Best Senior Communities in Montana

Libby of Cascadia, LLC Dba Libby Care Center is a 101-bed skilled nursing and rehabilitation facility at 308 East Third Street, Libby, Lincoln County, Montana, offering 24-hour nursing care, rehabilitation services, respite care, and memory care. The facility does not accept Medicaid or Medicare. Its overall rating is not publicly disclosed. The administrator is BettyJean Youngblood.

The facility received a 2023 Silver Achievement in Quality award from the American Health Care Association and National Center for Assisted Living. Walk score for the location is 76.

Libby is located in Lincoln County in northwest Montana near the Idaho border. Cabinet Peaks Medical Center and Community Hospital are the primary nearby acute-care resources.

Regulatory compliance documentation is essential for informed placement decisions.

Families should contact the Montana Department of Public Health and Human Services for official inspection and licensing documentation before making placement decisions.

Mount Ascension Transitional Care of Cascadia is a 108-bed skilled nursing and rehabilitation facility at PO Box 3007, Helena, Lewis and Clark County, Montana, offering 24-hour skilled nursing care, rehabilitation services, memory care, private and semi-private rooms, and on-site rehabilitation gym. The facility offers transitional care and long-term care. The facility does not accept Medicaid or Medicare. Walk score for the location is 94, indicating a pedestrian-friendly urban setting where most services are accessible without a vehicle.

Helena is the capital and largest city of Montana, located in Lewis and Clark County. Providence St. Patrick Hospital and St. Peter’s Hospital are the primary nearby acute-care resources.

Families should contact the Montana Department of Public Health and Human Services for official inspection and licensing documentation before making placement decisions.

Sheridan Memorial Nursing Home is a 35-bed long-term care facility at 440 W Laurel Ave, Plentywood, Sheridan County, Montana. Operated by a subsidized facility district. The facility offers memory care and respite care; it does not accept Medicaid or Medicare and does not offer 24-hour staffing or rehabilitation services.

Nursing care averages 7 hours 32 minutes per resident per day, highest ranked among Montana facilities. Staffing shows RN hours at 1 hour 34 minutes per day (68 percent above state average), nurse aide hours at 4 hours 26 minutes per day (75 percent above state average), and LPN hours at 10 minutes per day (67 percent below state average). Weekend staffing totals 4 hours 59 minutes per day, 43 percent above state average. Walk score is 60.

Plentywood is located in Sheridan County in northeastern Montana near the North Dakota and Canadian borders. Sheridan Memorial Hospital is the primary nearby acute-care resource.

Four health inspections through July 2025 yielded 21 total citations, ranked 9th of 26 Montana nursing facilities. Citations per inspection average 5.25 versus state average of 5.72. No critical citations in past 3 years versus state average of 0.3; 2 serious citations versus state average of 2.2; 19 moderate citations versus state average of 26.5; 0 minor citations versus state average of 0.7. Primary deficiency categories: Quality of Life and Care (5), Abuse Neglect and Exploitation (5), Pharmacy Services (5), Resident Rights (3), Infection Control (1), Administration (1).

Most recent inspection July 30, 2025, identified 4 citations: Administration moderate (corrected), Infection Control moderate (corrected), Pharmacy moderate (corrected), Quality of Care serious (corrected).

Pharmacy and quality of care citations mean families should ask about medication management protocols, corrective actions, and resident care standards before enrollment.

Logan Health – Conrad – LTC is a 59-bed long-term care facility at 805 Sunset Blvd, Conrad, Pondera County, Montana. Critical access hospital and care center operated by a subsidized facility district. The administrator is Vicki Newmiller. The facility offers memory care, respite care, and rehabilitation services.

It does not accept Medicaid or Medicare.

Nursing care averages 5 hours 30 minutes per resident per day, 41 percent above state average. RN hours are 36 minutes per day (36 percent below state average), LPN hours are 41 minutes per day (37 percent above state average), nurse aide hours are 2 hours 43 minutes per day (7 percent above state average). Weekend nursing totals 3 hours 54 minutes per day, 12 percent above state average. Amenities include emergency room, laboratory services, imaging services, telestroke services, and helipad for transport services.

Walk score is 57.

Conrad is located in Pondera County in north-central Montana. Logan Health facilities provide nearby acute-care resources.

Five health inspections through April 2025 yielded 42 total citations, averaging 8.4 per inspection versus state average of 5.72. No critical citations in past 3 years versus state average of 0.3; 1 serious citation versus state average of 2.2; 39 moderate citations versus state average of 26.5; 2 minor citations versus state average of 0.7. Primary deficiency categories: Resident Rights (6), Quality of Life and Care (6), Pharmacy Services (5), Abuse Neglect and Exploitation (4), Infection Control (3), Administration (2). Most recent inspection April 24, 2025, identified 4 citations: Infection Control moderate (corrected), Nutrition moderate (corrected), Nutrition moderate (corrected), Nutrition moderate (corrected).

Nutrition and resident rights violations in the most recent inspection mean families should ask administrators about meal quality, meal service, and resident rights protections.

The Villa at Valle Vista Rehabilitation LLC is a 35-bed assisted living facility at 404 Summit Ave, Lewistown, Fergus County, Montana. The administrator is Wendy Anderson. The facility offers memory care, respite care, and rehabilitation services with personalized individual 24-hour care, private suites, daily living assistance, rehabilitation, and hospice care. Amenities include beauty shop and daily recreational and social activities.

Three to five day respite services available. The facility does not accept Medicaid or Medicare.

Lewistown is located in Fergus County in central Montana. Central Montana Medical Center is the primary nearby acute-care resource.

The faclity claims it has completed 2 inspections, but no inspection reports or regulatory compliance data are available. Without access to official state inspection records, deficiency rates, citations, and compliance history cannot be documented.

Regulatory compliance documentation is essential for informed placement decisions.

Families should contact the Montana Department of Public Health and Human Services for official inspection and licensing documentation before making placement decisions.

Quality Senior Care LLC dba Bee Hive Homes of Helena (North) is a 40-bed assisted living facility at 624 Ptarmigan Ln, Helena, Lewis and Clark County, Montana. The administrator is Jamie Hopkins. The facility offers memory care, respite care, and assisted living with private bedrooms, meals, 24-hour caregiver support, daily housekeeping and laundry services, secure outdoor courtyard, hair and nail salon, and life enrichment activities. The facility does not accept Medicaid or Medicare and does not offer rehabilitation services.

Helena is the capital and largest city of Montana, located in Lewis and Clark County. Providence St. Patrick Hospital and St. Peter’s Hospital are the primary nearby acute-care resources.

One complaint investigation on November 19, 2025, identified 2 deficiencies regarding resident admission and assessment. Resident #1 was admitted with care needs exceeding the facility’s Category A endorsement, specifically a Stage 3 pressure ulcer and dependency in 4 ADLs. The Pre-Move In Resident Needs Assessment failed to document these needs accurately. The resident’s actual needs indicated Category B care status for which the facility is not endorsed.

No fines, immediate jeopardy findings, or enforcement actions were documented. Broader compliance history cannot be determined from a single complaint investigation; no earlier inspections were provided in the available record.

Admission assessment and resident needs documentation mean families should ask administrators about how care needs are evaluated and matched to facility endorsement levels before placement.

Big Sky Senior Living is a 95-bed assisted living facility offering independent living, assisted living, and memory care at 3701 Elizabeth Warren Ave, Butte, Silver Bow County, Montana. Located 4.4 miles from the city center. The administrator is Jake Kelly. The facility offers memory care with 24-hour staffing.

It does not accept Medicaid or Medicare and does not offer respite care, secured living, or rehabilitation services.

Butte is located in Silver Bow County in southwestern Montana. St. James Healthcare and Butte Community Hospital are the primary nearby acute-care resources.

Inspection history documents 6 total visits or inspections. The records indicate 2 inspections identified deficiencies, though specific deficiency counts per inspection, dates, inspection types, and substantive findings are not accessible. No complaint investigations are documented. Detailed inspection history, deficiency categorization, state average comparisons, and regulatory outcomes require direct access to full state inspection records from the Montana Department of Public Health and Human Services.

Families should seek specific inspection records and compliance documentation directly from the Montana Department of Public Health and Human Services.

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.

Parkhaven is a 62-bed assisted living facility featuring independent cottage homes, assisted living, and memory care at 100 Hamilton Court, Manhattan, Madison County, Montana. The administrator is Crystal Hamilton. The facility offers memory care and respite care with 24-hour staffing. It does not accept Medicaid or Medicare and does not offer rehabilitation services.

Manhattan is located in Madison County in southwestern Montana. Gallatin County Memorial Hospital is the primary nearby acute-care resource.

Five inspections from 2013 to 2019 document 10 total deficiencies, averaging 2.5 per year, 57 percent better than Montana average of 5.8.

September 6, 2019, renewal identified 2 deficiencies: resident bathroom call lights not properly alerting staff due to pager silent mode and low batteries; facility unable to produce documentation for annual fire inspections spanning current year and prior three years. September 21, 2017, renewal found 2 deficiencies: 3 of 6 resident files lacking current medication self-administration orders requiring annual updates; 1 of 6 resident files missing admittance order for Category C level of care. February 17, 2017, complaint investigation documented 1 deficiency: facility failed to report resident fall on January 10, 2017, to provider or family and lacked written policy and procedure for fall notification. September 11, 2015, renewal identified 1 deficiency: no documentation that staff reviewed policy and procedure manual including infection control.

October 16, 2013, complaint investigation documented 4 deficiencies involving resident placement procedures, application and needs assessment, resident service plans for Category A, and resident file documentation.

No fines or license suspensions documented.

Pattern indicates recurring documentation, communication, and safety concerns spanning over a decade without evident improvement.

Resident notification procedures, fire inspection documentation, and medication administration record documentation warrant direct review.

Families should ask administrators directly about current protocols and corrective measures taken since 2019 inspection before enrollment.

Prairie Ridge Village is a 46-bed assisted living facility at 521 4th Ave S, Glasgow, Valley County, Montana. The administrator is Amber Swindler. The facility offers memory care and assisted living with 24-hour staffing. It provides personalized care plans, restaurant-style dining, and activities tailored to residents’ preferences.

Amenities include centrally located dining room, activity calendar, fully equipped apartments, accessible studio apartments, sit-down showers, accessibility design, on-site beauty salon, free internet access, registered nurse, maintained lawn and courtyard, emergency call system, free EMT response, health fair, and spa baths. Does not accept Medicaid or Medicare and does not offer respite care, secured living, or rehabilitation services.

Glasgow is located in Valley County in northeastern Montana near the North Dakota border. Frances Mahon Deaconess Health Center is the primary nearby acute-care resource.

Inspection history documents 5 total visits or inspections, but specific deficiency counts per inspection, dates, inspection types, and substantive findings are not accessible. No complaint investigation count is documented. Detailed inspection history, deficiency categorization, state average comparisons, and regulatory outcomes require direct access to full state inspection records from the Montana Department of Public Health and Human Services.

Families should seek specific inspection records and compliance documentation from the Montana Department of Public Health and Human Services.