Page 3 of Best Senior Communities in Montana

Why trust this guide? Our editorial team analyzed 155 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.
155 homes
Other senior care options in Montana:

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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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over 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.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Formal complaint investigations counted in the state record—distinct from every routine licensure inspection.
How many inspections had one or more deficiencies recorded. Compare to total inspections to see how often problems were found on visit.
Total count of deficiencies (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of deficiencies this facility receives each time it's inspected, calculated as total deficiencies ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Rainbow Senior Living Of Great Falls
SC
AL
IL
Great Falls
106No 91 -31A+Dawn Mounts141714725.1
St. John‘s United
SC
AL
HC
HOS
IL
MC
NH
RC
SNF
Billings
104Yes 6 Private Rooms2-Karna Rhodes4-4338.3
The Iris Senior Living
SC
IL
Great Falls
83Yes 74 Studio / 1 Bed / 2 Bed48A+Kathy Kuntz3-0--
Son Heaven Assisted Living II
SC
AL
Helena
15Yes 30 Secured Beds (14)1-Shelley Walden21231.5
Echoview Assisted Living, LLC
SC
AL
MC
Kalispell
8No 11 -3-Cameron Stewart1-111.0
Sapphire Lutheran Homes
SC
AL
IL
MC
Hamilton
40No 82 -2-Cole Harden1-122.0
Livingston Health and Rehab Center
SC
MC
NH
RC
SNF
Livingston
115No 64 Secured Beds (115)2-Darren Bake535428.4
Rosetta Assisted Living – Missoula
SC
AL
Missoula (Westside)
17No 53 Studio / 1 Bed / 2 Bed2-Ashely Torbett13133.0
Autumn Springs Assisted Living
SC
AL
Billings
66No 51 -21A+Margo Ball545122.4
Birchwood at Hillcrest
SC
AL
RC
Bozeman (East Main)
47Yes 10 Studio2--1-133.0
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Overview of Rainbow Senior Living of Great Falls

Rainbow Senior Living of Great Falls is a senior living community in downtown Great Falls, Montana, at 20 3rd Street North. It offers both assisted living and independent living, which means residents are not locked into a single level of support. Someone who wants more autonomy can keep it, while someone who needs more hands-on daily help can receive that without leaving the building or starting a new housing search elsewhere. That flexibility can matter a great deal when a person’s needs shift over time.

The community is well established, with three decades of operation behind it, and is one of the larger options in the area at 106 beds. It currently runs at about 49 percent occupancy, with 52 of those beds filled, so there is room to accommodate new residents. Walkability is where the location genuinely stands out. A Walk Score of 91 places the community in Walker’s Paradise range, meaning most daily errands can be handled on foot, which changes the rhythm of a day for both residents keeping their independence and family members visiting often.

Inspections are handled by the Montana Department of Public Health and Human Services, and their reviews have tended to focus on a familiar set of areas for senior care, including medication management, staffing and staff credentials, environmental safety, care planning, and resident rights. Families touring the community can ask how those areas are managed day to day.

Contact Rainbow Senior Living Of Great Falls

Overview of St. John‘s United

St. John‘s United offers assisted living, home care, hospice care, independent living, memory care, nursing care, respite care, and skilled nursing in Billings, MT. Assisted living includes help with daily tasks such as bathing, dressing, and medication, while independent living is for residents who want private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering. Skilled nursing provides licensed nursing care on site around the clock.

Home care supports a person in their own residence, and hospice care supports someone receiving end of life care. Respite care provides a short stay when a usual caregiver needs time away, while nursing care serves residents who need ongoing clinical support. Private rooms give each resident a room of their own. With multiple care levels, St. John‘s United may be a good fit for a resident whose needs could change over time; Karna Rhodes serves as the administrator, and pets are allowed.

Contact St. John‘s United

Overview of The Iris Senior Living

The Iris Senior Living is an independent living community in Great Falls, Montana, set about a mile from the city center in a neighborhood that scores 74 out of 100 for walkability, so many everyday errands can be handled on foot. The community is led by administrator Kathy Kuntz and has been in operation for roughly 48 years, one of the longer track records among senior living options in the area. With 83 residences across a three-story building, it offers a larger shared setting where residents have access to common spaces and organized community activities.

Housing comes in studio, one-bedroom, and two-bedroom layouts, with floor plans ranging from about 425 to 835 square feet, giving residents room to choose a space that fits how they like to live. While the emphasis is on independent living, the community pairs that independence with a real layer of daily support. Residents have access to 24-hour nursing staff, medication management, help with activities of daily living, incontinence care, and mobility assistance, along with housekeeping and laundry services that take routine chores off their plate.

Day-to-day life is rounded out by fitness and recreation offerings and on-site transportation, which makes appointments, errands, and outings easier for residents who no longer drive. Pets are welcome, so residents can keep the animal companions that make a place feel like home. Taken together, the setting suits an older adult who wants to keep a good measure of independence while having steady help and a walkable, established neighborhood close at hand.

Contact The Iris Senior Living

Overview of Son Heaven Assisted Living II

Located on Ferndale Lane in Helena, Montana, Son Heaven Assisted Living II is an assisted living community that recently opened. The one-story home provides a home-like environment for seniors who need assistance with daily activities but want to live as independently as possible. With 15 beds, the smaller size may appeal to families seeking a more personal setting and one-on-one attention.

This property is in a neighborhood with a Walk Score of 30. Families would need to rely on transportation for most errands and appointments. The location may work well for residents with family members who can provide regular rides or for those who do not rely on walking to nearby services.

Over the past nine years, state inspections have reviewed the home’s operations and identified opportunities to improve service plan documentation and updates. Families interested in Son Heaven Assisted Living II should take a tour and ask how these care planning practices are managed daily.

Contact Son Heaven Assisted Living II

Overview of Echoview Assisted Living

Nestled in the tranquil landscapes of Kalispell, Montana, Echoview Assisted Living emerges as a haven for seniors in pursuit of compassionate care and a homelike environment. Specializing in Alzheimer’s and dementia-related illnesses, this intimate residential care home is committed to providing personalized attention to its cherished residents. The dedicated caregivers at Echoview bring a wealth of experience and deep support, recognizing and respecting the unique needs of each individual.

If you seek a place where independence is honored and care is delivered with genuine warmth, Echoview Assisted Living eagerly awaits. Echoview goes beyond standard care, customizing its services, including meal preparation, hygiene, cleaning, supervision, and engaging activities, to ensure the comfort and well-being of each resident. Companionship is at the heart of their approach, cultivating trusted relationships that contribute to the overall sense of belonging.

Contact Echoview Assisted Living, LLC

Overview of Sapphire Lutheran Homes

With 40 beds, Sapphire Lutheran Homes offers assisted living, independent living, and memory care in Hamilton, MT. Along with support with daily tasks, housekeeping services are also provided. The community also accommodates those living with memory-related conditions in a supervised environment. Licensed nurses and CNAs, as well as 24-hour staffing, ensure accessibility of care at all times.

Residents can choose one-bedroom or two-bedroom apartments. Furthermore, a library and game rooms create places for reading and games. Physical, social, and spiritual wellness activities and regular exercise sessions also provide organized ways to take part in those areas.

The area has a Walk Score of 82 out of 100, meaning it is very walkable and most errands can be completed on foot, so a resident who no longer drives may still get out independently. Cole Harden serves as the administrator.

Contact Sapphire Lutheran Homes

Overview of Livingston Health and Rehab Center

Livingston Health and Rehab Center provides nursing home, memory care, respite care, and skilled nursing in Livingston, MT. Nursing home care supports residents who need ongoing nursing oversight and help with daily needs, while skilled nursing provides licensed nursing care on site around the clock. Memory care offers a secured setting with supervision for someone at risk of wandering, and respite care provides a short stay when a family caregiver needs time away or recovery.

The range of care types may make Livingston Health and Rehab Center a good fit for a resident whose needs change over time and who may be able to move between care levels without leaving the community. The center has 115 beds, giving families a clear sense of its capacity when considering whether its scale suits their preferences. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover an eligible stay. Total nurse staffing is 3h 1m per resident per day, representing the recorded daily nursing time allocated per resident. A Walk Score of 64 places the area in the somewhat walkable band, so some errands can be completed on foot and a resident who no longer drives may be able to reach nearby destinations independently. Darren Bake serves as the administrator.

Contact Livingston Health and Rehab Center

Overview of Rosetta Assisted Living – Missoula

Rosetta Assisted Living, Missoula offers assisted living in Missoula, MT. Assisted living provides help with daily living activities, so residents can receive support with routine tasks while living in the community. The community is in the Westside neighborhood, and administrator Ashely Torbett oversees its daily operations.

With 17 beds, Rosetta Assisted Living, Missoula is a small community, which may suit someone who prefers a smaller assisted living setting. Rehabilitation services are available, giving residents access to those services through the facility. A Walk Score of 53 out of 100 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to handle certain nearby errands independently.

Contact Rosetta Assisted Living – Missoula

Overview of Autumn Springs Assisted Living

Autumn Springs Assisted Living provides assisted living in Billings, MT, with help for daily tasks such as dressing, bathing, and medication while residents maintain their own living space. The 66-bed community offers one-bedroom and two-bedroom units; a two-bedroom unit can suit a couple moving together, while a one-bedroom unit is designed for one resident.

Respite care offers a short stay when a usual caregiver needs time away, and short-term rehabilitation supports a temporary recovery period. Rehabilitation services are also available for residents who need support during recovery.

A Walk Score of 51 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 certain nearby errands independently. Margo Ball serves as the administrator, and Autumn Springs Assisted Living may be a good fit for someone who needs help with daily tasks while living in a one-bedroom or two-bedroom unit.

Contact Autumn Springs Assisted Living

Overview of Birchwood at Hillcrest

Birchwood at Hillcrest is the assisted-living section of Hillcrest Senior Living that offers cozy apartments near Aspen Pointe. Being only two minutes from Bozeman Health Deaconess Hospital adds to the feeling of safety. Caregivers, led by nurses, are there 24/7, making Birchwood a comforting place where assistance is straightforward. 

The Birchwood staff knows how to assist in a kind and respectful way. This assisted living community makes senior living better by helping residents with ADLs while respecting each of their needs. To experience the warmth and care of Birchwood and let their caring team show how they can help and be a meaningful part of the senior living journey.

Contact Birchwood at Hillcrest

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 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 155 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