August 13

Understanding the Costs of Elder Care

2020 Blog


Elder care costs are a major consideration for most families exploring senior living opportunities. What you pay for nursing homes, assisted living, in-home care, and other services varies by the location in which your loved one lives.

Before making a care choice, understand these surprising price statistics, and weigh the benefits of each type of senior care. If you would like assistance understanding the different care options, I recommend chatting with a Geriatric Care Manager.

The costs below are national median rates from Genworth, unless otherwise noted. Median means half of the providers surveyed had lower costs and half had higher costs.

Elder care costs by care type

Assisted living costs: $4,015 a month

Assisted living is the most common senior living option throughout the United States. Developed in the late 1980s, assisted living is designed for seniors who can’t live independently but don’t need 24-hour nursing care. Most assisted living communities offer planned activities, restaurant-style dining, housekeeping, and help with activities of daily living (ADLs), such as dressing and bathing. They don’t usually offer skilled nursing. Generally, assisted living costs are paid through all-inclusive monthly rent, which covers everything from meals and transportation to utilities.

Board and care home costs: $1,500-$10,000 a month

Board and care homes — or residential care homes — are houses that are equipped, adapted, and staffed to care for a small number of senior residents, generally between two and 10. Though they are often considered a subset of assisted living, residential care homes are generally privately owned and can provide services accordingly. The cost varies tremendously throughout the country, depending on real estate value, house type, and care services. For instance, a pristine mansion with professional chefs in California and a cozy cottage in the Midwest could both serve as care homes, but each would have different pricing based on amenities and location.

Home care costs: $23 an hour, or $4,385 a month full-time

Home care agencies generally charge by the hour. Home care aides provide a combination of household help and personal care such as companionship, help with ADLs, meal preparation, housekeeping, and transportation. They don’t provide nursing care.

Home health costs: $87.50 each visit

Home health isn’t the same as home care. While home care offers daily assistance, home health provides clinical medical supervision. Home health care workers are registered nurses and therapists who are licensed to administer medication, give shots, and help with wound care or rehabilitation.

Home health requires a physician’s prescription and is typically covered by Medicare or private insurance. 

Nursing home costs: $7,513 a month for a shared room, or $8,517 a month for a private room

Also called skilled nursing facilities, nursing homes provide high-level, around-the-clock medical care. Typically, people in nursing homes have severe, debilitating physical or mental conditions that leave them unable to live independently. They may be bedridden or in need of daily skilled nursing care.

Nursing homes require a physician’s prescription and physical examination before accepting new residents. Since they provide 24-hour medical care in addition to meals, activities, and assistance with ADLs, nursing homes are generally more expensive than other senior living options.

Medicare covers short-term nursing home stays but not longer-term

Adult day care costs: $75 a day

Adult day cares offer supervision, socialization, and structured activities for seniors. Some facilities provide meals, transportation, and personal care. Generally, adult day cares have limited hours and are ideal for seniors living with family members who provide full-time care.

Memory care costs: assisted living cost, plus $1,000-$1,250 a month for memory care services

Memory care is specialized care for seniors who have Alzheimer’s disease, other forms of dementia, or significant cognitive decline. It offers many of the same benefits as assisted living, including help with ADLs, meal services, and health care as needed. To help prevent wandering, most memory care communities provide restrictive, 24-hour supervision with a higher staff-to-resident ratio, along with calming environments and carefully designed layouts to reduce confusion and promote familiarity. Memory care is often provided in a separate wing or area of an assisted living community, and prices fluctuate based on the assisted living community’s cost and level of care.

Continuing care retirement community costs: contract-based pay system

Continuing care retirement communities (CCRCs) are communities with accommodations for independent living, assisted living, and skilled nursing, offering residents a continuum of care. A senior can move between levels of care as needed, progressing as their health declines without having to leave a general area.

CCRCs have contract-based pricing, which can vary enormously by age and circumstance. The average initial payment is $329,000, according to a study from commercial real estate services firm CBRE. Upon move-in, residents will pay a median set rate of $3,000 a month, no matter their level of care. Some CCRCs offer a rental model with no up-front fee. Rent for an independent living unit is often $3,000 to $6,000 a month, and costs increase to reflect levels of care.

Ways to pay for senior care

Understanding that the costs of care can vary by such large amounts, it is understandable that most families find care decisions daunting. This is why it is important to speak with someone who is familiar with the various care options and can help you formulate a care plan for your loved one. That is the primary purpose of a Geriatric Care Manager.

I invite you to speak with a care manager about possible care options that work with your budget. You want the very best for your aging loved one and so do we.


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