St. John’s United operates a 104-bed nursing facility at 3940 Rimrock Road, Billings, Montana, administered by Karna Rhodes and owned by Gerald Pearsall. This voluntary non-profit church-affiliated community is car-dependent (Walk Score 6), 7.9 miles from downtown Billings with immediate access to Fuller Family Medicine. Current census: 26 residents (25% occupancy), average stay 129 days. Payer mix: 63% Medicare (28 days typical), 36% private pay (5–6 months), 1% Medicaid (18–19 years).
Staffing (Q4 2025): 262 total personnel including 29 RNs, 14 LPNs, and 164 CNAs. Total nursing delivers 5 hours 16 minutes per resident per day (35% above Montana average); weekend nursing reaches 4 hours 43 minutes (38% above state norm). Staff-to-resident ratio of 3.32:1 significantly exceeds benchmarks.
Care modalities include nursing home, independent and assisted living, memory care, home care, and hospice. Amenities: private rooms, aquatic center, fitness center, restaurant-style dining, housekeeping, and storage. 2023 financials: $34.4 million revenue, $19.6 million payroll, $984,311 net income. The facility ranks first statewide in payroll investment.
Quality outcomes show mixed results. Long-stay residents experience falls with major injury at 3.0% (31% better than state), pressure ulcers at 4.3% (32% better), and urinary tract infection at 2.0% (27% better). However, weight loss reaches 11.4% (85% worse), functional decline scores 23.4 (8% worse), and antipsychotic use stands at 20.8% (9% worse). No monetary penalties in three years.
The inspection record reveals significant compliance challenges. Over 34 months (August 2023–July 2025), four inspections yielded 33 deficiencies; 686% above Montana’s per-inspection average. July 2025 annual inspection cited 6 deficiencies: grievance policy gaps, medication errors exceeding 5%, incomplete care plans, expired food disposal, hand hygiene failures, and infection control breaches. A concurrent complaint investigation identified 2 deficiencies for delayed abuse/investigative findings reporting (2 days late).
August 2024 routine inspection documented 15 deficiencies spanning medication assessment, delayed abuse reporting, assessment accuracy, care planning, fall prevention, psychotropic medication governance, dietary and kitchen sanitation failures, and vaccination gaps. An August 2024 complaint investigation substantiated 2 deficiencies: delayed neglect reporting and 3-hour late insulin delivery. April 2024 complaint investigation found 1 deficiency: incorrect antiepileptic dosing for 27 days.
August 2023 routine inspection identified 7 deficiencies including unmet caregiver preferences, dementia care planning gaps, pressure ulcer management, missing equipment, absent nonpharmacological interventions, medication errors, and refrigerator temperature control failures. An August 2023 complaint investigation confirmed 1 deficiency for absent nonpharmacological documentation preceding antipsychotic initiation.
All violations carry moderate severity; no critical or serious citations exist. Deficiency patterns center on medication management, care planning, incident reporting timeliness, infection prevention, dietary operations, and failure to implement nonpharmacological approaches before chemical restraint, demonstrating compliance persistence without documented systemic resolution
Situated in the heart of Missoula, Montana, Partners in Home Care’s dedication is evident through a range of services, including infusion therapy and the provision of essential home medical equipment. What sets them apart is their holistic approach, offering grief counseling and bereavement support, ensuring emotional well-being is a priority alongside physical care.
They are a warm and experienced group, embodying a friendly demeanor that resonates with those they serve. Their home health services provide cost-effective solutions, delivering skilled nursing, rehabilitation, and chronic disease management in the comfort of one’s home. Meanwhile, their hospice care extends beyond the ordinary, employing an interdisciplinary team approach alongside spiritual care and personal assistance.
Harvest Home Care – Missoula delivers personalized, mobile in-home assistance and clinical support to seniors throughout the Missoula, Montana region. Under the guidance of Executive Director Kaley Burke, the agency operates from the Franklin to the Fort neighborhood at 2407 Schilling Street, Unit C. The primary focus of the program is to supply customized care that helps older adults safely age in place inside their familiar home environments rather than transitioning into a residential senior facility.
Pedestrians can easily navigate the neighborhood surrounding the administrative office, which carries a walkability score of 78 out of 100. This highly walkable setup allows local personnel and visiting families to quickly reach pharmacies and community services on foot, though all physical caregiving is carried out off-site at the patient’s residence. The team builds highly flexible schedules that range from brief hourly visits to round-the-clock live-in arrangements.
These personalized plans encompass baseline daily living assistance, such as housekeeping, meal preparation, and medication tracking, alongside specialized memory care, physical rehabilitation, and skilled nursing interventions.
Prospective individuals can connect with the office to explore private-pay rates and ask about caregiver credentials.
Type of Care Available
Discover the gratifying lifestyle that awaits. Golden Options Care is a senior living community in Helena, Montana, offering both In-Home Care Services and Assisted Living. This assisted living community is driven by a mission to elevate the benchmark of senior care, whether within their welcoming assisted living residence or the comforts of home.
Experience the best of country living while enjoying the conveniences and amenities extended by the City of Helena. Renowned for its enriching environment, Golden Options Care Assisted Living is committed to delivering tailored care and personalized attention that cultivates independence within an atmosphere of dignity and respect.
Type of Care Available
Home Instead is a locally owned business that proudly serves aging adults and their families in the Bozeman, MT area. The team offers friendly, responsive service and is committed to delivering compassionate, person-centered solutions. Home Instead ‘promise is to do what they say they’re going to do each and every time, engage in thoughtful relationships with the families they serve, and give back to their community.
For nearly three decades, Home Instead has delivered compassionate, high-quality care to seniors around the globe. The company offers dependable, compassionate senior home care services tailored to fit each family’s needs. Home Instead also provides specialized care for seniors with Alzheimer’s, dementia, arthritis, and diabetes, as well as 24-hour care and nurse-directed home care services. The team at Home Instead is passionate about helping seniors age successfully and offers a free, no-obligation Care Consultation to help families decide the best care option for their loved ones.
Type of Care Available
Situated in the heart of Missoula, Montana, Partners in Home Care’s dedication is evident through a range of services, including infusion therapy and the provision of essential home medical equipment. What sets them apart is their holistic approach, offering grief counseling and bereavement support, ensuring emotional well-being is a priority alongside physical care.
They are a warm and experienced group, embodying a friendly demeanor that resonates with those they serve. Their home health services provide cost-effective solutions, delivering skilled nursing, rehabilitation, and chronic disease management in the comfort of one’s home. Meanwhile, their hospice care extends beyond the ordinary, employing an interdisciplinary team approach alongside spiritual care and personal assistance.
Type of Care Available
The Big Sky Home health care has excelled in delivering a speedy approach to recovery for its residents; residents receive an efficient rehabilitative process to skilled nursing services that enhance their quality of life in the comfort of their homes. Also specializing in palliative and hospice care, the well-trained care staff delivers a multidisciplinary approach to nursing when providing tailored care– ensuring service with compassion, kindness, and professionalism.
The home health care provider offers a team of medical professionals who excel in practicing physical therapy, occupational therapy, speech therapy, wound care, and restorative nursing. Seniors are guaranteed to get personalized care that helps boost relaxation and rejuvenation; they are given tailored care plans unique to their needs. Medicare exclusively covers the service.
Type of Care Available
Northwest Home Care – Missoula provides mobile in-home medical and lifestyle support to residents across the Missoula, Montana region. Operating with a background of nearly two decades in senior care, the agency operates its coordination center out of the South 39th Street neighborhood at 4110 Weeping Willow Dr. The agency’s core objective is to deliver comprehensive care solutions that empower individuals to remain safely in their own homes throughout different stages of life.
The administrative location is situated roughly 3.7 miles from the city center in an area with a walkability score of 56 out of 100. This moderate walkability rating means visiting family and office staff can access basic neighborhood spots on foot, though care personnel rely on vehicles to provide direct services at clients’ houses.
The agency utilizes a structured team of licensed nurses and certified nursing assistants to handle personal care tasks, private duty nursing, and continuous live-in caregiver staffing. To ensure high standards of care, the provider prioritizes strict staff recruitment alongside ongoing in-service training and educational updates for its field employees.
Interested families can connect with a care coordinator to review personalized scheduling arrangements and evaluate program costs.
Type of Care Available
All Ways Caring HomeCare, nestled in the heart of Missoula, Montana, offers quality services and innovative programs designed to enhance the lives of those in need of extra support, specifically seniors entering their golden years. Their comprehensive range of care options includes specialized services such as Alzheimer’s care, individualized care, transitional care, respite care, and dedicated veteran care. Beyond private pay, they accept various payment methods, ensuring accessibility for a wide array of clients.
As professionals, they not only deliver top-tier healthcare but also provide the social interaction and emotional support vital for seniors. With a keen focus on proper nutrition, mental stimulation, and genuine companionship, their caregivers employ a methodical approach in every aspect of their care. Each interaction is tailored, recognizing the uniqueness of every client. Families seeking trustworthy and individualized care find reassurance in the unwavering commitment of this team.
Type of Care Available
Home Instead is a pillar of support within the Missoula community, renowned for its exceptional home care services. With a team of highly skilled and compassionate caregivers, they go beyond the ordinary, offering personalized and empathetic assistance tailored to individual needs. Their caregivers establish genuine connections with the people they serve, ensuring a sense of trust and comfort in every interaction.
Specializing in Alzheimer’s and dementia care, as well as providing specialized assistance for conditions like diabetes and arthritis, Home Instead embodies practical support. Families find comfort in the relief from the daunting task of searching for the right care for their elderly loved ones. Home Instead unquestionably fosters a nurturing environment where seniors can thrive, supported by a team that genuinely cares about their well-being.
Type of Care Available
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Frequently Asked Questions
Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:
- Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
- Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
- Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
- Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
- State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
- Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
- Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.
Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.
We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.
- Finding and ranking the best assisted living facilities
- Finding and ranking the best nursing homes
- Finding and ranking the best memory care facilities
- Our concierge service helps seniors move into the perfect home for them
- Helping seniors use medicare, medicaid, and other government programs to pay for their homes
- Helping seniors avoid senior homes that have bad service or fraud
- Memory care specialists
- Finding and ranking the best independent living communities
Frequently Asked Questions about Home Care in Montana
What is home care?
Home care brings non-medical caregivers into a senior's own home to assist with daily tasks, companionship, and supervision — without requiring a move to a community.
How many home care providers are listed on this page?
This page features 13 home care providers in Montana. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right home care provider in Montana?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Montana, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting home care providers in Montana?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
