Overnight Caregivers in Miles City, MT
A caregiver in the home through the night, for someone who wakes, wanders or needs help to the bathroom, so the family can sleep. Post what you need in Miles City for free and hire a caregiver directly, with no agency mark-up.

Overnight Caregivers in Miles City, MT: the local picture
About 227 Miles City residents 65 or older have serious difficulty remembering, concentrating or making decisions (15%; 13% in Custer County). Confusion at night is a common reason families arrange overnight care.
448 older residents live alone (30% of those in households). For them an overnight caregiver means someone in the house after dark.
The nearest emergency hospital is Holy Rosary Hospital in Miles City, about 0.3 mi away in a straight line; keep its number and the person’s medication list by the bed.
Miles City compared with Custer County and Montana
| Census figure | Miles City | Custer County | Montana |
|---|---|---|---|
| Residents 65+ with serious difficulty remembering | 15% | 13% | 7.4% |
| Residents 65+ in households who live alone | 30% | 26% | 29% |
| Residents 85 or older | 2.3% | 2.4% | 1.9% |
| Residents 65+ with difficulty dressing or bathing | 6.6% | 7.3% | 5.3% |
| Residents 65+ with a disability | 43% | 43% | 32% |
| Residents 65+ below the poverty line (approx.) | 5.8% | 9.1% | 9.9% |
| Median income, households headed by someone 65+ | $58,854 | $52,292 | — |
Emergency hospitals near Miles City
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Holy Rosary Hospital | Miles City, MT | 0.3 mi | 5 of 5 | (406) 233-2600 |
| Prairie Community Cah | Terry, MT | 37 mi | not rated | (406) 635-5511 |
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 overnight caregiver can help with
- Help to the bathroom at night and back to bed
- Turning and settling someone who cannot move easily
- Watching for wandering or confusion
- Medication reminders at bedtime and in the morning
What overnight care costs in Miles City
At $17.61 an hour (the Montana median aide wage), a 10-hour overnight shift three nights a week comes to about $2,289 a month, and every night about $5,342 (109% of the $4,905 monthly median income of Miles City households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. 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 overnight caregiver
Overnight help is usually arranged when the person gets up in the night or the family caregiver is no longer getting enough sleep. Decide first whether you need an awake caregiver, who stays up through the shift, or one who may sleep in the home and is woken when needed; the two are paid differently.
Questions worth asking: Do you stay awake through the shift, or sleep and wake when called? Have you cared for someone with dementia at night? What would you do if my parent fell during the night? More in our overnight caregivers guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Overnight Caregivers in Miles City: common questions
How much does overnight care cost in Miles City?
At $17.61 an hour (the Montana median aide wage), a 10-hour overnight shift three nights a week comes to about $2,289 a month, and every night about $5,342 (109% of the $4,905 monthly median income of Miles City households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. Montana's minimum wage is $10.85 an hour (U.S. Department of Labor table, updated July 1, 2026).
Overnight, live-in or 24-hour care: what is the difference?
Overnight care is a single night shift. A live-in caregiver lives 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.
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
- 24-Hour Home Care 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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