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Other Senior care options in Montana:

Best Assisted Living in Montana

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 149 homes in Montana

Sources: CMS Centers for Medicare and Medicaid Services, and Montana Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Montana.

Watch this Video to see Montana's Top-rated Senior Communities

Compare Assisted Living around Montana

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

Click column headers to sort
The Iris Senior Living
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Great Falls
83
Facility 83
MT AVG 89
Rank #39 / 106
Yes
74
Facility 74
MT AVG 44
Rank #20 / 159
Studio / 1 Bed / 2 Bed
48
Facility 48
MT AVG
Rank #1 / 88
A+Kathy Kuntz3--00.0
Brookdale Springmeadows
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bozeman (South Meadow)
85
Facility 85
MT AVG 89
Rank #38 / 106
Yes
8
Facility 8
MT AVG 44
Rank #140 / 159
Studio / 1 Bed
48
Facility 48
MT AVG
Rank #1 / 88
A+Crissy Freese946202.2
Touchmark on Saddle Drive – Helena
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Helena
82
Facility 82
MT AVG 89
Rank #41 / 106
Yes
8
Facility 8
MT AVG 44
Rank #140 / 159
Studio / 1 Bed / 2 Bed
2
Facility 2
MT AVG
Rank #33 / 88
-Christina Milar61100.0
Edgewood Helena
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Helena
80
Facility 80
MT AVG 89
Rank #42 / 106
No
10
Facility 10
MT AVG 44
Rank #137 / 159
Studio / 1 Bed / 2 Bed
1
Facility 1
MT AVG
Rank #57 / 88
-Julia Morrow1386211.6
The Springs at Butte
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Butte
65
Facility 65
MT AVG 89
Rank #55 / 106
Yes
19
Facility 19
MT AVG 44
Rank #119 / 159
Studio / 1 Bed / 2 Bed
2
Facility 2
MT AVG
Rank #33 / 88
-Aimee Charon84350.6
The Village Senior Residence
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Missoula (Old Fort Road)
117
Facility 117
MT AVG 89
Rank #13 / 106
No
49
Facility 49
MT AVG 44
Rank #69 / 159
Studio / 1 Bed / 2 Bed
2
Facility 2
MT AVG
Rank #33 / 88
-,1248151.3
Spring Creek Inn Memory Care Community
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Bozeman (West Winds)
67
Facility 67
MT AVG 89
Rank #52 / 106
Yes
24
Facility 24
MT AVG 44
Rank #112 / 159
Private Rooms / Semi-Private Rooms
1
Facility 1
MT AVG
-Stacia Jensen17118261.5
The Springs at Bozeman
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bozeman (Gallatin Center)
105
Facility 105
MT AVG 89
Rank #20 / 106
No
36
Facility 36
MT AVG 44
Rank #95 / 159
Studio / 1 Bed / 2 Bed
2
Facility 2
MT AVG
Rank #33 / 88
-Kelly Flock52120.4
MorningStar Senior Living of Billings
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Billings
106
Facility 106
MT AVG 89
Rank #18 / 106
Yes
18
Facility 18
MT AVG 44
Rank #121 / 159
Studio / 1 Bed / 2 Bed
12
Facility 12
MT AVG
Rank #20 / 88
-,19138291.5
St. John‘s United
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Billings
104
Facility 104
MT AVG 89
Rank #21 / 106
No
6
Facility 6
MT AVG 44
Rank #144 / 159
Private Rooms
1
Facility 1
MT AVG
Rank #57 / 88
-Karna Rhodes1--3333.0
Birchwood at Hillcrest
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Bozeman (East Main)
47
Facility 47
MT AVG 89
Rank #66 / 106
Yes
10
Facility 10
MT AVG 44
Rank #137 / 159
Studio
2
Facility 2
MT AVG
Rank #33 / 88
-,5-130.6
The Legacy in the Heights
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Billings (Heights)
40
Facility 40
MT AVG 89
Rank #70 / 106
Yes
57
Facility 57
MT AVG 44
Rank #51 / 159
Suite
1
Facility 1
MT AVG
Rank #57 / 88
-Claire Banderob21-00.0
Silver Springs Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Townsend
24
Facility 24
MT AVG 89
Rank #87 / 106
No
14
Facility 14
MT AVG 44
Rank #128 / 159
Private Rooms
2
Facility 2
MT AVG
Rank #33 / 88
-Jason George6-481.3
Mission Ridge
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Billings
70
Facility 70
MT AVG 89
Rank #48 / 106
Yes
9
Facility 9
MT AVG 44
Rank #139 / 159
1 Bed / 2 Bed
2
Facility 2
MT AVG
Rank #33 / 88
-Mark Wagstaff5-281.6
Golden Eagle Plaza Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Great Falls (Southside)
42
Facility 42
MT AVG 89
Rank #68 / 106
Yes
46
Facility 46
MT AVG 44
Rank #73 / 159
Studio / 1 Bed
27
Facility 27
MT AVG
Rank #6 / 88
A+Judy Lindquist1139322.9
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View all Nearby Homes
Overview of Livingston Health and Rehab Center

Located within the picturesque landscapes of Bozeman, Montana, Livingston Health and Rehab Center stands as a compassionate assisted living community surrounded by the beauty of four magnificent mountain range. Whether seeking short-term rehabilitation or long-term support, their dedicated team focuses on aiding recovery and facilitating a seamless return to familiar surroundings.

Here, they provide a vital link between hospital care and the comforts of home. Their comprehensive services encompass a spectrum of care, including 24-hour skilled nursing, rehabilitation therapy, post-acute care, long-term support, respite stays, hospice programs, and additional supplementary services. With a commitment to enhancing lives, Livingston Health and Rehab Center also extend outpatient therapy for individuals who have transitioned from inpatient care.

Contact Livingston Health and Rehab Center

Overview of Avantara Billings

Experience a life of sophistication, refinement, and empathy at Avantara Billings. Nestled in scenic Montana, Avantara Billings offers cutting-edge physical and occupational rehabilitation plans, complete with state-of-the-art physical therapy equipment. They also provide speech pathology services, with a standout orthopedic rehabilitation program. The advanced Trent Transitional Rehabilitation program ensures that residents regain their strength, independence, and confidence in a comfortable and supportive environment. Avantara Billings is an excellent choice for seniors in need of pulmonary, oncology, and orthopedic care, among other services. 

Residents will find themselves supported, entertained, and rejuvenated in this healing space. For those who enjoy a good book, the library offers a peaceful retreat, while wall-mounted flat-screen TVs and high-speed Wi-Fi provide ample entertainment options. The concierge and salon services, as well as the home’s prime location near prestigious hospitals, make Avantara Billings the ideal choice for families seeking the very best for their loved ones.

Contact Avantara Billings

Overview of Yellowstone River Nursing and Rehabilitation

Yellowstone River Nursing & Rehabilitation is a senior living community located in Billings, Montana, offering 24/7 skilled care, including long term care, short-term care and various rehab therapies. They provide a range of services to enhance the quality of life for their residents, emphasizing individual wellness and recovery. Seniors at Yellowstone River can enjoy personalized care in a supportive environment designed to meet their specific needs.

Yellowstone River Nursing & Rehabilitation aims to offer comprehensive and compassionate care to their residents. They provide various amenities and programs, including skilled nursing for pain management, medication, and hygiene, as well as rehabilitation therapy with physical, occupational, and speech therapists. Their goal is to help residents regain independence and improve their overall well-being, whether they require long or short-term care.

Contact Yellowstone River Nursing and Rehabilitation

Overview of The Springs at Missoula

The Springs at Missoula is a captivating residence nestled in the heart of Missoula, Montana. This vibrant and serene community is bursting with its own unique charm, offering a comprehensive range of living options, including independent living, assisted living apartments, and specialized memory care benefits for those with dementia. At The Springs, residents are treated to a culinary experience like no other, with delectable, seasonally inspired menus that cater to their discerning tastes. The community takes pride in providing ample opportunities for connection and engagement, ensuring that every resident can find fulfillment and joy in their daily activities.
One of the hallmarks of The Springs is its exceptional array of community amenities. Residents are greeted with lush green spaces and elegant dining options, creating an ambiance of sophistication and comfort. The community boasts a charming café, a rejuvenating salon and barbershop, and a state-of-the-art fitness center that promotes an active and healthy lifestyle. Convenient on-site laundry facilities add to the ease and convenience of everyday living. Moreover, The Springs warmly welcomes furry friends, embracing a pet-friendly environment that enhances the sense of home and companionship.

Contact The Springs at Missoula

Overview of The Auberge at Missoula Valley

The Auberge at Missoula Valley, located in the breathtaking town of Missoula, Montana, is a haven of assisted living for seniors, providing a nurturing and enriching environment. With a deep commitment to delivering exceptional care, this community adheres to the highest assisted living guidelines, ensuring the well-being and happiness of every resident. Here, assisted living is more than just a concept—it’s a compassionate and personalized approach that promotes independence and dignity.

From assistance with daily tasks to specialized memory care services, The Auberge at Missoula Valley offers comprehensive support to seniors, helping them navigate their golden years with ease and grace. Carefully designed living spaces provide comfort and tranquility, while the professional and dedicated staff is always on hand to provide the necessary care and support. From safety measures and accessibility features to personalized care plans and wellness programs, residents can rest assured knowing that their well-being is prioritized at every turn.

Contact The Auberge at Missoula Valley

Overview of The Lodge Senior Living

The Lodge Senior Living, situated in the charming heart of Great Falls, Montana, is a resident-centered community where their dedicated staff strives to provide an exceptional and loving experience for residents and their families. With a tranquil setting, The Lodge offers the perfect environment for residents to unwind and engage with a vibrant community.

Immersed in the grand traditions and rich history of Great Falls, residents at The Lodge can enjoy the superb recreational and cultural amenities that this thriving community has to offer. As you explore the area, take a moment to reflect on the footsteps of Lewis and Clark, the Blackfeet Indians, and the majestic wildlife that once roamed these lands. The Lodge Senior Living invites you to become a part of this cherished heritage, where you can forge new memories and connections within a supportive and welcoming environment. 

Contact The Lodge Senior Living

Overview of Highgate Great Falls

Nestled in the beautiful surroundings of Great Falls, Montana, Highgate at Great Falls Lakes offers a range of exceptional senior living options. The Manor provides Assisted Living, while the Cottage specializes in Memory Care for individuals affected by Alzheimer’s & Dementia. Highgate understands the importance of tailoring their services to meet you where you are on your journey. Whether you seek the convenience of a home-like environment without the responsibilities or desire activities that stimulate the mind, nourish the body, and enrich the soul, Highgate is dedicated to providing a personalized experience.

With over 25 years of experience in building community and promoting purposeful living, Highgate at Great Falls values the well-being of every resident. Recognizing the importance of socially, mentally, and physically enriching experiences, they offer a Life Enhancement Program that encourages active participation in physical activities, intellectual stimulation, socialization, philanthropic endeavors, and spiritual wellness. Highgate is committed to creating an environment where older adults can thrive, find joy, and lead a life of purpose.

Contact Highgate Great Falls

Overview of Benton Independent Living

Nestled in the heart of Missoula, Montana, Benton Independent Living is a vibrant senior living community that provides independent living options for senior residents. The community is dedicated to creating an environment where residents can live on their own terms, with freedom, comfort, and peace of mind. At Benton, residents have the opportunity to enjoy an active and fulfilling lifestyle while receiving the support they need.

Benton Independent Living offers a variety of amenities and services to enhance the well-being of its residents. From well-appointed assisted living apartments to a range of social and recreational activities, there is something for everyone. With a team of dedicated staff members available to provide assistance and support, Benton Independent Living is committed to helping residents maintain their independence and enjoy a fulfilling retirement.

Contact Benton Independent Living

Overview of The Ivy at Great Falls

Nestled in the heart of Great Falls, Montana, The Ivy at Great Falls is a senior living provider that specializes in Nursing Homes. With a focus on compassionate care, The Ivy offers a range of services to support both short-term rehabilitation and long-term care needs. As a large facility with 278 beds, The Ivy is dedicated to providing a comfortable and supportive environment for its residents. While the short-term rehabilitation rating is Below Average and the long-term care rating is Average, the dedicated staff strives to ensure that each resident receives the personalized care they deserve.

As a for-profit establishment with corporate ownership, The Ivy at Great Falls is committed to maintaining high standards of care and service. While it is not part of a continuing care retirement community, it participates in Medicare and Medicaid, making quality care accessible to a wide range of individuals. In this nursing care facility, residents can expect a nurturing and supportive environment where their well-being is a top priority. The dedicated team of caregivers is passionate about providing the highest level of care and creating a warm and welcoming community for all.

Contact The Ivy at Great Falls

Overview of The Village Health & Rehabilitation

The Village Health & Rehabilitation is an idyllic community that offers a serene, pristine, and utterly enchanting environment. With a rich history dating back to 1981, The Village has been a beacon of excellence in senior care, offering an array of exceptional services, including rehabilitation, long-term care, memory care, and respite care. The community features a specialized memory care unit and nursing home care, providing a secure and nurturing environment for those with cognitive challenges.
Inside, the interior exudes a timeless elegance, with classic touches that envelop residents in a sense of luxury and peace. Every aspect of the common areas has been meticulously designed to cultivate a warm and inviting ambiance, where residents can forge meaningful connections and feel right at home. At The Village, the highest priority is the well-being and happiness of its residents. The community adheres to nursing home rules and regulations, upholding the highest standards of care and safety. With a team of dedicated professionals who are well-versed in the guidelines set forth by regulatory bodies, The Village ensures that every aspect of its operations aligns with the necessary protocols, providing families with peace of mind and residents with the quality of care they deserve.

Contact The Village Health & Rehabilitation

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 15 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.