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

Primrose Personal Care Home offers an idyllic sanctuary in Billings, where senior living and apartments come together to create a harmonious and fulfilling lifestyle. Nestled amidst stunning natural landscapes, this community provides a serene and picturesque backdrop for residents to savor each day. With a prime location near historic landmarks and awe-inspiring natural wonders, Primrose Personal Care Home of Billings offers an enriched living experience for seniors. Whether it’s a cozy studio or a spacious one-bedroom apartment, residents can find a home that perfectly suits their lifestyle and offers the right balance of independence and support.

At Primrose, the focus is on creating an environment that promotes overall well-being and a sense of belonging. With compassionate staff available around the clock, residents receive personalized care and assistance tailored to their specific needs. The community’s dedication to assisted senior living ensures that residents can enjoy the freedom to pursue their passions while receiving the necessary support to enhance their quality of life. From engaging social activities and wellness programs to delicious dining options and convenient housekeeping services, every aspect of assisted senior living at Primrose Personal Care Home is thoughtfully curated to create a vibrant and nurturing community.

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.

Overview of TenderNest

TenderNest is one of the trusted assisted living and memory care communities in Billings. The senior living community is a comfortable and safe senior living home where residents are guaranteed to feel welcomed in a friendly atmosphere. Management and staff excel in delivering a high standard of quality care in a small home-like setting. TenderNest places its value on growth for its residents in a nurturing environment.

The TenderNest lifestyle revolves on the comfort and stability of its residents through personalized care available 24/7 which includes bathing, grooming, assistance with mobility, housekeeping, transportation, medication management, and stimulating activities and programs. 

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.

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.

Eagle Cliff Healthcare Community is a skilled nursing and rehabilitation center that provides peaceful living for short-term or long-term residents in Yellowstone County. The skilled nursing home also provides services for memory care. Residents choosing from all kinds of living options receive supportive assistance for everyday living with enriching activities, contributing to a high success rate for recovery.

Eagle Cliff Healthcare Community has designed a personalized care plan tailored to each unique individual– inclusive of specialized therapies with licensed care professionals, skilled nurses, therapists, and post-hospital care.

Overview of Sweetwater Assisted Living

From its remarkable amenities to thoughtfully designed living spaces, every detail in Sweetwater Retirement Community has been carefully curated to offer an extraordinary retirement experience. This distinguished residence boasts a diverse range of options, including independent living and assisted living for seniors, ensuring that every individual finds their perfect home. Here, residents will find joy in even the simplest tasks and events, as the community transforms mundane moments into cherished experiences.

The home features a state-of-the-art movie theater, a library and computer room, a wellness center, a chapel, a salon, and so much more. Their safety is also paramount, with emergency response systems providing a sense of reassurance and security. They can also seamlessly navigate their surroundings with scheduled transportation services, while the attentive weekly housekeeping ensures a hassle-free lifestyle. Those yearning for independence and privacy will quickly see that Sweetwater’s townhome villas are the epitome of refined living. Beyond the exquisite amenities and captivating living spaces, it is the unique culture of this community that truly sets it apart. Here, a spirit of unity and belonging flourishes, forging lasting connections and creating a tapestry of shared experiences.

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.