Assisted Living in Billings, MT
Billings has 18 state-licensed assisted living communities: 8 larger communities and 10 small residential homes (16 or fewer residents). The median cost of assisted living in Montana is $6,075 a month (CareScout 2025), against $6,200 nationally.
Free guide · 14 pages
Choosing Assisted Living
A practical guide for families, with checklists to take on your tours.
- What assisted living costs and the ways to pay
- Signs it may be time
- Tour checklists to print and take with you
- What residents and families told us matters most
Two kinds of assisted living in Billings
Both are licensed by Montana as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. Montana words these licenses as “Assisted Living Facility (SDMI waiver provider)” (18).
All 18 licensed assisted living communities in Billings
Every assisted living community Montana licenses in Billings, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified testimonials are listed first, then by size.
18 shown
| Community | Size | Price |
|---|---|---|
| St Johns Lutheran Home3940 Rimrock Rd | Large104 residents | No price or estimate |
| Vista at Mission Ridge3840 Rimrock Rd | Large70 residents | No price or estimate |
| Autumn Springs Assist Living3758 Avenue B | Mid-size40 residents | No price or estimate |
| The Legacy Assisted Living810 Wicks Ln | Mid-size40 residents | No price or estimate |
| Wyndstone1920 Wyndstone Way | Mid-size36 residents | No price or estimate |
| TLC Assisted Living1341 Rosebud Ln | Mid-size24 residents | No price or estimate |
| SkyRidge Cottage 11636 Inverness Dr | Mid-size19 residents | No price or estimate |
| SkyRidge Cottage 21630 Inverness Dr | Mid-size19 residents | No price or estimate |
| Autumn Care Center4739 Rimrock Rd | Small home10 residents | No price or estimate |
| Good Day Assisted Living1847 Forest Park Dr | Small home10 residents | No price or estimate |
| Primrose Gardens1349 Lake Elmo Dr | Small home10 residents | No price or estimate |
| Tree of Life Assisted Living1349 Lake Elmo Dr | Small home10 residents | No price or estimate |
| Cashmur Assisted Living930 Ave E | Small home9 residents | No price or estimate |
| Gallaghers Assisted Living - House #11142 Parkhill Dr | Small home9 residents | No price or estimate |
| Gallagher's Assisted Living - House #21115 Parkhill Dr | Small home8 residents | No price or estimate |
| Gallagher's Assisted Living - House #31106 Parkhill Dr | Small home8 residents | No price or estimate |
| Your Home Away From Home Assisted Living1839 Venus Circle | Small home8 residents | No price or estimate |
| Your Home Away From Home Assisted Living II1228 Maurine St | Small home8 residents | No price or estimate |
How much does assisted living cost in Billings?
The median cost of assisted living in Montana is $6,075 a month ($72,900 a year), below the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. If more care is needed: nursing home costs in Montana, with CareScout medians and the private-pay rates nursing homes publish. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.
Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.
Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator
Three questions to ask on every Billings tour
From about 23,000 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
- Can I come back and eat a meal here, unannounced?Dining was 23% of all concerns: quality that changes day to day.
- How is laundry labeled and tracked, and what happens when something goes missing?Housekeeping was 17%.
- Who is my main contact, and how often will I hear from them?Communication with management was 15%.
All 8 tour questions, with a free printable tour card (PDF).
Check a Billings community’s license
Montana publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: dphhs.mt.gov. Ask the community for its most recent inspection report too; they have to keep it.
Billings assisted living questions
Montana licenses 18 assisted living communities in Billings as of November 2026: 8 larger communities and 10 small residential homes of 16 or fewer residents, with about 442 licensed spots in all.
The median cost of assisted living in Montana is $6,075 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet. The table on this page shows each community's published price or a Lilisity estimate where we have one, and our free guide lists the questions to ask about cost.
Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. Montana's Medicaid agency or your local Area Agency on Aging can tell you what's available.
Montana publishes its licensing records at dphhs.mt.gov. You can also ask any community for its most recent state inspection report.