Respite Care in Miles City, MT
A few hours, a day or a weekend of cover so the family member doing the caring can rest, work, see a doctor or travel. Post what you need in Miles City for free and hire a caregiver directly, with no agency mark-up.

Respite Care in Miles City, MT: the local picture
Most older adults in Miles City live with someone: 70% of residents 65 and older in households do. When one of them needs care, the person they live with usually provides most of it, and respite is what keeps that sustainable.
About 658 Miles City residents aged 65 or older report a disability (43%) (43% in Custer County). Many of them rely on a spouse or adult child day to day.
Medicare lists 1 hospice serving Miles City ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.
Miles City compared with Custer County and Montana
| Census figure | Miles City | Custer County | Montana |
|---|---|---|---|
| Residents 65+ with a disability | 43% | 43% | 32% |
| Residents 65+ in households who live alone | 30% | 26% | 29% |
| Residents 65 or older | 20% | 21% | 20% |
| Residents 85 or older | 2.3% | 2.4% | 1.9% |
| Residents 65+ below the poverty line (approx.) | 5.8% | 9.1% | 9.9% |
| Households with no vehicle | 6.8% | 5.1% | 4.7% |
| Median income, households headed by someone 65+ | $58,854 | $52,292 | — |
Hospices serving Miles City
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Holy Rosary Hospice | Miles City, MT | 0.3 mi | (406) 233-3810 |
Nursing homes near Miles City (ask about short stays)
| 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 respite caregiver can help with
- Taking over the usual routine while you are away
- Meals, medication reminders and personal care
- Company and activities
- Overnight cover for a weekend or a trip
What respite care costs in Miles City
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 $4,905 monthly median income of Miles City 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.
What to know before hiring a respite caregiver
Family caregivers carry most long-term care in the U.S., and burnout is a common reason a home arrangement breaks down. The federal National Family Caregiver Support Program funds respite through local Area Agencies on Aging, and the ARCH National Respite Locator lists respite programs by state.
Questions worth asking: Can you do a short paid visit first, while I am home? Are you available at short notice if I am ill? Can you stay overnight, and what do you charge for it? More in our respite care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Respite Care in Miles City: common questions
Which hospices serve Miles City?
Medicare lists 1 hospice for Miles City ZIP codes, including Holy Rosary Hospice.
How much does respite care cost in Miles City?
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 $4,905 monthly median income of Miles City 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).
Does Medicaid or Medicare pay for respite care?
Medicare pays for short inpatient respite stays only for people on its hospice benefit (Medicare.gov); the hospices on this page serve Miles City. Many state Medicaid home and community-based programs, veterans’ programs and the National Family Caregiver Support Program fund respite. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Montana.
More senior care near Miles City
Other care in Miles City
- Companion Care in Miles City
- Dementia 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
- 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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