Cost of Care Survey
The world’s population is aging at a faster rate than ever before and people are living longer. Every day until 2030, 10,000 Baby Boomers will turn 65a and 7 out of 10 people will require long term care in their lifetime.b
The cost of that care varies based on care setting, geographic location of care and level of care required, among other things. Using Genworth’s Cost of Care Survey tool below, you and your family can calculate the cost of long term care across the U.S. Understanding what the median cost is today is a first step to helping you plan for it.
Calculate the Cost of Care in your area
ENTER AND SELECT CITY, STATE OR ZIP CODE for location 1
SELECT METRO REGION
SELECT COST BY PERIOD
CALCULATE FUTURE COST
Interactive Map
Monthly Median Costs: National
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Adult Day Health Care2
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Assisted Living Facility3
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Private Room2
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Adult Day Health Care, Assisted Living Facility, and Nursing Home Facility categories do not use hourly rates.
National
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Homemaker Services2 |
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Home Health Aide2 |
Adult Day Health Care1 |
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Assisted Living Facility4 |
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Semi - Private Room5
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Private Room5
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National
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Homemaker Services2 |
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Home Health Aide2 |
Adult Day Health Care1 |
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Assisted Living Facility4 |
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Semi - Private Room5
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Private Room5
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Change weekly In-Home Care hours (Only available with Daily, Monthly, or Annual Cost by Period)
The number of hours needed for in-home care can vary based on need.
40 hours = 8 hours of care/5 days a week
168 hours = 24 hours of care/7 days a week
For example:
20 hours = 4 hours of care/5 days a week
40 hours = 8 hours of care/5 days a week
168 hours = 24 hours of care/7 days a week
In-Home Care - Skilled Nursing
In some situations, people need skilled nursing care in their homes to assist with medication and other medical needs. It's important to know these costs when planning for future needs.
Key findings and methodology
Compare Location
Next Steps: Plan for Long Term Care
Review the trends occurring across the long term care service landscape.
The CareScout Quality Network includes high quality home care agencies that offer special pricing to Genworth Life Insurance Company long term care policyholders.
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Understanding the different settings and ways to pay for care.
About Cost of Care Survey
Since 2004, Genworth has tracked the cost of long term care services nationwide to help families understand and plan for their long term care needs. The survey results have become the foundation for long term care planning. Get answers to frequently asked questions and additional details into the research methodology used for the Genworth Cost of Care Survey.
Frequently asked questions about the Cost of Care Survey
When and how was the Cost of Care survey conducted?
From September through December 2023, Genworth contacted 176,807 providers by phone to complete 11,867 surveys of nursing homes, assisted living facilities, adult day health facilities and home care providers.
How many providers completed the survey?
- Surveyors polled 14 percent of home health care providers, resulting in 3,593 completed surveys.
- Surveyors polled 6 percent of adult day health care facilities, resulting in 600 completed surveys.
- Surveyors polled 15 percent of licensed assisted living facilities, resulting in 3,739 completed surveys.
- Surveyors polled 13 percent of certified and licensed nursing homes, resulting in 3,935 completed surveys.
How are the providers selected for the survey?
Potential respondents were selected from CareScout’s nationwide database of providers, supplemented with additional providers in each category of long-term care services. Survey respondents represent all 50 states and the District of Columbia.
Were there any updates to this year's survey?
Following the 2021 survey, the United States continued to grapple with the COVID-19 pandemic, and we saw shifts in the long-term care space. Genworth made the decision to pause and recalibrate our Cost of Care Survey and methodology to align with consumer needs and the current state of the industry.
How many regions are included in the survey? What are Metropolitan Statistical Areas (MSAs)?
The Genworth Cost of Care Survey publishes costs in 429 regions based on the 382 U.S. Metropolitan Statistical Areas (MSAs) as defined by the U.S. Office of Management and Budget.
Why is 44 hours the defaulted selection for in-home care?
Since the inception of the survey, Genworth has followed industry guidance with representing 44 hours as the estimated number of hours per week for professional inhome caregivers. Since we understand that everyone’s situation may vary based on the degree of required care, you can use the “Change weekly In-Home Care hours” section (located below the Cost of Care table) to adjust the number of hours from 7 hours per week to a maximum of 168 hours (24 hours of care / 7 days a week) to better represent your care needs.
Who is CareScout?
CareScout is a wholly owned subsidiary of Genworth Financial, Inc. (NYSE: GNW). CareScout helps older adults and their families navigate the aging journey and find quality care. To learn more about CareScout, visit www.CareScout.com.
What are the different types of care settings?
In Home Care Options
Homemaker Services: Services providing help with household tasks that cannot be managed alone. Homemaker services includes "hands-off"care such as cooking, cleaning and running errands.
Home Health Aide Services: Home health aides offer services to people who need more extensive care. It is "hands-on" personal care, but not medical care. The rate listed here is the rate charged by a non-Medicare certified, licensed agency.
Community Option
Adult Day Health Care (ADC): Provides social and support services in a community-based, protective setting. Various models are designed to offer socialization, supervision and structured activities. Some programs may provide personal care, transportation, medical management and meals.
Facility Options
Assisted Living Facility (ALF): Residential arrangements providing personal care and health services. The level of care may not be as extensive as that of a nursing home. Assisted living is often an alternative to a nursing home, or an intermediate level of long term care. Assisted Living Facilities are referred to as Residential Care Facilities in California.
Nursing Home Care: These facilities often provide a higher level of supervision and care than Assisted Living Facilities. They offer residents personal care assistance, room and board, supervision, medication, therapies and rehabilitation, and on-site nursing care 24 hours a day.
Learn more about Long Term Care and the choices in care settings
What are the different types of Caregivers?
Home Health Aide (HHA) and Personal Care Aide (PCA)c
Home Health Aides and/or Patient Care Assistants help with patient’s daily activities such as: cleaning and bathing, toileting, dressing, housekeeping, scheduling, transferring, shopping for groceries, and serving meals. If qualified with training, some HHAs or PCAs can check vital signs such as pulse, temperature, and respiration rate. The educational requirements for an HHA or PCA is typically a high school diploma.
Nursing Assistant (CNA)d
Nursing Assistants, also known as Certified Nursing Assistants, provide basic care needs for a patient’s daily activities such as: cleaning and bathing, toileting, dressing, transferring, measuring vital signs and blood pressure, and serving meals. Some Nursing Assistants can administer medications depending on state they work in. The educational requirements for a Nursing Assistant or CNA are to attend a state approved education program and pass a state competency exam.
Licensed Practical Nurse (LPN) and Licenses Vocational Nurse (LVN)e
LPNs and LVNs, provide more advanced care needs under the supervision of a registered nurse, such as: checking vital signs, changing bandages, inserting catheters, bathing, dressing, discussing care needs, and reporting patient status to registered nurses or doctors. Some LPNs and LVNs can administer medications and IV drips depending on state they work in. The educational requirements for a LPNs and LVNs is to receive a certificate or diploma by attending a state approved educational program. LPNs and LVNs also must pass the National Council Licensure Examination.
Registered Nurse (RN)f
Registered Nurses, also knowns as RNs, provide advanced care needs and educate the patient and family members about health conditions. Registered Nurses do the following, but not limited to assess patients’ conditions, administer patient’s medicines and treatments, operate and monitor medical equipment, perform diagnostic tests and analyze results, and educate patients and families on how to manage illnesses or injuries. Some RN’s oversee LPNs, CNAs, and HHAs. There are three pathways to become a registered nurse: receive a Bachelor of Science Degree in nursing (BSN), an Associates Degree in nursing (ADN), or a diploma from an approved nursing program. RNs also must pass the National Council of Licensure Examination before practicing.
- "2020 Census Will Help Policymakers Prepare for the Incoming Wave of Aging Boomers" (census.govopens in new window), site accessed 02/22/24.
- 2024 U.S. Department of Health and Human Services (https://acl.gov/ltc/basic-needs/how-much-care-will-you-needopens in new window). Site accessed 02/22/24.
- Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Home Health Aides and Personal Care Aides, on the Internet at https://www.bls.gov/ooh/healthcare/home-health-aides-and-personal-care-aides.htmopens in new window (visited 02/22/24).
- Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Nursing Assistants and Orderlies, on the Internet at https://www.bls.gov/ooh/healthcare/nursing-assistants.htmopens in new window (visited 02/22/24).
- Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Licensed Practical and Licensed Vocational Nurses, on the Internet at https://www.bls.gov/ooh/healthcare/licensed-practical-and-licensed-vocational-nurses.htmopens in new window (visited 02/22/24).
- Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Registered Nurses, on the Internet at https://www.bls.gov/ooh/healthcare/registered-nurses.htmopens in new window (visited 02/22/24).