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About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
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Monticello West

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5114 McKinney Ave, Dallas, TX 75205

9.3
Review score
92 reviews
Add review
9.3
Review score
92 reviews
5 star
68%
4 star
22%
3 star
2%
2 star
4%
1 star
4%
See all reviews
8.5
Review score
3605 reviews
142 facilities
For pricing & availability:
(866) 374-4058
Monticello West
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Monticello West outdoor common area
1717 Photos available
1212 Floor plans available
Monticello West in google map
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Anonymous
-
Friend of resident/client
5.0
Monticello West review
My friend's experience has been very positive. I just can't say enough good things about the staff ! They have all been incredibly helpful and kind. One of the reasons I picked Monticello West was because of the longevity of the staff. I think the average length was 12 years and above. I

About the facility
Monticello West

At Monticello West — a Life Care Services community — find award-winning care for independent living, assisted living, and memory care. Our location in Dallas offers a convenient location to all of the big city’s cultural and entertainment attractions.

Inside, you’ll find ornate furnishings in wood-themed interiors that create a refined sense of homey comfort. With top-notch care, great food, and fun activities, you’re sure to find the retirement you’ve been seeking for your loved one.

Community Amenities and Services

Around the clock, our professional caregivers are ready to deliver personalized care through a multitude of services, including ambulatory care, medication management, and incontinence care.

Inside our restaurant-style dining room, enjoy chef-inspired dishes made with senior health in mind. We’ll also handle housekeeping and laundry so your loved one can discover the stress-free lifestyle that’s part of our community.

Practice your short game on our putting green, view classics in our theater room, break a sweat in our fitness center, or try something new. Our medley of classes and social events, like wine tastings, art classes, and happy hours, instill the exciting atmosphere that fills our community.

Living Arrangements

We offer studio, one-bedroom, and two-bedroom apartments in multiple floor plans to meet your loved one’s space and...

Read more

Senior living options offered

Assisted Living

Memory Care

Independent Living

Pricing
for Monticello West

Total monthly costs depend on room type, select services, and the level of care needed.

Base fees by room type

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Studio
Starting at $XXXX/mo
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1 Bedroom
Starting at $XXXX/mo
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2 Bedrooms
Starting at $XXXX/mo
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Semi-Private
Starting at $XXXX/mo
*Prices quoted are monthly rental charges and are provided by the communities themselves. Actual prices may differ due to one-time fees, timing and care services required. Speak with your Senior Living Advisor to learn more.

Tours
at Monticello West

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Monticello West outdoor common area
Monticello West

5114 McKinney Ave, Dallas, TX 75205

Brookdale Lake Highlands community exterior
Brookdale Lake Highlands

9715 Plano Road, Dallas, TX 75238

Iris Memory Care of Turtle Creek
Iris Memory Care of Turtle Creek

3611 Dickason Ave, Dallas, TX 75219

Walnut Place - AL/MC
Walnut Place - AL/MC

5515 Glen Lakes Dr, Dallas, TX 75231

9.3
Review score
92 reviews
9.3
Review score
92 reviews
5 star
68%
4 star
22%
3 star
2%
2 star
4%
1 star
4%
9.9
Review score
70 reviews
9.9
Review score
70 reviews
5 star
57%
4 star
26%
3 star
4%
2 star
3%
1 star
10%
9.7
Review score
46 reviews
9.7
Review score
46 reviews
5 star
81%
4 star
17%
3 star
2%
2 star
0%
1 star
0%
9.5
Review score
73 reviews
9.5
Review score
73 reviews
5 star
68%
4 star
12%
3 star
10%
2 star
0%
1 star
10%
Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
2 bedrooms
Starting at $X,XXX/mo
2 bedrooms
--
2 bedrooms
--
2 bedrooms
Starting at $X,XXX/mo

Active promotion

No

Active promotion

Veteran & Employee Discounts

Provides discounts to veterans, teachers and employees of certain companies.

Active promotion

No

Active promotion

No

Pet friendly

Yes

Pet friendly

Yes

Pet friendly

Yes

Pet friendly

Yes

Care types offered

3

Assisted Living, Memory Care, Independent Living

Care types offered

2

Assisted Living, Memory Care

Care types offered

1

Memory Care

Care types offered

2

Assisted Living, Memory Care

Amenities
at Monticello West

Healthcare Services

  • High Acuity Care
  • Non-Ambulatory Care
  • Memory Care
  • Staffing & Ancillary Services
  • Incontinence Care
  • Medication Management
  • Diabetic Care

Meals & Dining

  • Low / No Sodium
  • Professional Chef
  • Room Service
  • Meals Provided
  • Restaurant Style Dining
  • Guest Meals

Room Amenities

  • Ground Floor Units
  • Wi-Fi/high-speed internet
  • Kitchenette
  • Garden View
  • Respite or Short Term Stays Offered
  • Wheelchair Accessible Showers
  • Air Conditioned
  • Private patio, deck, or balcony
  • Handicap Accessible
  • Full kitchen

Community Amenities

On-site dining options

  • Private Dining Room

Transportation & parking

  • Property Convenient to Public Transit
  • Resident Parking Available
  • Uncovered Parking
  • Complimentary Transportation

Pets

  • Cats Allowed
  • Weight Limit (lbs)
  • Dogs Allowed

Common areas

  • Main Street Shops
  • Computer or Media Center
  • Library
  • TV Lounge
  • Indoor Common Areas
  • Private Bath
  • Beauty Salon
  • Meeting Room
  • Outdoor Common Areas

Recreational areas

  • Game Room
  • Golf Course or Putting Green
  • Movie or Theater Room
  • Piano or Organ

Services

  • Beautician
  • Housekeeping
  • Laundry Service / Drycleaning

Languages spoken

  • English

Activities

  • BBQs or Picnics
  • Live Musical Performances
  • Stretching Classes
  • Tai Chi
  • Intergenerational Programs
  • Live Dance or Theater Performances
  • Yoga / Chair Yoga
  • Live Well Programs
  • Holiday Parties
  • Educational Speakers / Life Long Learning
  • Trivia Games
  • Happy Hour
  • Art Classes
  • Activities Off-site
  • Devotional Activities Offsite
  • Birthday Parties
  • Day Trips and Outings
  • Devotional Activities On-Site
  • Brain fitness / Dakim
  • Activities On-site

Reviews

for Monticello West

9.3Review score92 reviews
9.3
Review score
92 reviews
5 star
68%
4 star
22%
3 star
2%
2 star
4%
1 star
4%
Life Care Services LLC
8.5
Review score3605 reviews142 communities
Write a review
A Place for Mom has scored Monticello West with 9.3 out of 10 using our proprietary review score based on 12 reviews in the last 2 years. Over all time, Monticello West has 92 reviews with an average "overall experience" of 4.4 out of 5.
Overall Rating
4.4
Cleanliness
4.4
Friendliness
4.6
Care Services
4.3
Staff
4.9
Meals & Dining
4.3
Activities
4.5
Value for Cost
4.5
A Place for Mom has scored Monticello West with 9.3 out of 10 using our proprietary review score based on 12 reviews in the last 2 years. Over all time, Monticello West has 92 reviews with an average "overall experience" of 4.4 out of 5.
Parent company
Life Care Services LLC
8.5
Review score3605 reviews142 communities
Logo for Life Care Services LLC
Filters
Overall Experience
Date Submitted
Reviewer
Care Received
Verified Review
A Place For Mom has verified the person writing the review and their connection to the community.
1-20 of 92 reviews
Anonymous - Family/friend
Assisted Living
November 4, 2024
5.0
Verified Review
Monticello West review
My friend's experience has been very positive. I just can't say enough good things about the staff ! They have all been incredibly helpful and kind. One of the reasons I picked Monticello West was because of the longevity of the staff. I think the average length was 12 years and above. I see the people at work - when no one else is there and their care and compassion are overwhelming.
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
5
Response from Monticello West
November 13, 2024
We're happy you found our staff to be so supportive during your experience here at Monticello West. We're glad to hear we delivered such a great experience. If there's anything further we can do for you, we are happy to help!
Mark R. - Family/friend
Independent Living
November 1, 2024
5.0
Verified Review
Great Family Experience
Everyone is very friendly and seems to do well doing their jobs and taking care of the residents. I didn't see a lot of staff turnover either, which is good.
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
5
Response from Monticello West
November 6, 2024
Hi Mark, thank you so much for your positive comments about Monticello West! Thanks again for the recommendation, and have an amazing day!
Anonymous - Family/friend
Assisted Living
June 28, 2024
4.0
Verified Review
Monticello West review
Peace of mind but they can improve on communication with the family. We liked that he wasn't alone and his Nurse Willis was extremely kind and [name removed] thought of him as a friend.
Cleanliness
4
Friendliness
5
Care Services
3
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
4
Response from Monticello West
July 26, 2024
Thank you for taking the time to leave a review for us at Monticello West. We take all feedback seriously and will take this back to the team. We're happy we could meet your expectations! Thank you again for the great review!
happy granddaughter - Family/friend
Assisted Living
June 5, 2024
5.0
Verified Review
My grandma is so happy here!
My grandmother is so happy there. She always says, "it's such a nice place, and the people are so good to me." I would absolutely recommend this community to other families based on the experience we have had so far. The thing I will caution people about is that the parking situation is not good there that's the biggest problem they have in my opinion. They are improving and making new visitor spots regularly, but parking can be stressful.
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
4
Activities
5
Value for Cost
5
Response from Monticello West
June 12, 2024
Your wonderful feedback and rating mean a lot to us. Thank you, and have a fantastic day!
Anonymous - Family/friend
Assisted Living
May 29, 2024
5.0
Verified Review
Review for Monticello West
Overall good facility, caring staff, concerned about well being of residents.
Cleanliness
4
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
4
Value for Cost
5
Response from Monticello West
June 6, 2024
We are very happy we could provide you with a positive experience! Please don't hesitate to reach out if there's anything additional we can do for you.
Theresa M - Family/friend
Assisted Living
May 2, 2024
2.0
Very disappointing
They talk the talk very well. My father was there a short time but in that short time I was very disappointed. It seemed to me once they got my money I was forgotten. Had a meeting with the top staff and made it very clear my mother was not to be contacted directly under ANY circumstances. I was the main contact. 3AM that same day my mother WAS contacted directly to be informed my father had passed. Absolutely unacceptable and frankly unbelievable that even a small request could not be met.
Cleanliness
4
Friendliness
4
Care Services
3
Response from Monticello West
May 13, 2024
Thank you for bringing your concerns to our attention. We regret that your experience did not meet your expectations and appreciate the opportunity to address them. Please accept our sincerest apologies for the miscommunication regarding your mother's contact preferences. We understand the importance of respecting your wishes as the main contact. To discuss this matter further and ensure a satisfactory resolution, we kindly ask you to contact Tom Marks, our Executive Director, at (214) 528-0660. Tom will personally address any issues and work to regain your trust in our services.
Kathy H - Family/friend
Memory Care
May 2, 2024
5.0
Wonderful
We are very pleased with Monticello West . The staff is very kind and thoughtful . My mom is well cared for . She finds the food wonderful and she likes the activities . Especially Bingo ! They do a great job .
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
4
Activities
4
Value for Cost
5
Response from Monticello West
May 10, 2024
Kathy, we're so glad that we were able to go above and beyond your expectations! We can't wait to see you again, have a great day.
Nanci M - Family/friend
Assisted Living
December 15, 2023
5.0
Verified Review
Review for Monticello West
It was excellent ! The ratio of caregivers to patients is high. The people that work there have stayed a long time. Nurse on duty 24 hours a day. Memory care for several levels. Location is good ! Staff is Very Helpful!
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
5
Response from Monticello West
December 20, 2023
Hello, we appreciate you taking the time to leave us this feedback. We're glad to hear we delivered such a great experience. If there's anything further we can do for you, we are happy to help!
Anonymous - Family/friend
Memory Care
November 10, 2023
4.0
Verified Review
Overall family seems pleased with Monticello West for their loved one. The staff is friendly, the activities.........
My mom is comfortable and relatively happy. My mother's room and general areas are clean. The bathroom my shares with her suite mate can be cleaner. It smells like urine and poop when visit. I think it's due to the suite mate though. The staff is very friendly and seems to care about the residents. I believe my mom is receiving the care she needs. Would like to have contact with the medical care to see what they are doing for my and how my mom is doing. I like the memory care activities they have daily with the residents. They offer good activities that help stimulate patients mind and memory. I really like the activities and have participated in them when I visit my mom. The instructor is great. Her interaction with residents is good. For the money we pay I would expect the meals be more than a sandwich and chips sometime. I expect sit down meals with protein and vegetables. My mother doesn't complain about the meals too much, so I won't complain. Overall family seems pleased with Monticello West for their loved one. The staff is friendly, the activities involve all residents while stimulating their minds and memory. Overall, the family is pleased with facility and the value that it's costing them. One minor issue would be the food. Family would like to see sit meals where there is protein and vegetables, a balance meal.
Cleanliness
4
Friendliness
5
Care Services
4
Staff
5
Meals & Dining
3
Activities
5
Value for Cost
5
Response from Monticello West
November 15, 2023
We welcome to discuss any concern to ensure a five-star experience in the future.
Anonymous - Family/friend
Assisted Living
August 9, 2023
5.0
Verified Review
A great place for grandma!
The friendliness of the staff members is a 5 plus! When it comes to the meals and dining service we love the variety and so does our Grandma! Variety of food choices, kind staff, responsive staff, and nice people is what we like the most about this community!
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
5
Response from Monticello West
August 30, 2023
We are so happy to read such a great review about Monticello West! Thank you for taking the time to share.
Pat M - Family/friend
Assisted Living
July 29, 2023
5.0
Very helpful and friendly staff
So many of the staff are so helpful and friendly! Always asking if they can help me carry packages, boxes, etc. I have been very impressed how the staff tries to make everyone feel welcome and the willingness to go beyond and above. Any concerns have been immediately addressed. I feel the management team and other staff members truly care about the residents and the concerns the family members might encounter. After looking at various assisted living options, Monticello West was definitely the best choice. Pat M.
Cleanliness
4
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
4
Activities
5
Value for Cost
4
Response from Monticello West
August 30, 2023
Your recommendation means so much to us and we're so happy to have earned it. Thank you for taking the time to let the world know about your positive experience. Have a great day!
Sharon S - Family/friend
Assisted Living
December 12, 2022
4.0
Verified Review
Highly recommended
I just think the staff truly care about every person here. All of the staff know all of the residents by name and their likes and dislikes. From the very first day my loved one walked in, they have welcomed him with open arms. I would highly recommend Monticello West to others.
Cleanliness
5
Friendliness
5
Care Services
4
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
4
Response from Monticello West
December 12, 2022
Sharon, thank you for taking the time to share this review. We are thankful to know that you would highly recommend our community to others. We are proud of our community, our staff, and our ability to welcome new residents with open arms. Our team is passionate and are happy to be of service. Take care!
Anonymous - Toured community
Memory Care
October 13, 2022
3.0
Verified Review
I toured this facility and it was ok. It's older. They've revamped it, but the floor plan is still older style and not open and inclusive like most newer facilities.
Response from Monticello West
October 14, 2022
We appreciate your honest feedback. Our community is older, but our residents and families appreciate the charm and the feeling of home that can come along with that. Our team truly understands the importance of individual preference and opinion, so thank you again for sharing that with us. Take care!
Mark - Family/friend
Assisted Living
September 14, 2022
5.0
Verified Review
Two Thumbs Up
My loved one, really likes the food. The staff is awesome to work with, as far as managing my loved one. Everyone is super friendly, and takes time to get to know families that visit. Overall, It has it been a super friendly experience.
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Value for Cost
5
Response from Monticello West
September 14, 2022
Mark, thank you for sharing this with us. Our team is happy to hear that your loved one really enjoys the food. We are also glad to hear that our staff is awesome to work with. Our community is full of friendly people, and I am happy that you and your loved one are getting to experience that.
P.T. - Toured community
Assisted Living
September 13, 2022
3.5
Verified Review
Tour of Monticello
I toured Monticello West and it was very nice. The community was older and darker. For me, it's all about natural lighting and how bright and pretty it looks, as it makes them feel at home. Monticello was a little too dark for me and it had a weird porch with the rooms that felt a little institutional-like. It had concrete wall that came up about 5 feet. I chose another community because of it's aesthetic.
Response from Monticello West
September 14, 2022
P.T., thank you for sharing this with us. We are glad to know that you thought our community was nice. Our team is disappointed to hear that you selected another community, but we understand the importance of finding aesthetics that match your own. Monticello West is an older community with its own charm and its own aesthetics.
Bonnie F - Family/friend
Independent Living
June 27, 2022
5.0
Fabulous staff!!
I was the first of our family to tour Monticello West and from the first impression with [name removed] and then [name removed], I knew this must be a place where true care was given to the residents! Friendliness starts there at the receptionist desk with a warm greeting. When our mom moved in, each staff member made her feel welcomed! There is a clear kind, helpful and caring energy emanating from them all! There was no question in any of our family members minds, we had discovered a GREAT new home for our 95 year old mother! I only have one suggestion in that I do hope they upgrade the meals. There is room for improvement there but I feel sure something will be done about it. With that exception, all is FIVE star rating ! We could not be happier!!!
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
2
Activities
5
Value for Cost
4
Response from Monticello West
July 19, 2022
Bonnie, thank you for this review. We are pleased to hear how welcoming and friendly our staff have been for you and your loved one. Thank you for suggestion about meals too. I will make sure to pass that along to our culinary team, because there is always room for improvement. Thank you again!
Kathie M - Resident/client
Independent Living
June 26, 2022
5.0
Moving into Monticello West senior living facility
One of the hardest things in the world is to be the new person walking in to join a large group of people. Our family moved a lot while I was growing up, so I know. Before I moved to Monticello West, I lived at another Dallas senior facility. People were nice there, but the first day in the dining room made me anxious. Eventually I made good friends, but I’m kind of shy, so it took some time. I moved into Monticello about three months ago, but in a few weeks it felt like home. People are basically the same everywhere, but Monticello residents are particularly friendly and welcoming. Also, the staff are warm and caring. They seem to like their jobs and us. That was not true at my prior facility. Nothing in this world is perfect, but Monticello checks off the most important boxes for me, and I highly recommend living here.
Cleanliness
4
Friendliness
5
Care Services
4
Staff
5
Meals & Dining
3
Activities
5
Value for Cost
4
Response from Monticello West
July 19, 2022
Kathie, thank you for taking the time to leave this review. We are so happy to here that our community felt like home in such a short amount of time. Our community is full of pretty sweet people, and we are glad that we get into include in that as well. Thank you for the recommendation!
sandra f - Family/friend
Assisted Living
June 25, 2022
5.0
Our Mom's New Home
Monticello West feels like a Godsend! The standout feature is the 'vibe' of the place. The staff, to a person, is positive, upbeat, and genuinely kind. There is a consistent hardworking effort that has the facility feel clean and fresh=healthy. I was impressed when my sister was calling with wonderful reports of staff and care given and when I flew out to see for myself I was extremely happy and impressed. The personal attention not only to my mom but to our family is extraordinary. Part of my life is working in end of life and I have done volunteer work in a variety of communities for our elders; Monticello West really stands out far above any I have experienced. Thank you with all of my heart to the extraordinary staff!
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
3
Activities
5
Value for Cost
5
Response from Monticello West
July 3, 2022
Wow! Sandra, we are so thrilled to hear that our community "feels like a Godsend!" The vibe of a community is always important, so thank you for saying that it is our standout feature. I will make sure to share this extraordinary review with our staff. Thank you for allowing us to take care of your loved one.
D.P. - Family/friend
Assisted Living
June 24, 2022
4.0
Verified Review
Comfortable Care & Accommodating Staff
Monticello West has very helpful caregivers & staff. They have accommodating staff, friendly residents, and a convenient location. The food is not always good for some reason. I'm not sure if it's because the food ordered doesn't come in when planned, due to supply chain issues. But there are many times my loved one doesn't eat the food provided because it's a strange combination of ingredients, or it just doesn't taste good. So, she's lost quite a bit of weight since being there; but her caregivers have been more than helpful. Sometimes they are overwhelmed and can be slow to respond, but I think that's just the world we're in right now - you've got to wait sometimes. Communication between the community and our family is pretty good. I can get someone on the phone pretty quickly, or alternatively, I can send an email and get a quick response as well. I wanted a safe place for her to stay, that also offers shuttle service to transport her to appointments; and that's what they provide. Overall I would recommend Monticello West to others.
Cleanliness
4
Friendliness
5
Care Services
5
Staff
4
Meals & Dining
3
Activities
5
Value for Cost
4
Response from Monticello West
June 27, 2022
D.P., we are glad to hear that you would recommend our community to others. We are proud of our accommodating staff, friendly residents, and communication too! We want to make sure your loved one is satisfied with their meals. Please reach out to Maria Espinal, our Culinary Director, at (214) 528-0660 to discuss options.
Harry P - Family/friend
Assisted Living
June 23, 2022
5.0
Monticello great place to be
I have been at Monticello for 4 months, it has been a very positive one. Staff is very caring, professional & always ready to help. I have been very very impressed by them. Meals are great, activities are numerous and fun and there is a diversity of ages of residents to get to know.
Cleanliness
5
Friendliness
5
Care Services
4
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
4
Response from Monticello West
July 3, 2022
Harry, thank you so much for this review. We are so pleased to hear how happy you are with our staff, meals, and activities!
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Tips for evaluating your community options

Safety is a primary concern when seniors and their families look for Assisted Living. To ensure that a community meets your needs and expectations, we recommend that seniors and family members:

  • Tour the location: Touring allows you to speak to current residents and staff, and helps you confirm the accuracy of the community description and photos. Use our touring checklist to help guide your visit.

  • Confirm the availability of required services: Before you commit, make sure that the community offers all the services your senior needs, and that those services can be provided within your budget.

  • Know the Texas regulations for Assisted Living: Each state has its own laws and inspections processes to ensure seniors reside in a safe environment. Depending on your state, you may even be able to look up inspection reports for the community(ies) you’re considering. Learn more about Texas regulations for Assisted Living.

Frequently Asked Questions
about Monticello West

Monticello West offers Studio, 1 Bedroom, 2 Bedrooms and Semi-Private. Learn more.

A Place for Mom has scored Monticello West 9.3 out of 10 using our proprietary review score.

 

We assign review scores to give a more reliable view into senior living communities and home care agencies. Our review scores prioritize reviews that are recent — the past 24 months — because we know families need current information when choosing senior care.

 

Those with many recent, positive reviews receive a high review score, while providers with few recent reviews — regardless of how positive — receive a lower review score. Communities with no recent reviews will not have a review score, even if older reviews are positive. The maximum A Place for Mom review score a community can receive is 10 points.

Call (214) 528-0660 to reach a resident at Monticello West.

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The features and amenities that are displayed on this page contain marketing information provided by the community. A Place for Mom has not confirmed the completeness of the provided information, and cannot guarantee its accuracy. If you become aware of any information that should be updated or noted, please contact A Place for Mom. A Place for Mom uses the term “assisted living” to indicate that the community provides some level of assistance with daily living activities. It does not indicate that the facility meets official state requirements for level of care.

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