Overall impression: Reviews of Constant Care Assisted Living Billings are mixed but cluster around two strong themes: a small, home-like environment with attentive staff and very clean facilities on one hand, and significant limitations or isolated serious care concerns on the other. Many reviewers praise the facility as a converted house that feels homey, with staff who build rapport with residents, maintain cleanliness, manage meals and medications, and run activities such as weekly barbecues and ongoing backyard/garden projects. At the same time, several concrete operational limitations and a few severe negative incidents create red flags for families with higher medical needs or concerns about safety and management consistency.
Staff and care quality: The dominant positive comments concern staff — repeatedly described as caring, attentive, and building strong rapport with residents. Multiple summaries note that a caretaker handles cleaning, cooking, and medication administration, and that there is a clear medication process. Many reviewers would recommend the staff and say they provide very good care. Conversely, there are serious negative reports alleging poor care management that resulted in injuries (bruises, fractured vertebra) and trauma to a resident; these are significant outlier complaints that point to potential inconsistency in care quality or management oversight. In short, while staff are frequently praised, reviewers also reported at least one instance of severe harm and described poor management in that context. Families should weigh the generally positive staff impressions against these isolated but serious allegations.
Facilities and layout: The facility is consistently described as a small, converted house that feels home-like and is well-kept. Private rooms are available and described as move-in ready, rooms are called adequate or spacious by several reviewers, and common areas (dining room, TV area) are nicely set up. However, the small footprint leads to practical limitations: there is reportedly only one shared bathroom (with an emergency bathroom primarily for staff use), and there is no room for larger assistive equipment such as a lift chair. The small-house layout contributes to a homey atmosphere but limits the facility’s ability to accommodate residents with greater mobility or medical needs.
Medical capabilities and resident suitability: The facility provides 24-hour service and three meals a day, and some reviews explicitly say it is suitable for residents with dementia, noting staff attentiveness and activities. At the same time, reviews state the facility cannot administer fixed-scale insulin and lacks a locked or secure dementia wing, which is an important limitation for residents who require tighter medical management or secure wandering prevention. Multiple reviewers said the facility is not suitable for someone who needs more-than-basic care. Taken together, these points suggest Constant Care is best suited for residents with low-to-moderate care needs rather than those requiring skilled nursing, frequent medical interventions, or specialized dementia security.
Dining, activities, and environment: The dining area is repeatedly described as clean with ample seating, and reviewers note three meals daily and activities that keep residents engaged. Social elements such as weekly barbecues and garden/backyard projects were highlighted, reinforcing the homey, community-oriented feel. Shared common spaces like the TV area are cited positively for socialization but also noted as potential drawbacks for privacy-conscious residents since some rooms and amenities are shared.
Management, cost, and consistency: Several reviewers find the facility expensive relative to other options. More importantly, there is a pattern of generally positive statements about care and staff contrasted with at least one strongly negative account describing poor management and serious resident harm. This inconsistency suggests variability in service or oversight. The presence of both very favorable and very negative reviews indicates families should perform thorough due diligence: ask about incident history, staffing ratios, medication protocols, emergency procedures, and the facility’s ability to accommodate specific medical needs (e.g., insulin administration, lift equipment, secure dementia care).
Who this facility may be best for: Based on the reviews, Constant Care Assisted Living Billings appears to suit seniors who want a small, home-like setting with personalized attention, regular meals, and light to moderate assistance. It is attractive for families who value cleanliness, close staff-resident relationships, and a small-community atmosphere. Who it is not suited for: residents needing higher-level medical care, fixed-scale insulin administration, extensive mobility assistance requiring lift equipment, secure dementia wings, or guaranteed privacy due to shared bathrooms/rooms.
Bottom line and recommendations: The reviews show strong positives around environment and staff, but also raise critical operational and safety concerns. Prospective residents and families should visit in person, verify specific capabilities (insulin administration policy, bathroom/accessibility accommodations, incident records), ask about staffing and supervision during nights and transfers, and seek references from current families. Given the report of serious injury, it would be prudent to obtain detailed answers about past incidents and corrective actions before choosing this facility.
