Page 7 of Best Memory Care in Montana

Located in Wibaux, Montana, Wibaux County Nursing Home is a 40-bed skilled nursing facility operated by the County of Wibaux. The newly established community accepts Medicaid and private pay, making it accessible to families with varying coverage options. The facility is in a somewhat walkable area. Some errands within walking distance, though most trips require a vehicle.

At 75% occupancy, the home houses 30 residents. Most stay for an average of 392 days, with a stable population of longer-term residents.

The facility’s nurse staffing averages include 3 hours and 46 minutes per resident daily. Residents are also supported by registered nurses, licensed practical nurses, nurse aides, and 24-hour staffing. This provides a consistent presence of care for the residents. The home offers a range of services for a skilled nursing setting, including rehabilitation services and respite care. Residents with specialized needs can access secure memory care, end-of-life, and palliative care programs.

The facility has recently been improved with a remodeled dining room designed to accommodate group activities and larger gatherings. Residents have access to a beauty and barber shop, outdoor spaces including a patio and gazebo, and structured activity programming. Dining options include choices and accommodations for different preferences. Residents can receive medications through the facility’s pharmacy delivery service.

Inspection surveys reviewed operational and safety practices, including equipment handling, staff training, resident supervision protocols, environmental cleanliness, and staffing documentation. These areas continue to be examined during inspections for the facility’s improvement.

Pioneer Care and Rehabilitation is a private-company-operated 87-bed skilled nursing and rehabilitation facility in Dillon, Montana, in Beaverhead County. The facility offers skilled nursing, memory care, and rehabilitation services. Medicare, Medicaid, and private pay are welcome. Occupancy stands at 26 percent, well below Montana’s 61.7 percent average indicating broad current availability. 24-hour staffing exists.

CMS grades the facility 1 star, with all four sub-ratings well below Montana’s average. Across 12 complaint-driven inspections since May 2023, the facility averaged 20.3 deficiencies annually, 250 percent above Montana’s 5.8 average. Serious findings include an August 2024 elopement wherein a resident with a known elopement history took a vehicle from the facility parking lot, sustained injury, and was hospitalized; a December 2024 medication error in which failure to crush a resident’s medications as ordered caused aspiration pneumonia and hospitalization; and a May 2025 complaint investigation citing a dual fentanyl patch administration error, failure to report abuse allegations, and a fall resulting in a fractured hip. Nurse hours run 3h 15m per resident daily, 17 percent below Montana’s average, placing the facility 29th of 34 state SNFs. No fines or immediate jeopardy findings noted. As a rural facility in Beaverhead County, it’s among the few skilled nursing options in Dillon.

The community fits residents seeking skilled nursing or memory care in rural southwestern Montana. Its geographic access to long-term care options is limited.