Pricing ranges from
    $5,292 – 6,350/month

    Highgate Senior Living

    3980 Parkhill Dr, Billings, MT, 59102
    • Independent living
    • Assisted living
    • Memory care
    AnonymousCurrent/former resident
    5.0

    Welcoming home with caring staff

    I made Highgate my new home and feel welcomed from day one - the staff are warm, attentive and genuinely caring, and they know residents by name. The Life Enhancement team keeps us busy and joyful with Bingo, outings, spa days and fun events, and the building and grounds are bright, clean and home-like. Care is strong - timely meds, responsive nursing and teamwork give me and my family real peace of mind. There are occasional dining, staffing or communication hiccups, but leadership listens and resolves issues; overall I highly recommend Highgate.

    Pricing

    $5,292+/moSemi-privateAssisted Living
    $6,350+/mo1 BedroomAssisted Living
    $6,052+/moStudioAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    4.57 · 129 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.5
    • Staff

      4.5
    • Meals

      4.0
    • Amenities

      4.2
    • Value

      3.0

    Pros

    • Caring and compassionate staff
    • Staff know residents by name
    • Family-like, welcoming atmosphere
    • Engaging activities and life-enrichment program
    • Frequent outings and van trips
    • Strong memory care presence and dementia expertise (in many reports)
    • Responsive staff and quick resolution of concerns (in many reports)
    • Named staff frequently praised (Amber, Wendy, Rene, Mackenzie, Sheila, etc.)
    • Dining room staff professional and friendly
    • Meals generally enjoyed by many residents
    • Daily specials and menu options available
    • Clean, bright, well-kept facility and grounds
    • Beautiful courtyard and outdoor spaces
    • Pet-friendly community
    • Spacious and personalized rooms in many cases
    • Flexible/friendly dining hours and options
    • On-site services (housekeeping, nurse/doctor access, hospice support)
    • Strong safety and security measures noted by some families
    • Good transportation and accommodating bus driver
    • Lots of social opportunities (bingo, music, themed events, concerts)
    • Support for family involvement and welcoming visitors
    • Helpful and accommodating front desk/administrative staff (in many reports)
    • Laundry pickup and same-day return praised by some
    • Personalized attention and proactive caregiving
    • Smooth transitions reported by many families
    • Competitive pricing or perceived value by some residents
    • Calm, warm, homelike cottage options
    • High cleanliness and regular room cleaning cited by many
    • Residents frequently report improved appetite/mood/socialization
    • Strong team culture and staff dedication (in many reports)

    Cons

    • Inconsistent staffing levels and high staff turnover
    • Understaffing leading to long waits for assistance
    • Unanswered call buttons and slow response times reported
    • Reports of poor management or top-level leadership issues
    • Variable quality of care—some reports of neglect or inattentive staff
    • Occasional serious incidents (falls, accidents) linked to staffing
    • Food described as bland or limited in variety by many
    • Inconsistent housekeeping (dusting and weekly cleaning sometimes missed)
    • Laundry not consistently done on Mondays; some residents do their own laundry
    • Miscommunication about room type, pricing, and move-in fees
    • Prescription/medication schedule not always communicated
    • CPAP and specialized equipment care lapses reported
    • Favoritism and reports of unequal treatment by some families
    • Allegations of abuse/neglect in a few reviews
    • Reported theft and ignored complaints in at least one case
    • Poor HR or screening processes reported by some families
    • Profit-driven or unprofessional leadership alleged in some reviews
    • Pending maintenance/safety issues (e.g., courtyard door accessibility) not addressed
    • Inconsistent activity quality—hit-or-miss engagement for some residents
    • Perceived high cost relative to value by some families

    Summary review

    Overall sentiment: The reviews for Highgate Senior Living are mixed but tilt positive overall. A substantial portion of reviewers consistently praise the frontline caregiving teams, describing staff as warm, compassionate, and personally attentive. Many families and residents highlight staff who remember residents’ names, provide personal attention, and create a family-like atmosphere. The community is frequently described as bright, clean, pet-friendly, and rich in social opportunities. Life-enrichment programming, transportation for outings, and a breadth of activities (bingo, music, concerts, themed events, field trips) are recurring strengths, and multiple staff members are singled out repeatedly for exemplary service. Several reviews also emphasize effective hospice support and on-site clinical resources, contributing to feelings of safety and well-being for residents.

    Care quality and staff: Care quality is a central theme and is reported quite variably. Many reviewers report high-quality, compassionate caregiving (timely medications, attentive nurses/aides, dignity in end-of-life care). Numerous specific staff members receive repeated praise for going above and beyond. However, a meaningful subset of reviews describes inconsistent care: missed tasks (e.g., CPAP not turned on, missing washcloths), inattentive shifts, slow responses to calls for help, and, in a few cases, serious concerns such as increased falls or alleged neglect. Staffing levels and turnover are frequently cited as root causes for those lapses; understaffing and high turnover correlate with reports of long waits and stress among residents and families. Prospective families should note this variability: many residents thrive under the current staff, yet others have experienced gaps that required escalation or external caregivers.

    Management and communication: Communication and management receive polarized feedback. Several reviewers praise proactive directors and responsive administration (some call out a new director, Wendy, and others for improving communication and structure). These reviews note clear leadership, timely problem resolution, and improved activity schedules. Conversely, other reviews accuse top management of being profit-driven, unprofessional, or poor communicators; examples include ignored complaints, mishandled incidents (including a theft allegation), and unmet proposals such as courtyard-door safety fixes. Miscommunication about contract terms, move-in fees, and room pricing also appears in multiple summaries. In short, on-the-ground staff often get high marks, while corporate or managerial consistency appears uneven across reviewers and time periods.

    Dining and housekeeping: Dining experiences are another mixed area. Many residents enjoy the dining room experience, praising servers, daily specials, and the social benefits of shared meals. Several reviews specifically commend dining staff for friendliness and professionalism. However, a significant number of reviewers find the food bland, casserole- or pasta-heavy, or lacking in variety and seasoning. Housekeeping generally receives favorable comments about cleanliness and weekly room cleaning, but multiple reviews point to inconsistent execution — missed dusting, occasional unclean rooms, and lapses in laundry service (notably on Mondays in some reports). Some residents praised efficient laundry pickup and same-day return, while others had to do their own laundry due to lapses.

    Facilities, safety, and amenities: The facility’s physical environment is often described positively: bright, cheery common areas, a well-kept courtyard and gardens, and comfortable, personalized rooms. Pet friendliness, proximity to medical services, and accessible transportation services are often cited as benefits. Still, safety concerns are raised in certain reports: pending maintenance requests (e.g., courtyard door accessibility), incidents tied to staffing shortages (falls), and equipment mishandling (CPAP) were mentioned. Many reviewers explicitly state they feel their loved ones are safe, while a minority express the opposite.

    Activities and social life: Life-enrichment programming is a standout positive for many families. Diverse activities, special events (car shows, Vegas nights, music and memory events), trips to museums, and intergenerational programming with childcare were noted as highly engaging and meaningful for residents. These programs contribute strongly to socialization, improved appetite, and overall mood. A smaller number of reviewers felt activity offerings were inconsistent or insufficiently tailored for certain residents, suggesting room for improvement or better personalization.

    Notable patterns and red flags: There is a recurring pattern of polarized experiences — many reviewers describe Highgate as a warm, home-like community with exceptional staff, whereas others report troubling lapses in care and management. Serious red-flag items that appear in multiple reviews include inconsistent staffing/turnover, slow call responses, miscommunication over pricing/room placement, and a few reports of neglect or poor screening processes. While many families explicitly state the community is "worth every penny," others say it is expensive for the inconsistent value received. Specific, actionable complaints (missed dusting, Monday laundry issues, CPAP mishandling, unanswered call buttons, courtyard door safety) are mentioned often enough that prospective residents should explicitly verify these points during a tour.

    Recommendation for prospective families: The aggregate impression is that Highgate can offer an excellent, warm, socially rich living environment with many committed caregivers and a robust activities program, but that experiences depend heavily on staffing stability and management responsiveness at a given time. When evaluating Highgate, it would be prudent to: (1) tour multiple times at different hours and ask about staffing ratios and turnover; (2) meet direct-care staff and ask about daily routines (medication passes, call-button response time, specialized equipment procedures like CPAP); (3) request written clarification on pricing, move-in fees, and room assignment policies; (4) observe dining service and request sample menus or recent menu cycles; (5) ask for copies of incident logs or quality reports if available; and (6) inquire about pending maintenance items and their timelines. These targeted questions will help determine whether the facility’s strengths align with an individual resident’s needs and whether any reported concerns have been addressed.

    Location

    Map showing location of Highgate Senior Living

    About Highgate Senior Living

    Highgate Senior Living at Billings, also called Highgate Billings, offers care for many kinds of needs, so some seniors live independently in their own space, some need help with daily tasks like bathing or getting dressed, and some have memory issues from Alzheimer's or dementia and get special memory care programming, and there's also short-term respite stays, couples care, and support for those who want to stay in their own homes but need help, like home care or hospice. The community stays licensed for assisted living, License #13050, and has room for 130 people in studio, single, or two-bedroom layouts with amenities like kitchens or kitchenettes, washers and dryers, safety sprinklers, emergency call system, and some rooms come furnished to make moving in easier. Staff follow a holistic approach, making individual care plans-especially for residents with memory problems-with 24-hour supervision, 12-16 hour nursing care, and steady help from personal care assistants who can support walking, transfers, medications, and personal hygiene. Safety features like accessible bathrooms and a building laid out for those who wander make things safer for residents, especially those in memory care. Meals get prepared by chefs with all-day restaurant-style dining, with options for special diets like diabetes or food allergies, and herbal tea and remedies are available. Transportation services, scheduled events, movie nights, arts and crafts, exercise programs, and an activities or game room keep things lively, plus there's a garden, walking paths, a library, salon/barbershop, guest parking, and WiFi, and the community plans offsite outings and devotional gatherings. Housekeeping, laundry, and dry cleaning get done for residents, and rooms come with cable TV. Residents can join in social, health, and education programs, use the community's resource blog and library, and even get help when moving in, which makes settling in less stressful. Highgate Billings won awards for its meals, activities, and friendly atmosphere, and folks mention how kind and joyful the staff are to each other, visitors, and the people who live there. The place feels homelike but is still elegant and sits across from a pretty park, with local cafes, pharmacies, hearing centers, and churches nearby, so families and friends can visit easily. Highgate Billings tries to offer full care for every resident, paying special attention to health needs like incontinence, diabetes, or non-ambulatory care, and always aims for purposeful living programs to help everyone stay engaged and supported as they age.

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