Assisted Living
Ruby House and Sapphire House
811 2nd Ave S, Great Falls, MT 59405 · Map
Licensed for 31 residents · MT Gems Inc
Ruby House and Sapphire House is a state-licensed assisted living community in Great Falls, Montana. It is licensed for 31 residents. It is operated by MT Gems Inc. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 31 residents
Assisted Living Facility (SDMI waiver provider). Licensee MT Gems Inc.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License |
|---|---|---|---|---|
| Ruby House and Sapphire House this community | 31 | Not published | Active | |
| Meadowlark Assisted Living | 0.4 mi | 24 | Not published | Active |
| Rainbow Senior Living | 0.5 mi | 106 | Not published | Active |
| Hosanna Assisted Living Home | 0.7 mi | 28 | Not published | Active |
| Great Falls Plaza | 1.0 mi | 42 | Not published | Active |
License and ownershipActive license, licensee MT Gems Inc
- License type
- Assisted Living Facility (SDMI waiver provider)
- License status
- Active
- Licensed capacity
- 31
- Operator
- MT Gems Inc
- County
- Cascade County
State listing as of September 2026. From the Montana DPHHS list of assisted living facilities in its mental health waiver program. Montana does not publish its full list of licensed facilities.
Source: Montana state licensing records (agency listing), retrieved 2026-09-14. Licensing status is a matter of public record; it is not a quality rating.
Paying with Medicaid and other programsHow Medicaid pays for care in Montana, and other programs
How Medicaid pays for care in Montana
- Big Sky Waiver. Montana's Big Sky Waiver can help pay for care in assisted living, but slots are limited and there is a wait list. The state also holds a pool of assisted living 'at risk' slots for residents who have used up their money during their stay and are at risk of moving to a nursing home. (state page)
- Waitlist. The Big Sky Waiver has a waiting list. (source)
Ask the community whether it accepts Medicaid.
Questions to ask on a tour9 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked6 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 5 questions families ask
What type of care does Ruby House and Sapphire House provide?
Ruby House and Sapphire House is licensed by the state of Montana for assisted living in Great Falls, Montana. Its licensed capacity is 31 residents.
Who operates Ruby House and Sapphire House?
Ruby House and Sapphire House is operated by MT Gems Inc.
Does Lilisity rate Ruby House and Sapphire House?
No. We publish state licensing details for Ruby House and Sapphire House but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Ruby House and Sapphire House cost?
Ruby House and Sapphire House does not publish its prices.
How do I contact Ruby House and Sapphire House?
Visit Ruby House and Sapphire House at 811 2nd Ave S, Great Falls, MT 59405.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid