RAL Market ScoutMarketsMontana
RAL MARKET SCOUT Top assisted livingmarkets in Montana 206 licensed homes · Gallatin County is #1 ralmarketscout.com
Montana · RAL Market Report

Best places to open an assisted living home in Montana

The top markets for residential assisted living in Montana, ranked by demand versus supply — plus the cities where the homes are.

Updated September 2026
The top markets for assisted living in Montana right now are Gallatin, Lewis and Clark, Flathead counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 206 licensed assisted living homes serving 86,576 residents aged 75+, at a median cost of about $6,075/mo.
Licensed homes
206
state roster
Population 75+
86,576
ACS
Median AL cost
$6,075/mo
near the national median
Bed supply
69.6/1k
saturated supply

Top 10 markets for assisted living in Montana

RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.

  1. Gallatin Countyopportunity 6.8/10 (Moderate); 5,985 seniors 75+, growing 24.3%, with 13 licensed homes.
  2. Lewis and Clark Countyopportunity 6.6/10 (Moderate); 5,459 seniors 75+, growing 20.1%, with 16 licensed homes.
  3. Flathead Countyopportunity 6.3/10 (Moderate); 8,525 seniors 75+, growing 21.4%, with 17 licensed homes.
  4. Carbon Countyopportunity 6.2/10 (Moderate); 1,147 seniors 75+, growing 14.8%, with 1 licensed homes.
  5. Missoula Countyopportunity 6.2/10 (Moderate); 7,857 seniors 75+, growing 18.5%, with 16 licensed homes.
  6. Park Countyopportunity 5.9/10 (Moderate); 1,635 seniors 75+, growing 20.5%, with 2 licensed homes.
  7. Yellowstone Countyopportunity 5.7/10 (Moderate); 12,548 seniors 75+, growing 13.6%, with 43 licensed homes.
  8. Lake Countyopportunity 5.7/10 (Moderate); 3,126 seniors 75+, growing 22.0%, with 6 licensed homes.
  9. Madison Countyopportunity 5.6/10 (Moderate); 1,053 seniors 75+, growing 27.0%, with 1 licensed homes.
  10. Ravalli Countyopportunity 5.5/10 (Moderate); 4,802 seniors 75+, growing 16.6%, with 13 licensed homes.

All Montana counties by market opportunity

CountyPop 75+DemandHomesMarketBand
Gallatin5,9855.2136.8Moderate
Lewis and Clark5,4596.3166.6Moderate
Flathead8,5255.9176.3Moderate
Carbon1,1475.816.2Moderate
Missoula7,8574.7166.2Moderate
Park1,6355.825.9Moderate
Yellowstone12,5485.2435.7Moderate
Lake3,1266.765.7Moderate
Madison1,0535.915.6Moderate
Ravalli4,8025.1135.5Moderate
Cascade6,9584.4245.5Moderate
Fergus1,2214.845.5Moderate
Silver Bow2,7162.655.0Moderate
Sanders1,6905.504.7Moderate
Lincoln2,4295.624.6Moderate
Dawson7863.81
Granite4434.30
Deer Lodge9174.41
Musselshell5384.82
Sheridan3923.41
Valley8073.11
Chouteau5144.01
Powell5832.41
Sweet Grass4392.40
Toole3343.11
Glacier6612.61
Liberty2883.61
Rosebud5113.31
McCone2474.11
Wheatland2255.80
Fallon1941.81
Meagher1892.20
Daniels1382.40
Roosevelt4421.80
Petroleum512.40
Prairie1905.70
Garfield1426.80
Powder River2466.51
Richland7604.52
Custer9902.83
Big Horn6602.70
Carter1432.90
Golden Valley905.00
Judith Basin2145.30
Wibaux1317.40
Blaine4443.70
Stillwater8444.82
Treasure776.60
Phillips4282.21
Beaverhead9313.24
Broadwater6864.92
Pondera5694.51
Jefferson9534.95
Mineral5495.60
Hill9662.43
Teton7134.03

Top cities for assisted living in Montana

Where the homes actually are. Each linked city has its own page with local supply and market context.

CityCountyHomesBedsAvg size
BillingsYellowstone371,28634.8
Great FallsCascade2573529.4
MissoulaMissoula1752430.8
HelenaLewis & Clark1646829.3
KalispellFlathead1037437.4
BozemanGallatin855569.4
HamiltonRavalli714620.9
Columbia FallsFlathead614824.7
ButteSilver Bow520941.8

Frequently asked questions

What are the top markets for assisted living in Montana?
The strongest Montana markets on RAL Market Scout's opportunity scoring are Gallatin, Lewis and Clark, Flathead, Carbon, Missoula counties — based on 75+ demand and projected senior growth versus current bed supply.
Which Montana city has the most assisted living homes?
Billings has the most, with 37 licensed assisted living homes (about 1,286 beds).
How much does assisted living cost in Montana?
The median assisted living cost in Montana is about $6,075 per month — near the national median.
How many assisted living homes are in Montana?
Montana has approximately 206 licensed assisted living homes serving 86,576 residents aged 75 and older.

See the full Montana picture

RAL Market Scout scores every county and ZIP in Montana on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.

Sources: Licensed-home and city counts from Montana state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from state assisted-living license rosters. Cost figures are market medians. Data snapshot: 2026-09. Informational only — not legal, financial, or investment advice.