Page 10 of Best Senior Communities in Montana

Why trust this guide? Our editorial team analyzed 154 senior communities in MT using MT Dept. of Public Health & Human Services (DPHHS) data, inspection records, complaints, amenities, and facility-level details. How we rank senior communities in MT
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We analyzed These are the facilities in Montana our team has analyzed — not a count of every senior community provider in Montana.
154 homes
Other senior care options in Montana:

Compare Senior Communities around Montana

Info below is compiled from the MT Dept. of Public Health & Human Services (DPHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. 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. SC (Senior Communities):
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.
Cooney Healthcare and Rehabilitation
SC
NH
SNF
Helena
90No 37 -6A+Christopher Cotton
Hillside Health & Rehabilitation
SC
NH
PC
RC
SNF
Missoula
95No 39 Studio / 1 Bed / 2 Bed16--
Riverside Nursing and Rehabilitation Center
SC
NH
Missoula (Heart Of Missoula)
72No 42 Studio / 1 Bed / 2 Bed--Randy Sparks
Primrose Personal Care Home
SC
AL
MC
Billings (Heights)
-No 25 Studio / 1 Bed15A+-
Benefis Extended Care Center
SC
MC
NH
Great Falls
64No 58 ----
Highgate Senior Living – Bozeman
SC
AL
IL
MC
Bozeman
-Yes 66 -21--
St. James Healthcare Transitional Care Unit (TCU)
SC
MC
NH
Butte
129No 72 ----
Pathways Assisted Living
SC
AL
Three Forks
-No 54 Private Rooms / Semi-Private Rooms--Evan Hyatt
Crest Nursing Home
SC
NH
SNF
Butte (Meaderville)
103No----Staci Bercier
The Ivy at Great Falls
SC
AL
IL
MC
NH
Great Falls
278No 43 ----
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Overview of Cooney Healthcare and Rehabilitation

Located on East Broadway Street in Helena, Montana, Cooney Healthcare and Rehabilitation is a nursing home that has served the community for 5 years. The single-story facility accepts Medicare, Medicaid, and private pay, giving families several options to cover short-term rehabilitation and ongoing skilled nursing care. The 90-bed home has an occupancy rate of 81%.

Residents stay an average of 94 days, which is a combination of post-acute rehabilitation and longer-term skilled nursing care. Daily nurse staffing averages 2 hours and 24 minutes per resident. This includes 51 minutes of registered nurse care, 1 hour and 26 minutes of care from nurse aides, and 25 minutes of care provided by licensed practical or vocational nurses.

The neighborhood has a Walk Score of 37, making it somewhat walkable. Most errands require a vehicle, but a few nearby services are within walking distance. The location is best for families who drive and prefer a quieter residential area over a busier urban setting.

Contact Cooney Healthcare and Rehabilitation

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 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 Primrose Personal Care Home

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

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

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

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

Contact Primrose Personal Care Home

Overview of Benefis Extended Care Center

Benefis Extended Care Center is situated in Great Falls, Montana, and is dedicated to providing exceptional care and support to senior residents in need of skilled nursing services.

They have skilled nurses, therapists, and licensed care professionals who are committed to guiding each resident through a personalized therapy plan, helping them regain their independence. Whether recovering from a hospital visit or requiring ongoing medical support, Benefis Extended Care Center is devoted to assisting individuals in achieving their personal goals and facilitating a speedy recovery.

Contact Benefis Extended Care Center

Overview of Highgate Senior Living – Bozeman

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

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

Contact Highgate Senior Living – Bozeman

Overview of St. James Healthcare Transitional Care Unit (tcu)

Located in the heart of Butte, Montana, St. James Healthcare Transitional Care Unit (TCU) is a reliable senior living community, offering extensive memory care services. This 129-bed care community ensures residents dealing with Alzheimer’s are provided with the cae they need in a safe and secure living environment. A compassionate care team is readily available to provide residents the care and services they need to thrive and continue living the lifestyle they want.

Residents are provided with special activity and programs designed to provide them the stimulation they need to stay active and maintain their cognitive abilities. Three homemade meals are offered daily to ensure residents have the noursihment they need to stay healthy. With access to various conveniences, comprehensive care services, and a vibrant programming, residents here are guaranteed to maintain their optimal function to live full lives.

Contact St. James Healthcare Transitional Care Unit (TCU)

Overview of Pathways Assisted Living

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

Housing includes private rooms and rooms shared with a companion, giving a resident the choice of living alone or sharing. Pathways Assisted Living may be a good fit for someone who needs daily assistance and wants one of these two room arrangements. The community opened in 1978, and a doctor is on staff. A Walk Score of 54 places the area in the somewhat walkable band, meaning some errands can be done on foot and a resident who no longer drives may be able to handle some outings independently.

Contact Pathways Assisted Living

Overview of Crest Nursing Home

Crest Nursing Home is a skilled nursing community in Butte, Montana. It is owned and operated by Christina Jayne Penn Management. The 103-bed home accepts Medicare, Medicaid, and private pay, providing families with multiple coverage options, whether a resident needs short-term rehabilitation or ongoing nursing care. The facility has a current occupancy rate of 43%. Residents stay for an average of 138 days, including post-acute rehab residents and those settling in for longer-term care.

Daily nursing support is attentive. Total nursing care averages 3 hours and 23 minutes per resident each day. There’s also a dedicated nursing aide support of roughly 2 hours and 52 minutes daily. This level of direct, hands-on care provides the foundation for rehabilitation and ongoing management of chronic disease.

The home’s location in Butte is car-dependent. Families should plan to drive for most visits and errands, but the surrounding area has convenient access to local services.

Dining includes a variety of meals designed to meet residents’ dietary needs. A chef and a dietitian oversee the menu. Alternative food items are available at each meal to accommodate different preferences and dietary needs. Residents also receive snacks three times daily.

Amenities on-site include a library, outdoor patio, guest Wi-Fi, private rooms, recreational lounge areas, and on-site laundry and housekeeping services. These help residents stay comfortable and connected to visiting family.

Contact Crest Nursing Home

Overview of The Ivy at Great Falls

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

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

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

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

Contact The Ivy at Great Falls

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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Frequently Asked Questions about Senior Communities in Montana

What is senior living?

Senior communities are residential settings designed for adults aged 55 or older, with options ranging from active independent living to assisted living and memory care.

How many senior communities are listed on this page?

This page features 154 senior communities in Montana. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right senior community 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 senior communities 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.

Senior Communities in Montana at a glance

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