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Best Nursing Homes in Billings, MT

Reviewed by Dr. Jordan Weiss
Updated Jan 2026
We analyzed 11 homes in Billings, MT

Sources: CMS Centers for Medicare and Medicaid Services, and Montana Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in Billings, Montana.

Watch this Video to see Billings's Top-rated Senior Communities

Compare Nursing Homes around Billings (Metro Area)

The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.

7 facilities compared · CMS & MT Dept. of Health data

Click column headers to sort
Westpark Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Billings (Solomon Avenue)
181
Facility 181
MT AVG 71
Rank #5 / 106
15.5%
Facility 15.5%
MT AVG 61.7%
Rank #34 / 35
-75%
4.31
Facility 4.31
MT AVG 4.53
Rank #12 / 34
-14%-5%
$33.9k
Facility $33.9k
MT AVG $83.8k
Rank #20 / 35
28
Facility 28
MT AVG 29.7
Rank #17 / 35
4.7
Facility 4.7
MT AVG 5.7
Rank #9 / 35
228
64
Facility 64
MT AVG 43
Rank #37 / 159
Community Nursing, Inc
$17.7M
Facility $17.7M
MT AVG $6.3M
Rank #2 / 31
$11.7M
Facility $11.7M
MT AVG $2.8M
Rank #2 / 31
66.1%
Facility 66.1%
MT AVG 45.6%
Rank #8 / 31
275043
St. John‘s United
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Billings
104
Facility 104
MT AVG 71
Rank #22 / 106
25.0%
Facility 25.0%
MT AVG 61.7%
Rank #33 / 35
-59%
5.27
Facility 5.27
MT AVG 4.53
Rank #6 / 34
-29%+16%
$0
Facility $0
MT AVG $83.8k
Rank #1 / 35
33
Facility 33
MT AVG 29.7
Rank #21 / 35
8.3
Facility 8.3
MT AVG 5.7
Rank #31 / 35
-26
6
Facility 6
MT AVG 43
Rank #144 / 159
Gerald Pearsall
$40.6M
Facility $40.6M
MT AVG $6.3M
Rank #1 / 31
$19.6M
Facility $19.6M
MT AVG $2.8M
Rank #1 / 31
48.4%
Facility 48.4%
MT AVG 45.6%
Rank #26 / 31
275024
Holiday Aspen View
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Billings
90
Facility 90
MT AVG 71
Rank #34 / 106
71.5%
Facility 71.5%
MT AVG 61.7%
Rank #13 / 35
+16%
3.49
Facility 3.49
MT AVG 4.53
Rank #21 / 34
-6%-23%
$118.5k
Facility $118.5k
MT AVG $83.8k
Rank #29 / 35
32
Facility 32
MT AVG 29.7
Rank #20 / 35
5.3
Facility 5.3
MT AVG 5.7
Rank #14 / 35
367
60
Facility 60
MT AVG 43
Rank #43 / 159
-
$3.3M
Facility $3.3M
MT AVG $6.3M
Rank #25 / 31
$2.0M
Facility $2.0M
MT AVG $2.8M
Rank #26 / 31
58.4%
Facility 58.4%
MT AVG 45.6%
Rank #17 / 31
275140
Eagle Cliff Healthcare Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Billings (Heights)
129
Facility 129
MT AVG 71
Rank #11 / 106
27.9%
Facility 27.9%
MT AVG 61.7%
Rank #31 / 35
-55%
3.54
Facility 3.54
MT AVG 4.53
Rank #21 / 34
-29%-22%
$99.4k
Facility $99.4k
MT AVG $83.8k
Rank #27 / 35
64
Facility 64
MT AVG 29.7
Rank #33 / 35
10.7
Facility 10.7
MT AVG 5.7
Rank #34 / 35
436
3
Facility 3
MT AVG 43
Rank #148 / 159
Amin Family Limited Partnership
$4.5M
Facility $4.5M
MT AVG $6.3M
Rank #21 / 31
$2.2M
Facility $2.2M
MT AVG $2.8M
Rank #23 / 31
50.1%
Facility 50.1%
MT AVG 45.6%
Rank #25 / 31
275123
Yellowstone River Nursing and Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Billings (East Central)
160
Facility 160
MT AVG 71
Rank #6 / 106
1.3%
Facility 1.3%
MT AVG 61.7%
Rank #35 / 35
-98%
3.57
Facility 3.57
MT AVG 4.53
Rank #18 / 34
+50%-21%
$61.2k
Facility $61.2k
MT AVG $83.8k
Rank #23 / 35
49
Facility 49
MT AVG 29.7
Rank #29 / 35
6.1
Facility 6.1
MT AVG 5.7
Rank #25 / 35
52
67
Facility 67
MT AVG 43
Rank #33 / 159
Sarah Caldwell
$7.6M
Facility $7.6M
MT AVG $6.3M
Rank #14 / 31
$4.6M
Facility $4.6M
MT AVG $2.8M
Rank #15 / 31
60.4%
Facility 60.4%
MT AVG 45.6%
Rank #12 / 31
275029
Skyline Heights Nursing and Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Billings (Colton Heights Apartments)
150
Facility 150
MT AVG 71
Rank #7 / 106
54.1%
Facility 54.1%
MT AVG 61.7%
Rank #20 / 35
-12%
2.99
Facility 2.99
MT AVG 4.53
Rank #32 / 34
-18%-34%
$565.1k
Facility $565.1k
MT AVG $83.8k
Rank #35 / 35
74
Facility 74
MT AVG 29.7
Rank #35 / 35
8.2
Facility 8.2
MT AVG 5.7
Rank #30 / 35
1171
57
Facility 57
MT AVG 43
Rank #51 / 159
Anna Preciado
$6.3M
Facility $6.3M
MT AVG $6.3M
Rank #17 / 31
$3.8M
Facility $3.8M
MT AVG $2.8M
Rank #18 / 31
59.9%
Facility 59.9%
MT AVG 45.6%
Rank #13 / 31
275020
Billings Nursing and Rehab-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Billings (South Side)
100
Facility 100
MT AVG 71
Rank #27 / 106
73.0%
Facility 73.0%
MT AVG 61.7%
Rank #10 / 35
+18%
3.15
Facility 3.15
MT AVG 4.53
Rank #30 / 34
---+27%-30%
$211.8k
Facility $211.8k
MT AVG $83.8k
Rank #33 / 35
45
Facility 45
MT AVG 29.7
Rank #28 / 35
5.6
Facility 5.6
MT AVG 5.7
Rank #18 / 35
380
56
Facility 56
MT AVG 43
Rank #57 / 159
-
$3.9M
Facility $3.9M
MT AVG $6.3M
Rank #22 / 31
$2.1M
Facility $2.1M
MT AVG $2.8M
Rank #24 / 31
53.9%
Facility 53.9%
MT AVG 45.6%
Rank #20 / 31
275120
Overview of St. John‘s United – the Vista

The Vista is a haven of vibrant living within the esteemed St. John’s United community. Here, an exquisite tapestry of lifestyle options awaits, promising a harmonious blend of freedom and compassionate care. With a team of dedicated 24-hour licensed nurses, the retirement experience transcends expectations, as top-notch services elevate every aspect of life, be it independent living, supportive living, or memory care.

From onsite lab clinics and wellness centers to an array of recreational activities, every moment is an opportunity for enrichment and enjoyment. Courtesy transportation ensures that exploring the surrounding areas is a breeze, while daily meals crafted with nutrition and flavor in mind nourish the body and soul. The meticulous attention to detail extends to housekeeping and laundry services, providing a worry-free living experience. As an added convenience, an onsite pharmacy and rehabilitation services are readily available, while a 24-hour portable emergency call system ensures peace of mind. The well-designed assisted living apartments, all conveniently located on the ground level, provide a sense of familiarity and ease.

Contact St. John‘s United – The Vista

Overview of Westpark Village

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.

Contact Westpark Village

Overview of St. John‘s United

Experience the captivating allure of WyndStone of St. John’s United, a senior home nestled amidst the breathtaking landscapes of Billings, Montana. It is where vibrant independent living, assisted living, and compassionate memory care seamlessly converge. This residence is the definition of high-quality care, offering luxurious amenities and personalized services that redefine senior living. Within a secure and supportive environment, a dedicated team works tirelessly to create a sanctuary where confusion dissipates, memories are cherished, and patience is ever-present.

With weekly housekeeping and maintenance services, they can bid farewell to mundane chores and embrace the freedom to pursue their passions. The garage access and ample storage space ensure that their personal belongings are always within reach, adding to the convenience and comfort of their living space. Residents can also immerse themselves in the soothing waters of the aquatic center or engage in invigorating workouts at the state-of-the-art fitness facility, where their physical and mental well-being are nurtured. The exquisite restaurant-style dining experience caters to their culinary desires, offering a wide array of flavors and gourmet creations to satisfy even the most discerning palates.

Contact St. John‘s United

Overview of Mission Ridge

A member of the St. John’s senior living home, Mission Ridge is a senior home nestled amidst the breathtaking landscapes of Billings, Montana. At Mission Ridge, residents experience vibrant senior care living. The retirement home is the definition of high quality care, offering luxurious amenities and personalized services that redefine senior living. Within a secure and supportive environment, a dedicated team works tirelessly to create a sanctuary where confusion dissipates, memories are cherished, and patience is ever-present.

Mission Ridge strives to provide a stress-free and enjoyable environment for its residents, ensuring that the community is safe and secure. Moreover, they house professional and caring staff who assist with everyday living and provide residents with a 24-hour emergency call system. Finally, private apartments include a balcony or patio and a washer/dryer unit available. 

Contact Mission Ridge

Overview of Holiday Aspen View

Managed by the Atria senior living community, Holiday Aspen View Senior Living has built one of the finest residential independent living homes in Billings– prioritizing its inclusive amenities for the welfare of its residents. Their commitment to making sure that an individual can feel independent while being engaged is one of their utmost priority for a balanced lifestyle; they ensure that their residents are healthy and active. Holiday Aspen View has ensured a diverse and inclusive environment offering a strong sense of family.

The premier community has boasted an elevated lifestyle through the elevated service that they have provided for residential independent living seniors. Their all-inclusive amenities include daily delicious and nutritious meals by a chef, weekly housekeeping and laundry, and daily fitness activities with their finest gym equipment– among others. They also provide every private apartment with an emergency call system. 

Contact Holiday Aspen View

Overview of Eagle Cliff Healthcare Community

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.

Contact Eagle Cliff Healthcare Community

Overview of Avantara Billings

Experience a life of sophistication, refinement, and empathy at Avantara Billings. Nestled in scenic Montana, Avantara Billings offers cutting-edge physical and occupational rehabilitation plans, complete with state-of-the-art physical therapy equipment. They also provide speech pathology services, with a standout orthopedic rehabilitation program. The advanced Trent Transitional Rehabilitation program ensures that residents regain their strength, independence, and confidence in a comfortable and supportive environment. Avantara Billings is an excellent choice for seniors in need of pulmonary, oncology, and orthopedic care, among other services. 

Residents will find themselves supported, entertained, and rejuvenated in this healing space. For those who enjoy a good book, the library offers a peaceful retreat, while wall-mounted flat-screen TVs and high-speed Wi-Fi provide ample entertainment options. The concierge and salon services, as well as the home’s prime location near prestigious hospitals, make Avantara Billings the ideal choice for families seeking the very best for their loved ones.

Contact Avantara Billings

Overview of Skyline Heights Nursing and Rehabilitation

Overlooking Billings, Montana, Skyline Heights Healthcare (Formerly Valley Health Care Center) is an exceptional community that offers comprehensive skilled care services, including long-term care, short-term care, and various recovery therapies. Residents at Skyline Heights Healthcare can enjoy various activities and services designed to enhance their quality of life, including rehabilitation therapies, social services, and personalized care plans. With 24/7 professional support, the community is well-equipped to care for individuals with complex medical conditions or those recovering from surgery, illness, or injury.

Skyline Heights Healthcare strives to provide compassionate, personalized care tailored to each resident’s needs. Their goal is to create a comfortable and healing environment where every individual feels respected and valued. The community offers a range of amenities and programs, such as physical, occupational, and speech therapies, cardiac care, stroke recovery, wound care, and advanced therapy modalities. Additionally, they provide essential services like dental care, dialysis, hospice care, and podiatry services, ensuring comprehensive support for all residents.

Contact Skyline Heights Nursing and Rehabilitation

Overview of Yellowstone River Nursing and Rehabilitation

Yellowstone River Nursing & Rehabilitation is a senior living community located in Billings, Montana, offering 24/7 skilled care, including long term care, short-term care and various rehab therapies. They provide a range of services to enhance the quality of life for their residents, emphasizing individual wellness and recovery. Seniors at Yellowstone River can enjoy personalized care in a supportive environment designed to meet their specific needs.

Yellowstone River Nursing & Rehabilitation aims to offer comprehensive and compassionate care to their residents. They provide various amenities and programs, including skilled nursing for pain management, medication, and hygiene, as well as rehabilitation therapy with physical, occupational, and speech therapists. Their goal is to help residents regain independence and improve their overall well-being, whether they require long or short-term care.

Contact Yellowstone River Nursing and Rehabilitation

Overview of Billings Nursing and Rehab

Formerly known as Parkview Healthcare Community, Billings Nursing and Rehab center is dedicated to making the facility a home with an inviting atmosphere that makes its residents feel welcomed into a home-like environment. The senior living home is supported and managed by professional caregivers who understand the unique needs of their residents — committed to fulfilling their holistic needs.

The Billings Nursing and Rehab community is the ideal home for residents and their families seeking to lead a more purposeful life. The senior living community offers a range of services such as transportation, housekeeping, and social activities.

Contact Billings Nursing and Rehab

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Billings, MT

What's the difference between assisted living and a nursing home in Montana?

Assisted living in Montana is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Montana Medicaid cover nursing home care?

Yes — Montana Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 11 nursing homes in Billings, MT. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Billings, MT?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Billings, MT, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Billings, MT?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.