Page 3 of Best Memory Care in Montana

Hidden Meadows, located in Columbia Falls, MT, is a senior living community specializing in providing assisted living services with memory care. Their wonderful staff are well trained in caring for their residents living with Alzheimer’s and other forms of dementia, providing them with round-the-clock care, and monitoring treatment effectiveness as each resident progresses. Additionally, they help residents and families explore alternatives as needed, noting which works well in improving the residents, or maintaining its good condition.
As part of their care services, Hidden Meadows also offers a rich array of amenities that offers both comfort and convenience, to their residents who require a supportive environment to thrive. Such amenities include; emergency call system in accommodation units, housekeeping and laundry services, meal preparation services, as well as assistance with daily living activities including incontinence management, and medication management.

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

Step into the realm of unique memory care at Spring Creek Inn, where a tailored approach and specialized community settings reign supreme. Situated close to medical facilities, this specialized memory care community is well-equipped to address the precise requirements of individuals grappling with Alzheimer’s, Dementia, and other forms of memory loss.

At Spring Creek Inn, the commitment to compassionate care is unwavering, providing a haven where your loved ones can find solace and support. With a focus on personal care, this establishment endeavors to rekindle cherished memories, nurturing a profound sense of purpose for residents.

Overview of La Casa Personal Care

Sheridan County sits in Montana’s far northeastern corner, close enough to the North Dakota and Canadian borders that the region feels remote by design. La Casa Personal Care, a 32-bed assisted living community at 408 Lasater Avenue in Plentywood, operates in that setting under administrator Benny Richardson. The neighborhood carries a Walk Score of 60, moderately walkable, meaning some errands can be handled without a car. Sheridan Memorial Hospital is the nearest acute-care option should residents need it.

Care here spans several tracks at once: assisted living, memory care, respite stays, and rehabilitation services all operate under one roof, supported by 24-hour staffing and nursing care. Medication management and personalized care plans run in the background of daily life. An adult day care option also exists, giving families a way to bring in support during set hours without committing to full-time residency.

Daily routines include local transportation and help with everyday activities, plus a common living area where residents gather. Meals and snacks are covered throughout the day, and a nutrition and exercise program adds some structure beyond mealtimes.

Regulators reviewing La Casa Personal Care have focused on environmental and hazardous-materials safety and on how care planning gets documented, both standard areas of state oversight for facilities like this one. Between the residential care and the adult day program, La Casa Personal Care is built for families juggling different levels of need, whether that means moving a parent in full-time or finding daytime coverage while still keeping them at home.

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 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 The Grandview at Benefis

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 Edgewood Helena

Serving older adults in Helena, Montana, Edgewood Helena is a newly established 80-bed assisted living community on Colonial Drive that opened within the past year. The community is in a car-dependent area. Most daily errands and appointments require driving.

As one of Helena’s newest assisted living communities, it is in the early stages of welcoming residents and building its daily routines. This gives families another residential care option in the area and a chance to experience its services and living environment from the beginning.

State inspections have focused on medication management, care documentation, and maintenance of the building’s physical systems. Families touring the community should ask how these processes are managed and what safeguards are in place to support resident safety and quality of care.

An in-person visit offers the best opportunity to explore the community. Families can tour the resident rooms, common areas, and daily operations to determine if Edgewood Helena is the right fit for their loved one.

Renaissance Senior Living is an assisted living and memory care community in Dillon that encourages its residents to feel young and vibrant with the environment’s energy. The assisted living home near Lincoln aims to inspire the quality of life for seniors by maintaining a well-balanced holistic wellness. Renaissance understands that individuals are unique and have their own needs, so they provide innovative ways to attend to their residents as soon as possible.

Their all-inclusive community features include daily delicious and nutritious meals, weekly housekeeping and laundry, concierge services, and engaging activities.

Overview of Renaissance Senior Care

Renaissance Senior Living is an assisted living and memory care community designed with signature programs to make its residents feel young and vibrant with the environment’s energy. The assisted living home aims to inspire the quality of life for seniors by maintaining a well-balanced holistic wellness. Renaissance understands that individuals are unique and have their own needs, so they provide innovative ways to attend to their residents as soon as possible.

Their all-inclusive community features include daily delicious and nutritious meals, weekly housekeeping and laundry, concierge services, and engaging activities provided.