24-Hour Home Care in Miles City, MT
Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Miles City for free and hire a caregiver directly, with no agency mark-up.
24-Hour Home Care in Miles City, MT: the local picture
100 Miles City residents 65 or older have difficulty dressing or bathing (6.6%; 7.3% in Custer County), and 289 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 193 residents are 85 or older (2.3% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Intermountain Health Holy Rosary Hospital in Miles City (0.7 mi).
Miles City compared with Custer County and Montana
| Census figure | Miles City | Custer County | Montana |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 6.6% | 7.3% | 5.3% |
| Residents 65+ with serious difficulty walking | 19% | 20% | 18% |
| Residents 65+ with serious difficulty remembering | 15% | 13% | 7.4% |
| Residents 85 or older | 2.3% | 2.4% | 1.9% |
| Residents 65+ in households who live alone | 30% | 26% | 29% |
| Residents 65+ below the poverty line (approx.) | 5.8% | 9.1% | 9.9% |
| Median income, households headed by someone 65+ | $58,854 | $52,292 | — |
Home health agencies serving Miles City
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Granite Peak Home Health | Miles City, MT | 0.3 mi | 2 of 5 | nursing, physical therapy, home health aides | (406) 874-5134 |
Nursing homes near Miles City (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Intermountain Health Holy Rosary Hospital | Miles City, MT | 0.7 mi | 2 of 5 | 84 | (406) 233-2789 |
Straight-line miles from the center of Miles City. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What 24-hour home care costs in Miles City
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 $4,905 monthly median income of Miles City 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.
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.
24-Hour Home Care in Miles City: common questions
How much does 24-hour home care cost in Miles City?
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 $4,905 monthly median income of Miles City 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 senior care near Miles City
Other care in Miles City
- Companion Care in Miles City
- Dementia Care in Miles City
- Respite Care in Miles City
- Live-In Caregivers in Miles City
- Post-Surgery Care in Miles City
- Senior Transportation in Miles City
- Home Health Aides in Miles City
- Nursing Assistants in Miles City
- Personal Care in Miles City
- Overnight Caregivers in Miles City
- Mobility Assistance in Miles City
- Parkinson’s Care in Miles City
- Stroke Recovery Support in Miles City
- Disability Care for Adults in Miles City
- Hospice Support in Miles City
- Senior Meal Preparation in Miles City
- Senior Housekeeping in Miles City
- Medication Reminders in Miles City
- Veterans’ Home Care in Miles City
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.
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