Missoula, Montana

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

Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Missoula for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in Missoula, MT: the local picture

1,096
residents 85 or older (1.4% of all residents)
11,497
residents 65 or older (15% of Missoula)
28%
of residents 65+ report a disability (29% in Missoula County)
3
Medicare-certified nursing homes within 25 miles

Missoula has about 1,096 residents aged 85 or older among 11,497 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.

28% of residents 65 and older report a disability (29% in Missoula County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

37% of older Missoula 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.

Missoula compared with Missoula County and Montana

Census figureMissoulaMissoula CountyMontana
Residents 85 or older1.4%1.7%1.9%
Residents 65 or older15%17%20%
Residents 65+ with a disability28%29%32%
Residents 65+ in households who live alone37%29%29%
Residents 65+ below the poverty line (approx.)8.6%8.4%9.9%
Residents 5+ who speak a language other than English at home4.7%4.8%4.2%
Median income, households headed by someone 65+$59,421$60,593—

Older residents in towns around Missoula

TownDistanceResidents 65+Residents 85+
Orchard Homes, MT2.8 mi1,256217
Lolo, MT8.1 mi52617
Hamilton, MT43 mi1,748540
Polson, MT56 mi1,348133
Anaconda, MT68 mi2,528295
Deer Lodge, MT70 mi74571

Nursing homes near Missoula

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Village Health & RehabilitationMissoula, MT1.9 mi3 of 5193(406) 728-9162
Riverside Health & RehabilitationMissoula, MT2.7 mi3 of 572(406) 721-0680
Missoula Health & Rehabilitation CenterMissoula, MT2.9 mi4 of 553(406) 549-0988

Hospices serving Missoula

HospiceOfficeDistancePhone
Big Sky HospiceMissoula, MT1.2 mi(406) 543-4408
Trek HealthcareMissoula, MT1.2 mi(406) 541-1800
Hestia Home AdvantageMissoula, MT3.6 mi(406) 540-4302
Bitterroot Health - HospiceHamilton, MT44 mi(406) 363-6503

Straight-line miles from the center of Missoula. 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 Missoula

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 $4,952 monthly median income of Missoula 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 Missoula: common questions

What nursing homes are near Missoula?

The closest Medicare-certified nursing homes are Village Health & Rehabilitation in Missoula (1.9 mi, 3 of 5 overall); Riverside Health & Rehabilitation in Missoula (2.7 mi, 3 of 5 overall); Missoula Health & Rehabilitation Center in Missoula (2.9 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Missoula?

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 $4,952 monthly median income of Missoula 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.

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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