Genworth 2012 Cost of Care Survey: Home Care Providers, Adult Day Health Care Facilities, Assisted Living Facilities and Nursing Homes doc

Cost of Care Survey 2012
130568 04/20/12
Genworth 2012
Cost of Care Survey
Home Care Providers, Adult Day Health Care Facilities,
Assisted Living Facilities and Nursing Homes
About CareScout
Headquartered in Waltham, Massachusetts, CareScout helps Americans across the United States find quality
care providers for their long term care needs. As an objective source for this provider information, CareScout,
a Genworth company, developed the nation’s first quality-of-care ratings system for certified nursing homes and
home care providers. Large employers, risk underwriters and families rely on CareScout’s proprietary ratings
system, the CareScout network and its database of more than 90,000 providers including nursing homes, assisted
living facilities and home care agencies to help find and arrange the most appropriate care for loved ones.
For more information, visit carescout.com.
About Genworth Financial
Genworth Financial, Inc. (NYSE:GNW) is a leading Fortune 500 global financial security company. Genworth
employs approximately 6,500 people with a presence in more than 25 countries. Its products and services
help meet the investment, protection, retirement and lifestyle needs of more than 15 million customers.
Genworth operates through three segments: Retirement and Protection, U.S. Mortgage Insurance and
International. Its products and services are offered through financial intermediaries, advisors, independent
distributors and sales specialists.
Genworth Financial, which traces its roots back to 1871, became a public company in 2004 and
is headquartered in Richmond, Virginia. For more information, visit Genworth.com.
From time to time, Genworth releases important information via postings on its corporate website.
Accordingly, investors and other interested parties are encouraged to enroll to receive automatic e-mail
alerts and Really Simple Syndication (RSS) feeds regarding new postings. Enrollment information is found
under the “Investors” section of Genworth.com.
Insurance and annuity products:
• Are not deposits. • Are not insured by the FDIC or any other federal government agency.
• May decrease in value. • Are not guaranteed by the bank or its affiliates.
Visit genworth.com/costofcare to:

• download the Cost of Care mobile application
• compare daily, monthly and annual costs across locations
• calculate future costs of care
• get more information about the Cost of Care Survey
©2007-2012 Genworth Financial, Inc. and National Eldercare Referral Systems, LLC (CareScout).
All rights reserved. Genworth, Genworth Financial and the Genworth logo are registered service
marks of Genworth Financial, Inc.
Scan this tag with your smartphone
using a “QR Reader” App (available
in your App store).
Introduction
As the nation continues to recover from one of
the most challenging periods in its history, families
have begun to rebuild their nest eggs. With plans
for a secure financial future more important than
ever, families have a unique opportunity, and
obligation, to address one of the most basic and
potentially impactful risks of all — preparing for the
possibility that they will need long term care.
For the ninth consecutive year, Genworth has
surveyed the cost of long term care across the
U.S. to help Americans plan appropriately for
the potential cost of long term care. The most
comprehensive study of its kind, Genworth’s 2012
Cost of Care Survey, conducted by CareScout®
covers nearly 15,300 long term care providers,
across all 50 states and the District of Columbia,
in 437 regions nationwide, to help individuals
plan with an eye toward costs in their preferred

location and preferred care setting.
A long term care situation can be triggered by
a multitude of events. One of families’ — indeed,
the nation’s — biggest concerns is the impact to
the family of Alzheimer’s disease, including the
financial costs. Again this year, the Cost of Care
Survey report features a special section on the long
term care costs related to Alzheimer’s disease.
Genworth is now in our 37th year as a leading
provider of long term care insurance,* educating
and empowering American families, financial
professionals, policymakers and others about
the need to plan for long term care.
In addition to reviewing this Cost of Care report,
we invite you to get more detailed information
online at genworth.com/costofcare and on our
“Let’s Talk” website, caringtalk.com, where you’ll
find important tools to help you and your family
plan for the future. You may also take this
information with you by downloading the Cost
of Care application for iPhone and iPad devices.
* The Genworth companies underwriting long term care insurance are Genworth Life Insurance Company
and, in New York, Genworth Life Insurance Company of New York.
3
Cost of Care Survey 2012
Contents
Understanding Long Term Care
Summary of 2012 Survey Findings 4
Emerging Trends and Findings 5

Get More Details 6
Additional Resources 7
Long Term Care Overview 8
Long Term Care Financing Options 9
Alzheimer’s Disease and Long Term Care 11
Cost of Care Maps
Homemaker Services (Licensed) 14
Home Health Aide Services (Licensed) 15
Adult Day Health Care 16
Assisted Living Facility (One Bedroom – Single Occupancy) 17
Nursing Home (Semi-Private Room) 18
Nursing Home (Private Room) 19
National and State Cost of Care Tables 20
Homemaker Services (Licensed)
Home Health Aide Services (Licensed)
Adult Day Health Care
Assisted Living Facility (One Bedroom – Single Occupancy)
Nursing Home (Semi-Private Room)
Nursing Home (Private Room)
Data Table End Notes 73
Appendix
Region Definitions (Counties) 74
Methodology 88
End Notes 90
4
Cost of Care Survey 2012
Assisted Living Facility (One Bedroom – Single
Occupancy) Provides “hands-on” personal care
as well as medical care for those who are not able
to live by themselves, but do not require constant

care provided by a nursing home.
Nursing Home (Semi-Private Room) Provides skilled
nursing care 24 hours a day.
Nursing Home (Private Room) Provides skilled
nursing care 24 hours a day.
Summary of 2012 Findings
NATIONAL
MEDIAN
HOURLY RATE
$18
NATIONAL
MEDIAN
HOURLY RATE
$19
INCREASE
OVER
2011
1.67%
NATIONAL
MEDIAN
MONTHLY RATE
$3,300
NATIONAL
MEDIAN
DAILY RATE
$200
NATIONAL
MEDIAN
DAILY RATE
$222

FIVE-YEAR
ANNUAL
GROWTH
1

1.15%
INCREASE
OVER
2011
0%
INCREASE
OVER
2011
1.19%
INCREASE
OVER
2011
3.63%
INCREASE
OVER
2011
4.23%
INCREASE
OVER
2011
0%
FIVE-YEAR
ANNUAL
GROWTH
1

1.09%
NATIONAL
MEDIAN
DAILY RATE
$61
FIVE-YEAR
ANNUAL
GROWTH
1
5.71%
FIVE-YEAR
ANNUAL
GROWTH
1
4.5%
FIVE-YEAR
ANNUAL
GROWTH
1
4.28%
FIVE-YEAR
ANNUAL
GROWTH
1
N/A
HOMEFACILITY
Homemaker Services (Licensed) Provides “hands-off”
care such as helping with cooking and running
errands. Often referred to as “Personal Care
Assistants” or “Companions.” This is the rate charged

by a non-Medicare certified, licensed agency.
Home Health Aide Services (Licensed) Provides
“hands-on” personal care, but not medical care,
in the home, with activities such as bathing,
dressing and transferring. This is the rate charged
by a non-Medicare certified, licensed agency.
Adult Day Health Care Provides social and other
related support services in a community-based,
protective setting during any part of a day, but less
than 24-hour care.
COMMUNITY
5
Cost of Care Survey 2012
Emerging Trends and Findings
For the ninth consecutive year, Genworth has
surveyed long term care service providers across
the country. Genworth’s survey includes 437
regions that cover all Metropolitan Statistical
Areas defined for the 2010 U.S. census.
Looking back at the past five years of survey results,
Genworth recognizes emerging trends across the
long term care services landscape. Overall, the cost
of care among facility-based providers has steadily
increased. For example, in 2007 the median annual
rate for a private nursing home room was $65,700,
compared with the 2012 median annual rate of
$81,030. This means that Americans can expect to
pay approximately $15,330 more per year today
for a nursing home than they had to pay in 2007.
This increase represents a 4.28 percent compound

annual growth rate over that period.
In contrast to facility-based care, rates charged by
home care providers for “non-skilled” services have
remained relatively flat over the past five years.
For example, whereas the national hourly private
pay median rate charged by a licensed home health
agency for a home health aide was $18 in 2007,
the 2012 hourly rate has only slowly crept up to
$19. The historical compound annual growth rate
for this type of care service has been only 1.09
percent over a five-year period. Home care rates
have remained flat in part because of increased
competition among agencies and the availability
of unskilled labor, and because the companies
that provide these types of services do not incur
the costs associated with maintaining stand-alone
health care facilities.
6
Cost of Care Survey 2012
Get More Details
No matter where you are, we’re here to help.
Everything you need to know about the cost
of care is now available anywhere you are. Find
detailed information on the issues that matter
to you most whenever it’s convenient for you.
Browsing the Web?
Our website — genworth.com/costofcare —
provides much more information about the
cost of care. Visit the site to download the full
survey report and overviews of long term care

services and financing options. The interactive
map features daily, monthly and annual rates for
437 regions throughout the U.S., offers the ability
to compare up to three locations and calculates
projected costs for up to 30 years out.
Going Mobile?
A mobile version of the website is also offered,
with compatibility for all platforms.
New this year, Genworth has developed a free
web-based Cost of Care mobile application tool
that provides similar functions to the website, but
with mobile capacity for iPhone and iPad devices.
Visit the site or download the app to:
• Find location-specific cost information that matters
to you — by state and type of care setting — for
437 regions across the country
• Compare daily, monthly and annual costs for
up to three regions across the U.S. — for instance,
where you live currently, and where you might
like to retire
• Calculate the projected cost of care 10, 15, 20,
25 and 30 years out so you can plan well for
your future
• Easily share information with family, friends and
your financial professional
7
Cost of Care Survey 2012
Let’s Talk: Conversations that Make a Difference
It can be difficult to talk to parents, spouses or
partners, children and other loved ones about

what the future may hold in terms of long term
care needs. By talking now and taking charge,
you and your loved ones can be prepared for
life’s twists and turns. The information and tools
offered on caringtalk.com will help you prepare
for productive conversations with those you
care about. Ways to break the ice, guidance
from experts, and helpful tips and insights are all
available to provide families with the resources,
education and motivation to more easily plan for
potential long term care needs. Visit caringtalk.com
to learn more.
Additional Resources
Beyond Dollars: The True Impact
of Long Term Caring
This seminal report articulates the findings of a
research study on the circle of care and the impact
on the many people within it. The most surprising
realization was the impact on even “secondary”
caregivers (those who are not necessarily providing
hands-on care or at the forefront of care, but
are fully understanding of all the dynamics of
the situation) and their families. For example,
more than half (57 percent) of primary caregivers
surveyed reported dipping into their own retirement
funds and/or savings, and 42 percent of secondary
caregivers reported doing so, as well. And both
groups of respondents reported significantly
reducing their contributions to savings accounts,
401(k)s and their kids’ college education savings,

illustrating the impact of an unfunded care event
on families’ financial futures.
More than 800 consumers with personal
involvement in a long term care event lasting
more than 30 days were surveyed. The report,
which can be found at genworth.com/costofcare,
includes quantitative data from the study,
along with compelling stories, thoughts and
perspectives of the individuals who participated
in the survey, provided in their own words.
B EYOND D OLLAR S
Beyond Dollars
Each of us has defining relationships in our lives.
With our parents. Our siblings. Our spouses. Our children.
Our colleagues.
We even have relationships of sorts with our
accomplishments.

Our achievements. Our successes.
And we have relationships
with our own futures. We think
of them as relationships because
they mean something
to us — and we are committed to them.
And all these relationships can be affected when we
take an active role in someone else’s care.
The Ripple Effect
We may understand that there is a
financial impact to helping provide
care, but there is more to the equation,

and it goes far beyond dollars.
There is a ripple that can touch
a primary caregiver, a secondary
caregiver, their families and their
futures. While a loving and selfless
act, accepting or taking resp onsibility
for another individual’s care can have
a dramatic impact on our own lives,
and on our families’ lives.
No matter how willing we are, no
matter how heart felt our promises
are, our caregiving commitments
can affec t marriages, family dynamics,
work commitments, financial s tability
and other building blocks of our
own futures.
Will You Have a Role
in Someone’s Care?
Thinking through the impact of
your responsibilities as a caregiver
is a first and important s tep.
Whether you are a primary or
hands-on caregiver, or someone
who orchestrates the care provided
by others — whether you provide
some financial support or weigh
in on important decisions — it ’s
important to recognize the poten tial
impact of caregiving on all aspec ts
of your life.

Planning ahead for ways to
mitigate costs or share caregi ving
responsibilities is wort hy of every
family’s consideration.
2
The True Impact of Long Term Caring
Research findings on the circle of care and
the impact on the many people within it.
109048 03/16/12
Beyond Dollars
Listen & Learn
When you have these conversations,
start by asking questions. And then
listen. Really listen. This will help
get the conversation going and,
even more important, it will let you
know what your parent — or other
loved one — is thinking, which may
be very different from what you are
thinking. You might be focused on
legal documents, while your mother
is wondering who will care for her
dogs in a crisis. Listening is valuable
because you now know what matters
to her, and once you’ve listened and
addressed her concerns, she may be
more willing to listen to you.
Open your heart
and your mind.
Most likely, you will

learn something new.
1. Ask questions.
Then pause. Give them time to respond. Make sure they
have finished before you begin talking. True understanding
comes from being still long enough to absorb the meaning
and intent behind what people tell you.
What are their fondest memories? Biggest regrets? What
do they want/dread as they grow older? What are their
hopes and fears and goals? What matters most to them
now? If you have a specific issue to address, learn what
they think before you begin expressing your thoughts.
2. Wait.
That might mean counting silently to five, but it also might
mean letting them think on it and then continuing the
conversation several days later. These are big issues;
give them time.
3. Be open.
You might not know this person or this situation as well
as you think you do. We don’t know what it is to be our
parents’ ages or to walk in their shoes. We sometimes slip
into prescribed roles within our families. Occasionally,
our notions of the role a loved one plays cloud our
vision of who they actually are, what they think and more
importantly, how they feel. Plus, with time, their needs
and wishes may have changed. Evolve with them.
Things you can do today to
become a better listener.
3
genworth.com/lets-talk 7
My father talks to me or my wife,

Tracy, on the phone at least once a
week, and he has dinner at our house
most weekends. It never occurred
to me that we needed to talk about
anything because we talk so often
already. But one night my uncle was
talking about their grandfather, who
lived with them for many years, and
he was saying what a pill he was.
My father said something offhanded
about how he would never live with
his kids. Tracy and I were baffled.
We always assumed he would live
with us if it came to that.
At first, I didn’t think he meant it.
But I brought it up a few days later
and he said flat out, no, he would
never live with any of his kids. We’ve
talked about it since, and it’s been
eye-opening. We discussed where
he might live — he doesn’t like the
idea of being alone with an aide so
we’ve considered other options,
including assisted living. I’m still
hoping he’ll change his mind and
decide he could live with us, but I
don’t sense that’s going to happen.
Regardless, it’s been an interesting
process. I’ve learned a lot about him.
- Ben, age 49

“
”
Ironically, the most important
part of
talking is listening.
Let
’
s Talk
Conversations that make a difference
Long Term Care
5
Reality Check
7 things you should
know about your
loved ones
7
Listen & Learn
3 things you can do
today to become a
better listener
11

Family is Family
Get to the heart
of the matter
14
Real People
Learn from the
experience of others
INSIDE

48683 12/20/11
8
Cost of Care Survey 2012
Research shows that about 70 percent of people
age 65 or older will need long term care services
at some point in their lifetime.
2
Long term care
is the type of care you may need if you have a
prolonged physical illness, disability or severe
cognitive impairment (such as Alzheimer’s
disease) that keeps you from living independently.
These limitations may prevent you from carrying
out basic self-care tasks, such as bathing, dressing
or eating, called Activities of Daily Living (ADLs).
Today, consumers have more choices than ever
before when planning for potential long term care
needs. Here is an overview of available long term
care options:
Homemaker Services
This service makes it possible for people to live
in their own homes or to return to their homes by
helping complete household tasks that they can’t
manage alone. Homemaker services aides may
clean houses, cook meals or run errands.
Home Health Aides
Personal and home health aides help those
who are elderly, disabled or ill live in their own
homes instead of in residential care facilities or
nursing homes. Home health aides may offer

services to people who need more extensive
personal care than family or friends are able,
or have the time or resources, to provide.
Adult Day Health Care (ADH)
Adult Day Health Care centers can offer a much-
needed break to caregivers. This type of care
provides service at community-based centers for
adults who need assistance or supervision during
the day but who do not need around-the-clock
care. There are a variety of “models” of Adult Day
Health Care programs. All models are intended
to offer socialization, supervision and structured
activities designed for the individual needs of
the participants at the center. Some programs
also may provide personal care, transportation,
medication management, health-related services,
intergenerational programming, social services,
meals, personal assistance and therapeutic activities.
Assisted Living Facilities (ALF)
Assisted living facilities (referred to as Residential
Care Facilities in California) are living arrangements
that provide personal care and health services for
people who may need assistance with ADLs, but
who wish to live as independently as possible and
do not need the level of care provided by a
nursing home. It’s important to note that assisted
living is not an alternative to a nursing home, but
an intermediate level of long term care.
Nursing Home Care
Nursing homes are for those people who may

need a higher level of supervision and care than
what is provided in an assisted living facility. They
offer residents personal care assistance, room and
board, supervision, medication, therapies and
rehabilitation, as well as skilled nursing care
24 hours a day.
Long Term Care Overview
Most consumers prefer to receive
long term care in their homes.
In fact, more than two-thirds of
Genworth’s initial benefit claims
are for home health care.
3
9
Cost of Care Survey 2012
Long Term Care Financing Options
Another factor to consider in planning for long
term care is, of course, how to pay for it. With
median costs ranging from $39,600 to $81,030
per year depending on the type of care needed,
finding a way to pay for long term care can be
a challenge for many people. As an example,
assuming the average stay in a nursing home is
three years, costs can easily surpass $240,000
for the entire long term care event.
People generally think there are four basic ways
to pay for long term care: Medicare, Medicaid,
out of pocket, or private long term care insurance.
Those who are thinking of relying on Medicare or
Medicaid to provide long term care services need

to be well informed about both the advantages
and limitations of these programs.
Medicare
Generally, Medicare is the federal program that
provides hospital and medical insurance to
people age 65 or older and to certain ill or
disabled persons. Benefits may be available for
home health care, but only if certain conditions
are met.
Medicare may pay for up to 100 days of care
in a skilled nursing facility per benefit period —
100 percent for the first 20 days (after a three-day
hospital stay, provided skilled care is needed).
Then, for days 21-100, Medicare requires
a co-payment. To help cover the co-payment,
many seniors also have a Medicare supplement
insurance policy. In general, once Medicare
stops paying for care, the supplement payment
also will end.
10
Cost of Care Survey 2012
Medicaid
Medicaid (referred to as Medi-Cal in California)
generally pays for certain health services and
nursing home care for those with low incomes
and limited resources. Medicaid may also pay
for some long term care services at home and
in the community. Medicaid has limitations on the
amount of assets you may own and the amount
of income you may receive each month before

you are eligible for benefits. Who is eligible and
what services are covered vary from state to state.
There also are restrictions on transferring assets
to others in order to qualify for Medicaid.
Self-Insure (or Out-of-Pocket Payment)
As you page through this report, you can look
up the costs of various types of care in your state —
private and semi-private nursing home, assisted
living facility, home health aides and homemaker
services. These costs can give you a good idea of
how much money you or your family would need
if you or a loved one requires long term care.
Long Term Care Insurance
Long term care insurance helps pay for your care
and protect your assets by paying for covered
expenses up to the amounts set forth in your
policy. Depending upon the type of policy
you choose, this insurance can pay for a wide
variety of home, community-based and facility
care services, and can offer you care options
that may not be covered through government
programs.
Many states participate in the Long Term Care
Insurance Partnership Program (“Partnership
Program”). The Partnership Program is designed
to encourage individuals to plan for their long
term care needs by allowing them to retain more
assets than would otherwise be allowed under
state Medicaid eligibility requirements. As a result,
policyholders are able to retain assets they would

otherwise have to spend down prior to qualifying
for Medicaid benefits. Generally, individuals can
participate in their state’s Partnership Program
by owning a long term care insurance policy that
meets the requirements for the Partnership
Program. Policies qualifying under the Partnership
Program generally do not cost more than
non-qualified policies with similar benefits.
11
Cost of Care Survey 2012
Alzheimer’s Disease and Long Term Care
In a study conducted by Age Wave on behalf of
Genworth, 61 percent of respondents ranked
having Alzheimer’s disease as their single
greatest fear among disabling diseases in later
life.
4
The Alzheimer’s Association estimates that
approximately 5.4 million Americans of all ages
have Alzheimer’s disease. This means that one in
every eight Americans age 65+, and nearly half
of those age 85+, has Alzheimer’s disease.
5
Currently, there is no cure for Alzheimer’s disease.
In fact, Alzheimer’s now ranks as the fifth-leading
cause of death for those ages 65 and older, and
the sixth-leading cause of death across all ages
in the U.S.
6

Because the duration of the disease generally
can range from four to eight years after a
diagnosis to as long as 20 years,
7
the need
for long term care support is critical.

Indeed,
46 percent of Genworth’s total claims in payment,
and 50 percent of all claims dollars, are due to
dementia, including Alzheimer’s.
8
In addition to the significant cost of paid care,
unpaid caregivers — primarily family members —
provided 17.4 billion hours of unpaid care valued
at more than $210.5 billion in 2011 alone. The
Alzheimer’s Association also projects that the cost
of care related to Alzheimer’s, including health
care, long term care and hospice, will reach $1.1
trillion by 2050.
9
This astronomical figure might
further deplete the hard-won-back financial
reserves of families along with the nation’s
Medicare funds and our states’ Medicaid funds.
The cost of Alzheimer’s disease takes many
forms. Another Genworth study, Beyond Dollars:
The True Cost of Long Term Caring, illustrates
the less obvious but still significant cost to
caregivers and their families in terms of short-term

impact on jobs, longer-term effects on careers,
material reductions in savings for the future —
particularly retirement and college savings — and
the broad and heartbreaking impact on family
relationships.
10
12
Cost of Care Survey 2012
13
Cost of Care Survey 2012Cost of Care Survey 2012
Genworth 2012 Cost of Care Maps
Genworth 2012 Cost of Care
National and State Data Tables
14
Home Care: Homemaker Services (Licensed) Median Annual Cost*
TX
HI
CA
NV
CO
NM
KS
OK
NE
SD
ND
MN
IA
MO
AR

IL
KY
WI
MI
IN
OH
WV
PA
NY
VT
NH
MA
MD
DE
NJ
CT
ME
UT
AZ
OR
WA
ID
WY
MT
AK
FL
NC
SC
GA
AL

MS
TN
LA
VA
RI
DC
$55,484
$36,494
$38,667
$43,472
$48,620
$44,616
$43,472
N/A
$48,048
$38,896
$38,896
$50,336
$44,639
$41,184
$44,616
$41,184
$41,184
$38,896
$34,320
$51,480
$43,472
$45,760
$42,625
$50,336

$41,184
$37,752
$44,044
$37,752
$54,775
$44,341
$51,480
$44,616
$41,184
$45,760
$45,760
$42,328
$38,896
$45,760
$44,616
$45,760
$38,896
$45,760
$37,752
$38,896
$45,188
$40,612
$46,904
$49,192
$44,616
$34,320
$45,760
USA $41,184
*Numbers include Puerto Rico
15

Home Care: Home Health Aide Services (Licensed) Median Annual Cost*
TX
HI
CA
NV
CO
NM
KS
OK
NE
SD
ND
MN
IA
MO
AR
IL
KY
WI
MI
IN
OH
WV
PA
NY
VT
NH
MA
MD
DE

NJ
CT
ME
UT
AZ
OR
WA
ID
WY
MT
AK
FL
NC
SC
GA
AL
MS
TN
LA
VA
RI
DC
$56,628
$36,608
$38,896
$45,760
$51,480
$47,201
$48,048
N/A

$52,624
$41,184
$38,896
$57,772
$47,476
$42,328
$45,760
$43,472
$41,184
$38,896
$34,320
$56,056
$45,760
$50,336
$45,714
$57,772
$41,916
$37,752
$47,476
$40,040
$54,775
$46,996
$53,768
$46,904
$45,188
$48,048
$50,336
$43,197
$42,900
$48,048

$45,760
$54,912
$40,681
$45,760
$39,422
$41,184
$48,048
$41,756
$48,048
$50,336
$48,048
$36,608
$46,904
USA $43,472
*Numbers include Puerto Rico
16
TX
HI
CA
NV
CO
NM
KS
OK
NE
SD
ND
MN
IA
MO

AR
IL
KY
WI
MI
IN
OH
WV
PA
NY
VT
NH
MA
MD
DE
NJ
CT
ME
UT
AZ
OR
WA
ID
WY
MT
AK
FL
NC
SC
GA

AL
MS
TN
LA
VA
RI
DC
$27,040
$6,500
$16,640
$21,190
$20,020
$16,120
$19,500
$26,000
$19,500
$15,340
$15,600
$17,420
$13,780
$24,960
$16,900
$16,900
$18,200
$15,288
$15,600
$15,941
$19,825
$24,960
$18,460

$19,500
$18,720
$13,000
$20,800
$13,520
$13,775
$13,650
$16,258
$20,800
$29,120
$17,225
$14,300
$12,870
$13,780
$25,155
$14,300
$18,525
$13,000
$7,457
$14,300
$8,754
$11,700
$14,300
$34,190
$15,379
$14,973
$13,390
$14,495
Community Care: Adult Day Health Care Median Annual Cost**
USA $15,860

**Numbers exclude Puerto Rico
17
TX
HI
CA
NV
CO
NM
KS
OK
NE
SD
ND
MN
IA
MO
AR
IL
KY
WI
MI
IN
OH
WV
PA
NY
VT
NH
MA
MD

DE
NJ
CT
ME
UT
AZ
OR
WA
ID
WY
MT
AK
FL
NC
SC
GA
AL
MS
TN
LA
VA
RI
DC
$66,000
$35,370
$33,720
$37,200
$42,000
$44,433
$53,700

$30,000
$63,228
$33,000
$30,000
$45,000
$35,268
$38,568
$48,678
$43,440
$42,015
$32,892
$37,200
$55,050
$38,400
$54,000
$32,550
$37,632
$29,025
$35,100
$37,800
$34,800
$32,760
$39,000
$48,000
$68,556
$42,000
$35,940
$44,400
$44,550
$33,015

$46,200
$39,015
$46,770
$34,500
$32,955
$39,645
$38,400
$31,800
$41,775
$46,800
$51,000
$44,400
$36,000
$39,570
Facility Care: Assisted Living Facility (One Bedroom - Single Occupancy) Median Annual Cost*
USA $39,600
*Numbers include Puerto Rico
18
Facility Care: Nursing Home (Semi-Private Room) Median Annual Cost**
TX
HI
CA
NV
CO
NM
KS
OK
NE
SD
ND

MN
IA
MO
AR
IL
KY
WI
MI
IN
OH
WV
PA
NY
VT
NH
MA
MD
DE
NJ
CT
ME
UT
AZ
OR
WA
ID
WY
MT
AK
FL

NC
SC
GA
AL
MS
TN
LA
VA
RI
DC
$273,750
$63,875
$53,593
$67,708
$81,760
$75,190
$135,050
$86,323
$91,250
$78,475
$59,495
$116,800
$55,480
$73,000
$59,678
$68,255
$54,750
$69,003
$51,512
$117,530

$89,060
$96,360
$80,300
$76,716
$50,735
$71,540
$70,263
$69,350
$75,132
$64,145
$98,550
$106,489
$67,645
$80,300
$118,625
$73,000
$49,447
$82,125
$91,652
$91,250
$65,700
$65,700
$65,700
$47,450
$58,400
$72,088
$92,108
$87,600
$83,585
$83,950

$72,270
USA $73,000
**Numbers exclude Puerto Rico
19
Facility Care: Nursing Home (Private Room) Median Annual Cost**
TX
HI
CA
NV
CO
NM
KS
OK
NE
SD
ND
MN
IA
MO
AR
IL
KY
WI
MI
IN
OH
WV
PA
NY
VT

NH
MA
MD
DE
NJ
CT
ME
UT
AZ
OR
WA
ID
WY
MT
AK
FL
NC
SC
GA
AL
MS
TN
LA
VA
RI
DC
$232,505
$65,839
$58,900
$82,308

$93,988
$84,315
$145,818
$94,353
$96,725
$84,552
$63,875
$125,925
$60,773
$80,300
$69,350
$82,125
$60,225
$75,555
$56,721
$127,750
$95,995
$105,120
$87,600
$85,534
$55,480
$74,825
$75,008
$76,650
$80,607
$70,263
$105,120
$114,975
$75,526
$87,600

$123,005
$81,213
$53,597
$91,250
$99,280
$114,975
$71,175
$68,620
$69,806
$61,503
$67,343
$82,125
$101,507
$96,842
$93,075
$88,308
$80,391
USA $81,030
**Numbers exclude Puerto Rico
20
Homemaker
Services
(Licensed)
Hourly Rates
Home Health
Aide Services
(Licensed)
Hourly Rates
Adult Day
Health Care

Daily Rates
Nursing Home
(Private Room)
Daily Rates
Nursing Home
(Semi-Private
Room)
Daily Rates
Assisted
Living Facility
(One Bedroom –
Single Occupancy)
Monthly Rates
RATE RANGE
MINIMUM MEDIAN MAXIMUM
MEDIAN
ANNUAL RATE
1
FIVE YEAR
ANNUAL
GROWTH
2
HOME
COMMUNITY
FACILITY
USA
USA
I
Cost of Care Survey 2012
$10 $18 $32 $41,184 1%

$11 $19 $35 $43,472 1%
$15 $61 $165 $15,860 N/A
$625 $3,300 $9,750 $39,600 6%
$80 $200 $950 $73,000 5%
$100 $222 $950 $81,030 4%
21
Homemaker
Services
(Licensed)
Hourly Rates
Home Health
Aide Services
(Licensed)
Hourly Rates
Adult Day
Health Care
Daily Rates
Nursing Home
(Private Room)
Daily Rates
Nursing Home
(Semi-Private
Room)
Daily Rates
Assisted
Living Facility
(One Bedroom –
Single Occupancy)
Monthly Rates
RATE RANGE

MINIMUM MEDIAN MAXIMUM
MEDIAN
ANNUAL RATE
1
FIVE YEAR
ANNUAL
GROWTH
2
HOME
COMMUNITY
FACILITY
Alabama
Cost of Care Survey 2012
I
Alabama
$13 $16 $20 $36,494 2%
$13 $16 $22 $36,608 1%
$16 $25 $75 $6,500 N/A
$1,600 $2,948 $4,947 $35,370 7%
$130 $175 $215 $63,875 4%
$140 $180 $225 $65,839 4%
USA
I
Cost of Care Survey 2012
22
Homemaker
Services
(Licensed)
Hourly Rates
Home Health

Aide Services
(Licensed)
Hourly Rates
Adult Day
Health Care
Daily Rates
Nursing Home
(Private Room)
Daily Rates
Nursing Home
(Semi-Private
Room)
Daily Rates
Assisted
Living Facility
(One Bedroom –
Single Occupancy)
Monthly Rates
RATE RANGE
MINIMUM MEDIAN MAXIMUM
MEDIAN
ANNUAL RATE
1
FIVE YEAR
ANNUAL
GROWTH
2
HOME
COMMUNITY
FACILITY

Alaska
I
Cost of Care Survey 2012
Alaska
$24 $24 $27 $55,484 0%
$24 $25 $30 $56,628 0%
$91 $104 $128 $27,0 40 N/A
$3,285 $5,500 $8,775 $66,000 9%
$452 $750 $950 $273,750 8%
$452 $637 $950 $232,505 2%
23
Homemaker
Services
(Licensed)
Hourly Rates
Home Health
Aide Services
(Licensed)
Hourly Rates
Adult Day
Health Care
Daily Rates
Nursing Home
(Private Room)
Daily Rates
Nursing Home
(Semi-Private
Room)
Daily Rates
Assisted

Living Facility
(One Bedroom –
Single Occupancy)
Monthly Rates
RATE RANGE
MINIMUM MEDIAN MAXIMUM
MEDIAN
ANNUAL RATE
1
FIVE YEAR
ANNUAL
GROWTH
2
HOME
COMMUNITY
FACILITY
Arizona
Cost of Care Survey 2012
I
Arizona
$15 $19 $28 $43,472 2%
$15 $20 $28 $45,760 1%
$30 $82 $102 $21,190 N/A
$1,500 $3,100 $6,500 $37, 20 0 4%
$155 $186 $262 $67,70 8 3%
$168 $226 $319 $82,308 3%
Alaska
I
Cost of Care Survey 2012