Alzheimers, Dementia & Memory
Care Facilities in Montana

Being able to easily find memory care facilities for those who need them is necessary. Although it can seem like this is a tough process at first, many great facilities can easily be found through a quick online search.

In Montana, there are plenty of options that a person can choose from. With the many options offered, you must be able to search through them to find a suitable option for your parent or loved one. Doing this for the first time can be difficult, but we are here to help.

Memory Care Costs in Montana

The cost of memory care in Montana can vary based on factors such as location, facility type, and the level of care required. Below is a table of average memory care costs in the state of Montana, as well as in the 10 largest cities within the state. The prices reflect monthly costs for individuals with Alzheimer's, dementia, or other memory-related conditions.

Summary of Costs in Montana

In Montana, the average monthly cost for memory care across the state is approximately $5,300. Major cities like Billings and Bozeman tend to have slightly higher prices, with Billings being at $5,450. More rural or less densely populated areas, such as Havre and Butte, tend to have lower costs, with Havre seeing an average of $4,800 per month.

Comparison with Other Cities in Nearby States:

When comparing Montana's memory care costs with nearby states:

• Wyoming: Memory care in Wyoming averages around $5,800 per month, which is generally higher than Montana’s rates.
• North Dakota: Costs in North Dakota are similar to Montana, with prices averaging $5,300.
• South Dakota: Memory care in South Dakota is slightly lower, averaging $5,000, making it more affordable than Montana.
• Idaho: In Idaho, memory care costs are close to $5,500 on average, which is in the same range as Montana’s larger cities.

Memory care in Montana is relatively affordable compared to its neighboring states, though cities like Billings and Bozeman can be more expensive, aligning with trends seen in other urban areas across the country.

Cost of Memory Care in Most and Least Expensive Zip Codes in Montana

Below is a table listing the 5 most expensive and 5 least expensive zip codes in Montana for memory care, based on average monthly costs. These costs reflect the variation in memory care pricing based on the location within the state.

The most expensive zip codes for memory care in Montana are centered in larger cities like Billings, Bozeman, and Kalispell, with average monthly costs reaching up to $5,600. These areas typically have higher costs due to their urban setting, amenities, and demand for care services.

On the other hand, the least expensive zip codes are located in smaller cities or more rural areas, such as Great Falls, Havre, and Butte, where monthly costs can be as low as $4,600, reflecting lower overheads and a less densely populated area.

Comparison of Memory Care Costs to Other Types of Senior Living in Montana

In Montana, memory care typically costs more than other forms of senior living due to the specialized care required for individuals with Alzheimer’s, dementia, or other cognitive conditions. Below is a comparison of memory care costs with the costs of other senior living options, including independent living, assisted living, and nursing homes.

Memory care in Montana is more expensive than independent living and assisted living due to the higher level of specialized care provided. Assisted living, which offers assistance with daily activities, costs an average of $4,200 per month, while independent living is generally the most affordable option at $3,500. On the other end of the spectrum, skilled nursing facilities, which offer 24-hour medical care, are the most expensive, with an average cost of $7,100 per month.

Memory care costs typically fall between assisted living and skilled nursing, reflecting the specialized care and supervision needed for individuals with memory-related conditions.

Can you use Medicare to pay for memory care in Montana?

Medicare, the federal health insurance program primarily for individuals aged 65 and older, offers some coverage for memory care services, but it is important to understand the limitations, especially when it comes to the specifics of Montana.

In Montana, as in the rest of the United States, Medicare covers certain healthcare-related services, but not all aspects of memory care, particularly those related to long-term custodial care.

What Medicare Covers for Memory Care in Montana

1. Skilled Nursing Facility (SNF) Care: Medicare may cover memory care services in a Skilled Nursing Facility (SNF) if the individual needs short-term, medically necessary care. For example, if an individual with memory loss requires rehabilitation after a hospital stay, Medicare may cover this care for a limited time (up to 100 days in some cases). However, this coverage only applies if the person is recovering from an illness, surgery, or other medical condition, and it is not intended for long-term care related to dementia or Alzheimer’s disease.

2. Inpatient Psychiatric Care: If an individual with memory issues has a psychiatric diagnosis, such as severe dementia or behavioral symptoms that require hospitalization, Medicare may cover inpatient psychiatric care in a hospital or psychiatric facility in Montana. This type of care is short-term and usually focuses on managing psychiatric symptoms.

3. Home Health Care: Medicare also covers certain home health care services for individuals with memory impairment, but only if the individual is homebound and requires skilled nursing care, physical therapy, or other medically necessary services. For example, in-home care services such as visits by nurses or physical therapists can be covered, but non-medical assistance with activities of daily living, such as bathing, dressing, and grooming, is not covered by Medicare.

4. Doctors' Visits and Prescription Drugs: Medicare will cover visits to doctors or specialists, including neurologists or geriatric specialists, to help manage medical conditions related to memory loss. Medicare Part D may also cover prescription medications for conditions like Alzheimer’s or dementia, such as memory-enhancing drugs.

What Medicare Does Not Cover for Memory Care in Montana

1. Long-Term Custodial Care: Medicare does not cover long-term custodial care, which is often needed for individuals with memory issues who require assistance with daily activities like eating, bathing, or dressing. If the individual requires full-time care in a memory care unit or assisted living facility, Medicare will not cover the cost. In Montana, many individuals seeking memory care services may need to explore other options such as Medicaid, private insurance, or personal savings.

2. Assisted Living or Memory Care Facilities: Memory care units in assisted living facilities or specialized memory care facilities are typically not covered by Medicare. These facilities provide long-term custodial care, and Medicare does not pay for these types of services. If an individual in Montana needs placement in a memory care unit, they will likely need to rely on Medicaid (if eligible), private funds, or long-term care insurance.

Additional Options for Memory Care in Montana

1. Medicaid: For individuals with low income and limited assets, Medicaid may help cover the cost of memory care services in Montana. Medicaid in Montana may cover memory care costs in nursing homes and certain assisted living situations for individuals who meet specific eligibility requirements. It's important to note that Medicaid coverage varies from state to state, so it is advisable to consult with Montana’s Medicaid office to understand the specific benefits available.

2. Private Insurance and Long-Term Care Insurance: Many families in Montana choose to use private insurance or long-term care insurance to help cover memory care costs. Long-term care insurance is specifically designed to cover non-medical services like custodial care in memory care units, which Medicare does not cover.

3. Veterans Benefits: If the person needing memory care is a veteran, they may be eligible for benefits through the U.S. Department of Veterans Affairs (VA). In some cases, the VA may cover memory care or offer financial assistance for long-term care.

Who are Montana Dementia and Alzheimer's Care Facilities For?

Dementia and Alzheimer's care homes are residential facilities that provide specialized memory care for those who suffer from some form of degenerative brain disease. Patients who deal with symptoms of these types of illnesses often have severe effects that impact their ability to function in their daily lives. They may not be able to handle daily tasks as they used to, and will likely need help with things around their house. 

These dementia care facilities offer patients who need this type of intensive care a way to prevent the worsening of their symptoms while under the direct care of medical professionals who can monitor and treat their condition. Montana memory care communities will also offer their patients many personal care services to help them with their daily activities and physical health as well. 

Memory Care Admission Requirements in Montana

To ensure that a facility is the best fit for a potential resident, several specific admission requirements and criteria are considered:

1. Medical Evaluation and Diagnosis

Before admission to a memory care facility in Montana, a thorough medical evaluation is typically required. This includes a diagnosis from a licensed healthcare provider, such as a neurologist, geriatrician, or primary care doctor, confirming the individual’s cognitive condition. The evaluation helps determine the type and stage of memory impairment, ensuring that the facility can appropriately meet the care needs. Some facilities may also request recent medical records that outline the individual's health history and any ongoing treatments.

2. Cognitive and Functional Assessment

Montana memory care facilities often perform their own cognitive and functional assessments as part of the admission process. These assessments help determine the level of support the individual will need in day-to-day activities like dressing, bathing, eating, and using the restroom. Memory care staff may assess cognitive abilities such as memory, problem-solving skills, and ability to communicate effectively. The results of these assessments help guide care planning and ensure that residents receive the appropriate level of supervision and assistance.

3. Behavioral and Psychological Health Considerations

In addition to cognitive assessments, behavioral and psychological health are important factors in the admission process. Many memory care residents exhibit challenging behaviors, such as agitation, aggression, or wandering. Facilities in Montana assess these behaviors during the intake process to determine whether they can adequately manage the individual's specific needs. Some facilities may have specialized programs or staff trained in behavioral health to address issues like anxiety, depression, or aggression that commonly accompany memory disorders.

4. Physician Orders and Medications

For residents who take prescription medications, a physician’s order is required to ensure the safe administration and management of medications within the facility. This includes medications for memory-related conditions, as well as for any co-existing health issues such as diabetes, hypertension, or heart disease. Memory care facilities in Montana are equipped to manage medications, but they must have clear documentation of the individual’s medication regimen.

5. Capacity and Suitability of the Facility

Each memory care facility in Montana has different levels of care and may specialize in particular stages of memory loss. Facilities vary in terms of capacity, location, and services offered, so it’s essential for prospective residents to ensure the facility is capable of meeting their unique needs. This might include a secure environment, staffing levels, recreational activities, and specific therapeutic programs. Admission requirements may also include an evaluation of whether the facility can accommodate any physical disabilities or medical conditions alongside the memory care needs.

6. Financial Considerations

Memory care services in Montana can be expensive, and facilities will often review the financial situation of potential residents. Many facilities require that the individual or their family demonstrate financial ability to cover the cost of care, whether through private pay, long-term care insurance, or Medicaid. Montana Medicaid may cover memory care costs for eligible individuals, but there are specific eligibility criteria that must be met. Facilities may require proof of insurance or a financial assessment to ensure that the resident can afford care for the long term.

7. Health and Safety Concerns

Montana memory care facilities prioritize the health and safety of residents. As such, there may be additional requirements regarding the physical health of the resident. Individuals with serious medical conditions that require intensive medical care or frequent hospitalization may not be suitable for memory care unless the facility offers additional medical support, such as on-site nurses or physicians. Some facilities have clear guidelines on managing health emergencies or chronic conditions in a memory care setting.

8. Residency Agreement and Legal Documentation

Once the medical and financial assessments are complete, Montana facilities require the signing of a residency agreement. This legally binding document outlines the terms of care, rights, and responsibilities of both the facility and the resident or their family. It may include details on admission, discharge procedures, and the cost of services. Legal documentation, such as power of attorney or guardianship papers, may be required if the resident is unable to make decisions for themselves.

9. Trial Period or Observation

Some memory care facilities in Montana offer a trial period or an observation phase before the full admission is finalized. This allows both the facility and the resident to assess if the arrangement is suitable. During this time, the individual’s adjustment to the environment is closely monitored to ensure they are comfortable and receiving the necessary care.

Amenities Offered at Montana Dementia and Alzheimer’s Care Facilities

If you are looking for Montana Alzheimer's care facilities for the very first time, then you may not realize what makes a suitable option. Finding a decent home for your loved one is important, so the first thing that you should consider is the amenities that the facility offers its residents.

These amenities must be able to cover the personal care services that many dementia sufferers need, like assistance with bathing, feeding, and medications, as well as memory care that focuses on their brain functions.

Montana dementia care homes should also have medical care and supervision around the clock for care whenever the patients need it. Specially trained staff should be made available for help with severe symptoms, which could flare up at any time, to help patients to not feel frustrated and confused, which is a major issue with dementia and Alzheimer's patients. 

Other amenities that should be offered include social activities that aim to create a sense of community among the residents. These activities could be holiday events, game nights, or movie viewing in which all the members of the community engage with each other. This helps keep the residents socialized and keeps their cognitive functions working properly.

Questions to ask Montana memory care facilities

When evaluating memory care facilities in Montana, asking the right questions can help you determine if a particular facility is a good fit for your loved one. Here are some critical questions to ask:

1. What are the qualifications and training of staff?

It’s important to know about the qualifications of the staff members who will be caring for your loved one. Ask about their training in dementia and Alzheimer's care, including any specialized certifications. Find out if the facility provides ongoing training to its staff to ensure they are up to date with the latest practices in memory care.

2. What is the staff-to-resident ratio?

A lower staff-to-resident ratio is often an indicator of higher-quality care, as it allows caregivers to give more attention to each resident. Ask about the current staff-to-resident ratio, especially during different times of day and on weekends. Additionally, inquire about the facility’s approach to staffing during times of higher resident needs, such as when a resident's condition worsens.

3. What types of activities are available for residents?

Engaging activities are vital for individuals with memory loss, as they help maintain cognitive function and emotional well-being. Ask what types of activities are offered, how often they occur, and how they are tailored to individuals with dementia. Examples of activities may include arts and crafts, music therapy, exercise programs, or memory-enhancing games.

4. How are care plans developed and adjusted?

Each resident should have a personalized care plan that is regularly reviewed and adjusted based on their needs. Ask how care plans are created and how often they are updated. It’s important to ensure that care plans are flexible to accommodate changes in your loved one’s cognitive and physical condition.

5. What is the facility’s approach to managing challenging behaviors?

Many individuals with dementia may experience behavioral challenges such as aggression, confusion, or wandering. Ask about the facility’s approach to managing these behaviors, and inquire about specific strategies or therapies they use. It’s also important to ask if the facility has protocols in place to address safety concerns related to wandering or other issues.

6. What is the facility’s emergency response plan?

In case of an emergency, you want to be sure that the facility has a clear, effective plan in place. Ask about how emergencies are handled, including medical emergencies, natural disasters, or evacuations. Find out how staff are trained to respond in these situations and how communication is maintained with families during emergencies.

7. What types of security measures are in place?

Security is particularly important in memory care facilities due to the vulnerability of residents. Ask about the facility’s security systems, such as locked doors, surveillance cameras, and secure exits. Additionally, inquire about how the facility handles residents who may be prone to wandering and what measures are in place to keep them safe.

8. What are the facility’s visitation policies?

Knowing the facility’s visitation policies is important for maintaining regular contact with your loved one. Ask about visiting hours, any restrictions, and whether there are any limitations for family members or friends. Some facilities may offer flexible visitation or virtual communication options.

9. How does the facility handle medication management?

Ask about how medications are managed for residents, including how they are administered, tracked, and monitored for effectiveness and side effects. Inquire whether staff members are trained in administering medications and whether there is a system in place to prevent medication errors.

10. What are the costs, and are there any additional fees?

Memory care can be costly, and it’s important to understand the full financial picture. Ask for a breakdown of the costs, including base rates, additional fees, and what services are included in the monthly fees. Some facilities may charge extra for things like specialized care, activities, or transportation.

11. Can you provide references from current families or residents?

Getting feedback from current residents or their families can offer valuable insight into the facility’s day-to-day operations. Ask the facility if they can provide references, or if you can visit the facility and talk to families of current residents.

12. What are the facility’s policies on end-of-life care?

It’s important to understand how the facility handles end-of-life care and what options are available to residents and families. Inquire about the facility’s policies on hospice care, palliative care, and how they support families during this difficult time.

Memory Care in Montana Vs. Assisted Living Homes and Nursing Homes

Montana memory care homes are residential facilities that house their patients and provide medical care and personal care services to patients who suffer from dementia and Alzheimer’s symptoms. Although assisted living and nursing homes house their patients on-site as well, they are not exactly the same type of facility.

Assisted living homes aim to provide help to those who need medical care and limited supervision to live an independent lifestyle. Those who are in these facilities have the freedom to live as though they are in their old place of residence, but they get help with medications, meals, and medical care when they need it.

Nursing homes are similar, as they provide care for elderly patients who need a bit more help with medical and personal care. The level of care at these facilities is more involved, but they focus on average problems that come with advanced age. This means that they deal with memory loss, loss of physical functions, and pain management.

These facilities differ from homes that offer dementia care because they don’t offer the specialized care needed to deal with the severe symptoms of dementia. These symptoms could cause a patient to forget their family member’s names, and they often forget where they are, or what era it is. These unique challenges must be dealt with in a specific way, and Alzheimer's care homes do just that.

Memory Care Regulations in Montana

In Montana, memory care facilities are subject to specific regulations designed to ensure the safety, well-being, and dignity of residents with Alzheimer's disease, dementia, and other related conditions. These regulations are framed by the Montana Department of Public Health and Human Services (DPHHS), which oversees the licensing and operational standards for assisted living and specialized memory care units. The regulations aim to provide a structured and secure environment tailored to the unique needs of individuals with cognitive impairments.

Licensing and Certification Requirements

Memory care facilities in Montana are required to be licensed as assisted living facilities or as specialized dementia care units. To obtain and maintain a license, facilities must meet certain health and safety standards, undergo regular inspections, and submit to routine reviews by the DPHHS. The DPHHS evaluates facilities on various criteria, including the adequacy of staffing levels, the quality of care provided, and compliance with safety protocols.

Facilities must also be certified for specific levels of care if they provide specialized memory care services. This includes meeting additional criteria that address the needs of residents with cognitive impairments. These facilities are categorized under the Assisted Living Facility regulations, with particular emphasis on care plans that focus on the behavioral, social, and cognitive needs of those with memory conditions.

Staff Training and Qualifications

Memory care facilities in Montana must ensure that staff members receive specialized training to care for residents with memory loss or other cognitive challenges. This includes training on dementia care, communication strategies for interacting with individuals with memory impairments, and techniques for managing difficult behaviors.

The state requires that staff members receive a minimum number of hours of training in specialized dementia care. Additionally, personnel working directly with residents in memory care units must be adequately supervised and equipped to handle the specific care needs of these individuals. The regulations stipulate that staff must also have the proper qualifications, which may include certifications in geriatric care or dementia care, depending on the facility’s level of care.

Care Plans and Resident Rights

Each resident in a memory care facility must have an individualized care plan developed in collaboration with the family, physicians, and facility staff. These care plans are designed to address the unique needs of the resident, including their cognitive, emotional, and physical health requirements. The care plan must be reviewed regularly and adjusted as necessary based on changes in the resident's condition.

Montana regulations emphasize resident rights, including the right to privacy, dignity, and participation in decision-making regarding care. Facilities are required to establish a process for residents and their families to provide feedback and express concerns about the care being provided.

Safety and Environment

Memory care facilities must provide a safe and secure environment for residents. This includes measures to prevent wandering, which is a common issue for individuals with dementia. Facilities are required to implement physical security features, such as locked doors or alarm systems, to ensure that residents who are at risk of wandering are safely monitored.

The regulations also require that the physical environment be designed to minimize confusion and disorientation. This includes clear signage, appropriate lighting, and layouts that allow for easy navigation. The facility must also provide a stimulating and engaging environment, with activities tailored to residents' cognitive levels and interests.

Reporting and Compliance

Montana law mandates that memory care facilities report any incidents of abuse, neglect, or significant changes in the health or condition of residents to the DPHHS. Facilities must also maintain detailed records, including incident reports, care plans, and health assessments. Inspections and surveys are conducted periodically by the DPHHS to ensure compliance with state regulations.

In cases of non-compliance or violations, facilities may face penalties, including fines, suspension of their license, or even closure. Additionally, the DPHHS has the authority to issue corrective action plans for facilities that do not meet the required standards, ensuring that facilities make improvements in care and safety practices.

Financial Management and Costs

Memory care in Montana can be expensive, and facilities are required to provide clear information on the costs of care and the financial policies in place. Montana regulations ensure that memory care units offer transparent pricing, so families can make informed decisions. Some financial assistance programs may be available to qualifying residents, including Medicaid for low-income individuals. Facilities that accept Medicaid must comply with additional regulations and reimbursement rates set by the state.

How to Pay for Dementia and Alzheimer's Care in Montana

The cost of residential medical care and dementia care communities differs from state to state, and in Montana, the average cost of a residential facility can be up to $4,000 a month. With the specialized care that comes with dementia and Alzheimer’s care, an additional $700-800 a month could be on top of that cost.

Luckily, the state of Montana offers programs that can help a family lower or cover the costs of memory care for their loved ones. The main way to get the costs covered is through Medicaid. This program offers full coverage for those who qualify for significant financial need. This could be tricky for some because Montana sets the monthly limit of what a person makes at $771 a month. If your loved one exceeds that amount, then they will not qualify.

However, those who don’t qualify under financial need may still get assistance to pay for Alzheimer's care communities if considered “Medically Needy” and can still get coverage if they make more than that set amount.

Other ways that you can lower the cost of memory care in Montana if neither of these applies, is through Medicaid waivers. These programs allow patients to get portions of their care covered even if they don't qualify for full coverage.

Having to find and pay for facilities that provide memory care can seem like a huge task at first, especially without help. However, with the information provided above, and the financial assistance that you can receive through Medicaid to cover costs, you don’t have to feel alone in the process and you can be able to find a great option for your loved one.

If you would like more information about finding and paying for memory care facilities in Montana, then feel free to take advantage of our directory to find a great memory care facility in your area today.