Cost of Long Term Care by State 2018

By Aaron Skloff, AIF, CFA, MBA

Genworth 2018 Cost of Care Survey

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Home Adult Day Assisted Nursing Home Nursing Home
Health Aide Health Care Living Facility Semi-Private Room Private Room
State Monthly Monthly Monthly Monthly Monthly
Alabama  $        3,241  $           758  $            3,271  $          6,279  $           6,661
Alaska  $         5,148  $        2,281  $          6,300  $         29,291  $         27,573
Arizona  $        4,433  $       2,004  $          3,800  $           6,494  $           7,908
Arkansas  $        3,609  $        1,733  $           3,037  $           5,353  $           5,986
California  $         4,957  $        1,679  $          4,500  $           8,365  $           9,817
Colorado  $         4.910  $        1,625  $          4,000  $           7,892  $          9,000
Connecticut  $        4,385  $        1,842  $          4,700  $         12,623  $         13,733
Delaware  $        4,385  $        1,797  $           5,350  $         10,494  $         10,950
D.C.  $            n/a  $           n/a $            9,266  $           9,125  $           9,733
Florida  $        3,909  $       1,463  $          3,500  $           8,152  $          9,064
Georgia  $        3,813  $       1,300  $           3,100  $           6,342  $           6,768
Hawaii  $         5,720  $        1,647  $           5,500  $          12,167  $         13,657
Idaho  $        3,813  $       2,600  $           3,475  $           7,574  $          8,045
Illinois  $        4,290  $        1,567  $          4,030  $           5,916  $           6,753
Indiana  $        4,195  $        1,842  $           4,385  $           6,859  $           8,243
Iowa  $         4,767  $        1,353  $           3,847  $          6,083  $           6,479
Kansas  $        4,004  $        1,760  $           4,556  $           5,414  $           5,865
Kentucky  $        3,909  $        1,463  $           3,520  $          6,844  $           7,604
Louisiana  $        3,051  $        1,365  $           3,550  $           5,232  $           5,542
Maine  $         4,957  $       2,383  $          4,950  $           9,429  $        10,098
Maryland  $        4,242  $        1,733  $           4,673  $           9,231  $           9,673
Massachusetts  $         5,167  $       1,444  $           5,495  $         12,015  $          12,775
Michigan  $        4,385  $        1,733  $          3,850  $           8,562  $          9,125
Minnesota  $         5,529  $        1,798  $          4,000  $           9,125  $         10,188
Mississippi  $        3,241  $          758  $           3,493  $           6,692  $           7,087
Missouri  $        4,004  $        1,820  $           2,844  $           5,019  $           5,543
Montana  $        4,576  $       2,468  $           3,919  $          7,006  $           7,310
Home Adult Day Assisted Nursing Home Nursing Home
Health Aide Health Care Living Facility Semi-Private Room Private Room
State Monthly Monthly Monthly Monthly Monthly
Nebraska  $         4,576  $        1,555  $           3,844  $           6,905  $           7,266
Nevada  $         4,195  $        1,560  $          3,500  $          8,228  $           9,262
New Hampshire  $        5,148  $        1,701  $           4,675  $         10,342  $          11,102
New Jersey  $        4,576  $        1,950  $           6,065  $        10,646  $         11,863
New Mexico  $        3,813  $        2,217  $          4,250  $           7,285  $           7,619
New York  $        4,767  $        1,625  $          4,185  $         11,756  $         12,189
North Carolina  $         3,766  $        1,192  $           3,693  $          6,950  $            7,711
North Dakota  $         5,148  $        2,419  $           3,315  $         11,027  $         11,690
Ohio  $        4,099  $        1,322  $           4,278  $           7,118  $           7,908
Oklahoma  $        4,143  $       1,300  $          3,325  $           4,639  $           5,293
Oregon  $         4,957  $        1,983  $          4,593  $           9,277  $           9,977
Pennsylvania  $         4,315  $       1,408  $           3,750  $           9,612  $          10,114
Rhode Island  $         5,148  $        1,625  $           4,350  $          8,821  $           9,733
South Carolina  $        3,813  $       1,300  $          3,500  $           6,418  $           7,209
South Dakota  $         4,767  $        1,538  $          3,500  $           6,616  $           7,072
Tennessee  $         3,766  $       1,452  $          3,920  $          6,388  $          6,844
Texas  $         3,813  $           758  $          3,795  $           4,798  $           6,540
Utah  $        4,195  $       1,008  $           3,350  $          6,083  $           7,604
Vermont  $         5,148  $       2,947  $          4,500  $           9,475  $           9,901
Virginia  $        4,004  $         1,517  $          4,451  $           7,452  $           8,517
Washington  $        5,339  $       1,408  $          5,135  $          8,669  $           9,718
West Virginia  $         3,241  $       1,300  $           3,619  $         10,281  $         11,072
Wisconsin  $         4,576  $       1,408  $          4,300  $           8,334  $           9,346
Wyoming  $         4,767  $        2,416  $           4,235  $           7,178  $          7,543
U.S.  $        4,195  $        1,560  $          4,000  $           7,441  $           8,365

The 2018 survey, conducted by CareScout in June 2018, is the most comprehensive of its kind, covering 440 regions across the U.S. and based on data collected from more than 49,000 provider survey outreaches.

Home Care

A home health aide will typically help with bathing, dressing, transferring and toileting, but not with catheters or injections. Most of these agencies also provide homemaker services that typically include assistance with shopping, finances, cooking, errands and transportation. Homemaker services may also be employed for the purpose of providing companionship.

Adult Day Health Care (ADH)

ADH is designed to meet the needs of adults who are functionally and/or severely cognitively impaired. Programs are intended to be structured and comprehensive, and to take place in a protective setting that promotes well-being through a variety of health, social and other support services. These services are intended to help enable individuals live more independently in the community. These services may also be used to provide relief for family caregivers.

Assisted Living Facility (ALF)

Currently, there are more than 70 different names or designations for facilities licensed as some form of an assisted care facility. Generally, fewer than 40 percent of these care facilities use the term “assisted living facility” as a part of their formal name or licensure designation. For example, some facilities may be identified as “residential care facilities.” Because of variations in licensing requirements by state, both small group homes and large multi-service facilities qualified as assisted living facilities for the purposes of this study.

Nursing Home (NH)

Surveyors collected the daily rates for private rooms (single occupancy) and semi-private rooms (double occupancy) in Medicare-certified nursing facilities. Medicare-certified nursing homes represent more than 90 percent of all nursing homes in the U.S. The daily room charge usually includes services beyond rent, such as three meals a day, laundry, sundries, basic nurse supervision and generic non-prescription pharmaceuticals.

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