Nursing Home Costs And Assisted Living Costs In The United States
The national median costs associated with all long-term care service providers increased in 2021 compared to 2020. The cost of Assisted Living Facilities has risen an average of 4.65% since 2020, with the annual national median for a private, one-bedroom arrangement at these facilities reported to be $54,000 a year in 2021. The national median cost for a private, one-bedroom in a Nursing Home is $108,405 a year and a semi-private room is $94,900 a year, representing average increases of 1.96% and 2.41%, respectively, since 2020. The national median price of Adult Day Services increased an average 5.41% since 2020, reportedly costing $78 a day in 2021.
The results of the surveys determined that the five U.S. states with the highest annual median cost for nursing homes based on the price of a private, one-bedroom unit were:
1. Alaska $378,140 per year
2. Connecticut $182,044 per year
3. Hawaii $169,360 per year
4. New York $158,797 per year
5. Minnesota $156,869 per year
The results of the surveys determined that the five U.S. states with the lowest annual median cost for nursing homes based on the price of a private, one-bedroom unit were:
1. Texas $85,107 per year
2. Kansas $81,760 per year
3. Arkansas $80,300 per year
4. Louisiana $72,719 per year
5. Missouri $71,715 per year
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Assisted Supported Retirement And Extra Care Living
If your loved one is feeling lonely at home and wants more company around them with people who are in the same situation, but they still want to live independently with some additional support then assisted living may be the right option for them.
There are care packages that can be put in place to help with cleaning, shopping, getting up and going to bed, managing medication, dressing and shopping. An onsite warden always on hand for any emergencies which gives you and your loved one peace of mind. Security for the whole apartment complex along with security for each individual apartment again making you feel safe and secure in your own home 24 hours a day. Assisted living removes the worry of gardening and maintenance and offers social activities and friendships with people living in the apartments around you. Apartments will be designed to have wheelchair access, they will be smart and modern with 24/7, 365 days a year support if you need it.
Daily supported living can include housework, laundry, help to get up and go to bed, dressing and undressing or home delivery food shopping.
Assisted living apartments can have onsite restaurants for the times when you dont want to cook for yourself or you want to socialise with friends or family in an easy, accessible and readably available restaurant if you need it.
Some will have rehabilitation and exercise areas and they may even have an on-site hairdresser for you to use as well.
Are There Different Levels Of Assisted Living
Assisted living facilities come in many different forms. For example, some cater to specific cultural groups however, the majority of facilities have a sliding scale of care offered.
The goal of assisted living is for residents to maintain as much independence as possible while getting help in the areas they need it. For example, one of my former caregiving clients was struggling to stay healthy because it was difficult for him to continue cooking nutritious meals. He also missed interacting with people in his day-to-day life. Ultimately, he chose an assisted living facility with prepared meals and a shared dining space, which allowed him to eat and mingle with others.
If you need help managing medications and struggle to bathe but function well otherwise an assisted living facility would allow you to live quite normally. Youd simply add a couple of interactions to your week: someone who comes by to remind you to take your medications, and someone else who helps you bathe.
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Paying For Assisted Living Or Nursing Home Care
Another common question around the topic of senior living is that of cost. Its difficult to give exact figures because the cost of both assisted living and nursing home care can vary widely by location and the facilities themselves. But there are a few general consistencies that can help guide your parents decision.
Most assisted living facilities must be paid for out-of-pocket. This can cost several thousand dollars per month, perhaps up to $4,000 a month or more. But residents and their adult children may be able to manage those costs with the help of options like long-term care insurance or veterans benefits.
The cost of a nursing home, unlike assisted living facilities, is set by the government. Nursing homes are closely regulated by the government, and they determine a persons eligibility and the subsidy amount. Subsidies are always available and a person will not be denied a bed at a nursing home because they cannot afford the set monthly rate.
Regardless of who is paying for the senior care facility, youll want to do plenty of research to know exactly what youre getting for your money. Cost and level of care can vary widely depending on the type of facility, the location, and the facilitys own processes and procedures.
Are There Other Options

If independent living is the goal, you may find it more appealing or more cost-effective to use home health aides or assistants to help care for an older adult at home.
Another increasingly popular option is shared housing, in which older adults live together or with a younger person. This may help keep down housing costs, while also staving off loneliness and isolation.
For people who want companionship but dont need extensive medical care, board-and-care homes may be an option.
Board-and-care homes are smaller residential settings where several older adults live in a single home with a caregiver on site.
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Nursing Homes Vs Home Care
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There comes a time in life when many seniors or their loved ones realize that they could use a bit of outside help, whether they want to age in place with home care or take steps to move to a nursing home. Choices such as this are never easy. Many dont want to leave their home, while others may be seeking the socialization and 24/7 access to medical care and services that nursing home facilities offer. There are countless questions and considerations that go into making these big decisions, and this guide is here to help you feel less overwhelmed during the process. Here we discuss the differences between in-home care and nursing homes, the pros and cons of each, how much they cost and various payment options to assist you in making the best choice for yourself or your loved one.
Other Reasons To Consider Assisted Living
While you might not need assisted living yet, there are still a few reasons it might benefit you, such as:
- Safety: Daily activities are getting more challenging to manage, but you don’t need full-time care. Assisted living facilities can offer as little or as much help as you need with basic tasks of daily life.
- Community and socialization: Good facilities provide a rich social fabric that can improve life and connection immensely for isolated older adults. Even if you’re not isolated, becoming part of a supportive community can significantly enhance your quality of life as you age.
- Maximizing independence: Assisted living aims to help people live as independently as possible. If you need some help but don’t need 24/7 care, assisted living can actually foster more independence than living at home.
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Residential Facilities Assisted Living And Nursing Homes
At some point, support from family, friends, and local programs may not be enough. People who require help full-time might move to a residential facility that provides many or all of the long-term care services they need.
Facility-based long-term care services include: board and care homes, assisted living facilities, nursing homes, and continuing care retirement communities.
Some facilities have only housing and housekeeping, but many also provide personal care and medical services. Many facilities offer special programs for people with Alzheimer’s disease and other types of dementia.
Assisted Living Vs Residential Care Homes: The Main Difference
There are a lot of senior living options available in todays market. Its no wonder why its easy to confuse one with the other. If youre already on the lookout for senior care facilities, then you may be familiar with the terms assisted living facilities and assisted living homes. But do you know the difference between the two? When searching for your loved ones long-term care options, its important to know your options.
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What Services Do Assisted Living Communities Provide
Assisted living communities offer services and amenities that focus on encouraging important aspects of senior wellness, including physical health, intellectual stimulation, and social connection. Assisted living communities may offer some of the following:
- Restaurant-style dining, happy hours, and activities based on resident interest
- Outings and transportation to local stores, theaters, and museums
- Help with laundry, housekeeping, and maintenance
- Assistance with ADLs, including medication management, bathing, and grooming
- Suites with mini-kitchens or larger apartments that allow couples to age together
- Accessible spaces and widened doorways for residents with wheelchairs or walkers
Finding And Vetting Communities
Medicare offers a searchable website called Nursing Home Compare, where you can find and analyze nursing homes in your area. This tool is not available for assisted living facilities, as they are maintained by individual states.
There are several things White suggests families do to properly vet an assisted living facility:
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Consult medical professionals. Talk with your loved ones physician, nurse practitioner or physicians assistant about the individual care needs so you know what to look for.
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Find your local Area Agency on Aging. These are important clearinghouses for patients and families.The purpose of this public or private nonprofit agency is to help you find an appropriate assisted living facility for your loved at a regional and local level.
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Visit the facility. Schedule a meeting with the people you would be interacting with on a routine basis, such as the administrator or the director of nursing.
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Have a meal in the dining hall. White recommends this as a good way to meet others living at the facility, as well as their family members. This will help you get an overall feel.
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Consider the distance. How easily and quickly can you get to the facility to be a presence and an advocate for your loved one should a problem arise? This may be tertiary to your decision, after level of care and cost.
Care.com is the world’s largest online destination for care. We connect families with caregivers and caring companies to help you be there for the ones you love.
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What To Expect From Nursing Home Care
Often referred to as convalescent homes, nursing home care can be the best option for those needing more than basic care that can be handled in traditional home settings. Nursing homes are designed to provide around-the-clock medical care and assistance for patients in a residential setting. Caregivers will assist beneficiaries with all of the ADLs, personal care needs, mobility issues, meals, cleaning, laundry and provide skilled medical care and/or therapy whenever its needed. This is why so many families who feel that full-time care is needed opt for nursing home care because they offer so many services to residents and alleviate caregiver stress.
Most facilities offer semi-private and private rooms, with private rooms costing a bit more than shared spaces, and some homes may have age restrictions and most dont allow on-site cooking or pets on the premises. However, many seniors prefer the amenities in nursing homes vs home care, as convalescent centers often offer regular in-house activities such as crafts, games and fitness in addition to outings for shopping and entertainment with transportation provided. These facilities may also offer advanced memory care services that are vital in the latter stages of conditions, such as Alzheimers and Huntingtons Disease. Those with chronic health problems, severe mobility issues or those who suffer from serious injuries may find that a nursing home is the ideal option.
Assisted Living Homes Vs Home Care: How To Decide

Can you receive proper care in your home or would it be best to move into an assisted living home that can meet your long-term care needs? This is a question that many of us will be asking ourselves as we get older.Whether it is having to move around your home or making it around town to doctors visits and other important appointments, this is often a very difficult time for these individuals.
The good news is that advancements in technology and medical equipment are making it more feasible than ever to benefit from senior care at home while dealing with these struggles. However, remaining in the home is not the best choice for everyone.To make the best decision possible, you should consider a variety of different factors from your ability level to your finances and your available support network.
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Understanding Assisted Living Facilities
The major difference between assisted living facilities vs. nursing homes lies in the level of care that they offer. Assisted living means just that: Your parent is assisted with the activities of daily life.
Someone living in an assisted living community can, for the most part, still take care of themselves on a day-to-day basis. The staff is only there to help if the person needs it. The staff at an assisted living facility might help residents with activities of daily living including:
- Preparing and cooking meals
- Rehabilitative care
- Management of cognitive impairment conditions such as Alzheimers disease
If your mom or dad needs full-time attention from nursing professionals, a nursing home will ensure they have 24/7 care available, which is especially important if they have specific medical needs. However, its very important to understand that people cant just decide to sign up for a nursing home. Eligibility must first be determined.
Of course, transitioning to a nursing home is also a decision that your parent will need to make based on their particular circumstances and desires. While your parents are still mentally capable, this would also be a good time to have discussions about advance care planning if you havent already.
Assistance With Daily Activities
Assisted living
If residents of an assisted living facility need help with daily activities, such as bathing or getting dressed, those services are provided.
Laundry, housekeeping, and meal preparation services are available to residents who need them.
Nursing home
In a nursing home, most people need more extensive help caring for their daily needs.
Staff members help residents bathe, dress, use the restroom, and take their medications. Meals are prepared by a kitchen staff, and the staff take care of laundry and cleaning for the residents.
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Overview Of Assisted Living Facilities And Nursing Homes
Nursing homes are places where older adults can stay when they need 24-hour nursing care that they cannot access at home or any other retirement communities. They are the next level down from hospitals.
A majority of the inhabitants in nursing homes have significant deficiencies in regards to daily living responsibilities, thus they require help with all or majority of the ADLs all the time. It is because nursing homes house the elderly who have serious injuries or illnesses. State levels regulate and license nursing homes. Only licensed practical nurses or registered nurses provide care in nursing homes and a physicians order is mandatory before admission.
Assisted living facilities on the other hand mostly cater to highly independent individuals who are healthy and only need a hand with a couple of daily living tasks. They fall between autonomous independent living communities that cater to active senior citizens and the nursing homes that provide medical care round the clock. The level of care in assisted living is something between independent living and nursing home. Furthermore, residents of assisted living facilities consider the facilities as wellness environments that promote independence and high-quality life in old age.
Assisted Extra Care Living Apartments At Quarry Court
Residents in the new development of Quarry Court in Fishponds have the best of both worlds, independent living in beautiful well-designed apartments plus care on hand whenever it is needed.
Quarry Court offers a stunning leisure pool and gym, an elegant white tablecloth restaurant, a hair salon, a resident kitchenette, and artfully decorated communal lounge areas.
Personal care, catering, laundry, cleaning, food delivery and maintenance services are all available and these can be adapted to suit your individual needs.
Extra care assisted living is an ideal way to ensure all your future care needs will be met by the nursing and care team at the adjacent Quarry House Nursing Home. It can suit couples when one person is a resident in Quarry House and you want to be nearby. Our extra care living combines independence with available care on hand whenever you need it. It is a low-cost solution compared to residential care where you maintain your independence in your own apartment with others living around you in similar situations.
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When Is It Time For A Nursing Home
A transition from an assisted living community to a nursing home is a personal decision. A skilled nursing facility is designed to meet complex medical needs, whether those needs are simple pain management, more complex rehabilitation, or something in between. Residents in skilled nursing facilities typically need assistance with tasks that go beyond ADLs.