Other senior care options in Montana:

Best Assisted Living in Montana

Why trust this guide? Our editorial team analyzed 100 assisted living communities in Montana using Montana Dept. of Public Health and Human Services (DPHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MT
Reviewed by
Last updated
Jul 2026
We analyzed
100 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: 43/ 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

The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.

The Springs at Missoula
AL
IL
MC
Missoula (North Reserve)
74
Facility 74
MT AVG 70
Rank #43 / 106
No
41
Facility 41
MT AVG 43
Rank #83 / 159
1 Bed / 2 Bed
29
Facility 29
MT AVG 7
Rank #5 / 89
Jennifer Talkington4
0
Facility 0
MT AVG 2.7
Rank #1 / 82
0
Facility 0
MT AVG 3.7
Rank #1 / 82
0
Facility 0
MT AVG 21
Rank #1 / 82
0.0
Facility 0.0
MT AVG 4.2
Rank #1 / 82
The Auberge at Missoula Valley
AL
IL
MC
Missoula (North Reserve)
120
Facility 120
MT AVG 70
Rank #12 / 106
Yes
48
Facility 48
MT AVG 43
Rank #72 / 159
Studio / 1 Bed / 2 Bed
7
Facility 7
MT AVG 7
Rank #25 / 89
Jo-Ann Marchica-----
MT Gems – Ruby House
AL
MC
Great Falls (Downtown)
19
Facility 19
MT AVG 70
Rank #92 / 106
No
85
Facility 85
MT AVG 43
Rank #8 / 159
Private Rooms
3
Facility 3
MT AVG 7
Rank #27 / 89
Robin Fleek3
0
Facility 0
MT AVG 2.7
Rank #1 / 82
1
Facility 1
MT AVG 3.7
Rank #16 / 82
0
Facility 0
MT AVG 21
Rank #1 / 82
0.0
Facility 0.0
MT AVG 4.2
Rank #1 / 82
St. John‘s United
AL
HC
HOS
IL
MC
NH
RC
SNF
Billings
104
Facility 104
MT AVG 70
Rank #21 / 106
No
6
Facility 6
MT AVG 43
Rank #144 / 159
Private Rooms
1
Facility 1
MT AVG 7
Rank #57 / 89
Karna Rhodes1
0
Facility 0
MT AVG 2.7
Rank #1 / 82
0
Facility 0
MT AVG 3.7
Rank #1 / 82
33
Facility 33
MT AVG 21
Rank #69 / 82
33.0
Facility 33.0
MT AVG 4.2
Rank #82 / 82
Touchmark on Saddle Drive – Helena
AL
IL
MC
Helena
82
Facility 82
MT AVG 70
Rank #40 / 106
Yes
8
Facility 8
MT AVG 43
Rank #140 / 159
Studio / 1 Bed / 2 Bed
2
Facility 2
MT AVG 7
Rank #33 / 89
Christina Milar6
1
Facility 1
MT AVG 2.7
Rank #34 / 82
1
Facility 1
MT AVG 3.7
Rank #16 / 82
0
Facility 0
MT AVG 21
Rank #1 / 82
0.0
Facility 0.0
MT AVG 4.2
Rank #1 / 82
The Legacy in the Heights
AL
Billings (Heights)
40
Facility 40
MT AVG 70
Rank #70 / 106
Yes
57
Facility 57
MT AVG 43
Rank #51 / 159
Suite
1
Facility 1
MT AVG 7
Rank #57 / 89
Claire Banderob2
1
Facility 1
MT AVG 2.7
Rank #34 / 82
0
Facility 0
MT AVG 3.7
Rank #1 / 82
0
Facility 0
MT AVG 21
Rank #1 / 82
0.0
Facility 0.0
MT AVG 4.2
Rank #1 / 82
Birchwood at Hillcrest
AL
RC
Bozeman (East Main)
47
Facility 47
MT AVG 70
Rank #66 / 106
Yes
10
Facility 10
MT AVG 43
Rank #137 / 159
Studio
2
Facility 2
MT AVG 7
Rank #33 / 89
,5
0
Facility 0
MT AVG 2.7
Rank #1 / 82
1
Facility 1
MT AVG 3.7
Rank #16 / 82
3
Facility 3
MT AVG 21
Rank #27 / 82
0.6
Facility 0.6
MT AVG 4.2
Rank #27 / 82
Your Home Away From Home Assisted Living
AL
RC
Billings (Heights)
8
Facility 8
MT AVG 70
Rank #104 / 106
No
15
Facility 15
MT AVG 43
Rank #126 / 159
Private / Semi-Private Rooms
1
Facility 1
MT AVG 7
Rank #57 / 89
Jessica Robinson3
0
Facility 0
MT AVG 2.7
Rank #1 / 82
1
Facility 1
MT AVG 3.7
Rank #16 / 82
1
Facility 1
MT AVG 21
Rank #16 / 82
0.3
Facility 0.3
MT AVG 4.2
Rank #18 / 82
The Springs at Bozeman
AL
Bozeman (Gallatin Center)
105
Facility 105
MT AVG 70
Rank #20 / 106
No
36
Facility 36
MT AVG 43
Rank #95 / 159
Studio / 1 Bed / 2 Bed
2
Facility 2
MT AVG 7
Rank #33 / 89
Kelly Flock5
2
Facility 2
MT AVG 2.7
Rank #43 / 82
1
Facility 1
MT AVG 3.7
Rank #16 / 82
2
Facility 2
MT AVG 21
Rank #21 / 82
0.4
Facility 0.4
MT AVG 4.2
Rank #21 / 82
River‘s Bend Assisted Living
AL
Malta
21
Facility 21
MT AVG 70
Rank #90 / 106
No
34
Facility 34
MT AVG 43
Rank #97 / 159
Private Rooms
1
Facility 1
MT AVG 7
Rank #57 / 89
Jason George2
0
Facility 0
MT AVG 2.7
Rank #1 / 82
1
Facility 1
MT AVG 3.7
Rank #16 / 82
1
Facility 1
MT AVG 21
Rank #16 / 82
0.5
Facility 0.5
MT AVG 4.2
Rank #24 / 82
Silver Springs Assisted Living
AL
Townsend
24
Facility 24
MT AVG 70
Rank #87 / 106
No
14
Facility 14
MT AVG 43
Rank #128 / 159
Private Rooms
3
Facility 3
MT AVG 7
Rank #33 / 89
Jason George6
0
Facility 0
MT AVG 2.7
Rank #1 / 82
4
Facility 4
MT AVG 3.7
Rank #45 / 82
8
Facility 8
MT AVG 21
Rank #39 / 82
1.3
Facility 1.3
MT AVG 4.2
Rank #40 / 82
Mission Ridge
AL
IL
Billings
70
Facility 70
MT AVG 70
Rank #47 / 106
Yes
9
Facility 9
MT AVG 43
Rank #139 / 159
1 Bed / 2 Bed
2
Facility 2
MT AVG 7
Rank #33 / 89
Mark Wagstaff5
0
Facility 0
MT AVG 2.7
Rank #1 / 82
2
Facility 2
MT AVG 3.7
Rank #34 / 82
8
Facility 8
MT AVG 21
Rank #39 / 82
1.6
Facility 1.6
MT AVG 4.2
Rank #49 / 82
Rosetta Assisted Living – Missoula
AL
Missoula (Westside)
17
Facility 17
MT AVG 70
Rank #93 / 106
No
53
Facility 53
MT AVG 43
Rank #62 / 159
Studio / 1 Bed / 2 Bed
2
Facility 2
MT AVG 7
Rank #33 / 89
Ashely Torbett5
3
Facility 3
MT AVG 2.7
Rank #49 / 82
1
Facility 1
MT AVG 3.7
Rank #16 / 82
3
Facility 3
MT AVG 21
Rank #27 / 82
0.6
Facility 0.6
MT AVG 4.2
Rank #27 / 82
Brookdale Springmeadows
AL
Bozeman (South Meadow)
85
Facility 85
MT AVG 70
Rank #37 / 106
Yes
8
Facility 8
MT AVG 43
Rank #140 / 159
Studio / 1 Bed
48
Facility 48
MT AVG 7
Rank #1 / 89
Crissy Freese9
4
Facility 4
MT AVG 2.7
Rank #60 / 82
6
Facility 6
MT AVG 3.7
Rank #63 / 82
20
Facility 20
MT AVG 21
Rank #55 / 82
2.2
Facility 2.2
MT AVG 4.2
Rank #54 / 82
The Springs at Butte
AL
IL
MC
Butte
65
Facility 65
MT AVG 70
Rank #54 / 106
Yes
19
Facility 19
MT AVG 43
Rank #119 / 159
Studio / 1 Bed / 2 Bed
2
Facility 2
MT AVG 7
Rank #33 / 89
Aimee Charon8
4
Facility 4
MT AVG 2.7
Rank #60 / 82
3
Facility 3
MT AVG 3.7
Rank #39 / 82
5
Facility 5
MT AVG 21
Rank #33 / 82
0.6
Facility 0.6
MT AVG 4.2
Rank #27 / 82
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Overview of Sweetwater Assisted Living

From its remarkable amenities to thoughtfully designed living spaces, every detail in Sweetwater Retirement Community has been carefully curated to offer an extraordinary retirement experience. This distinguished residence boasts a diverse range of options, including independent living and assisted living for seniors, ensuring that every individual finds their perfect home. Here, residents will find joy in even the simplest tasks and events, as the community transforms mundane moments into cherished experiences.

The home features a state-of-the-art movie theater, a library and computer room, a wellness center, a chapel, a salon, and so much more. Their safety is also paramount, with emergency response systems providing a sense of reassurance and security. They can also seamlessly navigate their surroundings with scheduled transportation services, while the attentive weekly housekeeping ensures a hassle-free lifestyle. Those yearning for independence and privacy will quickly see that Sweetwater’s townhome villas are the epitome of refined living. Beyond the exquisite amenities and captivating living spaces, it is the unique culture of this community that truly sets it apart. Here, a spirit of unity and belonging flourishes, forging lasting connections and creating a tapestry of shared experiences.

Contact Sweetwater Assisted Living

Overview of Caslen Living Centers Inc – Livingston

Caslen Living Centers Inc – Livingston is a 30-bed assisted living facility at 1301 Wineglass Lane, Livingston, Park County, Montana. The administrator is Lorilee Huttinger. The facility offers memory care and assisted living. It does not accept Medicaid or Medicare and does not offer 24-hour staffing, respite care, secured living, or rehabilitation services.

Livingston is located in Park County in south-central Montana. Livingston HealthCare is the primary nearby acute-care resource.

Three inspections from 2014 to 2025 document 11 total deficiencies, averaging 3.7 per year, 36 percent better than Montana average of 5.8. July 29, 2025, renewal identified 3 deficiencies: administrator’s personnel file missing signed job description and orientation documentation, Resident #3’s June MAR lacking follow-up on PRN naproxen effectiveness, and absence of recorded refrigerator and freezer temperature logs for June. June 9, 2016, renewal found 7 deficiencies: missing POLST at admission, 11 outdated medications for 4 residents in PRN drawer, 5 of 6 resident MARs lacked medication use reasons, Resident #9 service plan not reviewed within 60 days of admission, Resident #9 assessment and service plan not updated annually since April 2015, uncovered trash cans in laundry areas, and 7 exit doors fitted with deadbolt locks. March 11, 2014, complaint investigation documented 1 deficiency: resident insulin stored on same refrigerator shelf as food.

No fines or license suspensions documented. Pattern indicates recurring medication management and documentation issues spanning over a decade.

Medication management protocols and documentation procedures warrant direct review.

Families should ask administrators about specific corrective measures and current safeguards for medication storage, administration records, and refrigeration temperature monitoring before enrollment.

Contact Caslen Living Centers Inc – Livingston

Overview of Renaissance Senior Care

Renaissance Senior Living is an assisted living and memory care community in Dillon that encourages its residents to feel young and vibrant with the environment’s energy. The assisted living home near Lincoln 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.

Contact Renaissance Senior Care

Overview of The Chalet

Located at 2223 W Oak St in Bozeman, Gallatin County, Montana, The Chalet operates as a dual-licensed memory care and assisted living provider. Its single-story structure contains private and semi-private rooms. The neighborhood scores 74 on walkability; high enough that residents reach shopping, dining, and services on foot.

It sits 2.4 miles from central Bozeman. Bozeman Rheumatology is less than half a mile away.

Those seeking compliance details or performance metrics should contact the community or contact Montana’s state health department directly.

Residents at The Chalet access memory care for those navigating dementia or Alzheimer’s disease, or assisted living for independent adults needing medication management and activities-of-daily-living support. Staff coordinate transportation services to appointments and community outings. Fitness and recreational programming fills the activity schedule. Medicare and Medicaid do not currently cover stays at this facility.

The community serves older adults and families who prioritize memory care or assisted living in a residential setting within a highly walkable neighborhood, with convenient access to healthcare.

Contact The Chalet

Overview of St. John‘s United – WyndStone

Experience the captivating allure of WyndStone of St. John’s United, a senior home nestled amidst the breathtaking landscapes of Billings, Montana. It is where vibrant independent living, assisted living, and compassionate memory care seamlessly converge. This residence is the definition of high quality care, offering a haven of luxurious amenities and personalized services that redefine senior living. Within a secure and supportive environment, a dedicated team works tirelessly to create a sanctuary where confusion dissipates, memories are cherished, and patience is nurtured.

With weekly housekeeping and maintenance services, they can bid farewell to mundane chores and embrace the freedom to pursue their passions. The accessibility of garage access and ample storage space ensures that their personal belongings are always within reach, adding to the convenience and comfort of their living space. Residents can also immerse themselves in the soothing waters of the aquatic center or engage in invigorating workouts at the state-of-the-art fitness facility, where their physical and mental well-being are nurtured. The exquisite restaurant-style dining experience caters to their culinary desires, offering a diverse array of flavors and gourmet creations to satisfy even the most discerning palates.

Contact St. John‘s United – WyndStone

Overview of Elsies Assisted Living CORP.

Located within the charming surroundings of Belgrade, Montana, Elsies Assisted Living Corp. stands as a dedicated assisted living community. This assisted living community offers convenient access to an array of essential amenities, including retail shopping destinations, places of worship, healthcare facilities, and various local conveniences, all in a strategic location. Notably, Elsies Assisted Living Corp is a short distance from the Bozeman Deaconess Hospital, ensuring accessibility to crucial medical services.

The community’s location also boasts 11 drug stores within a one-mile radius, enhancing convenience for residents. Additionally, the proximity to several churches fosters a sense of spiritual connection and community engagement. In the heart of Belgrade, Elsies Assisted Living Corp offers a nurturing environment and a well-connected setting that contributes to a fulfilling and enriched lifestyle. 

Contact Elsies Assisted Living Corp.

Overview of Pathways Assisted Living

Nestled in the charming town of Three Forks, Pathways Assisted Living is a dedicated retirement facility catering to the needs of senior residents in Montana. This assisted living community offers essential services, including 11 thoughtfully designed senior apartments, assisted living options, specialized memory care, and senior living units.

The surrounding community boasts an impressive array of 13 churches, fostering a sense of spiritual connection and community engagement. Conveniently situated in proximity to healthcare facilities, retail shopping centers, and local places of worship, Pathways Assisted Living ensures that residents have easy access to vital amenities. With its strategic location and comprehensive services, Pathways Assisted Living provides a well-rounded and enriching environment for seniors to thrive in their golden years.

Contact Pathways Assisted Living

Overview of Bozeman Health Hillcrest Senior Living, Birchwood

Birchwood is the assisted-living part of Hillcrest Senior Living that offers assisted living. Adjacent to Aspen Pointe, this assisted living community offers cozy apartments and the right support. Bozeman Health Deaconess Hospital is only two minutes away, adding to the feeling of safety.

The Birchwood team is ready to assist in a kind and caring way and cares a lot about making life better for its residents. Caregivers, led by licensed nurses, are available, creating a peaceful place for residents, knowing they can get help quickly. They help with medicine, bathing, getting dressed, and moving around, always respecting each person’s needs.

Contact Bozeman Health Hillcrest Senior Living, Birchwood

Overview of Greenwood Assisted Living

Situated at 5 Greenwood Ave E in Butte, Montana, in a neighborhood with moderate walkability, is Greenwood Assisted Living. It offers private rooms for residents and provides meal preparation and snacks as part of daily living support.

Found in a residential area that scores 27 on the Walk Score, the home is in a setting where some errands can be handled on foot, yet most trips require transportation. This location suits residents and families wanting a calmer neighborhood environment over a busier commercial district. Private room accommodations with meals prepared on-site and snacks available all day are provided.

For families contemplating Greenwood Assisted Living, visiting in person is an efficient way to learn about the full range of services, daily activities, amenities, and how the home supports its residents. Touring allows you to see the private room options, meet the staff, and get a feel for the facility’s daily routines and environment.

Contact Greenwood Assisted Living

Big Sky on Waterford

3701 Elizabeth Warren Ave #4372, Butte, MT 59701
Overview of Big Sky on Waterford

Big Sky on Waterford is where life shines brighter for those aged 55 and older. This assisted living and memory care community offers a vibrant lifestyle paired with the convenience of maintenance-free living. With a legacy of enhancing lives throughout Montana, this exceptional community goes beyond the ordinary by providing assisted living services and extending its offerings to memory care that suit diverse needs and preferences. 

The inviting atmosphere encompasses daily chef-prepared meals that delight the senses, an indoor theater for entertainment, and raised garden boxes to nurture a love for gardening. With amenities like a dedicated beauty and barber salon for a touch of indulgence and community events that build connections, Big Sky on Waterford caters to every facet of resident well-being. Plus, the community recognizes the importance of memory care benefits, offering a holistic approach that truly encompasses all aspects of senior living.

Contact Big Sky on Waterford

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
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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 100 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.