Home and Living Options
In recent years, a wide range of long term care services have been developed to keep you independent for as long as possible. These services range from help with household tasks and personal care, to comprehensive and intensive home health services, to nursing home care. In this section, we will tell you more about your options.
Questions and Answers
These programs provide services to help keep you in your home. The services range from help with personal care to most medical care.
Adult Day Care
Adult Day Care is a service for frail, physically or cognitively impaired, seniors and adults with disabilities. This service helps seniors/disabled adults to live with their families by providing a daily program of activities, social interaction with peers, and physical or speech therapy in a non-medical environment. This service also enables care givers to retain employment outside their homes, by helping to caring for a loved one. Day care can also be used for respite from this 24 hour a day responsibility.
If you are shopping for adult day care, here are just a few things you should consider. Does the facility provide round trip transportation, facilities for bathing and washing hair, qualified staff, a license to dispense medications and/or medical procedures, and tasty, nutritional meals which meet client needs?
Meals On Wheels
Meals on Wheels provides homebound seniors and adults with disabilities a hot lunch to meet their nutritional needs. The meal is delivered to their home through the Area Agencies on Aging and your local Senior Center.
Meals are prepared under direction of a registered dietician. Special diets, such as diabetic, low salt and individual preferences, are usually accommodated.
Participants receiving Meals on Wheels may make a voluntary contribution to help cover the cost of the program.
Adult Foster Care
An option of care whose hallmark is a small "family" setting for up to four residents. Personal care services, such as assistance with eating, bathing, dressing and grooming are provided to residents. There is medication management as well as general supervision.
Although the vast majority of residents living in Adult Foster Care are private pay, you may be able to get help if you have or can get Medicaid. Contact the Home and Community Based Services program to see if you meet the program rules.
Another long-term living setup where two people choose to share a house, apartment, condo, or mobile home. If you are a senior citizen or disabled adult who lives alone, shared housing may be the choice for you. Each person would have a private bedroom, but share common areas like the living room, kitchen, family room, and laundry room. The house mates make decisions together about things like chores, cooking, privacy issues, and guests.
Just a few of the reasons to consider sharing your home include financial advantages, continued independence, increased security, and one of the best reasons...companionship.
Retirement homes are multi-residence housing facility intended for senior citizens. Typically each person or couple in the home has an apartment-style room or suite of rooms. Additional facilities are provided within the building. This can include facilities for meals, gatherings, recreation activities, and some form of health or hospice care. A place in a retirement home can be paid for on a rental basis, like an apartment, or can be bought in perpetuity on the same basis as a condominium.
The biggest difference from a nursing home is the level of medical care given. Retirement villages and retirement communities, unlike retirement homes, offer separate and autonomous homes for residents.
Assisted Living Homes
You may have heard them called Personal Care Homes. There is a wide range of options from help with personal care to almost nursing home care. Assisted Living Homes are licensed as a Personal Care Home in the State of Montana. They can vary widely on services offered. Some homes specialize in providing services to people with physical impairments, while others may target services to the elderly or the cognitively impaired.
Facilities can be as small as five residents or have over one hundred residents. The majority of Montana Assisted Living/Personal Care Homes are licensed for less than 20 residents. A facility may be owned by a family and operated from a modified personal home or can be part of a large Corporation with modern hotel feel. The choices vary with the goals and values of each provider.
Services center around your daily living needs such as eating, bathing, dressing, grooming, taking medications and someone to watch out for you. Because the services and feel of each home can vary, it's a good idea to "shop" and "visit" before you choose. Before moving in, you will make a service plan with the staff at your new home. This will give you an idea of the range of services and the layout of your new home. The plan will include your preferences, requirements, and "move-in" and "move-out" rules.
For those who have served their country, and the spouses of veterans, Montana operates and manages the Montana Veterans' Home in Columbia Falls and oversees a contract for the operation of the Eastern Montana Veterans' Nursing Home in Glendive. Montana is also working on the construction of a third veterans home, Southwest Montana Veterans Home in Butte. These links will take you to the webpages for each of these sites. The contact information for each home is listed below.
Southwest Montana State Veterans' Home, Butte
Contact: Mark Gollinger
Nursing facilities provide:
- skilled nursing care and related services for residents who require medical or nursing care;
- rehabilitation services for the rehabilitation of injured, disabled or sick persons; or
- on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services, above the level of room and board, which can be made available to them only through institutional facilities.
With so many choices, it is best to have a look at a few of your options and choose the one that fits you the best. The Health Care Financing Administration (HCFA) maintains a database titled "Nursing Home Compare". This database contains information on every Medicare and Medicaid certified nursing home in the country. You can locate nursing homes in your community and find information about how well the facility meets Medicare and Medicaid regulations.
For those who have served their country, and the spouses of veterans, Montana operates and manages the Montana Veterans' Nursing Home in Columbia Falls and oversees a contract for the operation of Eastern Montana Veterans' Nursing Home in Glendive and Southwest Montana Veterans' Home in Butte.
Southwest Montana Veterans' Home, Butte
Contact Shannon Kadrmas
Big Sky Waiver Review Workgroup
Community Services - Independent Living
Home and Living Options
Protective and Legal Services
Service Partners and Providers
Governor's Conference on Aging
Oversight of State Medicaid Claiming and Program Integrity Expectations