Best Memory Care in Montana

The Grandview at Benefis has been open for three years now, sitting at 3015 18th Ave S in Great Falls, Montana. It’s a 71-bed community, administered by David Krebs, and it covers three levels of care under one roof: assisted living, nursing home care, and memory care. The neighborhood itself is car-dependent territory, with a Walk Score of 26, so most errands are going to mean driving rather than walking.

Great Falls Clinic Hospital sits just 0.17 miles away, close enough that in a real emergency, the distance barely factors in. That’s worth weighing seriously for anyone comparing options where hospital access could matter.

Because assisted living, nursing home care, and memory care all exist in the same building, a resident can move between them as needs change, without a family having to restart the search for a new placement somewhere else. That kind of built-in continuity tends to matter most exactly when you’re not expecting to need it.

Registered nurses provide 2 hours and 8 minutes of care per resident each day, and nurse aides add another 2 hours and 16 minutes. There’s also physical therapy on-site, at 19 minutes per resident per day.

The Grandview at Benefis is a newer facility that’s leaned hard into flexibility: three care levels in one location, a hospital close enough to matter, and staffing that reflects real day-to-day clinical presence. For a family anticipating that a resident’s needs might shift over time, that combination of continuity and proximity is a very useful thing.

Overview of The Springs at Missoula

The Springs at Missoula is a captivating residence nestled in the heart of Missoula, Montana. This vibrant and serene community is bursting with its own unique charm, offering a comprehensive range of living options, including independent living, assisted living apartments, and specialized memory care benefits for those with dementia. At The Springs, residents are treated to a culinary experience like no other, with delectable, seasonally inspired menus that cater to their discerning tastes. The community takes pride in providing ample opportunities for connection and engagement, ensuring that every resident can find fulfillment and joy in their daily activities.
One of the hallmarks of The Springs is its exceptional array of community amenities. Residents are greeted with lush green spaces and elegant dining options, creating an ambiance of sophistication and comfort. The community boasts a charming café, a rejuvenating salon and barbershop, and a state-of-the-art fitness center that promotes an active and healthy lifestyle. Convenient on-site laundry facilities add to the ease and convenience of everyday living. Moreover, The Springs warmly welcomes furry friends, embracing a pet-friendly environment that enhances the sense of home and companionship.

The Grandview at Benefis opened three years ago in Great Falls, Montana, and sits at 3015 18th Ave S, about 3.5 miles from the city center. The 71-bed facility is administered by David Krebs and offers nursing home care, assisted living, and memory care under one roof.

Great Falls Clinic Hospital is 0.17 miles away, which is close enough that the distance is almost irrelevant in a genuine emergency. For families prioritizing hospital proximity when choosing a nursing facility, that geography is worth noting. The Walk Score of 26 reflects the surrounding area: mostly car-dependent, with a few services reachable on foot.

The three-level care model means a resident can move between assisted living and nursing home care, or into dedicated memory care, without leaving the building. That kind of continuity matters in practice, particularly when someone’s needs shift faster than expected.

CMS staffing data puts registered nurse hours at 2 hours and 8 minutes per resident per day and nurse aide hours at 2 hours and 16 minutes. These are the reported figures as of the most recent CMS payroll period; families doing due diligence on nursing-level placements should treat them as one piece of the picture.

At 71 beds and three years in, The Grandview at Benefis is a newer nursing home in Great Falls with a full three-level care range and one of the shortest hospital distances of any facility in this market.

Overview of The Auberge at Missoula Valley

The Auberge at Missoula Valley, located in the breathtaking town of Missoula, Montana, is a haven of assisted living for seniors, providing a nurturing and enriching environment. With a deep commitment to delivering exceptional care, this community adheres to the highest assisted living guidelines, ensuring the well-being and happiness of every resident. Here, assisted living is more than just a concept—it’s a compassionate and personalized approach that promotes independence and dignity.

From assistance with daily tasks to specialized memory care services, The Auberge at Missoula Valley offers comprehensive support to seniors, helping them navigate their golden years with ease and grace. Carefully designed living spaces provide comfort and tranquility, while the professional and dedicated staff is always on hand to provide the necessary care and support. From safety measures and accessibility features to personalized care plans and wellness programs, residents can rest assured knowing that their well-being is prioritized at every turn.

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

Mt Gems – Ruby House operates as a 19-bed assisted living community at 811 2nd Ave S in Great Falls, Montana, and it’s been open for three years now. The building is single-story, which keeps things simple to navigate, and residents choose between private and semi-private rooms depending on what fits. Alongside standard assisted living, the community also offers memory care, an important distinction for families weighing options for a loved one with dementia or Alzheimer’s.

With a Walk Score of 85, the area counts as very walkable, meaning most errands can be handled on foot and plenty of everyday essentials sit within a short walk. That’s a real convenience, both for residents who are still mobile and for family stopping by without needing to find parking.

The daily care here covers a lot of ground: medication assistance, help with bathing, dressing, and grooming, plus housekeeping, laundry, and meal and snack preparation. Staff supervision runs around the clock, and each room comes with its own emergency call button, giving residents a direct way to get help fast if something happens.

Meals lean toward family-style, with snacks available daily, and there’s a regular schedule of social activities for residents to take part in. Paired with the memory care specialization, that combination speaks to a facility built around consistent, hands-on daily support alongside genuine chances to stay socially engaged.

Mt Gems – Ruby House is a small, single-story assisted living community equipped for both standard daily care and memory care needs, set in one of the more walkable pockets of Great Falls.

Overview of Touchmark on Saddle Drive – Helena

A beautiful senior living community that offers exquisite living options such as cottages or condo-style rooms for residents of independent living, assisted living, and memory care living. Regardless of what kind of living option you are in, management and staff are guaranteed to provide resort-like accommodations with exceptional hospitality. The luxurious and elegant senior living community is beautiful, offering a dedicated environment wherein every need of each old is met.  Touchmark on Saddle Drive strives to provide its residents with a comfortable lifestyle of everyday living, making it an ideal place to call a new home.

Many studio, 1-bedroom, and 2-bedroom apartments have a full kitchen, walk-in closets, air conditioning, central heating, washer, and dryer. Inclusive services include scheduled transportation, housekeeping, religious services, and a full-service salon. Touchmark also provides a private dining room, guest suites, activity rooms, and courtyards– to name a few.

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.

The Ivy at Great Falls sits at 1130 17th Ave S in Great Falls, Montana, and it’s a big place. With 278 beds, it’s built to handle a lot of different people at once: someone recovering from surgery who just needs a few weeks of rehab, and someone who’s going to call this place home for a long while.

The average resident stays about 152 days, somewhere between a short rehab stint and a long-term placement. Right now the facility is running at 39% occupancy, so there’s real room here. If your family is trying to move fast, that matters; since you’re not going to end up on a waiting on a waitlist.

Getting around the neighborhood on foot is doable but limited. The Walk Score sits at 43 out of 100, somewhat walkable, so you might reach a handful of nearby spots without a car, but plan on driving for most errands or visits.

Money-wise, The Ivy works with Medicare, Medicaid, and private pay, so there’s flexibility depending on your situation. Medicaid covers the largest share of new residents, 37%, and those stays tend to run long, averaging 10 to 11 months. That tells you something real: this is a place built around steady, ongoing nursing care for people settling in for a while, not just a quick stop on the way somewhere else.

Copper Ridge Health and Rehab has established itself as a reliable cornerstone for comprehensive care, offering a wide spectrum of services from around-the-clock nursing to personalized physical therapy and physician oversight. Since its inception in 1974, this community has continuously evolved, embracing renovations and enhancements to keep pace with evolving standards. Housing a vibrant community of around 100 individuals, Copper Ridge has forged strong bonds with both local and out-of-state healthcare providers, ensuring a network of support that goes beyond its walls.

Residents are welcomed into the embrace of private rooms, relish deliciously crafted daily meals, and enjoy a genuine sense of belonging that turns their stay into a true homecoming. Notably, Copper Ridge’s commitment to transparency and accountability is shown through their adherence to nursing home quality measures. Situated in Butte, Montana, Copper Ridge Health and Rehab is not just a place of care, but a community that nurtures and uplifts seniors.