Cost of Care
Trends & Insights

We started tracking the cost of care 15 years ago and have been a trusted expert since.

Since 2004, families across America have counted on us to help them understand the cost of care. Our research in 440 cities and towns across all 50 states has not only helped individuals plan for their own care but helped policymakers with forecasting and legislative reform. Over the years, we’ve tracked various trends that have come and gone but one thing hasn’t changed: long term care costs for nursing homes, assisted living facilities, and in-home care are higher than most people have planned for and only continue to rise.


15 Years of Cost of Care Trends

From 2004 to 2018, the cost for facility and in-home care services has risen on average from 1.5% – 3.8% per year. That’s an increase of $700 annually for home care and up to $2,500 annually for a private room in a nursing home. At this rate, some care costs are outpacing the U.S. inflation rate of 2.1% by almost double.

Chart that compares 2004 and 2018 Cost of Care Numbers

*Represents average cost through 2008, switched to median in 2009. Genworth Cost of Care Survey 2004-2018, Conducted by CareScout®
** United States Department of Labor, Bureau of Labor Statistics, Accessed 10/03/18.

See how much long term care could cost in 15 years.

Genworth Cost of care 2004-2018

Private Room Nursing Home Costs1

15 year trend line for Private Room Nursing Home Costs

Assisted Living Facility Costs4

15 year trend line for Assisted Living Facility Costs

Home Care Costs5

15 year trend line for Home Care Costs

*Represents average cost through 2008, switched to median in 2009. Genworth Cost of Care Survey 2004-2018, Conducted by CareScout®


Why Cost of Care is Increasing

Increases in costs for care in facilities is nothing new. But now, home care costs are increasing at a quicker pace as well. Care provided by home health care aides is now costlier than ever due to a variety of factors that include the following (based on preliminary research conducted with care providers from September 25 to October 3, 2018):

  • Low unemployment
  • Wage pressures
  • Regulatory changes
  • Labor shortages
  • Sicker patients
  • Employee retention challenges

Understanding the factors behind costs is a new dimension of our research that we are actively exploring. We plan to report additional insights as they become available.

Most Expensive & Least Expensive Areas for Care In 2018

Top 3 Most Expensive Areas for Care Costs
Top 3 Least Expensive Areas for Care Costs
Cost of Care 2018

Learn more about the results and the cost of care within your area.

Genworth Cost of Care Survey 2004-2018, Conducted by CareScout®
Based on 365 days of care
2 Percentage increase from 2004-2018 for Assisted Living Facility Cost
3 As reported hourly cost
Based on 12 months of care, private, one bedroom. Referred to residential care facility in California
Based on 44 hours per week by 52 weeks

291301 10/10/18