Best Nursing Homes in Missoula, MT

Why trust this guide? Our editorial team analyzed 5 nursing homes in Missoula, MT using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MT
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We analyzed These are the facilities in Missoula, MT our team has analyzed — not a count of every nursing home provider in Missoula, MT.
5 homes
Other senior care options in Missoula:
Avg Overall CMS Rating: 3.7/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Missoula, MT. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 4.3/ 5The average Staffing Rating across all CMS-certified nursing homes in Missoula, MT. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 3.3/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Missoula, MT. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Missoula (Metro Area)

Info below is compiled from CMS reports & 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 to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Montana average is: 47.0% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Living Centre
NH
AL
IL
SNF
Stevensville
50
Facility 50
MT AVG 70
Rank #61 / 103
73.2%
Facility 73.2%
MT AVG 65.6%
Rank #14 / 30
+12%
6.03
Facility 6.03
MT AVG 4.53
Rank #3 / 30
-41%+33%
$37.5k
Facility $37.5k
MT AVG $83.8k
Rank #15 / 31
15
Facility 15
MT AVG 29.7
Rank #4 / 31
2.5
Facility 2.5
MT AVG 5.7
Rank #3 / 31
237A+
38
Facility 38
MT AVG 45
Rank #89 / 149
Living Centre Limited
$6.0MFiscal year ending 08/2024
Facility $6.0MFiscal year ending 08/2024
MT AVG $8.2M
Rank #14 / 18
$3.4MFiscal year ending 08/2024
Facility $3.4MFiscal year ending 08/2024
MT AVG $3.7M
Rank #13 / 18
56.7%Fiscal year ending 08/2024
Facility 56.7%Fiscal year ending 08/2024
MT AVG 47%
Rank #3 / 18
275125
Missoula Health and Rehabilitation Center
NH
AL
MC
RC
SNF
Missoula (Upper Rattlesnake)
49
Facility 49
MT AVG 70
Rank #62 / 103
--
4.61
Facility 4.61
MT AVG 4.53
Rank #8 / 30
-58%+2%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 31
34
Facility 34
MT AVG 29.7
Rank #17 / 31
11.3
Facility 11.3
MT AVG 5.7
Rank #31 / 31
-37-
13
Facility 13
MT AVG 45
Rank #128 / 149
Pacific Northwest Snf Operations Holdings (Mt) LLC$4.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.48.7%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.275035
Riverside Nursing and Rehabilitation Center
NH
Missoula (Heart Of Missoula)
72
Facility 72
MT AVG 70
Rank #42 / 103
92.6%
Facility 92.6%
MT AVG 65.6%
Rank #6 / 30
+41%
4.11
Facility 4.11
MT AVG 4.53
Rank #11 / 30
-23%-9%
$65.1k
Facility $65.1k
MT AVG $83.8k
Rank #23 / 31
30
Facility 30
MT AVG 29.7
Rank #15 / 31
6.0
Facility 6.0
MT AVG 5.7
Rank #20 / 31
167-
42
Facility 42
MT AVG 45
Rank #82 / 149
David Smilovitz Trust
$8.1MFiscal year ending 12/2023
Facility $8.1MFiscal year ending 12/2023
MT AVG $8.2M
Rank #8 / 18
$4.0MFiscal year ending 12/2023
Facility $4.0MFiscal year ending 12/2023
MT AVG $3.7M
Rank #8 / 18
49.6%Fiscal year ending 12/2023
Facility 49.6%Fiscal year ending 12/2023
MT AVG 47%
Rank #7 / 18
275126
Hillside Health & Rehabilitation-
NH
PC
RC
SNF
Missoula
95
Facility 95
MT AVG 70
Rank #30 / 103
--------------
39
Facility 39
MT AVG 45
Rank #85 / 149
$6.1M*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.8M*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.46.3%*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.275027

Rank badges are statewide: each community is ranked against every MT community we track that reports that metric, not just the 5 analyzed for Missoula.

Overview of The Living Centre

The Living Centre has spent 12 years in Stevensville, Montana, operating out of a 50-bed building at 63 Main St. 31 of those beds are filled, putting occupancy at 61%. It’s not in a walkable stretch of town; a Walk Score of 38 means a handful of errands might be doable on foot, but most trips are going to mean getting in a car.

Residents get physical therapy through the facility’s rehab services, there’s a doctor on staff, and staffing runs around the clock. Home care is also offered as a separate service line. On the nursing side, residents receive close to five hours of total nursing care each day, and just over an hour of that comes specifically from registered nurses, with nurse aides covering roughly three and a half hours of daily hands-on care.

There’s a library, a spa, and a dining room, plus the Indulge Salon, a named on-site program for residents who want salon services without leaving the building. The activity calendar rotates through musical performances, games, and fitness sessions, so there’s more than one way for residents to fill their days. For families sorting out how to pay, The Living Centre accepts Medicare, Medicaid, and private pay, which covers most of the common paths people use to fund a nursing home stay.

On the regulatory side, state inspections here have tended to focus on a handful of recurring areas: environmental and hazardous materials safety, care planning and documentation, resident rights and protections, and fall and injury prevention. That’s a fairly standard set of focus areas across nursing homes generally, not something unique to this facility.

What all of this points to is a mid-sized nursing home built around rehabilitation and consistent nursing oversight, with a rounded set of daily amenities and broad payment flexibility layered on top. For a family looking at short-term rehab or longer-term nursing care with multiple ways to cover the cost, that combination is the clearest signal the community offers.

Contact The Living Centre

Overview of Missoula Health and Rehabilitation Center

Missoula Health and Rehabilitation Center has been part of its Rattlesnake Dr neighborhood for 17 years now, a 49-bed nursing home tucked into a stretch of Missoula where you pretty much need a car to get anywhere. Right now it’s running at 80 percent occupancy, and the average resident stays close to six months, 179 days to be exact.

The clinical side of things centers on rehabilitation. Residents have access to rehabilitation services, respite care, and short-term rehab, the kind of support that matters whether someone’s recovering from a hip replacement or settling in for longer-term nursing care. Nursing staff put in an average of 4 hours and 15 minutes of total nursing care per resident each day, which gives a sense of how much hands-on attention is built into the daily rhythm here. A wellness program rounds out the picture.

Coverage-wise, the facility takes Medicare, Medicaid, and private pay, so families have options no matter where they are in figuring out how to fund care. Rebecca Davis administers the facility, and Karrie Holt holds the Executive Director role.

Montana’s Department of Public Health and Human Services, Quality Assurance Division, handles inspections statewide, and here those inspections have tended to circle back to medication management, infection control, and food service rather than anything tied to direct hands-on resident care.

Put together, this is a smaller nursing home built around rehabilitation and sustained nursing support, the kind of place suited to someone who needs real clinical attention day to day, not just a place to land.

Contact Missoula Health and Rehabilitation Center

Overview of Riverside Nursing and Rehabilitation Center

Riverside Nursing and Rehabilitation Center is the epitome of excellence when it comes to senior living care, as evidenced by its outstanding nursing home quality measures. Within this extraordinary community, exceptional standards are upheld to ensure that residents receive the utmost care and support they deserve. The ambiance exudes warmth and comfort, creating a welcoming environment that feels like home.
The dedicated team of professionals utilizes state-of-the-art equipment to deliver personalized treatment plans, all while maintaining the highest nursing home quality measures. These measures serve as a testament to the community’s commitment to providing superior care and achieving optimal outcomes for its residents. In addition to top-notch medical services, Riverside goes above and beyond to ensure resident satisfaction. The community values transparency and encourages open communication by actively seeking and addressing nursing home reviews. This commitment to ongoing improvement allows Riverside to continuously enhance its services, ensuring that residents receive the highest level of care and comfort.

Contact Riverside Nursing and Rehabilitation Center

Overview of Hillside Health & Rehabilitation

Located in Missoula, Montana, Hillside Health & Rehabilitation is a renowned assisted living community specializing in short-term rehabilitation and long-term care. This community offers a comprehensive range of services, including physical, occupational, and speech therapy treatments. Their expert team of professionals is committed to helping seniors regain their strength and vitality.

At Hillside Health & Rehabilitation, residents with cognitive impairments are provided with specialized memory care programs making sure that individuals with memory impairments can lead dignified and fulfilling lives.
The community also offers end-of-life care services in collaboration with reputable hospice agencies, ensuring that residents and their families receive compassionate care during challenging times. With licensed nurses and assistants available around the clock, seniors requiring long-term care can have their needs met promptly and efficiently. Hillside Health & Rehabilitation features a well-appointed facility with 95 beds and participates in Medicare and Medicaid programs, offering flexible payment options for eligible individuals. Situated in a vibrant neighborhood, Hillside Health & Rehabilitation offers easy access to a wide range of amenities, including retail shops, restaurants, cafes, parks, and theaters. In case of emergencies, residents can quickly receive medical attention from the nearby Community Medical Center. 

Contact Hillside Health & Rehabilitation

Overview of The Village Health & Rehabilitation

The Village Health & Rehabilitation in Missoula is a 193-bed nursing home offering a full care continuum: nursing home, memory care, respite, and skilled nursing services. Situated at 2651 South Avenue West, it caters to residents needing various levels of nursing and rehabilitative support, including those with memory impairment who benefit from its specialized memory care unit.

Clinically, the home maintains a robust staffing structure. Registered nurses average 1 hour 2 minutes of care per resident daily, supported by nurse aides providing 2 hours 40 minutes per resident day. Licensed practical nurses contribute an additional 14 minutes. This combination mirrors a substantial investment in hands-on daily care and clinical oversight. The community extends this staffing through evenings and weekends, with registered nurse coverage of 46 minutes per resident on weekend days. Physical therapy services support occupants in post-acute recovery and mobility maintenance. The somewhat walkable neighborhood bears a Walk Score of 49, meaning transportation is required for most trips, while some errands can be done on foot. For families traveling to visit, this accessibility profile represents a modest local context. As a large-scale facility, The Village Health & Rehabilitation can support an array of resident needs in one community, decreasing the need for transfers as care requirements evolve.

It’s encouraged that prospective families tour the facility to see how its scale and staffing model match their loved one’s care priorities.

Contact The Village Health & Rehabilitation

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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Frequently Asked Questions about Nursing Homes in Missoula, MT

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 nursing home care?

Yes — Montana Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 5 nursing homes in Missoula, MT. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Missoula, MT?

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 Missoula, MT, 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 nursing homes in Missoula, MT?

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.