A State-By-State Guide to Care Home Prices


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What is the monthly cost of a care home?

The national monthly median cost of rent in a care home is $4,800 for a private room and $3,700 for a semi-private room.[01]

You might expect that the cost of living in a residential care home would be less than an assisted living community, but care homes have a wide range of prices. As with assisted living communities, location can affect how much you pay.

Typically, a care home in a larger city will be more expensive than those suburban or rural areas. Care homes also have additional fees depending on how they’re licensed and the types of services they offer. For example, a care home may charge a medication fee for medication administration services. The national median medication fee is $200 per month.[01]

You can find more cost information for your loved one’s area in the state-by-state section below.

What’s included in the monthly cost?

Each care home is unique, but most offer services and amenities that are similar to what you might find in an assisted living community.

The following are examples of general services you can expect to be included in the monthly bill at a care home:

  • Housekeeping, home maintenance, and sometimes laundry
  • Home-cooked meals
  • Transportation for doctor appointments
  • Activities like arts and crafts, exercise classes, or group celebrations
  • Medication management

The monthly fee also includes the cost of personal care assistance that your parent may need, such as help with the following daily tasks:

  • Bathing
  • Grooming
  • Eating
  • Ambulating
  • Toileting
  • Incontinence care

What affects the monthly bill at a care home?

As with other senior living communities, the overall cost of a care home will depend on the amount of assistance your loved one needs. Some seniors only need minimal help, while others may need more significant hands-on assistance throughout the day and even overnight.

Some care homes offer 24-hour caregiver assistance, while others have limited assistance for residents at night. If your parent needs an on-site caregiver to help them at night, this can affect your monthly bill.

Medication is another aspect of care that may cost more. Some communities have visiting nurses to help with administration, but there may be an additional charge for the service.

While activities and outings are included in the monthly fees at many care homes, some may charge extra.


Care home costs by state

The following table provides the monthly median cost of rent in a care home in each U.S. state, as calculated from A Place for Mom’s proprietary brand partners.

State Private room Semi-private room Community fee
Alabama* $2,726 $2,852
Alaska* $6,000 $5,000
Arizona $4,000 $3,000 $1,000
California $5,000 $4,000 $800
Colorado $5,900 $5,200 $1,500
Connecticut* $3,415 $3,030
Florida $4,000 $3,000 $1,500
Georgia $3,000 $2,400 $500
Hawaii* $5,000 $4,473
Idaho* $4,500 $3,006 $2,000
Illinois* $4,125 $4,200 $1,500
Iowa* $4,000
Kansas* $7,000 $6,000 $1,500
Kentucky* $3,800 $1,325
Louisiana* $5,400 $4,200
Maine* $4,500 $4,500
Maryland $4,100 $3,450 $3,000
Massachusetts* $4,500 $4,000
Michigan $4,200 $3,650 $750
Minnesota $6,500 $6,000 $500
Mississippi* $3,400 $2,300
Missouri* $3,100 $2,750
Montana* $3,500
Nevada* $7,500 $3,500
New Hampshire* $4,013 $3,650
New Jersey* $4,500 $3,000 $1,600
New Mexico $5,500 $3,500 $1,500
New York $4,500 $3,500 $1,000
North Carolina $6,600 $5,600 $5,600
North Dakota*
Ohio $3,090 $2,425 $500
Oklahoma* $6,000
Oregon $4,000 $4,000 $875
Pennsylvania* $4,200 $1,550 $5,000
Rhode Island*
South Carolina*
South Dakota*
Tennessee* $4,800 $1,500 $2,500
Texas $4,500 $3,800 $2,000
Utah* $2,800 $500
Virginia $5,800 $5,000 $4,750
Washington $7,000 $6,000 $1,000
West Virginia*
Wisconsin $4,650 $4,500 $1,500

*These states have fewer than 10 communities reporting cost data.


What questions should I ask about care home costs?

As you tour care homes with your loved one, ask the following questions to learn more about their costs:

  • Do you have a breakdown of what’s included in the monthly bill?
  • Are activities and outings billed separately?
  • Do you charge more for residents who need a higher level of care? If so, how often do you evaluate someone’s needs?
  • Which care services are included in the monthly bill, and which are charged a la cart?
  • How do you charge for internet, phone, and cable?
  • Do you have visiting medical professionals or overnight care? How are those services charged?
  • What payment options do you accept?

Licensed vs. unlicensed care homes

Little data is available on unlicensed care home costs, but each state has its own rules and regulations about licensing and the type of care a home can provide. You should ask any home you tour whether they’re licensed. This is an important point to keep in mind, because while some unlicensed care homes operate legally, many don’t.[02]

Unlicensed care homes don’t face the same scrutiny that licensed care homes do, so quality of care can suffer. Without regular inspections to make sure state regulations are being met, unlicensed care home may be more inclined to cut corners.

The bottom line is that there are risks when choosing an unlicensed care home — even if it’s operating legally. Unlicensed care homes tend to serve an especially vulnerable group of individuals who often have fewer options available to them. Research conducted by the Department of Health and Human Services found the following conditions in unlicensed care homes:[02]

  • Malnutrition from limited access to food
  • Mismanagement of medications
  • Abuse and neglect
  • Financial exploitation

As you consider residential care homes, it’s a good idea to review the licensing laws in your state. If you think your loved one or another senior is living in an unsafe situation, you should contact your state’s Health and Human Services office or Adult Protective Services.

How to find a care home

While you may find assisted living communities in your loved one’s area with relative ease, care homes may be a little harder to locate given their smaller size.

If you’d like some help connecting with care homes for your parent, consider working with A Place for Mom’s Senior Living Advisors. Our experts can guide you through choosing the right senior living option for your loved one. They’ll take into account their care needs, lifestyle, and budget to help find a community that’s a great fit — all at no cost to your family.

This article originally appeared on APlaceForMom and was syndicated by MediaFeed.

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