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


Monthly Median Costs: USA - National (2023)

In-Home Care
Home Maker Services1$5,720
Home Health Aide1$6,292
Community and Assisted Living
Adult Day Health Care2$2,058
Assisted Living Facility3$5,350
Nursing Home Facility
Semi-Private Room2$8,669
Private Room2$9,733

The number of hours needed for in-home care can vary based on need.

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

Next Steps: Plan for Long Term 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

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.

  • 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.

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.

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.

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.

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.

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

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.

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

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