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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
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 TableAL (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.
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
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.
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.
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.
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.
Big Sky Senior Living offers assisted living, independent living, and memory care in Butte, MT. Assisted living includes help with daily tasks such as dressing, bathing, and medication while the resident keeps a private living space; Independent living offers private living with community services and no daily care; and memory care provides a secured setting with supervision for someone at risk of wandering.
Three care levels are available here. That may suit a resident whose needs grow over time, since moving between them does not require leaving the community. Chef prepared meals are provided, and transportation can be arranged through the community for residents who need a ride. Pets are allowed, so residents can bring a pet to live with them. The community has 95 beds and is administered by Jake Kelly.
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.
Highgate Senior Living, Bozeman offers assisted living, independent living, and memory care in Bozeman, MT. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident keeps an apartment. Independent living provides private living with community services and no daily care, while memory care offers a secured setting with supervision for someone at risk of wandering. Having these care levels in one community may suit a resident whose needs grow over time without requiring a move to a different community.
The starting price is $4,995 per month, giving families a baseline monthly figure when planning for a move. Respite care supports a short stay when a resident’s usual caregiver needs time to travel or recover. Pets are allowed, so a resident can bring a pet when moving in.
The Life Enhancement Program includes movement, learning, social connections, giving back, and nurturing the spirit. Residents have structured ways to exercise, learn, connect, and contribute. Current event discussions, music, movies, games, movement classes, and outings to local shops and events provide specific activities to join. A salon and spa, landscaped gardens, and a courtyard add on-site options for personal care and outdoor time.
A Walk Score of 66 means the area is somewhat walkable, with some errands possible on foot. A resident who no longer drives may be able to complete certain errands independently. Limited transportation is available, and community outings include local shops and events.
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.
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.
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.
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials. Rank badges compare each community against other assisted living communities in the same state — never against a different care type.
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 rankingsCommunities 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
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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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
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