Dementia Care in Billings, MT: In-Home Alzheimer's Care

Local figures

Dementia Care in Billings, MT: the local picture

2,938

residents 85 or older (2.5% of all residents)

22,510

residents 65 or older (19% of Billings)

35%

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

6+

Medicare-certified nursing homes within 25 miles

Billings has about 2,938 residents aged 85 or older among 22,510 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

35% of residents 65 and older report a disability (35% in Yellowstone County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

33% of older Billings residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

Billings compared with Yellowstone County and Montana

Census figure	Billings	Yellowstone County	Montana
Residents 85 or older	2.5%	2.1%	1.9%
Residents 65 or older	19%	18%	20%
Residents 65+ with a disability	35%	35%	32%
Residents 65+ in households who live alone	33%	30%	29%
Residents 65+ below the poverty line (approx.)	9.7%	8.7%	9.9%
Residents 5+ who speak a language other than English at home	3.8%	3.7%	4.2%
Median income, households headed by someone 65+	$58,894	$60,402	—

Older residents in towns around Billings

Town	Distance	Residents 65+	Residents 85+
Lockwood, MT	8.0 mi	1,212	138
Laurel, MT	13 mi	1,046	91
Hardin, MT	46 mi	513	43
Red Lodge, MT	53 mi	845	72

Nursing homes near Billings

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
St John's Lutheran Home	Billings, MT	3.3 mi	3 of 5	186	(406) 655-5600
River Ridge Rehabilitation And Nursing LLC	Billings, MT	5.3 mi	2 of 5	129	(406) 245-9330

Hospices serving Billings

Hospice	Office	Distance	Phone
Stillwater Hospice	Billings, MT	1.1 mi	(406) 702-1742
St Johns United Hospice	Billings, MT	2.7 mi	(406) 655-5800
Riverstone Health	Billings, MT	2.7 mi	(406) 247-3200
Compassus Hospice Billings	Billings, MT	2.7 mi	(406) 294-0785

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 dementia caregiver can help with

Keeping a predictable daily routine
Gentle help with bathing, dressing and toileting
Meals, hydration and medication reminders
Calming approaches for sundowning, agitation and repeated questions

Cost

What dementia care costs in Billings

At the Montana median aide wage of $17.61 an hour, 20 hours of help a week comes to about $1,526 a month in wages, which is 31% of the $4,908 monthly median income of Billings households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

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

Questions

Dementia Care in Billings: common questions

What nursing homes are near Billings?

The closest Medicare-certified nursing homes are Skyline Heights Nursing And Rehabilitation in Billings (1.3 mi, 1 of 5 overall); Yellowstone River Nursing And Rehabilitation in Billings (1.5 mi, 1 of 5 overall); Aspen Meadows Health And Rehabilitation Center in Billings (1.8 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Billings?

At the Montana median aide wage of $17.61 an hour, 20 hours of help a week comes to about $1,526 a month in wages, which is 31% of the $4,908 monthly median income of Billings households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Montana's minimum wage is $10.85 an hour (U.S. Department of Labor table, updated July 1, 2026).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

More near Billings

More senior care near Billings

Dementia 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.

In-Home Dementia and Alzheimer's Care in Billings, MT