Comparing Costs

KindCare Resources

Comparing Senior Living Costs

Comparing the costs of In-Home Care Services to those of Nursing Homes and Assisted Living? Depending on the number of services you are looking for, Assisted Living can be a surprisingly affordable alternative.

This chart compares the average monthly costs for Skilled Nursing Facilities, Home Health Care services and Assisted Living and Memory Care Assisted Living Communities in New England.

Facility Service
Skilled Nursing Facilities (Nursing Homes)
Home Health Care (live-in with overnight care)
$9,000 – $17,000 (living expenses are extra)
Home Health Care (Daily assistance 6 hours a day)
 $4,140 – $5,040 (living expenses are extra)
Assisted Living Communities
 $3,200 – $7,500
 Assisted Living with Memory or Alzheimer’s care 
 $5,500 – $9,500

Frequently Asked Questions

Most people pay for Assisted Living with current income from social security and pensions coupled with the use of savings, including the proceeds from selling a home. Long Term Care Insurance is more and more widely used to offset the cost of Assisted Living. Some consumers convert life insurance policies to a loan, and others have family members who help pay a share of the monthly cost.

Medicare and other health insurance plans and HMOs will NOT pay for assisted living services. There is, however, a program for veterans that will contribute over $1,900 a month (and over $2,200 for couples) called the Veterans’ Aid and Attendance Benefit.

Most Assisted Living communities have a year-long lease that residents sign, just like renting an apartment. The base monthly fee will be a set amount outlined in the lease, but the total monthly cost depends on the fee system used to calculate personal care where your Mom or Dad lives.

Also, keep in mind that most Assisted Living communities will increase their fees every year. Ask the community what their typical increase has been for the last few years. This will give you a good indication of what to expect when your one-year lease is up for renewal.

Costs may vary:

  • By the amount and kind of personal care assistance included in the service package. You may be quoted a price based on your loved one needing no care, a small amount of daily care or a large amount of care. Under a tiered pricing structure in which costs are calculated based on the actual number of hours/minutes that care was provided, initial quotes may not reflect the true costs that your Mom or Dad will actually incur. If your loved one needs more care than the allotted time under the “tier” you are paying for, your cost for care will increase.
  • By the size, location, and special features of the apartment. Accommodations can range from a shared bedroom to a two-bedroom apartment. Some communities charge more for apartments that are considered “prime” for characteristics such as proximity to an elevator, great views, extra closets or oversized windows.
  • By geography, land, real estate taxes, insurance, construction costs, and labor all vary geographically, and they affect the cost of developing and running an Assisted Living community. For example, New England is more expensive than Florida. Even within the same state, Assisted Living communities in wealthier towns will cost more than in other towns and cities.
  • By the company. Some companies charge more than others, perhaps because they need to maximize profits for stockholders or they have a large corporate headquarters with more overhead.
In an All-Inclusive Fee System, there is one total monthly fee for housing, meals, activities, housekeeping, laundry, and transportation AND personal care assistance with dressing, bathing, and other activities of daily living. The amount of personal care per day that is included within the fee is usually outlined in the Residency Agreement – it may be 1 to 2 hours a day. Before you move into an Assisted Living community, you should have an assessment done and a personal care plan developed that covers all the needs of the resident. With all-inclusive fees, charges for additional care should be rare and limited. Residents and their families can be assured that their monthly fee will not go up due to increased care needs during the length of their lease agreement. They will know month to month exactly what the cost will be. Most families would prefer a community that makes the pricing simple and transparent as occurs with an all-inclusive rate. KindCare Assisted Living prides itself on the all-inclusive care model.