Best Memory Care in Billings, MT

Overview of St. John‘s United

St. John’s United operates a 104-bed nursing facility at 3940 Rimrock Road, Billings, Montana, administered by Karna Rhodes and owned by Gerald Pearsall. This voluntary non-profit church-affiliated community is car-dependent (Walk Score 6), 7.9 miles from downtown Billings with immediate access to Fuller Family Medicine. Current census: 26 residents (25% occupancy), average stay 129 days. Payer mix: 63% Medicare (28 days typical), 36% private pay (5–6 months), 1% Medicaid (18–19 years).
Staffing (Q4 2025): 262 total personnel including 29 RNs, 14 LPNs, and 164 CNAs. Total nursing delivers 5 hours 16 minutes per resident per day (35% above Montana average); weekend nursing reaches 4 hours 43 minutes (38% above state norm). Staff-to-resident ratio of 3.32:1 significantly exceeds benchmarks.
Care modalities include nursing home, independent and assisted living, memory care, home care, and hospice. Amenities: private rooms, aquatic center, fitness center, restaurant-style dining, housekeeping, and storage. 2023 financials: $34.4 million revenue, $19.6 million payroll, $984,311 net income. The facility ranks first statewide in payroll investment.
Quality outcomes show mixed results. Long-stay residents experience falls with major injury at 3.0% (31% better than state), pressure ulcers at 4.3% (32% better), and urinary tract infection at 2.0% (27% better). However, weight loss reaches 11.4% (85% worse), functional decline scores 23.4 (8% worse), and antipsychotic use stands at 20.8% (9% worse). No monetary penalties in three years.
The inspection record reveals significant compliance challenges. Over 34 months (August 2023–July 2025), four inspections yielded 33 deficiencies; 686% above Montana’s per-inspection average. July 2025 annual inspection cited 6 deficiencies: grievance policy gaps, medication errors exceeding 5%, incomplete care plans, expired food disposal, hand hygiene failures, and infection control breaches. A concurrent complaint investigation identified 2 deficiencies for delayed abuse/investigative findings reporting (2 days late).
August 2024 routine inspection documented 15 deficiencies spanning medication assessment, delayed abuse reporting, assessment accuracy, care planning, fall prevention, psychotropic medication governance, dietary and kitchen sanitation failures, and vaccination gaps. An August 2024 complaint investigation substantiated 2 deficiencies: delayed neglect reporting and 3-hour late insulin delivery. April 2024 complaint investigation found 1 deficiency: incorrect antiepileptic dosing for 27 days.
August 2023 routine inspection identified 7 deficiencies including unmet caregiver preferences, dementia care planning gaps, pressure ulcer management, missing equipment, absent nonpharmacological interventions, medication errors, and refrigerator temperature control failures. An August 2023 complaint investigation confirmed 1 deficiency for absent nonpharmacological documentation preceding antipsychotic initiation.
All violations carry moderate severity; no critical or serious citations exist. Deficiency patterns center on medication management, care planning, incident reporting timeliness, infection prevention, dietary operations, and failure to implement nonpharmacological approaches before chemical restraint, demonstrating compliance persistence without documented systemic resolution

Overview of Canyon Creek Memory Care Community

Set in the scenic grounds of Billings, Montana, Canyon Creek is a peaceful senior living community that offers a safe environment for memory care. Residents live well and rest well in their carefully designed accommodations, equipped with safety features like window sensors, motion sensors, and pull cord systems for notifying caregivers on emergencies. A dedicated and hands-on team of caregivers are available 24/7 to offer support and assistance whenever residents need them.

As a family-owned community, Canyon Creek ensures that their residents always come first and receive focused attention and care with a personal touch. Boasting years of experience in providing exceptional senior living experiences, the community ensures residents are treated with respect and dignity they deserve. Offering residents a plethora of well-curated activities and services and an exceptional dining experience, Canyon Creek warrants a lifestyle that is both empowering and rewarding.

Westpark Village, managed by the esteemed The Goodman Group, has been setting the standard for exceptional senior living since 1986. Its serene and stunning surroundings are unrivaled, offering a range of living options that cater to individual needs, including independent living, assisted living, memory care, and respite care. More than just a place to live, Westpark Village provides a welcoming and supportive environment that allows seniors to savor their golden years. 
Westpark Village boasts an array of amenities that ensure residents are comfortable and cared for, including an emergency call system, gourmet chef-inspired meals, housekeeping, linen service, Wi-Fi, basic cable TV, and personal assistance with daily activities. The facility’s innovative approach to dementia care is based on the Montessori philosophy. With top-notch service and a cozy, family-friendly ambiance, this community is a true haven for those seeking the very best in senior living.

Overview of TenderNest

TenderNest is a small assisted living and memory care home in Billings, Montana, located on Parkhill Drive on the city’s west side. With just 16 beds in a single-story building, it offers an intentionally intimate setting, the kind of place where staff and residents get to know one another well and daily life stays quieter than it would in a large community. That scale often appeals to families who want close, personal attention for a loved one rather than a big campus with long amenity lists.

The home is administered by Nate Swenson and provides personalized care around the clock. Day-to-day support covers bathing, grooming, help with mobility, medication management, and housekeeping, along with transportation and an ongoing schedule of activities and programs. Because TenderNest offers memory care alongside assisted living, it can serve residents who need a more structured, supervised environment as cognitive needs change, which can spare a family a disruptive move later on.

Practical touches round out daily life here. Transportation services help residents get to appointments and errands, fitness and recreation programming supports staying active, and the home welcomes pets, which can matter a great deal to residents bringing a companion animal along. The neighborhood scores 46 out of 100 for walkability, so a few nearby destinations are reachable on foot while most outings will involve a short drive.

Location is a strong point for families managing care from a distance or coordinating with medical providers. TenderNest sits about 5.5 miles from downtown Billings and roughly a mile from SCL Health St. Vincent hospital, which keeps emergency and specialist care close at hand. Senior residential care facilities in Montana are inspected and licensed by the state Department of Public Health and Human Services, so TenderNest operates under regular state oversight. Together, the small size, the combined assisted living and memory care, and the proximity to a major hospital make it worth a closer look for families seeking a home-style setting in Billings.

Overview of MorningStar Senior Living of Billings

MorningStar Senior Living of Billings is a cherished haven that families in Montana place their utmost trust in. With a wide array of options ranging from independent living to assisted living and memory care, this home caters to the unique needs and preferences of every individual. From expertly navigating veteran benefits and long-term care insurance to uncovering medicare benefits and exploring companion living options, their dedicated team is here to guide and support you every step of the way.

Their on-site therapeutic services ensure that residents have access to specialized care, while the convenience of surrounding physicians ensures peace of mind. They also provide home health and hospice services, ensuring that their residents receive the utmost comfort and support throughout their journey. Moreover, prepare to be swept away by the elegance that adorns their dining spaces, where high ceilings create an atmosphere of grandeur and sophistication. Their commitment to going above and beyond extends beyond the physical space, as they have partnered with Elder Life Financial Services to provide a seamless experience for their residents.

Overview of Edgewood Billings

Located in the Heights neighborhood of Billings, Montana, Edgewood Billings is a senior living community offering memory care and adult day care. The community is about 4 miles from downtown Billings. It has 30 beds in a single-story building with private and semi-private rooms. It has served residents for 19 years, reflecting a long-established presence in the local community. Kelsey Miller serves as the administrator.

Residents have access to transportation services for appointments and local errands. There are also fitness and recreation programs that encourage an active daily routine. The neighborhood has a Walk Score of 29. A few nearby services can be reached on foot, but most errands and outings require driving.

State inspections conducted by the Montana Department of Public Health and Human Services have primarily focused on documentation practices, including admission records, medication records, and care plans. Building safety features such as fire door mechanisms and emergency call systems were also included. Inspection records show no substantiated complaints. Families touring Edgewood Billings can ask how these areas are managed daily.

Edgewood Billings offers a long-established memory care and adult day care setting with transportation services and recreation programs in a residential area of Billings.

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.

Overview of St. John‘s United WyndStone

Located in the Heights neighborhood of Billings, Montana, St. John’s United – WyndStone is a senior living community offering assisted living, independent living, and memory care in one location. The multiple levels of care within the same community allow residents to remain in familiar surroundings if their care needs change over time.

The community is housed in a three-story building with one-bedroom and two-bedroom apartments. Residents have flexibility when choosing a floor plan. Pets are welcome, allowing residents to bring a companion animal. Additional features include garage parking, dedicated storage space, weekly housekeeping, and maintenance services, helping residents enjoy a more convenient and maintenance-free lifestyle.

Amenities on-site include an aquatic center, a fitness facility, restaurant-style dining, and transportation services for appointments and local errands. These support both an active lifestyle and greater convenience for residents who no longer drive.

The neighborhood has a Walk Score of 3, which means it’s car-dependent. Most errands and outings require a vehicle. John’s United – WyndStone should ask how the transportation program operates because it’s important in residents’ daily routines.

Overview of Sweetwater Assisted Living

Sweetwater Assisted Living, also known as Sweetwater Retirement Community, is a senior living community in Billings, Montana, located on Sweet Water Drive about four and a half miles from the city center. It offers a full range of care under one roof, including independent living, assisted living, memory care, and respite care, which gives families the option to stay in one familiar place as needs change over time. The community is led by director Jeannette Ivan.

Housing is set in a two-story building with studio, one-bedroom, and two-bedroom layouts, and room sizes range from roughly 497 to just over 1,000 square feet. For residents who want more space and privacy, Sweetwater also offers townhome villas. Pets are welcome, which can matter a great deal to residents bringing a companion animal along.

Daily life is supported by a movie theater, a library and computer room, a wellness center, a chapel, and an on-site salon. Practical services round out the setting, with scheduled transportation for appointments and outings, weekly housekeeping, and emergency response systems in place for added peace of mind. Fitness and recreation programming give residents regular ways to stay active and connected.

The surrounding neighborhood has a Walk Score of 27, so a few errands may be reachable on foot while most trips will involve transportation, which the community helps arrange. Families weighing Sweetwater may want to tour the villa and apartment options in person to see which layout best fits their loved one.

Overview of St. John‘s United – WyndStone

St. John’s United – Wyndstone is an assisted living community on Wyndstone Way in Billings, Montana. It sits in an area with limited walkability, scoring 3, so most errands and outings demand a car. The three-storey building offers one- and two-bed housing options, giving occupants and families selections in their living space.

Assisted living communities provide support with daily living tasks: bathing, dressing, medication management, and meals, while encouraging residents to uphold as much independence as possible. Many families appreciate this setting for the balance it strikes between offered support and personal autonomy. The smaller scale often creates a calmer culture than bigger communities.

An in-person tour by families considering St. John’s United – Wyndstone is the best way to understand the community, see available apartments, and get a sense of daily life and culture there. Visiting also presents a chance to meet staff and throw questions specific to your dearest one’s needs and preferences.