TLC of Billings

Pros

• The facility is a great place with friendly staff.
• It is very clean, well decorated, and serves good food.
• The staff are good to residents, and residents feel safe living there.
• TLC Assisted Living is described as a good place with wonderful staff who make families feel confident about their loved ones' care.
• The staff are wonderful, attentive, and follow doctors' orders; meals are described as very good.
• The facility is amazing with kind staff, and residents are well cared for and kept safe.
• The staff are caring and keep residents safe and well fed, offering a wide variety of food.
• Families report that TLC keeps them informed about residents' conditions and would highly recommend it as a wonderful home for loved ones.

Cons

• The owner and her daughter are shady and frequently make false accusations, even allegedly stealing residents’ property.
• The owner reportedly refers to residents as “Pukes” and elder abuse is alleged, suggesting the place should be shut down.
• The facility allegedly had bed bugs the entire time residents stayed, and they were never informed.
• Theresa is described as unappreciative and nasty to residents, with no effective help obtained from the ombudsman when sought.
• There are cleanliness concerns, such as dirt piles under duct-taped recliners.
• There is severe understaffing: no nurses and only one CNA for 16 residents, raising safety concerns.
• There are reports of mental and physical abuse toward dementia residents and frequent yelling by staff.
• Staff reportedly do not wear masks, seen as a safety violation, contributing to a view that the facility is unsafe.

Review

TLC of Billings is best suited for families seeking a clean, homey atmosphere with a friendly front-line staff and a steady daily routine for a loved one who needs routine assistance and appreciates dependable meals and a sense of safety. The facility presents as well-kept and decoratively pleasant, with an emphasis on meals and a calm environment. It can work for residents who respond well to structured days and who value open, ongoing communication with staff and family members, provided the care needs stay within a moderate range.

Those who should consider alternatives include families prioritizing rigorous clinical oversight, consistent nursing leadership, and predictable staffing. The reviews raise serious concerns about governance and safety, including allegations of elder abuse-related behavior, and persistent claims of insufficient nursing presence, for example, reports of one certified nursing assistant for many residents and no on-site nurses. If verifiable accountability, transparent leadership, and robust clinical supervision are non-negotiables, this facility warrants a cautious approach or a search elsewhere.

The strongest positives, cleanliness, good food variety, and a welcoming environment, do offer real upside. Several reviews describe a facility that remains visually appealing, well maintained, and capable of delivering meals that residents enjoy. When staff are seen as caring, attentive, and capable of following medical orders, these factors create meaningful quality-of-life gains for residents and reassurance for families. Yet these benefits can be undermined by the darker notes in the record: episodes of perceived mistreatment, serious staffing gaps, and questions about how well governance protects residents day to day.

Experience appears highly variable across shifts and staff members. Some families report staff warmth, clear communication about health changes, and consistent adherence to doctors’ orders, which translates into a sense of reliable, compassionate care. Other accounts describe hurried care, limited food options, and noise or volatility in the environment that leaves residents unsettled. This inconsistency signals that outcomes hinge more on who is on site and how the facility is managed at any given time, rather than on a uniformly high standard across the board.

Practical steps for families making a decision should be concrete and test-driven. Schedule visits during ordinary hours, not just tours, to observe actual care dynamics and staffing levels. Request a candid discussion about staffing ratios, the presence of licensed nurses, and how care plans are implemented and updated. Review state survey results and remediation efforts, particularly around safety, cleanliness, and equipment, and verify the status of any pest issues and how they were resolved. Speak with a range of staff and residents, and press for a direct line of accountability to the administrator or owner so questions get answered promptly.

Bottom line: TLC of Billings presents a divided value proposition. The facility can deliver a clean, comfortable, and well-liked dining and living environment, which is attractive to families who prize ambiance and daily normalcy. However, serious red flags around staffing stability, governance, and defensible safety practices cannot be ignored. For families with a low tolerance for risk and a high expectation of consistent clinical oversight, stronger options with verifiable nurse staffing, transparent leadership, and a proven track record should be prioritized. If choosing TLC, enter with a concrete plan: insist on clear staffing commitments, demand transparent governance, and monitor care closely from the first day onward to ensure that the positives aren’t undermined by the notable drawbacks.

Restaurants

• MacKenzie River Pizza Co. (1.4 miles)
• McDonald's (1.4 miles)
• Sonic Drive-In (1.4 miles)
• Taco John's (1.5 miles)
• Taco Bell (1.5 miles)
• Off Main Deli And Bakery (1.5 miles)
• Burger King (2.2 miles)

Pharmacies

• CVS Pharmacy (1.4 miles)
• Albertsons Pharmacy (1.5 miles)
• Sav-On Pharmacy (1.5 miles)
• Walgreens (2.5 miles)
• Albertsons Pharmacy (2.8 miles)
• Vintage Apothecary (2.9 miles)
• CVS Pharmacy (4.8 miles)

Cafes

• Tippy Cow Cafe (1.5 miles)
• Classy N Sassy Coffee (2.3 miles)
• City Brew Coffee (2.7 miles)
• Ebon Coffee Collective (3 miles)
• City Brew (3.1 miles)
• Bull Mountain Brew (5 miles)

Parks

• Coulson Park (1.5 miles)
• Terry Park (4 miles)

Physicians

• Billings Family Eyecare (2.6 miles)
• Trainer Donald R MD - Trainer, Donald R MD (2.7 miles)
• Eric Farmer MD (2.7 miles)
• RiverStone Health (2.7 miles)
• John H Malloy MD (2.8 miles)
• SCL Health Medical Group - Heights (2.8 miles)
• Matthew A. Kopplin (2.9 miles)

Places of Worship

• Jehovah's Witnesses Billings Heights (2.8 miles)
• American Lutheran Church (3.3 miles)
• Solid Rock Missionary Baptist Church (4.7 miles)
• St Pius X Church (5.4 miles)

Hospitals

• Billings Clinic Intensive Care Unit (3 miles)

Transportation

• Billings Airport (4.2 miles)
• United Airlines (4.2 miles)
• Billings Logan International Airport (BIL) (4.5 miles)
• U-Haul Moving & Storage (4.6 miles)