24-Hour Home Care in Billings, MT: Round-the-Clock Care

Local figures

24-Hour Home Care in Billings, MT: the local picture

4.4%

of residents 65+ have difficulty dressing or bathing (4.2% in Yellowstone County)

2,938

residents 85 or older (2.5% of all residents)

35%

of residents 65+ report a disability (35% in Yellowstone County)

$58,894

median yearly income of households headed by someone 65+

950 Billings residents 65 or older have difficulty dressing or bathing (4.4%; 4.2% in Yellowstone County), and 4,429 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 2,938 residents are 85 or older (2.5% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Skyline Heights Nursing And Rehabilitation in Billings (1.3 mi) and Yellowstone River Nursing And Rehabilitation in Billings (1.5 mi).

Billings compared with Yellowstone County and Montana

Census figure	Billings	Yellowstone County	Montana
Residents 65+ with difficulty dressing or bathing	4.4%	4.2%	5.3%
Residents 65+ with serious difficulty walking	20%	19%	18%
Residents 65+ with serious difficulty remembering	8.2%	7.8%	7.4%
Residents 85 or older	2.5%	2.1%	1.9%
Residents 65+ in households who live alone	33%	30%	29%
Residents 65+ below the poverty line (approx.)	9.7%	8.7%	9.9%
Median income, households headed by someone 65+	$58,894	$60,402	—

Older residents in towns around Billings

Town	Distance	Residents 65+	Self-care difficulty (65+)
Lockwood, MT	8.0 mi	1,212	2.8%
Laurel, MT	13 mi	1,046	9.8%
Hardin, MT	46 mi	513	9.6%
Red Lodge, MT	53 mi	845	0.1%

Home health agencies serving Billings

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Compassus Home Health - Billings	Billings, MT	1.1 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(406) 652-8883
Cody Regional Health Home Health	Cody, WY	91 mi	3.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(307) 578-2413
St John's United Home Health	Billings, MT	2.7 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(406) 655-5800
Campbell County Health Home Health	Gillette, WY	182 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(307) 688-6230
Home And Care Billings	Billings, MT	1.1 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(406) 371-7300

Nursing homes near Billings (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Skyline Heights Nursing And Rehabilitation	Billings, MT	1.3 mi	1 of 5	150	(406) 656-5010
Yellowstone River Nursing And Rehabilitation	Billings, MT	1.5 mi	1 of 5	160	(406) 656-6500
Aspen Meadows Health And Rehabilitation Center	Billings, MT	1.8 mi	2 of 5	90	(406) 656-8818
Billings Rehabilitation And Nursing LLC	Billings, MT	2.7 mi	2 of 5	100	(406) 259-8000

Straight-line miles from the center of Billings. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Billings

24-hour care is 168 paid hours a week. At $17.61 an hour (the Montana median aide wage) that is about $12,820 a month in wages before any overtime, 261% of the $4,908 monthly median income of Billings households headed by someone 65+. Rates are agreed with each caregiver. Montana's minimum wage is $10.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Billings: common questions

How much does 24-hour home care cost in Billings?

24-hour care is 168 paid hours a week. At $17.61 an hour (the Montana median aide wage) that is about $12,820 a month in wages before any overtime, 261% of the $4,908 monthly median income of Billings households headed by someone 65+. Rates are agreed with each caregiver. Montana's minimum wage is $10.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Billings

More senior care near Billings

24-Hour Home Care in nearby cities

Other care in Billings

More for Billings families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

24-Hour Home Care in Billings, MT