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.

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

Located in the heart of Bozeman, Montana, The Springs at Bozeman is an exquisite assisted living community with a cozy charm. Residents can enjoy each day to the fullest, where a warm and welcoming atmosphere prevails. This community offers a unique opportunity to experience retirement living that is comfortable, secure, and filled with joy and excitement.
This senior living community boasts an array of unparalleled amenities to enrich the lives of seniors. With various dining options, including multiple inviting venues and an on-site pub, residents can savor their meals and socialize. For those seeking an active lifestyle, The Springs at Bozeman presents a remarkable fitness center with a heated indoor pool and spa. Engaging in a plethora of activities, residents have the chance to forge cherished memories with loved ones. Beyond this, The Springs offers a full-service salon, inviting relaxing spaces, and two spacious outdoor courtyards. Step into the embrace of The Springs at Bozeman’s cozy embrace and discover the simplicity and delight that retirement living can bring.

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.

Missoula Health and Rehabilitation Center has been part of its Rattlesnake Dr neighborhood for 17 years now, a 49-bed nursing home tucked into a stretch of Missoula where you pretty much need a car to get anywhere. Right now it’s running at 80 percent occupancy, and the average resident stays close to six months, 179 days to be exact.

The clinical side of things centers on rehabilitation. Residents have access to rehabilitation services, respite care, and short-term rehab, the kind of support that matters whether someone’s recovering from a hip replacement or settling in for longer-term nursing care. Nursing staff put in an average of 4 hours and 15 minutes of total nursing care per resident each day, which gives a sense of how much hands-on attention is built into the daily rhythm here. A wellness program rounds out the picture.

Coverage-wise, the facility takes Medicare, Medicaid, and private pay, so families have options no matter where they are in figuring out how to fund care. Rebecca Davis administers the facility, and Karrie Holt holds the Executive Director role.

Montana’s Department of Public Health and Human Services, Quality Assurance Division, handles inspections statewide, and here those inspections have tended to circle back to medication management, infection control, and food service rather than anything tied to direct hands-on resident care.

Put together, this is a smaller nursing home built around rehabilitation and sustained nursing support, the kind of place suited to someone who needs real clinical attention day to day, not just a place to land.

Offering assisted living and memory care services, The Grandview at Benefis is a residential care community on 18th Avenue South in Great Falls. Operating for three years, it’s home to 71 residents. It accepts assisted living and memory care occupants, providing a residential setting for seniors needing support with care and daily activities.

The facility sits in a quiet area of Great Falls with a Walk Score of 26. Most errands and appointments then need transportation. For families assessing the home, visiting in person is crucial to get a sense of living spaces, daily routines, and offered programs. Staffing includes nursing coverage all day, with registered nurses and nursing aides providing care support.

The Grandview at Benefis has been inspected by state health authorities, and families can request details about its compliance and operations during tours.

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.

Overview of The Springs at Grand Park

Nestled amidst the natural beauty of Montana, The Springs at Grand Park offers a serene and secure home for seniors seeking a peaceful retirement just a stone’s throw away from some of the best medical facilities in the tristate area. Whether you need assisted living or memory care, the team at The Springs will tailor their approach to meet your unique needs and preferences. The home’s expansive outdoor spaces provide ample opportunities for fresh air and outdoor activities, and they even welcome pets so that you can bring your furry friend along for the ride.
At The Springs, there’s always something to do or see. Take your pick from the cozy café or bistro, the art and crafts center, the game room, or the movie or theater room. And for those who love music, you’ll relish the chance to spend an afternoon of nostalgia and melodies, listening to the soothing notes of the piano. Of course, the team at The Springs understands that comfort and convenience are key, which is why they offer housekeeping, laundry services, and indoor walking paths to make life as easy and enjoyable as possible. With a warm and welcoming community and a team of compassionate professionals, The Springs at Grand Park is truly a hidden gem in Montana.

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.