What government services provide money for senior housing?

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.

How do you pick the homes you recommend?

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.

Do you help families that need Medicaid?

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.

How much does this service cost?

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.

What services do you offer?

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 Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

Big Sky Palliative and Hospice

Overview of Big Sky Palliative and Hospice

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.

(406) 597-6923 info@bigskyhhh.com

Walk Score: 62 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Rehabilitation Services

24-Hour Staffing

Home Health

Hospice

Palliative Care

Volunteer ProgramsYes

Types of Care at Big Sky Palliative and Hospice

Home Care Nursing Home Hospice Care

Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled

General Montana resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

Rural state; limited providers in some areas.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Home modifications ($1,500 avg.) Meals ($6/meal)

Montana Community First Choice

MT CFC

Age 65+ or disabled

General Montana resident, Medicaid- eligible.

Income Limits ~$1,732/month individual, Medicaid threshold

Asset Limits $2,000 individual

Less intensive than waiver; rural focus.

Benefits

Personal care (up to 40 hours/month) Homemaker services Respite (varies)

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled

General Montana resident, enrolled in Medicare Part D, income below limit.

Income Limits (2025) ~$2,510/month (individual), ~$3,380/month (couple).

Asset Limits Not assessed.

Covers up to $38.75/month premium; statewide via AAAs.

Benefits

Prescription drug premium assistance (~$465/year) Reducing out-of-pocket costs

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled

General Montana resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits $9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Age —

General Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).

Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.

Asset Limits Not assessed; need-based.

10 AAAs; prioritizes low-income, rural caregivers.

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Montana SCSEP

Age 55+

General unemployed, low-income, Montana resident.

Income Limits (2025) ~$1,983/month 125% FPL

Asset Limits Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

Benefits

Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General Montana resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth limit

High veteran demand in rural areas.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

3.2 miles from city center Estimated distance in miles from Missoula's city center to Big Sky Palliative and Hospice's address, calculated via Google Maps. — 0.15 miles to nearest hospital (Montana Imaging Center)

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Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Compare Nursing Homes around Missoula

4 facilities compared · CMS & MT Dept. of Health data · Updated Apr 2026

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Missoula Health and Rehabilitation Center		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Missoula (Upper Rattlesnake)	49	80.4%	+30%	4.24				-43%	-6%	0	34	11.3	0	36	13	Pacific Northwest Snf Operations Holdings (Mt) Llc	$2.0M	$0.7M	35.7%	275035
Riverside Nursing and Rehabilitation Center		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Missoula (Heart Of Missoula)	72	90.6%	+47%	4.24				-10%	-6%	1	30	6.0	1	67	42	David Smilovitz Trust	$8.0M	$3.2M	40.1%	275126
Big Sky Palliative and Hospice	-	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Missoula (Franklin To The Fort)	-	-	-	-	-	-	-	-	-	0	0	0.0	0	-	62	-	-	-	-	-
The Village Health & Rehabilitation	-	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Missoula (South Avenue West)	193	-	-	-	-	-	-	-	-	0	0	0.0	0	-	49	-	-	-	-	-

Missoula Health and Rehabilitation Center

Overall Rating:

Type of care: NH AL

Community:Location: Missoula (Upper Rattlesnake)

Bed Count: 49

Occupancy: 80.4%

Occupancy vs State Avg: +30%

Nurse hrs per resident/day: 4.2

Health Insp Rating:

Staffing Rating:

QM Rating:

-43%

Staffing vs State Avg: -6%

Citations: 34

Citations per Inspection: 11.3

Avg Residents/Day: 36.20

Operator: Pacific Northwest Snf Operations Holdings (Mt) Llc

Home Revenue: $1,972,399.00

Payroll Costs: $704,306.00

Payroll %: 35.7%

CCN: 275035

Riverside Nursing and Rehabilitation Center

Overall Rating:

Type of care: NH AL

Community:Location: Missoula (Heart Of Missoula)

Bed Count: 72

Occupancy: 90.6%

Occupancy vs State Avg: +47%

Nurse hrs per resident/day: 4.2

Health Insp Rating:

Staffing Rating:

QM Rating:

-10%

Staffing vs State Avg: -6%

Number of Fines: 1

Citations: 30

Citations per Inspection: 6.0

Severe Citations: 1

Avg Residents/Day: 66.50

Operator: David Smilovitz Trust

Home Revenue: $8,047,237.00

Payroll Costs: $3,227,148.00

Payroll %: 40.1%

CCN: 275126

Big Sky Palliative and Hospice

Type of care: NH AL

Community:Location: Missoula (Franklin To The Fort)

Citations per Inspection: 0.0

The Village Health & Rehabilitation

Type of care: NH AL

Community:Location: Missoula (South Avenue West)

Bed Count: 193

Citations per Inspection: 0.0

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Big Sky Palliative and Hospice

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