Best Nursing Homes in Billings, MT

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.

Government Data for Nursing Homes in Billings, Montana: Salaries, Revenues, Occupancy Rates, Ownership.

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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

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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	2	28	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	3	67	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	4	36	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	5	2	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	11	71	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	3	80	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

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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.

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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

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

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

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

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

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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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.

Best Nursing Homes in Billings, MT

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Bella Terra Billings

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