Montana Care Facilities: Types, Choices, and Regional Options

Types of care facilities in Montana

“Care facility” is everyday language, not a single license type. Matching the person to the right setting starts with understanding what each option is built to do.

Assisted living facilities

Assisted living communities provide housing, meals, and help with activities of daily living in a residential environment. Montana DPHHS licenses them as Assisted Living Facilities with Categories A, B, C, and D that reflect different acuity levels. Many families searching for a “Montana care home” or “care facility” are actually looking for this level of support.

Personal care homes

Montana’s older statutes described personal-care facilities with Category A and B licensing. In practice today, families encounter that language alongside modern assisted living licenses. Smaller homes may feel more house-like; larger campuses may offer more amenities. The important question is still the same: what is the facility licensed to provide for your loved one’s needs?

Memory care

Memory care programs support people living with Alzheimer’s disease and other dementias. Features often include secured exits, structured routines, and staff trained for cognitive impairment. Under Montana assisted living rules, Category C addresses residents with severe cognitive impairment in specialized settings. Not every community that markets “memory care” is identical—ask about training, staffing ratios at night, and how they handle exit-seeking.

Skilled nursing facilities

Skilled nursing facilities (nursing homes) serve people who need ongoing nursing care, complex medical management, or rehabilitation after a hospital stay. They follow different federal and state requirements than assisted living. If physicians say a nursing-facility level of care is required and assisted living cannot safely meet needs, a skilled nursing search is the better path. Medicare Care Compare is a useful starting point for certified nursing homes.

Some campuses include more than one level on the same property (independent living, assisted living, memory care, or skilled nursing). That can simplify future moves, but each level still has its own pricing and admission rules.

How to choose the right Montana care facility

Use a decision path rather than a single Google result.

1. Clarify the clinical picture. What can the person do alone? What must staff handle every day?
2. Separate housing needs from medical needs. Wanting meals and companionship is different from needing daily skilled nursing.
3. Map payer sources. Private pay, long-term care insurance, VA benefits, Medicare (usually short-term skilled), and Medicaid/Big Sky Waiver each behave differently.
4. Shortlist by town and license. Distance for family visitors is a quality-of-life issue, not a luxury.
5. Tour with a checklist. Cleanliness, staff tone, medication practices, activities, and outdoor access all matter.
6. Verify openings and fees in writing. Then sleep on the decision when time allows.

If a hospital social worker is pushing for a fast discharge, you can still ask for interim options while you compare longer-term care facilities. We routinely help families under time pressure without charging them.

Costs and payment overview

Assisted living in Montana often clusters near the statewide median reported by CareScout—about $6,075 per month in 2025 survey data—while memory care and private suites usually run higher. Skilled nursing has its own daily rates and a different mix of Medicare, Medicaid, and private payment. Always request an itemized disclosure from each provider.

For Medicaid-supported community residential services, learn whether the Big Sky Waiver is relevant and whether the facility accepts waiver residents. Room and board remain a family or resident responsibility under typical waiver rules. Our assisted living guide covers waiver basics in more detail.

Montana care facilities by region

The regional lists below are drawn from our statewide assisted living directory (licensed communities we track for family referrals). They are static HTML for search engines and print-friendly browsing. Openings change; please confirm before touring. For filters by memory care or Medicaid waiver acceptance, use the interactive directory.

Western Montana (37 communities)

Corvallis (3)

• Arron Care Home
• The Majestic
• Welcome Home Valley Care

Florence (2)

• Angel's Haven
• Kathy's Place

Hamilton (7)

• Bee Hive Homes of Hamilton
• Bee Hive Homes of Hamilton #2
• Bee Hive Homes of Hamilton #3
• Bitterroot Haven Assisted Living
• Hamilton Assisted Living and Memory Care (Memory care)
• The Remington at Sapphire Lutheran Home
• West Hills Assisted Living

Missoula (17)

• At Home Also (20 beds · Medicaid waiver)
• At Home Assisted Living (20 beds · Medicaid waiver)
• Edgewood Missoula Senior Living LLC (25 beds · Memory care · Medicaid waiver)
• Flor-Haven Home (PC) (Medicaid waiver)
• Missoula ALF Operations, LLC
• Missoula Valley Senior Living (120 beds)
• NorthCare Missoula A (34 beds · Memory care · Medicaid waiver)
• NorthCare Missoula B (34 beds · Memory care · Medicaid waiver)
• Quality Assisted Care Inc, Bee Hive Homes of Missoula #1 (73 beds · Memory care · Medicaid waiver)
• Quality Assisted Care Inc, Bee Hive Homes of Missoula #4 (73 beds · Memory care · Medicaid waiver)
• Quality Assisted Care Inc. Bee Hive Homes of Missoula #5 (73 beds · Memory care · Medicaid waiver)
• Quality Assisted Care Inc., Bee Hive Homes of Missoula #2 (73 beds · Memory care · Medicaid waiver)
• Quality Assisted Care Inc., Bee Hive Homes of Missoula #3 (73 beds · Memory care · Medicaid waiver)
• Senescence Care Inc. (8 beds · Medicaid waiver)
• Senescence Care The Vista's House (8 beds · Medicaid waiver)
• Springs at Missoula (79 beds · Memory care)
• The Village Senior Residence (112 beds · Memory care)

Pinesdale (1)

• Maple Home LLC

Polson (3)

• CSKT Tribal Health
• PAL Lakeside (Medicaid waiver)
• St. Joseph Assisted Living

Ronan (1)

• PAL Plus (Medicaid waiver)

St Ignatius (1)

• PAL Mission (Medicaid waiver)

Stevensville (2)

• Living Centre LTD
• Mountain Pine Assisted Living LLC

Northwestern Montana (20 communities)

Bigfork (1)

• Rising Mountains Assisted Living

Columbia Falls (6)

• Hidden Meadow Assisted Living (Medicaid waiver)
• Hidden Meadow Memory Care (Memory care · Medicaid waiver)
• Price Assisted Living Services dba Bee Hive Homes of Columbia Falls- Grinell House 1 (Medicaid waiver)
• Price Assisted Living Services dba Bee Hive Homes of Columbia Falls-House 3 (Medicaid waiver)
• Price Assisted Living Services dba Bee Hive Homes of Columbia Falls-Swiftcurrent House 2 (Medicaid waiver)
• Timber Creek Village (Medicaid waiver)

Eureka (1)

• Home Sweet Home (Medicaid waiver)

Kalispell (10)

• Echoview Assisted Living, LLC
• Edgewood Kalispell Senior Living LLC
• Friendship House Inc. (Medicaid waiver)
• Immanuel Living d/b/a The Terraces at Buffalo Hill
• Kalispell Community Healthcare LLC
• Renaissance Senior Care - Liberty (Medicaid waiver)
• Tenderheart Senior Living Inc dba Bee Hive Homes of Kalispell 2 (Memory care)
• Tenderheart Senior Living Inc dba Bee Hive Homes of Kalispell 3 (Memory care)
• Tenderheart Senior Living Inc. dba Bee Hive Homes of Kalispell (Memory care)
• WEL-Life at Kalispell

Libby (1)

• Home Away from Home Inc. (Medicaid waiver)

Whitefish (1)

• The Springs at Whitefish

Southwestern Montana (33 communities)

Anaconda (1)

• Caslen Living Centers Inc, dba New Horizons - Anaconda (Medicaid waiver)

Belgrade (3)

• Edgewood Belgrade Senior Living LLC
• Gallatin Valley Assisted Living Inc dba BeeHive Homes of Belgrade
• Open Arms Elder Care

Boulder (1)

• Bear Grass Suites

Bozeman (8)

• Birchwood at Hillcrest
• Bozeman Lodge
• Brookdale Springmeadows
• High Country Care (Medicaid waiver)
• Highgate Senior Living (Memory care)
• HSRE Springs VII LLC DBA Springs at Bozeman
• Hyalite Care (Medicaid waiver)
• Spring Creek Inn Memory Care Community (Memory care)

Butte (6)

• Bee Hive Homes of Butte, Inc
• Bee Hive Homes of Butte, Inc.
• Bee Hive Homes of Butte, Inc.
• Big Sky Senior Living
• Big Sky Senior Living
• Springs at Butte

Deer Lodge (1)

• Renaissance Senior Care - Deer Lodge (Medicaid waiver)

Dillon (4)

• Highland Assisted Living dba Bee Hive Homes of Dillon (1)
• Highland Assisted Living dba Bee Hive Homes of Dillon (2)
• Renaissance Senior Care - Dillon
• Renaissance Senior Care, Dillon South (Medicaid waiver)

Manhattan (2)

• Churchill Retirement Home, Inc
• Parkhaven

Montana City (1)

• Golden Options Assisted Living

Sheridan (1)

• Home Park Assisted Living (Medicaid waiver)

Townsend (2)

• Serenity Point Living, LLC
• Silver Springs Assisted Living (Medicaid waiver)

Whitehall (3)

• AWARE Liberty Place 1
• AWARE Liberty Place 2
• Caslen Living Centers Inc, dba Meadowlark Manor (Medicaid waiver)

Central Montana (56 communities)

Chester (1)

• Liberty County Hospital and Nursing Home, Inc. d/b/a Logan Health Assisted Living – Chester

Choteau (2)

• Montana Quality Living, LLC dba Bee Hive Homes of Choteau
• Teton Peak Assisted Living (Medicaid waiver)

Conrad (1)

• Montana Quality Living LLC dba Bee Hive Homes of Conrad (Medicaid waiver)

Cut Bank (1)

• Montana Quality Living, LLC dba Bee Hive Homes of Cut Bank

Fairfield (1)

• Front Range Assisted Living Inc. (Medicaid waiver)

Fort Benton (1)

• Front Range Assisted Living (Medicaid waiver)

Great Falls (25)

• Azalea Place Adult Family Home Inc.
• BeeHive Homes of Great Falls II Clover Home
• BeeHive Homes of Great Falls II Fireweed Home
• BeeHive Homes of Great Falls II Huckleberry Home
• BeeHive Homes of Great Falls II Linden Home
• BeeHive Homes of Great Falls II Maple Home
• BeeHive Homes of Great Falls II Mesquite Home
• BeeHive Homes of Great Falls II Pine Tree Home
• BeeHive Homes of Great Falls II Sage Home
• Bluebird Assisted Living (Medicaid waiver)
• Goldstone (Medicaid waiver)
• Great Falls Plaza dba Golden Eagle Plaza (Medicaid waiver)
• Headwaters Assisted Living, LLC (Medicaid waiver)
• Highgate Great Falls
• Hosanna Assisted Living Home (Medicaid waiver)
• Lodge Senior Living Community
• Meadowlark Assisted Living (Medicaid waiver)
• MT Gems Inc. dba Ruby House (Medicaid waiver)
• MT Gems Inc. dba Sapphire House
• Park View Assisted Living (Medicaid waiver)
• Rainbow Senior Living of Great Falls (Medicaid waiver)
• Renaissance Senior Care - Clark (Medicaid waiver)
• Renaissance Senior Care - Lewis (Medicaid waiver)
• Rivers Edge Assisted Living (Medicaid waiver)
• The Timbers and Reflections at The Grandview at Benefis (Memory care)

Havre (3)

• Care & Comfort Home
• Care & Comfort Home Building 2
• Timber Creek Village (Medicaid waiver)

Helena (16)

• Caslen Living Centers Inc. dba Son Heaven Assisted Living I (Medicaid waiver)
• Caslen Living Centers Inc. dba Son Heaven Assisted Living II (Medicaid waiver)
• Edgewood Helena Senior Living LLC
• Masonic Home of Montana (Medicaid waiver)
• Quality Senior Care LLC DBA Bee Hive Homes of Helena #11
• Quality Senior Care LLC DBA Bee Hive Homes of Helena #13
• Quality Senior Care LLC DBA Bee Hive Homes of Helena #16
• Quality Senior Care LLC DBA Bee Hive Homes of Helena #18
• Quality Senior Care LLC DBA Bee Hive Homes of Helena #9 (Medicaid waiver)
• Quality Senior Care LLC dba Bee Hive Homes of Helena (North)
• Renaissance Senior Care - Helena (Medicaid waiver)
• Renaissance Senior Care - Stone Meadow (Medicaid waiver)
• Renaissance Senior Care Wildwood North (Medicaid waiver)
• Renaissance Senior Care Wildwood South (Medicaid waiver)
• Sharon's Sunshine Care LLC (Medicaid waiver)
• Touchmark on Saddle Drive

Lewistown (4)

• Caslen Living Centers Inc. Dba New Horizons - Lewistown I (Medicaid waiver)
• Caslen Living Centers Inc. Dba New Horizons - Lewistown II (Medicaid waiver)
• Strawberry Roan Stable Living II, LLC
• The Villa at Valle Vista Rehabilitation LLC

Shelby (1)

• Logan Health Assisted Living - Shelby

Eastern & South-Central Montana (64 communities)

Absarokee (1)

• Gallaghers Assisted Living - Absarokee

Ashland (1)

• Heritage Living Center

Baker (1)

• Superior Care Villa LLC

Billings (41)

• Aspen Meadows ALF Operations, LLC
• Autumn Care Center Personal Care (Medicaid waiver)
• Autumn Springs Assisted Living (Medicaid waiver)
• Butterfly Homes
• Butterfly Homes II
• Canyon Creek Memory Care Community (Memory care)
• Cashmur Assisted Living (Medicaid waiver)
• Constant Care of Montana
• Edgewood Billings Senior Living, LLC
• Gallaghers Assisted Living (Medicaid waiver)
• Gallaghers Assisted Living II (Medicaid waiver)
• Gallaghers Assisted Living III (Medicaid waiver)
• Good Day Assisted Living (Medicaid waiver)
• Highgate Billings LP (Memory care)
• Langemo Cottage at St Johns (Memory care)
• Liggett Cottage (Medicaid waiver)
• Moorberg Cottage at St Johns (Memory care)
• Morning Star of Billings - ALF
• Nefzger Cottage (Medicaid waiver)
• Right Heart Assisted Living Facility (Memory care)
• Right Heart Memory Care (Memory care)
• SkyRidge Cottage 1 (Medicaid waiver)
• SkyRidge Cottage 2 (Medicaid waiver)
• Tendernest 1B
• Tendernest 6B
• Tendernest 7B
• Tendernest LLC 2B
• Tendernest LLC 3B
• Tendernest LLC 4B
• Tendernest LLC 5B
• The Legacy Assisted Living (Medicaid waiver)
• The Springs at Grand Park
• TLC Assisted Living (Medicaid waiver)
• Tree Of Life Care Group LLC (Medicaid waiver)
• TSMM Management, LLC DBA Primrose of Billings
• Villa at River Ridge
• Vista at Mission Ridge (Medicaid waiver)
• Westpark Village
• Wyndstone (Medicaid waiver)
• Your Home Away from Home Assisted Living (Medicaid waiver)
• Your Home Away From Home II (Medicaid waiver)

Circle (1)

• Conroy Care Assisted Living

Columbus (1)

• Meadowlark Assisted Living and Retirement (Medicaid waiver)

Forsyth (1)

• Sunrise Assisted Living Center of Forsyth (Medicaid waiver)

Glasgow (1)

• Prairie Ridge Village

Glendive (1)

• Heritage

Laurel (3)

• Browns Landing at the Crossings (Medicaid waiver)
• Richardson Cottage (Medicaid waiver)
• TenderNest 1L

Livingston (2)

• Caslen Living Centers Inc - Livingston (Medicaid waiver)
• Kenhodro Inc. dba Frontier Assisted Living (Medicaid waiver)

Malta (1)

• Rivers Bend Assisted Living

Miles City (3)

• Cottonwood Care Home
• Homestead Homes Inc
• Parkview Caring

Plentywood (1)

• LA CASA Personal Care

Roberts (1)

• Heartland Assisted Living (Medicaid waiver)

Roundup (2)

• Sunflower Gardens ALF, Inc
• Sunflower Gardens Assisted Living, INC dba Whistlin' Dixie

Savage (1)

• Savage Sunrise Manor

Sidney (1)

• Lodge at Lone Tree Creek

Frequently asked questions