About Assisted Living in Montana

If you love the outdoors, Montana is a perfect place to settle down. It’s also affordable - the cost of living is below the national average and there is no sales tax. Although, property taxes can be high to make up for the lack of sales tax.

What Options are Available for Assisted Living?

In the state of Montana an assisted living facility provides 24-hour supervision and assistance, activities, and health-related services. Facilities are categorized as A, B, and C levels of care.

All facilities must adopt National Fire Protection Association standards regarding fire sprinklers and smoke detectors. Detectors must be in all resident rooms, bedroom hallways, living rooms, dining rooms, and other common spaces as well.

What are the Alzheimer Requirements for Assisted Living Facilities in Montana?

Considered a Category C endorsed assisted living facility, severely cognitively impaired residents require additional staff and special accommodations. Category C services must provide a written disclosure of: mission regarding meeting the needs of Alzheimer’s and other cognitively impaired residents, criteria for move-in or move-out, resident assessment, establishing and implementing healthcare plans, staff training and continuous education, physical environment and safety precautions, resident activities, support programs for the family, and any additional costs of care or fees.

Senior Assisted Living Details and Costs for Cities in Montana

Listed below are some of the larger cities in Montana. Each city page provides details on senior and assisted living options, independent living, senior group homes, and memory care. Details may include costs, amenities, medical care, and other useful information.

What Training is Required for Assisted Living Staff?

All staff must complete orientation and receive training relative to his or her position. All direct care staff must be trained to use the abdominal thrust maneuver and basic first aid. If the facility offers CPR, at least one person per shift must be certified.

Alzheimer’s staff must receive additional training relative to dementia, including care and supervision for severe cognitive impairments, skilled cared for residents who are unable to perform ADLs, techniques to minimize challenging behavior, therapeutic programing to support motor function, promoting dignity and independence, identifying and alleviating safety risks, and identifying side-effects of medication.

Is an Assessment Required Before Move-In?

Yes. An assessment is required prior to move in to develop the resident service plan that will be reviewed and updated within the first 60 days to ensure that the resident’s needs are been met.

What Care is Available in an Assisted Living Facility?

  • Personal services, including laundry, housekeeping, food, and local transportation.
  • Assistance with activities of daily living (ADLs).
  • Recreational Activities.
  • Assistance with self-medication
  • 24-hour supervision.
  • Assistance arranging health-related services (medical appointments, etc).

3rd party providers may be contracted by the resident or the facility for administration of medication or skilled nursing care that does not exceed 30 consecutive days or 120 days in a year.

How is Medication Managed?

Category A facilities require residents to self-administer medications. Category B residents are encouraged to self-administer, but can rely on facility staff to help read labels and provide assistance. Category B and C residents who are unable to self-administer medications can have their medicine administered by a licensed health care professional or a delegated individual. Medication can also be managed by a 3rd party in all facilities.

What are the Bathroom Requirements for an Assisted Living Facility?

In an assisted living facility, bathrooms may be shared. If so, at least 1 toilet must be available for every 4 residents and 1 bath or shower for every 12. Each resident must have access to a toilet without entering another resident’s room or the kitchen, dining, or living areas, and all doors must open outward. Pocket doors are also allowed to prevent entrapment.

What are the Move-In or Move-Out Requirements?

Assisted living facilities can only admit residents whose needs can be met by the facility, and they may not admit or retain residents who:

  • Require physical or chemical restraints.
  • Has a stage III or IV pressure ulcer.
  • Requires a gastrostomy or jejunostomy tube.
  • Requires skilled nursing care, with the exception of the administration of medications, on a continued basis.
  • Poses a danger to themselves or others.
  • Requires assistance with 4 or more ADLs as a result of cognitive or physical impairment.

Is an Assisted Living Facility Covered by Medicaid in the State of Montana?

Yes. A Medicaid home and community-based services waiver covers services in assisted living facilities, but there are only a limited number of slots available to be filled.

Who can I contact for more information?

Department of Public Health and Human Services, Quality Assurance Division
Traci Clark
(406) 444-2676