Live-In Caregivers in Lewistown, MT
A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Lewistown for free and hire a caregiver directly, with no agency mark-up.
Live-In Caregivers in Lewistown, MT: the local picture
About 129 Lewistown residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.
A live-in caregiver needs a private room. 47% of homes in Lewistown have three or more bedrooms (57% in Fergus County), while 21% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.
Of Lewistown households headed by someone 65 or older, 707 own their home and 252 rent; among householders 85 and older it is 27 owners and 68 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Lewistown compared with Fergus County and Montana
| Census figure | Lewistown | Fergus County | Montana |
|---|---|---|---|
| Residents 85 or older | 2.1% | 2.3% | 1.9% |
| Residents 65+ in households who live alone | 37% | 29% | 29% |
| Residents 65+ with a disability | 29% | 27% | 32% |
| Residents 65+ below the poverty line (approx.) | 13% | 11% | 9.9% |
| Residents 65 or older | 25% | 25% | 20% |
| Residents 5+ who speak a language other than English at home | 4.3% | 4.5% | 4.2% |
| Median income, households headed by someone 65+ | $38,652 | $48,348 | — |
Emergency hospitals near Lewistown
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Central Montana Medical Center | Lewistown, MT | 1.5 mi | not rated | (406) 535-7711 |
Straight-line miles from the center of Lewistown. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a live-in caregiver can help with
- Help across the day: meals, housekeeping, personal care
- Someone in the home overnight if help is needed
- Medication reminders and appointment rides
- Companionship and a steady routine
What live-in care costs in Lewistown
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $17.61 an hour (the Montana median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,816 a month (118% of the $3,221 monthly median income of Lewistown households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,820 a month (398% of the $3,221 monthly median income of Lewistown households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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 live-in caregiver
Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).
Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Live-In Caregivers in Lewistown: common questions
Where is the nearest emergency hospital to Lewistown?
Central Montana Medical Center in Lewistown, about 1.5 mi in a straight line from the center of Lewistown (Medicare hospital file). Its listed phone number is (406) 535-7711. In an emergency, call 911.
How much does live-in care cost in Lewistown?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $17.61 an hour (the Montana median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,816 a month (118% of the $3,221 monthly median income of Lewistown households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,820 a month (398% of the $3,221 monthly median income of Lewistown households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Montana's minimum wage is $10.85 an hour (U.S. Department of Labor table, updated July 1, 2026).
Live-in or 24-hour care in Lewistown?
A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Lewistown it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.
More senior care near Lewistown
Other care in Lewistown
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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