social events, short term stays, and respite care are available. Respite care can suit a family caregiver who needs to travel or recover.

Contact Renaissance Senior 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 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

Masonic Home of Montana in Helena’s Helena Valley Northeast neighborhood supplies assisted living services. Residents receive personal support with daily routines like bathing, dressing, and managing medication while maintaining private living spaces.

Administrator Connie Klotz oversees the 40-bed community. Maintaining a smaller bed capacity fosters a close-knit environment among residents and staff members, while an active Outreach Program provides additional community engagement. Household pets are also welcome on campus.

Prospective representatives seeking personalized assisted living in the Helena area can connect with Masonic Home of Montana to gather details or arrange a tour.

Contact Masonic Home of Montana

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 Logan Health Assisted Living – Shelby

Logan Health Assisted Living, Shelby, works out of Shelby, MT, with assisted living as its licensed care type. Assisted living picks up dressing, bathing, and medication, and leaves the rest of a resident’s day alone. Forty beds here puts the community at the small end, fit for someone wanting this much support in a small setting.

Short stays are covered by respite care, and a caregiver planning a trip or needing a rest period or time to recover is who takes one up. The accepted payment runs to Medicaid; useful where savings will not reach the end of a stay. Lisa Leck is the administrator.

A courtyard and a patio are both among the amenities, so being outdoors can be done without exiting the community. A 56 Walk Score means a resident can get some things done on foot, but not everything.

Contact Logan Health Assisted Living – Shelby

Overview of Golden Options Care

Golden Options Care in Montana City, MT, works in home care and assisted living. Adult day care and respite care round out what it does.

Home care brings support into a person’s own home. Assisted living reverses that, and the person moves in for help with dressing, bathing, and taking their medication. Days spent at the adult day program end at home each night. And respite means a short stay, and for some families it’s the first they try before deciding on anything longer.

Adult day services and respite care appear as programs as well. With 15 beds, Golden Options Care is a small home where staff and residents can grow familiar with one another. A resident may bring a pet with them.

The home suits someone who wants a small community and a mix of residential, daytime, in-home, or short-term help. Roma Gleed is the administrator.

Contact Golden Options Care

Overview of The Legacy in the Heights

The Legacy in the Heights offers assisted living in Billings, Montana’s Heights neighborhood. Assisted living includes help with daily tasks, including medication management, while residents live in a residential setting. With 40 beds, the community is smaller in scale and may suit someone who prefers a setting where staff and residents can get to know one another. It is a smaller home.

Residents can use the exercise room, salon and wellness program, while personalized care plans organize support around individual needs. Pets are allowed, so a resident may be able to continue living with a pet after moving in. Claire Banderob serves as the administrator. A Walk Score of 57 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may still be able to complete certain nearby errands independently.

Contact The Legacy in the Heights

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