Page 13 of Best Senior Communities in Montana

Overview of Elkhorn Healthcare and Rehabilitation

Situated at the tranquil community of Clancy, MT, Elkhorn Healthcare and Rehabilitation provides skilled care, rehabilitation, and long- and short-term care. With the seniors’ wellness in mind, the community specializes in rehabilitation including occupational, physical, and speech therapy. Elkhorn Healthcare and Rehabilitation commits to delivering top-tier care and support for its residents.

Elkhorn Healthcare and Rehabilitation values the individuality of its residents, providing them with care plans created for their unique needs. With a team of kind, compassionate, and highly trained professionals, residents receive the utmost care and assistance they deserve. Necessities are provided, however, the community encourages to bring personal items for better comfort and familiarity. Community amenities include an elegant dining hall and spacious lobby.

Overview of Heritage Living Center

Heritage Living Center is a 40-bed assisted living facility offering skilled nursing, short-term rehab, respite care, long-term care, and memory care at 5982 Tongue River Rd, Ashland, Rosebud County, Montana. Administrator is Sable Kerzmann. Offers 24-hour staffing and rehabilitation services with communal dining, outdoor courtyard with gazebo, therapy gym, and salon services. Does not accept Medicaid or Medicare.

Ashland is in Rosebud County in southeastern Montana. Northern Cheyenne health resources are nearby.

Seven inspections from 2016 to 2024 document 27 total deficiencies, averaging 3.9 per year, 33 percent better than Montana average of 5.8.

January 4, 2024, renewal identified 5 deficiencies: no annual disaster plan review documentation or drill, insufficient administrator continuing education hours for 2023, residents not provided copies of service plans, no electronic call systems in resident rooms or bathrooms, no staff training records on skin integrity and pressure sore prevention.

July 13, 2022, renewal found 2 deficiencies: no annual disaster plan review with staff, no written agreement for off-site evacuation point. July 9, 2021, renewal identified 6 deficiencies: laundry rooms lacked clothing covers, medication technician activities exceeded scope, emergency call system design not meeting standards, missing fire drill documentation, disaster plan unchanged since 2014, missing service plan for readmitted resident. August 12, 2020, renewal found 2 deficiencies: 14 of 16 incident reports lacked notification to provider and legal representative, 4 of 5 resident files missing annual practitioner orders for medication self-administration.

July 18, 2019, renewal identified 4 deficiencies: 3 of 6 staff files lacked Heimlich maneuver, first aid, and CPR training, 6 resident rooms without emergency call systems, no fire drill documentation, no annual disaster plan review. July 5, 2018, renewal found 4 deficiencies: kitchen garbage containers lacked lids, missing current administrator job description, no disposition documentation for resident personal possessions and medications, no annual practitioner orders for medication self-administration. February 3, 2016, renewal found 4 deficiencies: policy manual outdated since 2013, missing disposition records, no freezer temperature monitoring log.

No fines or license suspensions documented.

Chronic pattern shows recurring emergency preparedness and resident care documentation deficiencies spanning 8 years without demonstrated improvement.

Emergency preparedness procedures, disaster plan review processes, medication administration protocols, and resident notification procedures warrant direct review.

Families should speak with administrators regarding compliance measures and corrective actions implemented since 2024 inspection before enrollment.

Home Instead is a pillar of support within the Missoula community, renowned for its exceptional home care services. With a team of highly skilled and compassionate caregivers, they go beyond the ordinary, offering personalized and empathetic assistance tailored to individual needs. Their caregivers establish genuine connections with the people they serve, ensuring a sense of trust and comfort in every interaction.

Specializing in Alzheimer’s and dementia care, as well as providing specialized assistance for conditions like diabetes and arthritis, Home Instead embodies practical support. Families find comfort in the relief from the daunting task of searching for the right care for their elderly loved ones. Home Instead unquestionably fosters a nurturing environment where seniors can thrive, supported by a team that genuinely cares about their well-being.

East Park Villas, located near historic downtown Helena, MT, is a classic senior living community that provides residents with an excellent independent living experience that combines comfort with style and elegance. An apartment-style, East Park Villas offers comfortable one- and two-bedroom apartments with open floor plans, walk-in showers, and ceiling fans. Conveniently situated close to Helena Regional, City Hill Mall, and Helena Airport, this community is designed to meet the needs of senior residents, providing an inviting and supportive living environment.

East Park Senior Apartments aims to create a welcoming and caring community where seniors can truly feel at home. The dedicated community staff is committed to assisting residents in finding their ideal living space. Amenities include spacious floor plans, modern conveniences, and a location that provides easy access to local attractions and necessities.

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.

Overview of Mount Ascension Transitional Care of Cascadia

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.

Overview of Continental Care and Rehabilitation

Administered by Jason Bell, Continental Care and Rehabilitation operates a 100-bed full-service facility at 2400 Continental Drive in Butte, Montana. The business office accepts Medicare, Medicaid, and private pay options to cover resident billing. For visitors, the surrounding Meaderville neighborhood is mostly car-dependent, meaning family members will generally need a personal vehicle to travel to the property or manage errands.

The building runs at a 65 percent occupancy rate, drawing on decades of operation to handle both temporary post-hospital recovery tracks and permanent residential stays. To manage daily medical needs, the clinical staff provides an average of 3 hours and 38 minutes of total nursing care per resident each day. This 24-hour setup relies on on-site registered nurses and nurse aides to handle routine health checks, mobility support, and direct personal care.

While historical inspection reports have noted standard operational and environmental compliance items, the administration addresses these areas through regular maintenance and procedural updates, keeping the home’s long-term cumulative citations-per-inspection rate at zero.

Families have access to tiered care options that include assisted living support, skilled nursing, and on-site physical, occupational, and speech therapy. The campus features shared community dining spaces and integrated health tracking. The daily routine pairs these specialized clinical services and rehabilitation loops with housekeeping assistance, laundry care, and open visiting hours.

Overview of Moorberg Cottage at St Johns

A member of the St. John’s senior living home, Moorberg Cottage is a senior home nestled amidst the breathtaking landscapes of Billings, Montana. It is memory care living at its finest. This residence is a prime example 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.

Moorberg Cottages strives to provide a stress-free and enjoyable living for its residents which is why they ensure to keep the environment safe and secure. They also provide house professionals and considerate staff trained to care for residents with dementia. They offer a list of specialized dementia therapies, partnerships with other health care providers, and a uniquely designed community interior and exterior lay-out to help residents situate themselves. 

Holiday Hunters Pointe is an independent living community at 2801 Colonial Dr in Helena, Montana. As an independent living provider, it’s set up to support older adults valuing their autonomy with access to amenities and social opportunities. Residents live in their own apartments with housing options spanning studio, one-bedroom, two-bedroom, and cottage-style units. This gives people flexibility in selecting a space appropriate for their lifestyle.

The three-story building sits in a residential area of Helena. Its neighborhood has a Walk Score of 14, indicating it’s car-dependent, so most errands and activities require a car instead of being within walking distance. This setting may attract residents and their families wanting a calmer, residential location over a more bustling commercial area.

For those thinking of choosing Holiday Hunters Pointe, touring it in person is a good first step to see various unit types and get a feel for the overall atmosphere and amenities or activities offered. Its location provides a residential ambiance in Helena’s broader community.

Kenhodro Inc. DBA Frontier Assisted Living is a 52-bed assisted living facility specializing in Alzheimer’s and dementia care at 121 S 3rd Street, Livingston, Park County, Montana. Administrator is Carissa Walsh. Offers independent living, assisted living, memory care, and respite care with 24-hour staffing and rehabilitation.

Amenities include beauty salon, television lounge, activities room. Does not accept Medicaid or Medicare.

Livingston is in Park County, south-central Montana. Livingston HealthCare is primary nearby resource.

Twelve inspections from 2019 to 2025 document 81 total deficiencies, averaging 10.7 per year, 84 percent worse than Montana average of 5.8.

September 10, 2025, renewal: 8 deficiencies including no disaster plan review since 2014, incomplete staff training records, residents not provided service plan copies, loose pills in medication cart, uncovered food in refrigerator, carpets needing cleaning. July 15, 2025, complaint: 1 deficiency where a resident did not receive 44 medication doses June 1–11 with no practitioner notification. December 31, 2024, complaint: 2 deficiencies; namely: resident smoking in room, areas with stained bedding and feces. October 16, 2024, renewal: 10 deficiencies including 6 of 6 staff lacking dementia training, 9 of 9 resident files missing service plan copies, missing temperature logs, no fire drills since January 2023.

July 24, 2024, complaint: 2 deficiencies (carpets with debris, bathrooms needing cleaning, freezer dirty). August 9, 2023, complaint: 2 deficiencies (staff not documenting medication effectiveness, unlicensed staff administered lorazepam 60 times).

August 9, 2023, renewal: 21 deficiencies including dirty resident rooms, no disaster plan, no activities, unsecured oxygen, non-flame-resistant window treatments, 20 overnight shifts with one staff. October 6, 2022, renewal: 7 deficiencies including incomplete disaster plan, no policy review since 2016, no activities, missing fire drills. June 8, 2021, complaint: 4 deficiencies (missing corrective actions, medical marijuana not documented, no policy). February 2, 2021, complaint: 5 deficiencies including urine odor, dirty areas, MAR discrepancies, unsecured oxygen.

November 4, 2020, complaint: 4 deficiencies including no keypad codes, facility dirty, cardboard blocking access. May 7, 2019, renewal: 9 deficiencies including uncertified residents, missing corrective actions, staff lacking abuse prevention training, inconsistent practitioner notification. No fines or suspensions.

Chronic pattern spanning 6 years: medication errors, environmental cleanliness failures, unsafe storage, inadequate training, and repeated regulatory violations without improvement.

Medication administration, staff dementia training, oxygen safety, disaster preparedness, environmental cleaning standards, and corrective action documentation should be verified regarding compliance improvements since September 2025.