State plate · MT
Assisted living in Montana
Montana licenses assisted living through DPHHS OIG, Licensure Bureau, under the license types Assisted Living Facility Category A/B/C (C = severe cognitive impairment). Montana does not publish a downloadable list with capacity. CDC's 2020 survey estimated 200 residential care communities with 5,900 beds. HUD's active-loan file shows 6 FHA-insured assisted living loans in Montana with $54.9 million outstanding as of September 30, 2026.
Licensing
- Licensing agency
- DPHHS OIG, Licensure Bureau
- License types
- Assisted Living Facility Category A/B/C (C = severe cognitive impairment)
- Official program page
- dphhs.mt.gov
- Facility list
- no download
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | Montana | US |
|---|---|---|
| Communities | 200 | 30,600 |
| Beds | 5,900 | 1,197,600 |
| Average beds per community | 30 | 39 |
| For-profit | n/a% | 81.9% |
| Chain affiliated | 68.6% | 61.4% |
| Medicaid certified | 84.3% | 43.6% |
| Dementia-only communities | n/a | 10.5% |
| Dementia-only or with a dementia unit | 23.6% | 20.5% |
| Residents 85 and older | 50.4% | 49.9% |
| Residents with Alzheimer disease or other dementias | 46.4% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 6
- Outstanding
- $54.9 million
- Median note rate
- 3.10%
- Endorsed since FY2001
- 11
Since fiscal 2001 HUD has endorsed 11 FHA-insured assisted living loans in Montana for $116.4 million of original principal, and 2 since fiscal 2021. The active file also lists 1 board and care loans in the state.
| Property (HUD name) | City | Units | Endorsed | Rate | Balance | Matures |
|---|---|---|---|---|---|---|
| Highgate Senior LivingFHA 09322048 | Bozeman | 232 | Oct 2020 | 3.00% | $19,833,437 | Nov 2055 |
| Highgate Senior Living - BillingsFHA 09322039 | Billings | 98 | Aug 2017 | 3.58% | $16,896,880 | Sep 2052 |
| West Park VillageFHA 09322036 | Billings | 252 | Jun 2015 | 2.89% | $5,957,527 | Apr 2045 |
| Hidden Meadow Memory CareFHA 09322049 | Columbia Falls | 25 | Oct 2021 | 2.51% | $5,721,501 | Nov 2056 |
| Parkhaven Retirement & Assisted Living CommunityFHA 09322040 | Manhattan | 116 | Aug 2018 | 3.20% | $5,344,448 | Sep 2053 |
| Village Senior ResidenceFHA 09322033 | Missoula | 99 | May 2014 | 3.58% | $1,139,215 | Jun 2029 |
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
Own or are buying an assisted living or memory care building in Montana? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.
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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.