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Best Nursing Homes in Billings, MT

Reviewed by Dr. Jordan Weiss
Updated Jan 2026

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.

4 facilities compared · CMS & MT Dept. of Health data · Updated May 2026

Click column headers to sort
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
1.3%
Facility 1.3%
MT AVG 61.7%
Rank #26 / 26
-98%
3.57
Facility 3.57
MT AVG 4.53
Rank #12 / 25
+23%-21%
3
Facility 3
MT AVG 1.7
49
Facility 49
MT AVG 29.7
Rank #20 / 26
6.1
Facility 6.1
MT AVG 5.7
Rank #18 / 26
5
Facility 5
MT AVG 2.6
2
67
Facility 67
MT AVG 40
Rank #3 / 20
Caldwell, Sarah
$7.6M
Facility $7.6M
MT AVG $6.3M
Rank #10 / 27
$3.5M
Facility $3.5M
MT AVG $2.8M
Rank #8 / 27
46.8%
Facility 46.8%
MT AVG 45.6%
Rank #8 / 27
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
54.1%
Facility 54.1%
MT AVG 61.7%
Rank #15 / 26
-12%
2.99
Facility 2.99
MT AVG 4.53
Rank #24 / 25
+12%-34%
5
Facility 5
MT AVG 1.7
74
Facility 74
MT AVG 29.7
Rank #26 / 26
8.2
Facility 8.2
MT AVG 5.7
Rank #22 / 26
11
Facility 11
MT AVG 2.6
71
57
Facility 57
MT AVG 40
Rank #5 / 20
Preciado, Anna
$6.3M
Facility $6.3M
MT AVG $6.3M
Rank #13 / 27
$2.2M
Facility $2.2M
MT AVG $2.8M
Rank #14 / 27
35.2%
Facility 35.2%
MT AVG 45.6%
Rank #20 / 27
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
73.0%
Facility 73.0%
MT AVG 61.7%
Rank #4 / 26
+18%
3.15
Facility 3.15
MT AVG 4.53
Rank #23 / 25
----2%-30%
4
Facility 4
MT AVG 1.7
45
Facility 45
MT AVG 29.7
Rank #19 / 26
5.6
Facility 5.6
MT AVG 5.7
Rank #13 / 26
3
Facility 3
MT AVG 2.6
80
56
Facility 56
MT AVG 40
Rank #6 / 20
-
$3.9M
Facility $3.9M
MT AVG $6.3M
Rank #19 / 27
$1.2M
Facility $1.2M
MT AVG $2.8M
Rank #21 / 27
30.1%
Facility 30.1%
MT AVG 45.6%
Rank #25 / 27
275120
Bella Terra Billings-
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 (North Park)
-
-
Facility -
MT AVG 61.7%
-
-
Facility -
MT AVG 4.53
-----
0
Facility 0
MT AVG 1.7
-
Facility -
MT AVG 29.7
-
Facility -
MT AVG 5.7
-
Facility -
MT AVG 2.6
-
41
Facility 41
MT AVG 40
-
-
Facility -
MT AVG $6.3M
-
Facility -
MT AVG $2.8M
-
Facility -
MT AVG 45.6%
-
Autumn Care Center Personal Care
Butterfly Homes
Butterfly Homes II
Cashmur Assisted Living
Constant Care of Montana
Gallaghers Assisted Living
Gallaghers Assisted Living II
Gallaghers Assisted Living III
Good Day Assisted Living
Langemo Cottage at St Johns
Liggett Cottage
Moorberg Cottage at St Johns
Nefzger Cottage
Right Heart Assisted Living Facility
SkyRidge Cottage 1
SkyRidge Cottage 2
St. John's United
Sunflower Gardens Assisted Living, Inc dba Nancy's Place
Tendernest 1B
Tendernest 6B
Tendernest LLC 2B
Tendernest LLC 3B
Tendernest LLC 4B
Tendernest LLC 5B
TLC Assisted Living
TSMM Management, LLC d/b/a Primrose of Billings
Your Home Away From Home II
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.

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

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Care Cost

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.

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

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.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Contact Billings Nursing and Rehab

Overview of Bella Terra Billings

Bella Terra Billings is a sanctuary where residents can experience a unique sense of community and genuine warmth. Families can trust the post-hospital and rehabilitation care provided by the highly professional and competitive staff. The home takes a comprehensive approach to short-term rehabilitation services, maximizing functionality and helping residents achieve their health and wellness goals. Located near hospitals and physicians’ offices, Bella Terra Billings is dedicated to satisfying residents’ healthcare needs and ensuring their satisfaction.

Their private and semi-private suites are crafted with residents’ comfort and convenience in mind, featuring refined accommodations, state-of-the-art equipment like flatscreen TVs and high-speed Wi-Fi, and transportation to offsite medical appointments. The advanced clinical care provided by the facility, including orthopedic, pulmonary, oncology, and more, gives residents peace of mind, knowing they are in good hands.

Contact Bella Terra Billings

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

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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 4 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.