Page 7 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. 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. 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.
The Ivy at Great Falls
AL
IL
MC
NH
Great Falls
278
Facility 278
MT AVG 61
Rank #1 / 66
No
43
Facility 43
MT AVG 40
Rank #39 / 85
-----
The Auberge at Missoula Valley
AL
IL
Missoula (North Reserve)
120
Facility 120
MT AVG 61
Rank #6 / 66
Yes
48
Facility 48
MT AVG 40
Rank #36 / 85
Studio / 1 Bed / 2 Bed
7
Facility 7
MT AVG 7
Rank #16 / 59
A+Jo-Ann Marchica-
Prairie Ridge Village
AL
S Glasgow
46
Facility 46
MT AVG 61
Rank #35 / 66
No
68
Facility 68
MT AVG 40
Rank #16 / 85
-
1
Facility 1
MT AVG 7
Rank #39 / 59
-Amber Swindler5
The Villa at Valle Vista Rehabilitation LLC
AL
HOS
RC
Lewistown
35
Facility 35
MT AVG 61
Rank #43 / 66
No
79
Facility 79
MT AVG 40
Rank #11 / 85
-
1
Facility 1
MT AVG 7
Rank #39 / 59
-Wendy Anderson2
BeeHive Homes of Helena
AL
IL
MC
RC
Helena
17
Facility 17
MT AVG 61
Rank #54 / 66
Yes
15
Facility 15
MT AVG 40
Rank #63 / 85
-
1
Facility 1
MT AVG 7
Rank #39 / 59
-Jamie Hopkins4
Big Sky Senior Living
AL
IL
MC
Butte
95
Facility 95
MT AVG 61
Rank #16 / 66
Yes--
2
Facility 2
MT AVG 7
Rank #24 / 59
-Jake Kelly6
Primrose Personal Care Home
AL
MC
Billings (Heights)
-No
25
Facility 25
MT AVG 40
Rank #54 / 85
Studio / 1 Bed
15
Facility 15
MT AVG 7
Rank #11 / 59
A+--
Sweetwater Assisted Living
AL
IL
MC
RC
Billings (West End)
-Yes
27
Facility 27
MT AVG 40
Rank #50 / 85
Studio / 1 Bed / 2 Bed-A+--
Pathways Assisted Living
AL
Three Forks
-No
54
Facility 54
MT AVG 40
Rank #29 / 85
Private Rooms / Semi-Private Rooms--Evan Hyatt-
Highgate Senior Living – Bozeman
AL
IL
MC
Bozeman
-Yes
66
Facility 66
MT AVG 40
Rank #17 / 85
-
21
Facility 21
MT AVG 7
Rank #5 / 59
---

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 BeeHive Homes of Helena

Discover a delightful haven for seniors at Beehive Homes. Located in Helena, Montana, this advanced assisted living community lets older adults relish their golden years. In this community, skilled nurses provide various services, including residential living, memory care, hospice, and respite care.

This nurturing environment of BeeHive Homes ensures seniors’ safety and enrichment. With their wealthy background, the compassionate caregivers of Beehive Homes deliver tailor-made assistance for aging family members. Explore Beehive Homes and witness the dedication to creating a warm and welcoming community where seniors thrive.

Contact BeeHive Homes of Helena

Overview of Prairie Ridge Village

Prairie Ridge Village is an assisted living community in Glasgow, MT. Assisted living provides help with daily tasks such as dressing, bathing, and medication while allowing a resident to maintain an apartment. With 46 beds, the community may be a good fit for someone who prefers a smaller setting.

Residents can choose among apartments with one bed or two beds and studio apartments. Accessible studio apartments and accessible design features are available for residents who need an accessible layout. Restaurant style meals are served in a centrally located dining room, while the on site beauty salon and landscaped lawn and courtyard offer places for personal care and time outdoors.

A Walk Score of 68 means the area is somewhat walkable, with some errands possible on foot for a resident who no longer drives. Free access to Valley Transit during normal bus hours provides another transportation option. Amber Swindler serves as the administrator.

Contact Prairie Ridge Village

Overview of The Villa at Valle Vista Rehabilitation

The Villa at Valle Vista Rehabilitation offers assisted living, hospice care, and respite care in Lewistown, MT. Assisted living provides help with daily tasks while a resident maintains a living space. Hospice care supports residents receiving end of life care, and respite care provides a short term stay when a usual caregiver needs temporary support. These services suit residents who need daily assistance, hospice support, or a brief change in care arrangements.

The community has 35 beds, creating a smaller setting where residents and staff can become familiar with one another. Room options include studios, Studio Deluxe units, small one bedroom units, one bedroom units, and two combined studios. The combined studio layout can suit two people moving together. Rehabilitation services are available, and a beauty shop gives residents access to salon services within the community.

Meals are prepared in a professional kitchen, with menus developed to meet medical needs and alternate choices for residents who require different selections. A Walk Score of 79 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. Wendy Anderson serves as the administrator.

Contact The Villa at Valle Vista Rehabilitation LLC

Overview of The Auberge at Missoula Valley

The Auberge at Missoula Valley offers assisted living and independent living in Missoula, MT. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps a private living space; independent living provides private living without daily care. Both care levels can suit a resident whose needs may grow over time, allowing a move between care levels without leaving the community.

The community has 120 beds and offers studio, one-bedroom, and two-bedroom residences. A studio provides a single private space, while a two-bedroom layout can suit a couple moving together or someone who wants a companion.

A Walk Score of 48 places the area in a car-dependent setting, so most errands require a car or a ride. Pets are allowed, which lets a resident move in with a pet. Jo-Ann Marchica serves as the administrator.

Contact The Auberge at Missoula Valley

Overview of Big Sky Senior Living

Jake Kelly manages Big Sky Senior Living, which is a 95-bed home located on Elizabeth Warren Avenue in Butte, Montana. Since the building opened two years ago, it has offered three different types of care—independent living, assisted living, and memory care—all under one roof. While nurses and trained assistants help everyone in the building, those who live in the memory care section have staff available to help them at all hours.

Because the neighborhood is not set up for walking, you will need a car to run errands or go out, which is typical for this part of Butte. Even though the location is not very walkable, residents and their families can feel secure knowing that St. James Healthcare and Butte Community Hospital are close by if they ever need urgent medical help.

The community allows pets, which is a meaningful detail for people who do not want to leave their longtime animal friends behind during such a big life change. Since the minimum age to move in is 55, the community is built specifically for older adults.

One major benefit is that a person can transition from independent living to assisted living or memory care without having to move to a new building. Because this facility is relatively new and has a dedicated team, it is a great choice for families who are planning for a long-term home rather than a place for just a short stay.

Contact Big Sky Senior Living

Overview of Primrose Personal Care Home

Primrose Personal Care Home is an assisted living and memory care community in Billings, Montana, located on Maurine Street about 4.5 miles from the city center. The home has been serving the Billings area for 15 years, giving it a settled operating history in the community. It is led by principal Hunter Johnson.

The community is a single-story building, a layout many families appreciate because it keeps living spaces on one level and avoids stairs and elevators for residents with mobility concerns. Housing comes in studio and one-bedroom options, so residents can choose between a compact, easy-to-manage space or a little more room. The single-level design also tends to make the setting feel more residential and navigable than a larger multi-story community.

Because Primrose offers both assisted living and memory care, it can support residents who need help with everyday tasks as well as those living with Alzheimer’s or other forms of dementia. That combination can matter to families planning ahead, since a resident whose care needs change over time may be able to remain in a familiar setting. Day-to-day life is supported by transportation services and fitness and recreation programming, which help residents stay connected to the wider Billings area and active within the community.

The neighborhood scores 25 out of 100 for walkability, so a few errands may be reachable on foot while most outings will involve a short drive. For visiting family, the location off Maurine Street is an easy stop within Billings.

Contact Primrose Personal Care Home

Overview of Highgate Senior Living – Bozeman

All in the picturesque Southwest Montana, Highgate Senior Living extends a warm invitation to explore their living options, including Independent Living, Assisted Living, and Memory Care services. This charming assisted living community boasts a homelike ambiance and provides remarkable vistas of the Bridger and Madison mountains.

Highgate Senior Living residents fondly reside in one of the most culturally rich small towns in the Rocky Mountain West, situated just north of the renowned Yellowstone National Park. Situated a stone’s throw away from shopping, banking, and grocery stores, residents revel in the convenience of their surroundings—experience firsthand the welcoming environment of Highgate Senior Living in Bozeman.

Contact Highgate Senior Living – Bozeman

Overview of Pathways Assisted Living

Pathways Assisted Living provides assisted living in Three Forks, MT. Residents receive help with daily tasks such as bathing, dressing, and medication while living in a residential room.

Housing includes private rooms and rooms shared with a companion, giving a resident the choice of living alone or sharing. Pathways Assisted Living may be a good fit for someone who needs daily assistance and wants one of these two room arrangements. The community opened in 1978, and a doctor is on staff. A Walk Score of 54 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 some outings independently.

Contact Pathways Assisted Living

Overview of The Ivy at Great Falls

The Ivy at Great Falls sits at 1130 17th Ave S in Great Falls, Montana, and it’s a big place. With 278 beds, it’s built to handle a lot of different people at once: someone recovering from surgery who just needs a few weeks of rehab, and someone who’s going to call this place home for a long while.

The average resident stays about 152 days, somewhere between a short rehab stint and a long-term placement. Right now the facility is running at 39% occupancy, so there’s real room here. If your family is trying to move fast, that matters; since you’re not going to end up on a waiting on a waitlist.

Getting around the neighborhood on foot is doable but limited. The Walk Score sits at 43 out of 100, somewhat walkable, so you might reach a handful of nearby spots without a car, but plan on driving for most errands or visits.

Money-wise, The Ivy works with Medicare, Medicaid, and private pay, so there’s flexibility depending on your situation. Medicaid covers the largest share of new residents, 37%, and those stays tend to run long, averaging 10 to 11 months. That tells you something real: this is a place built around steady, ongoing nursing care for people settling in for a while, not just a quick stop on the way somewhere else.

Contact The Ivy at Great Falls

Overview of Sweetwater Assisted Living

Sweetwater Assisted Living, also known as Sweetwater Retirement Community, is a senior living community in Billings, Montana, located on Sweet Water Drive about four and a half miles from the city center. It offers a full range of care under one roof, including independent living, assisted living, memory care, and respite care, which gives families the option to stay in one familiar place as needs change over time. The community is led by director Jeannette Ivan.

Housing is set in a two-story building with studio, one-bedroom, and two-bedroom layouts, and room sizes range from roughly 497 to just over 1,000 square feet. For residents who want more space and privacy, Sweetwater also offers townhome villas. Pets are welcome, which can matter a great deal to residents bringing a companion animal along.

Daily life is supported by a movie theater, a library and computer room, a wellness center, a chapel, and an on-site salon. Practical services round out the setting, with scheduled transportation for appointments and outings, weekly housekeeping, and emergency response systems in place for added peace of mind. Fitness and recreation programming give residents regular ways to stay active and connected.

The surrounding neighborhood has a Walk Score of 27, so a few errands may be reachable on foot while most trips will involve transportation, which the community helps arrange. Families weighing Sweetwater may want to tour the villa and apartment options in person to see which layout best fits their loved one.

Contact Sweetwater Assisted Living

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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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