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ElderCareCosts
Updated August 2026

Nursing Home in Helena, Montana

Helena, MT has 2 licensed nursing homes listed on ElderCareCosts. The median estimated cost is $8,860/mo. That's roughly in line with the Montana state median.

Not sure which type of care fits? Take our 3-question care quiz →

Median monthly price, Helena

$8,860/mo

Estimated range $7,564 – $9,461

● Helena $8,860 ○ National median $10,205

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Helena

2025 figures

Nursing Homes cost comparison (2025)
Nursing HomesHelenaMontanaNational
25th percentile$7,564/mo$8,566/mo$8,951/mo
Median$8,860/mo$8,973/mo$10,205/mo
75th percentile$9,461/mo$9,753/mo$12,642/mo

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Staying home instead

Home care in Helena runs about $38 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$3,252
44 hrs/weekMost of every weekday$7,154
24/7 (168 hrs/week)Round-the-clock coverage~$27,315

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

What can you afford?

Here is what different monthly budgets cover in Helena.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Helena runs about $5,710 a month. Income-restricted affordable senior housing is the other common choice, and Helena has 5 such properties. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $7,154 a month. The local assisted living median is $5,999 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Helena assisted living median of $5,999 a month with room to spare. It also covers close to full-time home care, about $7,154 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Helena run about $8,860 a month at the median. Around-the-clock home care usually costs more.
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2 nursing homes in Helena

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Free local help worth saving

Helena, in Lewis and Clark County, has about 33,639 residents. About 7,294 of them (22%) are 65 or older. The median household income is $71,036.

Source: US Census Bureau
  • Montana Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

  • Montana State Health Insurance Assistance Program (SHIP)shiphelp.org

    State Health Insurance Assistance Program (SHIP).

  • Montana Aging and Disability Resource Center1-800-551-3191montana-adrc.com

    Statewide help for older adults, people with disabilities and caregivers.

  • Helena VA Clinicva.gov

    Other Outpatient Services in Helena.

  • Big Sky WaiverOfficial program page

    Can help pay for care if your parent qualifies.

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Are nursing homes in Helena more expensive than the rest of Montana?

Helena's median nursing home cost is about 1% lower than the Montana state median.

Find Helena care options

Tell us what you need and your budget, and we will email you licensed options right away.

Find care options →

Reading up first? Nursing Homes across Montana → · Nursing Homes cost across Montana → · Assisted Living vs Nursing Homes →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Nursing Homes in Helena: 2026 Costs & Licensed Providers