Assisted Living Facilities in Montana

Montana Assisted Living Facilities Directory

209 licensed assisted living facilities across 55 cities.

Montana licenses Assisted Living Facilities through the Department of Public Health and Human Services, Quality Assurance Division. The state has more than 200 licensed facilities, with the largest concentrations in Billings, Great Falls, Missoula, and Helena.

See what care costs here, or learn how assisted living facilities work.

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15 counties

Cities in Montana

55 cities

Montana care costs at a glance

Median monthly figures for Montana. Small residential homes often price below the assisted living median because they carry lower overhead, though rates rise with care needs. Ask any home for its rate sheet in writing.

Type of care Median per month
Assisted living Monthly median, one resident $6,075
In-home care Non-medical caregiver, 44 hours a week $7,245
Nursing home Semi-private room $8,973

Home care median is CareScout's non-medical caregiver rate at 44 hours per week.

Source: CareScout (formerly Genworth) Cost of Care Survey, 2025.

Full cost breakdown for Montana assisted living facilities →

Talk through your shortlist with an advisor

A Place For Mom connects families with local senior living advisors. The guidance is free for families; advisors are paid by the communities that participate in their network. An advisor can help you build a shortlist and schedule tours. The judging stays with you: verify any home you are considering against the state license database, whoever recommended it.

Connect with a senior living advisor at no cost to you →

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What small care homes are called in Montana

Licensing term
assisted living facility (ALF)
Size and capacity
Montana licenses assisted living in categories A, B, and C based on resident care needs.
Licensed and inspected by
Montana Department of Public Health and Human Services (DPHHS), Quality Assurance Division

Check any home you are considering against the state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Does Medicaid pay in Montana?

The Big Sky Waiver can pay for services in licensed assisted living facilities.

How Medicaid covers residential care →

Common questions about assisted living facilities in Montana

How many assisted living facilities are there in Montana?
Our Montana directory lists 209 licensed assisted living facilities across 55 cities. The largest concentrations are in Yellowstone County, Cascade County, Flathead County.
What is an assisted living facility in Montana?
"Assisted Living Facility" is the Montana licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Montana licenses assisted living in categories A, B, and C based on resident care needs.
How much does assisted living cost in Montana?
The median assisted living rate in Montana is $6,075 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.
Who licenses assisted living facilities in Montana?
Montana Department of Public Health and Human Services (DPHHS), Quality Assurance Division licenses and inspects every assisted living facility in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.
Does Medicaid pay for assisted living facilities in Montana?
The Big Sky Waiver can pay for services in licensed assisted living facilities. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.