Best Senior Living in Billings, Montana
31 communities found
Billings lists 34 senior living options, including 30 residential communities and 4 home care agencies, with an average rating of 4.2 across 32 rated communities based on 771 reviews. Of the six communities with known size, all six are large, and none report Medicaid acceptance. Six communities carry Medicare star ratings, averaging 2 stars, with one at four-plus stars and two at one star.
- 35options listed
- 4.2average rating, 33 rated
- 853family reviews read
- 0small homes, 10 or fewer
From $4,395/moHighgate Senior Living - Billings
Billings, Montana
4.7(98)
Assisted LivingMemory Care
The Legacy Assisted Living in the Heights
Billings, Montana
5(13)
Assisted Living
St. John's United Mission Ridge
Billings, Montana
4.8(14)
Assisted LivingIndependent LivingSkilled Nursing / Long Term Care
St. John's United - The Vista
Billings, Montana
4.9(10)
Medicare home health · 3.0★
Right Heart Assisted Living
Billings, Montana
4.8(13)
Assisted Living
Primrose Retirement Community of Billings
Billings, Montana
4.6(33)
Assisted LivingIndependent Living
Affinity at Billings
Billings, Montana
4.5(82)
Independent Living
Butterfly Homes
Billings, Montana
5(5)
Assisted LivingIndependent LivingSkilled Nursing / Long Term Care
Constant Care Assisted Living Billings
Billings, Montana
5(5)
Assisted Living
Westpark Village
Billings, Montana
4.7(10)
Assisted LivingMemory Care
The Cottages at St. John's United
Billings, Montana
5(4)
Assisted LivingSkilled Nursing / Long Term Care
The Springs at Grand Park
Billings, Montana
4.6(12)
Assisted LivingIndependent Living
Best-rated senior living in Billings
Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.
- 1
Highgate Senior Living - Billings
4.7 (98 reviews)· Assisted Living, Memory Care
Highgate Senior Living draws consistent praise for warm, attentive staff, strong food quality, and a smooth move-in experience.
- 2
The Legacy Assisted Living in the Heights
5 (13 reviews)· Assisted Living
The Legacy Assisted Living in the Heights emphasizes a personalized, dignity-focused approach to assisted living in a small, neighborhood-like setting.
- 3
St. John's United Mission Ridge
4.8 (14 reviews)· Assisted Living, Independent Living, Skilled Nursing / Long Term Care
- 4
4.9 (10 reviews)· Assisted Living, Home Health, Independent Living, Skilled Nursing / Long Term Care
St. John's United - The Vista emphasizes personal care within a Christian environment and access to the wider St. John's United care campus.
- 5
4.8 (13 reviews)· Assisted Living
Right Heart Assisted Living is a small, owner-operated community run by a registered nurse with cardiac care experience and her operations-focused partner.
- 6
Primrose Retirement Community of Billings
4.6 (33 reviews)· Assisted Living, Independent Living
Reviewers of Primrose Retirement Community of Billings are overwhelmingly positive, praising staff compassion, resident friendliness, and the range of activities offered.
- 7
4.5 (82 reviews)· Independent Living
- 8
5 (5 reviews)· Assisted Living, Independent Living, Skilled Nursing / Long Term Care
Butterfly Homes is described as a small, home-like community where staff treat residents with warmth, dignity, and long-term consistent attention.
- 9
Constant Care Assisted Living Billings
5 (5 reviews)· Assisted Living
- 10
4.7 (10 reviews)· Assisted Living, Memory Care
What families say about senior living in Billings
Counted across the review summaries of 31 Billings communities: the share whose families mention each theme.
Families most often praise caring, attentive staff, noted by 68% of 31 communities, along with medical and nursing care at 39% and activities and social life at 35%. Building and grounds and cleanliness are mentioned positively by 32% and 29% of communities. On the concern side, cost and billing come up in 55% of communities, communication with families in 45%, staff attitude in 23%, and building upkeep in 19%.
Praised most
- Caring, attentive staff 68%
- Medical and nursing care 39%
- Activities and social life 35%
- Building and grounds 32%
- Cleanliness 29%
Concerns raised
- Cost and billing 55%
- Communication with families 45%
- Staff attitude 23%
- Building and upkeep 19%
“Claire, Cindy, Sam and their staff are exceptional! They have a compassionate and caring staff. Their goal is to make their residents comfortable and happy in a home like atmosphere. They were great at communicating issues/concerns about my parents at any time. A GREAT place for aging parents that need help.”
“The staff at Autumn Springs did a wonderful job caring for my aunt. They were a great partner in assisting our family with her.”
“This is a wonderful place for your loved ones. It is just small enough that everyone has people you care about hem and make sure they have all the love and care they need. My sister lived there quite a few years and loved it and they loved her. I will always be so grateful for those wonderful years. Thank you so much.”
Senior Living in Billings: the figures
- •Of the 6 with a known size, 0 have ten residents or fewer, 0 have 11 to 60, and 6 have more than 60.
- •6 nursing homes carry a Medicare star rating, averaging 1.8 out of 5: 0 rated four stars or better, 2 rated one star.
- •Most common amenities: emergency call system (28), 24-hour staff (28), social activities (28), housekeeping (28), wheelchair accessible (28), medication management (27).
How families pay for senior living in Montana
Most Montana families start by paying privately, often drawing on savings, retirement income, and frequently the proceeds from selling a home. Long-term care insurance, when a parent has kept a policy, can also help cover assisted living or memory care costs, though coverage details vary by policy and are worth reviewing early. Veterans and surviving spouses may qualify for VA Aid and Attendance, a benefit that can be applied toward the cost of assisted living or memory care, and it's worth asking a VA representative whether a particular situation meets the requirements.
The full picture for the state: Senior Living in Montana.
About these figures
Computed on October 21, 2026 from the 35 communities listed in Billings, 853 public family reviews on Google, Yelp and MyLivingChoice, state licensing records and, for nursing homes, CMS Care Compare. The best-rated list ranks communities by average family rating weighted by how many families have reviewed each one, so a 4.9 from three reviews does not outrank a 4.7 from two hundred. No community pays to appear in the best-rated list or in these figures; sponsored and partner listings in the directory results are marked as such. Figures refresh as listings and reviews change; the written summary was last revised September 25, 2026.
Reading on this
Guides from MyLivingChoice that families in Billings ask about.
- Home Care in Montana: Agencies, Medicare Home Health Ratings, and What It Costs
- Nursing Home vs. Assisted Living: Which Level of Care Does Your Loved One Actually Need?
- Signs It Is Time to Move From Home Care to Assisted Living
Not in Billings? Senior living near me finds communities around wherever you are.
Senior Living in Billings: Common Questions
How many senior living communities are in Billings, Montana?
MyLivingChoice lists 35 senior living communities in Billings, Montana, each with photos, care details, and reviews from families.
How much does senior living cost in Billings?
Among Billings communities that publish pricing, senior living starts around $2,789/month, with an average published starting rate near $3,592/month. Final costs depend on care needs and apartment choice.
Which senior living communities in Billings are rated highest?
Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include The Legacy Assisted Living in the Heights (5★, 13 ratings), Constant Care Assisted Living Billings (5★, 5 ratings), Butterfly Homes (5★, 5 ratings).
What types of senior care are available in Billings?
Beyond senior living, Billings has assisted living (23 communities), skilled nursing / long term care (13 communities), independent living (10 communities), memory care (7 communities), home health (4 communities). Every option is listed with photos, reviews, and contact details.
How do families rate senior living in Billings?
Families rate Billings senior living communities 4.2 out of 5 on average, across 853 public Google reviews of local communities.
What do families praise, and complain about, in Billings senior living communities?
Across the review summaries of 31 Billings communities, the most common praise is caring, attentive staff (mentioned for 68%), medical and nursing care (mentioned for 39%), activities and social life (mentioned for 35%). The most common concerns are cost and billing (55%), communication with families (45%), staff attitude (23%).
Are there small senior living homes in Billings?
Of the 6 Billings communities with a known size, 0 have ten residents or fewer, 0 have 11 to 60, and 6 have more than 60. Small licensed homes are listed here alongside large communities, which most directories skip.
How do Billings nursing homes score on Medicare's star ratings?
6 Medicare-certified nursing homes in Billings carry an overall star rating, averaging 1.8 out of 5. 0 are rated four stars or better and 2 are rated one star. Each listing shows its rating and three years of inspection history from CMS Care Compare.
Prefer to stay home?
Home care agencies serving Billings bring help to the house: daily living, companionship, and respite for family caregivers.
