Cost of Care Survey 2012
130568 04/20/12
Genworth 2012Cost of Care SurveyHome 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.
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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.
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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
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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
GROWTH1
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
GROWTH1
1.09%
NATIONAL MEDIAN
DAILY RATE
$61
FIvE-YEAR ANNUAL
GROWTH1
5.71%
FIvE-YEAR ANNUAL
GROWTH1
4.5%
FIvE-YEAR ANNUAL
GROWTH1
4.28%
FIvE-YEAR ANNUAL
GROWTH1
N/A
HO
Me
FAC
ILIT
Y
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.
CO
MM
UN
ITY
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.
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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
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Cost of Care Survey 2012
Let’s Talk: Conversations that Make a DifferenceIt can be difficult to talk to parents, spouses orpartners, children and other loved ones aboutwhat 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 CaringThis seminal report articulates the findings of aresearch study on the circle of care and the impacton the many people within it. The most surprisingrealization 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 personalinvolvement in a long term care event lastingmore 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 andperspectives of the individuals who participatedin the survey, provided in their own words.
B e y o n D D o l l a R 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 responsibility 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 heartfelt our promises are, our caregiving commitments can affect marriages, family dynamics, work commitments, financial stability 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 step.
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 potential impact of caregiving on all aspects of your life.
Planning ahead for ways to mitigate costs or share caregiving responsibilities is worthy of every family’s consideration.
2
The True Impact of Long Term CaringResearch 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 TalkConversations that make a difference
Long Term Care
5
Reality Check7 things you should
know about your
loved ones
7
Listen & Learn3 things you can do
today to become a
better listener
11 Family is FamilyGet to the heart
of the matter
14
Real PeopleLearn from the
experience of others
INSIDE
48683 12/20/11
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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 ServicesThis 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 AidesPersonal 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 CareNursing 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.
MedicareGenerally, 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.
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Cost of Care Survey 2012
MedicaidMedicaid (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.
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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, illustratesthe 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
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
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Ad
ult D
ay H
ealt
h C
are
Med
ian
Ann
ual C
ost
**
USA
$15
,860
**N
umb
ers
excl
ude
Puer
to R
ico
17
TX
HI
CA
NV
CO
NM
KS
OK
NE
SD
ND
MN
IA
MO
AR
IL
KY
WI
MI
INO
H
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 $2
9,02
5
$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$4
6,80
0
$51,
000
$44,
400
$36,
000
$39,
570
Faci
lity
Car
e: A
ssis
ted
Liv
ing
Fac
ility
(One
Bed
roo
m -
Sing
le O
ccup
ancy
) Med
ian
Ann
ual C
ost
*
USA
$39
,600
*Num
ber
s in
clud
e Pu
erto
Ric
o
18
Faci
lity
Car
e: N
ursi
ng H
om
e (S
emi-P
riva
te R
oo
m) M
edia
n A
nnua
l Co
st**
TX
HI
CA
NV
CO
NM
KS
OK
NE
SD
ND
MN
IA
MO
AR
IL
KY
WI
MI
INO
H
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 $5
0,73
5
$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$9
2,10
8
$87,
600
$83,
585
$83,
950
$72,
270
USA
$73
,000
**N
umb
ers
excl
ude
Puer
to R
ico
19
Faci
lity
Car
e: N
ursi
ng H
om
e (P
riva
te R
oo
m) M
edia
n A
nnua
l Co
st**
TX
HI
CA
NV
CO
NM
KS
OK
NE
SD
ND
MN
IA
MO
AR
IL
KY
WI
MI
INO
H
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 $5
5,48
0
$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$1
01,5
07
$96,
842
$93,
075
$88,
308
$80,
391
USA
$81
,030
**N
umb
ers
excl
ude
Puer
to R
ico
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Alaska I Cost of Care Survey 2012
Alaska
$24 $24 $27 $55,484 0%
$24 $25 $30 $56,628 0%
$91 $104 $128 $27,040 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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
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 $37,200 4%
$155 $186 $262 $67,708 3%
$168 $226 $319 $82,308 3%
Alaska I Cost of Care Survey 2012
24
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Arkansas I Cost of Care Survey 2012
Arkansas
$15 $17 $20 $38,667 2%
$15 $17 $20 $38,896 3%
$61 $64 $85 $16,640 N/A
$1,226 $2,810 $4,725 $33,720 12%
$103 $147 $200 $53,593 5%
$110 $161 $260 $58,900 5%
25
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
California
Cost of Care Survey 2012 I California
$17 $21 $29 $48,620 2%
$17 $23 $29 $51,480 2%
$43 $77 $165 $20,020 N/A
$900 $3,500 $9,750 $42,000 5%
$152 $224 $450 $81,760 6%
$175 $258 $486 $93,988 4%
Arkansas I Cost of Care Survey 2012
26
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Colorado I Cost of Care Survey 2012
Colorado
$14 $20 $28 $44,616 2%
$14 $21 $29 $47,201 1%
$51 $62 $90 $16,120 N/A
$2,000 $3,703 $6,517 $44,433 8%
$158 $206 $265 $75,190 4%
$164 $231 $303 $84,315 4%
27
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Connecticut
Cost of Care Survey 2012 I Connecticut
$12 $19 $28 $43,472 0%
$14 $21 $30 $48,048 1%
$68 $75 $87 $19,500 N/A
$1,422 $4,475 $8,050 $53,700 3%
$275 $370 $490 $135,050 4%
$305 $400 $524 $145,818 4%
Colorado I Cost of Care Survey 2012
28
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Delaware I Cost of Care Survey 2012
Delaware
$18 $21 $23 $48,048 0%
$18 $23 $27 $52,624 2%
$50 $75 $78 $19,500 N/A
$3,325 $5,269 $6,030 $63,228 10%
$215 $250 $282 $91,250 5%
$228 $265 $292 $96,725 5%
29
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
District of Columbia
Cost of Care Survey 2012 I District of Columbia
N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A
$90 $100 $110 $26,000 N/A
$2,500 $2,500 $2,500 $30,000 9%
$235 $237 $242 $86,323 3%
$250 $259 $269 $94,353 3%
Delaware I Cost of Care Survey 2012
30
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Florida I Cost of Care Survey 2012
Florida
$13 $17 $27 $38,896 3%
$13 $18 $28 $41,184 2%
$15 $59 $80 $15,340 N/A
$750 $2,750 $7,920 $33,000 3%
$160 $215 $352 $78,475 3%
$185 $232 $379 $84,552 3%
31
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Georgia
Cost of Care Survey 2012 I Georgia
$11 $17 $25 $38,896 1%
$12 $17 $28 $38,896 1%
$20 $60 $86 $15,600 N/A
$850 $2,500 $6,000 $30,000 5%
$124 $163 $243 $59,495 4%
$132 $175 $258 $63,875 4%
Florida I Cost of Care Survey 2012
32
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Hawaii I Cost of Care Survey 2012
Hawaii
$17 $22 $29 $50,336 2%
$22 $25 $29 $57,772 3%
$42 $67 $80 $17,420 N/A
$2,150 $3,750 $6,500 $45,000 13%
$258 $320 $410 $116,800 3%
$272 $345 $425 $125,925 4%
33
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Idaho
Cost of Care Survey 2012 I Idaho
$15 $18 $21 $41,184 3%
$16 $19 $24 $42,328 4%
$64 $96 $140 $24,960 N/A
$1,900 $3,214 $4,500 $38,568 8%
$175 $200 $275 $73,000 4%
$185 $220 $300 $80,300 4%
Hawaii I Cost of Care Survey 2012
34
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Illinois I Cost of Care Survey 2012
Illinois
$15 $20 $27 $44,616 2%
$15 $20 $27 $45,760 1%
$17 $65 $110 $16,900 N/A
$1,700 $4,057 $7,475 $48,678 6%
$105 $164 $293 $59,678 5%
$123 $190 $375 $69,350 5%
35
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Indiana
Cost of Care Survey 2012 I Indiana
$12 $18 $24 $41,184 1%
$16 $19 $27 $43,472 1%
$45 $65 $96 $16,900 N/A
$1,600 $3,620 $5,820 $43,440 7%
$130 $187 $283 $68,255 6%
$145 $225 $326 $82,125 6%
Illinois I Cost of Care Survey 2012
36
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Iowa I Cost of Care Survey 2012
Iowa
$18 $20 $23 $44,639 2%
$18 $21 $25 $47,476 3%
$33 $53 $100 $13,780 N/A
$868 $2,939 $4,650 $35,268 5%
$110 $152 $200 $55,480 5%
$120 $167 $224 $60,773 4%
37
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Kansas
Cost of Care Survey 2012 I Kansas
$15 $18 $22 $41,184 2%
$15 $18 $22 $41,184 0%
$50 $70 $75 $18,200 N/A
$2,050 $3,501 $6,675 $42,015 7%
$125 $150 $209 $54,750 5%
$131 $165 $250 $60,225 5%
Iowa I Cost of Care Survey 2012
38
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Kentucky I Cost of Care Survey 2012
Kentucky
$12 $17 $25 $38,896 2%
$12 $17 $25 $38,896 2%
$34 $59 $72 $15,288 N/A
$1,134 $2,741 $6,200 $32,892 3%
$135 $189 $259 $69,003 4%
$161 $207 $295 $75,555 4%
39
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Louisiana
Cost of Care Survey 2012 I Louisiana
$12 $15 $23 $34,320 3%
$12 $15 $23 $34,320 1%
$50 $60 $87 $15,600 N/A
$1,950 $3,100 $4,650 $37,200 7%
$106 $141 $167 $51,512 5%
$113 $155 $211 $56,721 6%
Kentucky I Cost of Care Survey 2012
40
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Maine
$15 $20 $27 $45,760 1%
$16 $22 $27 $50,336 0%
$72 $96 $120 $24,960 N/A
$1,800 $4,500 $9,420 $54,000 6%
$212 $264 $318 $96,360 5%
$237 $288 $343 $105,120 5%
Maine I Cost of Care Survey 2012
41
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Maryland
Cost of Care Survey 2012 I Maryland
$12 $19 $23 $43,472 3%
$14 $20 $35 $45,760 3%
$48 $76 $96 $19,825 N/A
$900 $3,200 $8,550 $38,400 6%
$190 $244 $330 $89,060 4%
$200 $263 $434 $95,995 5%
Maine I Cost of Care Survey 2012
42
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Massachusetts I Cost of Care Survey 2012
Massachusetts
$17 $23 $31 $51,480 2%
$19 $25 $31 $56,056 2%
$40 $61 $85 $15,941 N/A
$1,500 $4,588 $7,500 $55,050 1%
$227 $322 $410 $117,530 4%
$260 $350 $441 $127,750 4%
43
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Michigan
Cost of Care Survey 2012 I Michigan
$12 $19 $23 $42,625 1%
$15 $20 $24 $45,714 2%
$27 $71 $136 $18,460 N/A
$625 $2,713 $6,150 $32,550 6%
$168 $220 $306 $80,300 4%
$168 $240 $423 $87,600 5%
Massachusetts I Cost of Care Survey 2012
44
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Minnesota I Cost of Care Survey 2012
Minnesota
$13 $22 $31 $50,336 2%
$15 $25 $35 $57,772 2%
$46 $75 $160 $19,500 N/A
$846 $3,136 $6,100 $37,632 2%
$148 $210 $325 $76,716 11%
$150 $234 $363 $85,534 10%
45
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Mississippi
Cost of Care Survey 2012 I Mississippi
$13 $17 $18 $37,752 7%
$13 $17 $18 $37,752 7%
$25 $50 $95 $13,000 N/A
$1,800 $2,925 $4,950 $35,100 10%
$150 $196 $250 $71,540 5%
$155 $205 $265 $74,825 5%
Minnesota I Cost of Care Survey 2012
46
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Missouri I Cost of Care Survey 2012
Missouri
$15 $18 $25 $41,184 1%
$17 $18 $25 $41,916 0%
$40 $72 $84 $18,720 N/A
$1,500 $2,419 $5,970 $29,025 4%
$108 $139 $171 $50,735 4%
$116 $152 $213 $55,480 4%
47
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Montana
Cost of Care Survey 2012 I Montana
$16 $19 $22 $44,044 3%
$18 $21 $22 $47,476 3%
$35 $80 $108 $20,800 N/A
$2,000 $3,150 $5,070 $37,800 6%
$165 $193 $229 $70,263 5%
$170 $206 $255 $75,008 6%
Missouri I Cost of Care Survey 2012
48
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Nebraska I Cost of Care Survey 2012
Nebraska
$17 $19 $23 $44,341 4%
$19 $21 $23 $46,996 1%
$17 $53 $120 $13,650 N/A
$1,863 $3,250 $5,151 $39,000 8%
$123 $176 $240 $64,145 7%
$133 $193 $317 $70,263 7%
49
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Nevada
Cost of Care Survey 2012 I Nevada
$17 $20 $24 $45,760 1%
$17 $21 $24 $48,048 1%
$60 $66 $73 $17,225 N/A
$1,600 $2,995 $5,010 $35,940 5%
$173 $220 $293 $80,300 5%
$195 $240 $320 $87,600 4%
Nebraska I Cost of Care Survey 2012
50
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
New Hampshire I Cost of Care Survey 2012
New Hampshire
$14 $23 $26 $51,480 2%
$14 $24 $27 $53,768 0%
$51 $63 $78 $16,258 N/A
$2,100 $4,000 $8,224 $48,000 6%
$220 $270 $320 $98,550 2%
$230 $288 $354 $105,120 1%
51
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
New Jersey
Cost of Care Survey 2012 I New Jersey
$15 $20 $28 $44,616 2%
$16 $21 $28 $46,904 2%
$72 $80 $105 $20,800 N/A
$3,160 $5,713 $7,437 $68,556 9%
$231 $292 $375 $106,489 4%
$249 $315 $421 $114,975 4%
New Hampshire I Cost of Care Survey 2012
52
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
New Mexico I Cost of Care Survey 2012
New Mexico
$15 $18 $23 $41,184 2%
$15 $20 $23 $45,188 3%
$36 $112 $152 $29,120 N/A
$2,069 $3,500 $5,125 $42,000 7%
$140 $185 $236 $67,645 4%
$146 $207 $274 $75,526 5%
53
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
New York
Cost of Care Survey 2012 I New York
$13 $20 $30 $45,760 3%
$14 $22 $30 $50,336 3%
$15 $55 $140 $14,300 N/A
$1,205 $3,700 $8,767 $44,400 6%
$210 $325 $525 $118,625 3%
$219 $337 $555 $123,005 3%
New Mexico I Cost of Care Survey 2012
54
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
North Carolina I Cost of Care Survey 2012
North Carolina
$12 $17 $25 $37,752 -1%
$13 $18 $25 $40,040 -1%
$22 $52 $146 $13,520 N/A
$1,158 $2,900 $6,865 $34,800 3%
$114 $190 $264 $69,350 4%
$125 $210 $350 $76,650 5%
55
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
North Dakota
Cost of Care Survey 2012 I North Dakota
$22 $24 $24 $54,775 9%
$22 $24 $24 $54,775 7%
$28 $53 $112 $13,775 N/A
$1,290 $2,730 $3,945 $32,760 7%
$164 $206 $300 $75,132 10%
$174 $221 $318 $80,607 10%
North Carolina I Cost of Care Survey 2012
56
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Ohio I Cost of Care Survey 2012
Ohio
$12 $19 $32 $42,328 1%
$14 $19 $32 $43,197 2%
$30 $50 $99 $12,870 N/A
$1,550 $3,713 $6,660 $44,550 9%
$129 $200 $277 $73,000 4%
$143 $223 $339 $81,213 4%
57
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Oklahoma
Cost of Care Survey 2012 I Oklahoma
$12 $17 $32 $38,896 1%
$15 $19 $32 $42,900 2%
$45 $53 $62 $13,780 N/A
$1,650 $2,751 $4,425 $33,015 5%
$103 $135 $170 $49,447 3%
$105 $147 $220 $53,597 3%
Ohio I Cost of Care Survey 2012
58
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Oregon I Cost of Care Survey 2012
Oregon
$16 $20 $31 $45,760 2%
$16 $21 $31 $48,048 1%
$64 $97 $100 $25,155 N/A
$1,131 $3,850 $6,401 $46,200 7%
$145 $225 $275 $82,125 5%
$155 $250 $339 $91,250 5%
59
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Pennsylvania
Cost of Care Survey 2012 I Pennsylvania
$13 $20 $29 $44,616 2%
$14 $20 $32 $45,760 2%
$30 $55 $160 $14,300 N/A
$1,028 $3,251 $7,140 $39,015 9%
$180 $251 $356 $91,652 4%
$190 $272 $418 $99,280 4%
Oregon I Cost of Care Survey 2012
60
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Puerto Rico I Cost of Care Survey 2012
Puerto Rico
$13 $14 $15 $31,918 N/A
$13 $14 $15 $31,918 N/A
N/A N/A N/A N/A N/A
$1,100 $1,400 $2,425 $16,800 N/A
N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A
61
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Rhode Island
Cost of Care Survey 2012 I Rhode Island
$15 $20 $28 $45,760 4%
$20 $24 $30 $54,912 2%
$59 $71 $84 $18,525 N/A
$1,186 $3,898 $4,890 $46,770 9%
$220 $250 $306 $91,250 5%
$250 $315 $350 $114,975 6%
Puerto Rico I Cost of Care Survey 2012
62
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
South Carolina I Cost of Care Survey 2012
South Carolina
$13 $17 $23 $38,896 2%
$14 $18 $26 $40,681 2%
$30 $50 $69 $13,000 N/A
$1,100 $2,875 $5,937 $34,500 2%
$130 $180 $226 $65,700 4%
$155 $195 $294 $71,175 4%
63
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
South Dakota
Cost of Care Survey 2012 I South Dakota
$17 $20 $24 $45,760 5%
$18 $20 $25 $45,760 3%
$22 $29 $35 $7,457 N/A
$1,700 $2,746 $4,500 $32,955 6%
$141 $180 $215 $65,700 6%
$144 $188 $231 $68,620 6%
South Carolina I Cost of Care Survey 2012
64
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Tennessee I Cost of Care Survey 2012
Tennessee
$13 $17 $25 $37,752 1%
$13 $17 $28 $39,422 1%
$15 $55 $80 $14,300 N/A
$1,275 $3,304 $6,206 $39,645 7%
$140 $180 $240 $65,700 4%
$150 $191 $335 $69,806 4%
65
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Texas
Cost of Care Survey 2012 I Texas
$10 $17 $28 $38,896 1%
$11 $18 $33 $41,184 1%
$22 $34 $85 $8,754 N/A
$1,200 $3,200 $6,500 $38,400 5%
$80 $130 $260 $47,450 4%
$100 $169 $317 $61,503 3%
Tennessee I Cost of Care Survey 2012
66
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Utah I Cost of Care Survey 2012
Utah
$14 $20 $26 $45,188 5%
$15 $21 $28 $48,048 2%
$41 $45 $50 $11,700 N/A
$1,825 $2,650 $4,600 $31,800 5%
$108 $160 $225 $58,400 3%
$125 $185 $350 $67,343 4%
67
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
vermont
Cost of Care Survey 2012 I Vermont
$19 $21 $23 $46,904 0%
$19 $21 $23 $48,048 -1%
$16 $132 $150 $34,190 N/A
$2,100 $3,900 $7,750 $46,800 9%
$227 $252 $315 $92,108 4%
$237 $278 $362 $101,507 5%
Utah I Cost of Care Survey 2012
68
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Virginia I Cost of Care Survey 2012
virginia
$12 $18 $28 $40,612 2%
$12 $18 $28 $41,756 2%
$46 $55 $90 $14,300 N/A
$1,000 $3,481 $8,130 $41,775 6%
$156 $198 $295 $72,088 5%
$162 $225 $316 $82,125 5%
69
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Washington
Cost of Care Survey 2012 I Washington
$16 $22 $28 $49,192 2%
$16 $22 $29 $50,336 1%
$35 $59 $136 $15,379 N/A
$1,395 $4,250 $9,750 $51,000 7%
$180 $240 $350 $87,600 4%
$194 $265 $396 $96,842 5%
Virginia I Cost of Care Survey 2012
70
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
West Virginia I Cost of Care Survey 2012
West virginia
$14 $15 $22 $34,320 1%
$14 $16 $22 $36,608 3%
$38 $52 $72 $13,390 N/A
$1,700 $3,000 $6,330 $36,000 6%
$140 $230 $307 $83,950 5%
$145 $242 $312 $88,308 4%
71
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Wisconsin
Cost of Care Survey 2012 I Wisconsin
$17 $20 $31 $44,616 2%
$17 $21 $31 $48,048 2%
$25 $58 $93 $14,973 N/A
$1,724 $3,700 $6,275 $44,400 7%
$165 $229 $324 $83,585 6%
$176 $255 $355 $93,075 6%
West Virginia I Cost of Care Survey 2012
72
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
MEDIANANNUAL RATE1
FIVE YEARANNUAL
GROWTH2
HO
Me
CO
MM
UN
ITY
FAC
ILIT
Y
Wyoming I Cost of Care Survey 2012
Wyoming
$18 $20 $23 $45,760 N/A
$19 $21 $23 $46,904 N/A
$54 $56 $60 $14,495 N/A
$2,350 $3,298 $4,605 $39,570 6%
$165 $198 $232 $72,270 5%
$175 $220 $312 $80,391 6%
73
Cost of Care Survey 2012
Data Table End Notes (For Non-Data Table End Notes, See Page 90)
1 Median Annual Rates are calculated based on the following: Homemaker Services - hourly rate multiplied by 44 hours per week, multiplied by 52 weeks Home Health Aide Services - hourly rate multiplied by 44 hours per week, multiplied by 52 weeks Adult Day Health Care - daily rate multiplied by 5 days per week, multiplied by 52 weeks Assisted Living Facility - monthly rate multiplied by 12 months Nursing Home - daily rate multiplied by 365 days2 Represents the compound annual growth rate based on Genworth Cost of Care Survey data from 2007 to 2012.
Wyoming I Cost of Care Survey 2012
74
State Name State or Region Counties
Region Definitions
Appendix — Regions I Cost of Care Survey 2012
Alabama AL - Anniston-Oxford Calhoun
AL - Auburn-Opelika Lee
AL - Birmingham-Hoover Bibb, Blount, Chilton, Jefferson, Shelby, St. Clair, Walker
AL - Decatur Lawrence, Morgan
AL - Dothan Geneva, Henry, Houston
AL - Florence-Muscle Shoals
Colbert, Lauderdale
AL - Gadsden Etowah
AL - Huntsville Limestone, Madison
AL - Mobile Mobile
AL - Montgomery Autauga, Elmore, Lowndes, Montgomery
AL - Tuscaloosa Greene, Hale, Tuscaloosa
AL - Rest of State Remaining counties
Alaska AK - Anchorage Anchorage Municipality, Matanuska-Susitna Borough
AK - Fairbanks Fairbanks North Star Borough
AK - Rest of State Remaining counties
Arizona AZ - Flagstaff Coconino
AZ - Lake Havasu City-Kingman
Mohave
AZ - Phoenix-Mesa-Glendale
Maricopa, Pinal
AZ - Prescott Yavapai
AZ - Tucson Pima
AZ - Yuma Yuma
AZ - Rest of State Remaining counties
Arkansas AR - Hot Springs Garland
AR - Jonesboro Craighead, Poinsett
AR - Little Rock-North Little Rock-Conway
Faulkner, Grant, Lonoke, Perry, Pulaski, Saline
AR - Pine Bluff Cleveland, Jefferson, Lincoln
AR/MO - Fayetteville-Springdale-Rogers
Benton, Madison, McDonald, Washington
AR/OK - Fort Smith Crawford, Franklin, Le Flore (OK), Sebastian, Sequoyah
AR - Rest of State Remaining counties
California CA - Bakersfield-Delano Kern
CA - Chico Butte
CA - East Bay Alameda
CA - El Centro Imperial
CA - Fresno Fresno
CA - Hanford-Corcoran Kings
CA - Los Angeles Los Angeles
75
State Name State or Region Counties
Region Definitions
Cost of Care Survey 2012 I Appendix — Regions
California (cont.) CA - Madera-Chowchilla Madera
CA - Merced Merced
CA - Modesto El Dorado, Nevada, Placer, Sacramento, San Joaquin, Solano, Sutter, Yolo
CA - Napa Monterey, San Benito, San Luis Obispo
CA - Orange Orange
CA - Oxnard-Thousand Oaks-ventura
Alameda, Contra Costa, Marin, Mendocino, Monterey, Napa, Sacramento, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Solano, Sonoma
CA - Redding San Luis Obispo
CA - Riverside-San Bernardino-Ontario
San Luis Obispo, Santa Barbara
CA - Sacramento—Arden-Arcade—Roseville
Alameda, Calaveras, San Joaquin
CA - Salinas Tulare
CA - San Diego Imperial, Orange, San Diego
CA - San Diego- Carlsbad-San Marcos
San Diego
CA - San Francisco San Francisco
CA - San Jose-Sunnyvale-Santa Clara
San Benito, Santa Clara
CA - San Luis Obispo-Paso Robles
San Luis Obispo
CA - San Mateo San Mateo
CA - Santa Barbara- Santa Maria-Goleta
Santa Barbara
CA - Santa Cruz-Watsonville Santa Cruz
CA - Santa Rosa-Petaluma Marin, Sonoma
CA - Stockton San Joaquin
CA - vallejo-Fairfield Solano
CA - visalia-Porterville Tulare
CA - Yuba City Sutter, Yuba
CA - Rest of State Remaining counties
Colorado CO - Boulder Boulder
CO - Colorado Springs El Paso, Teller
CO - Denver-Aurora-Broomfield
Adams, Arapahoe, Broomfield, Clear Creek, Denver, Douglas, Elbert, Gilpin, Jefferson, Park
CO - Fort Collins- Loveland
Larimer
CO - Grand Junction Mesa
CO - Greeley Weld
CO - Pueblo Pueblo
CO - Rest of State Remaining counties
76
State Name State or Region Counties
Region Definitions
Appendix — Regions I Cost of Care Survey 2012
Connecticut CT - Bridgeport- Stamford-Norwalk
Fairfield
CT - Hartford-West Hartford-East Hartford
Hartford, Middlesex, Tolland
CT - New Haven-Milford New Haven
CT - Norwich-New London
New London
CT - Rest of State Remaining counties
Delaware DE - Dover Kent
DE - Rest of State Remaining counties
District of Columbia
DC/vA/MD/Wv - Washington-Arlington-Alexandria
Alexandria City, Arlington, Calvert, Charles, Clarke, District of Columbia, Fairfax, Fairfax City, Falls Church City, Fauquier, Fredericksburg City, Jefferson, Loudoun, Manassas City, Manassas Park City, Prince George’s, Prince William, Spotsylvania, Stafford, Warren
DC - Rest of State Remaining counties
Florida FL - Cape Coral-Fort Myers
Lee
FL - Crestview-Fort Walton Beach-Destin
Okaloosa
FL - Deltona-Daytona Beach-Ormond Beach
volusia
FL - Gainesville Alachua, Gilchrist
FL - Jacksonville Baker, Clay, Duval, Nassau, St. Johns
FL - Lakeland-Winter Haven
Polk
FL - Miami-Fort Lauderdale-Pompano Beach
Broward, Miami-Dade, Palm Beach
FL - Naples-Marco Island Collier
FL - North Port-Bradenton-Sarasota
Manatee, Sarasota
FL - Ocala Marion
FL - Orlando-Kissimmee-Sanford
Lake, Orange, Osceola, Seminole
FL - Palm Bay-Melbourne-Titusville
Brevard
FL - Palm Coast Flagler
FL - Panama City-Lynn Haven-Panama City Beach
Bay
FL - Pensacola-Ferry Pass-Brent
Escambia, Santa Rosa
FL - Port St. Lucie Martin, St. Lucie
FL - Punta Gorda Charlotte
FL - Sebastian-vero Beach
Indian River
FL - Tallahassee Gadsden, Jefferson, Leon, Wakulla
77
State Name State or Region Counties
Region Definitions
Florida (cont.) FL - Tampa- St. Petersburg-Clearwater
Hernando, Hillsborough, Pasco, Pinellas
FL - Rest of State Remaining counties
Georgia GA - Albany Baker, Dougherty, Lee, Mitchell, Sumter, Terrell, Worth
GA - Athens-Clarke Clarke, Madison, Oconee, Oglethorpe
GA - Atlanta-Sandy Springs-Marietta
Barrow, Bartow, Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, Dawson, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Haralson, Heard, Henry, Jasper, Lamar, Meriwether, Newton, Paulding, Pickens, Pike, Rockdale, Spalding, Walton
GA - Gainesville Hall
GA - Hinesville-Fort Stewart
Liberty, Long
GA - Macon Bibb, Crawford, Jones, Monroe, Twiggs
GA - Rome Floyd
GA - Savannah Bryan, Chatham, Effingham
GA - valdosta Brooks, Echols, Lanier, Lowndes
GA - Warner Robins Houston
GA/AL - Columbus Chattahoochee, Harris, Marion, Muscogee, Russell
GA/AL - Dalton Murray, Whitfield
GA/SC - Augusta- Richmond
Aiken, Burke, Columbia, Edgefield, McDuffie, Richmond
GA/SC - Brunswick Brantley, Glynn, McIntosh
GA - Rest of State Remaining counties
Hawaii HI - Honolulu Honolulu
HI - Rest of State Remaining counties
Idaho ID - Boise City-Nampa Ada, Boise, Canyon, Gem, Owyhee
ID - Coeur d’Alene Kootenai
ID - Idaho Falls Bonneville, Jefferson
ID - Pocatello Bannock, Power
ID/WA - Lewiston Asotin, Nez Perce
ID - Rest of State Remaining counties
Illinois IL - Bloomington-Normal McLean
IL - Champaign-Urbana Champaign, Ford, Piatt
IL - Danville vermilion
IL - Decatur Macon
IL - Kankakee-Bradley Kankakee
IL - Peoria Marshall, Peoria, Stark, Tazewell, Woodford
IL - Rockford Boone, Winnebago
IL - Springfield Menard, Sangamon
IL/IN/WI - Chicago- Joliet-Naperville
Cook, DeKalb, DuPage, Grundy, Jasper, Kane, Kendall, Kenosha, Lake (IL), Lake (IN), McHenry, Newton, Porter, Will
IL - Rest of State Remaining counties
Cost of Care Survey 2012 I Appendix — Regions
78
State Name State or Region Counties
Region Definitions
Appendix — Regions I Cost of Care Survey 2012
Indiana IN - Anderson Madison
IN - Bloomington Greene, Monroe, Owen
IN - Columbus Bartholomew
IN - Elkhart-Goshen Elkhart
IN - Fort Wayne Allen, Wells, Whitley
IN - Indianapolis-Carmel Boone, Brown, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, Putnam, Shelby
IN - Kokomo Howard, Tipton
IN - Lafayette Benton, Carroll, Tippecanoe
IN - Michigan City- La Porte
LaPorte
IN - Muncie Delaware
IN - Terre Haute Clay, Sullivan, vermillion, vigo
IN/KY - Evansville Gibson, Henderson, Posey, vanderburgh, Warrick, Webster
IN/MI - South Bend- Mishawaka
Cass, St. Joseph
IN - Rest of State Remaining counties
Iowa IA - Ames Story
IA - Cedar Rapids Benton, Jones, Linn
IA - Des Moines-West Des Moines
Dallas, Guthrie, Madison, Polk, Warren
IA - Dubuque Dubuque
IA - Iowa City Johnson, Washington
IA - Waterloo- Cedar Falls
Black Hawk, Bremer, Grundy
IA/IL - Davenport- Moline-Rock Island
Henry, Mercer, Rock Island, Scott
IA/NE/SD - Sioux City Dakota, Dixon, Union, Woodbury
IA - Rest of State Remaining counties
Kansas KS - Lawrence Douglas
KS - Manhattan Geary, Pottawatomie, Riley
KS - Topeka Jackson, Jefferson, Osage, Shawnee, Wabaunsee
KS - Wichita Butler, Harvey, Sedgwick, Sumner
KS - Rest of State Remaining counties
Kentucky KY - Bowling Green Edmonson, Warren
KY - Elizabethtown Hardin, Larue
KY - Lexington-Fayette Bourbon, Clark, Fayette, Jessamine, Scott, Woodford
KY - Owensboro Daviess, Hancock, McLean
KY/IN - Louisville-Jefferson
Bullitt, Clark, Floyd, Harrison, Henry, Jefferson, Meade, Nelson, Oldham, Shelby, Spencer, Trimble, Washington
KY - Rest of State Remaining counties
79
State Name State or Region Counties
Region Definitions
Cost of Care Survey 2012 I Appendix — Regions
Louisiana LA - Alexandria Grant Parish, Rapides Parish
LA - Baton Rouge Ascension Parish, East Baton Rouge Parish, East Feliciana Parish, Iberville Parish, Livingston Parish, Pointe Coupee Parish, St. Helena Parish, West Baton Rouge Parish, West Feliciana Parish
LA - Houma-Bayou Cane-Thibodaux
Lafourche Parish, Terrebonne Parish
LA - Lafayette Lafayette Parish, St. Martin Parish
LA - Lake Charles Calcasieu Parish, Cameron Parish
LA - Monroe Ouachita Parish, Union Parish
LA - New Orleans- Metairie-Kenner
Jefferson Parish, Orleans Parish, Plaquemines Parish, St. Bernard Parish, St. Charles Parish, St. John the Baptist Parish, St. Tammany Parish
LA - Shreveport-Bossier Bossier Parish, Caddo Parish, DeSoto Parish
LA - Rest of State Remaining counties
Maine ME - Bangor Penobscot
ME - Lewiston-Auburn Androscoggin
ME - Portland-South Portland-Biddeford
Cumberland, Sagadahoc, York
ME - Rest of State Remaining counties
Maryland MD - Baltimore-Towson Anne Arundel, Baltimore, Baltimore City, Carroll, Harford, Howard, Queen Anne’s
MD - Bethesda Frederick, Montgomery
MD - Salisbury Somerset, Wicomico
MD/Wv - Cumberland Frederick, Montgomery
MD/Wv - Hagerstown- Martinsburg
Berkley, Morgan, Washington
MD - Rest of State Remaining counties
Massachusetts MA - Barnstable Town Barnstable
MA - Pittsfield Berkshire
MA - Springfield Franklin, Hampden, Hampshire
MA - Worcester Worcester
MA/NH - Boston- Cambridge-Quincy
Essex, Middlesex, Norfolk, Plymouth, Rockingham, Strafford, Suffolk
MA - Rest of State Remaining counties
Michigan MI - Ann Arbor Washtenaw
MI - Battle Creek Calhoun
MI - Bay City Bay
MI - Detroit-Warren-Livonia
Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne
MI - Flint Genesee
MI - Grand Rapids- Wyoming
Barry, Ionia, Kent, Newaygo
MI - Holland-Grand Haven
Ottawa
80
State Name State or Region Counties
Region Definitions
Appendix — Regions I Cost of Care Survey 2012
Michigan (cont.) MI - Jackson Jackson
MI - Kalamazoo-Portage Kalamazoo, van Buren
MI - Lansing-East Lansing
Clinton, Eaton, Ingham
MI - Monroe Monroe
MI - Muskegon-Norton Shores
Muskegon
MI - Niles-Benton Harbor Berrien
MI - Saginaw-Saginaw Township North
Saginaw
MI - Rest of State Remaining counties
Minnesota MN - Mankato-North Mankato
Blue Earth, Nicollet
MN - Rochester Dodge, Olmsted, Wabasha
MN - St. Cloud Benton, Stearns
MN/WI - Duluth Carlton, Douglas, St. Louis
MN/WI - Minneapolis- St. Paul-Bloomington
Anoka, Carver, Chisago, Dakota, Hennepin, Isanti, Pierce, Ramsey, Scott, Sherburne, St. Croix, Washington, Wright
MN - Rest of State Remaining counties
Mississippi MS - Biloxi-Gulfport Hancock, Harrison, Stone
MS - Hattiesburg Forrest, Lamar, Perry
MS - Jackson Copiah, Hinds, Madison, Rankin, Simpson
MS - Pascagoula George, Jackson
MS - Rest of State Remaining counties
Missouri MO - Columbia Boone, Howard
MO - Jefferson City Callaway, Cole, Moniteau, Osage
MO - Joplin Jasper, Newton
MO - Springfield Christian, Dallas, Greene, Polk, Webster
MO/IL - Cape Girardeau-Jackson
Alexander, Bollinger, Cape Girardeau
MO/IL - St. Louis Bond, Calhoun, Clinton, Crawford, Franklin, Jefferson, Jersey, Lincoln, Macoupin, Madison, Monroe, St. Charles, St. Clair, St. Louis, St. Louis City, Warren, Washington
MO/KS - Kansas City Bates, Caldwell, Cass, Clay, Clinton, Franklin, Jackson, Johnson, Lafayette, Leavenworth, Linn, Miami, Platte, Ray, Wyandotte
MO/KS - St. Joseph Andrew, Buchanan, DeKalb, Doniphan
MO - Rest of State Remaining counties
Montana MT - Billings Carbon, Yellowstone
MT - Great Falls Cascade
MT - Missoula Missoula
MT - Rest of State Remaining counties
Nebraska NE - Lincoln Lancaster, Seward
NE/IA - Omaha- Council Bluffs
Cass, Douglas, Harrison, Mills, Pottawattamie, Sarpy, Saunders, Washington
81
State Name State or Region Counties
Region Definitions
Cost of Care Survey 2012 I Appendix — Regions
Nebraska (cont.) NE - Rest of State Remaining counties
Nevada Nv - Carson City Carson City
Nv - Las vegas-Paradise Clark
Nv - Reno-Sparks Storey, Washoe
Nv - Rest of State Remaining counties
New Hampshire NH - Manchester-Nashua Hillsborough
NH - Rest of State Remaining counties
New Jersey NJ - Atlantic City-Hammonton
Atlantic
NJ - Northern New Jersey
Bergen, Essex, Hudson, Hunterdon, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex, Union
NJ - Ocean City Cape May
NJ - Trenton-Ewing Mercer
NJ - vineland-Millville-Bridgeton
Cumberland
NJ - Rest of State Remaining counties
New Mexico NM - Albuquerque Bernalillo, Sandoval, Torrance, valencia
NM - Farmington San Juan
NM - Las Cruces Dona Ana
NM - Santa Fe Santa Fe
NM - Rest of State Remaining counties
New York NY - Albany- Schenectady-Troy
Albany, Rensselaer, Saratoga, Schenectady, Schoharie
NY - Binghamton Broome, Tioga
NY - Bronx Bronx
NY - Brooklyn Kings
NY - Buffalo-Niagara Falls
Erie, Niagara
NY - Elmira Chemung
NY - Glens Falls Warren, Washington
NY - Ithaca Tompkins
NY - Kingston Ulster
NY - Long Island Nassau, Suffolk
NY - Manhattan New York
NY - Outer New York City Area
Pike, Putnam, Rockland, Westchester
NY - Poughkeepsie- Newburgh-Middletown
Dutchess, Orange
NY - Queens Queens
NY - Rochester Livingston, Monroe, Ontario, Orleans, Wayne
NY - Staten Island Richmond
NY - Syracuse Madison, Onondaga, Oswego
82
State Name State or Region Counties
Region Definitions
Appendix — Regions I Cost of Care Survey 2012
New York (cont.) NY - Utica-Rome Herkimer, Oneida
NY - Rest of State Remaining counties
North Carolina NC - Asheville Buncombe, Haywood, Henderson, Madison
NC - Burlington Alamance
NC - Durham-Chapel Hill Chatham, Durham, Orange, Person
NC - Fayetteville Cumberland, Hoke
NC - Goldsboro Wayne
NC - Greensboro- High Point
Guilford, Randolph, Rockingham
NC - Greenville Greene, Pitt
NC - Hickory-Lenoir-Morganton
Alexander, Burke, Caldwell, Catawba
NC - Jacksonville Onslow
NC - Raleigh-Cary Franklin, Johnston, Wake
NC - Rocky Mount Edgecombe, Nash
NC - Wilmington Brunswick, New Hanover, Pender
NC - Winston-Salem Davie, Forsyth, Stokes, Yadkin
NC/SC - Charlotte- Gastonia-Rock Hill
Anson, Cabarrus, Gaston, Mecklenburg, Union, York
NC - Rest of State Remaining counties
North Dakota ND - Bismarck Burleigh, Morton
ND/MN - Fargo Cass, Clay
ND/MN - Grand Forks Grand Forks, Polk
ND - Rest of State Remaining counties
Ohio OH - Akron Portage, Summit
OH - Canton-Massillon Carroll, Stark
OH - Cleveland-Elyria-Mentor
Cuyahoga, Geauga, Lake, Lorain, Medina
OH - Columbus Delaware, Fairfield, Franklin, Licking, Madison, Morrow, Pickaway, Union
OH - Dayton Greene, Miami, Montgomery, Preble
OH - Lima Allen
OH - Mansfield Richland
OH - Sandusky Erie
OH - Springfield Clark
OH - Toledo Fulton, Lucas, Ottawa, Wood
OH/KY/IN - Cincinnati-Middletown
Boone, Bracken, Brown, Butler, Campbell, Clermont, Dearborn, Franklin, Gallatin, Grant, Hamilton, Kenton, Ohio, Pendleton, Warren
OH/PA - Youngstown- Warren-Boardman
Mahoning, Mercer, Trumbull
83
State Name State or Region Counties
Region Definitions
Cost of Care Survey 2012 I Appendix — Regions
Ohio (cont.) OH/Wv - Steubenville-Weirton
Brooke, Hancock, Jefferson
OH - Rest of State Remaining counties
Oklahoma OK - Lawton Comanche
OK - Oklahoma City Canadian, Cleveland, Grady, Lincoln, Logan, McClain, Oklahoma
OK - Tulsa Creek, Okmulgee, Osage, Pawnee, Rogers, Tulsa, Wagoner
OK - Rest of State Remaining counties
Oregon OR - Bend Deschutes
OR - Corvallis Benton
OR - Eugene-Springfield Lane
OR - Medford Jackson
OR - Salem Marion, Polk
OR/WA - Portland- vancouver-Hillsboro
Clackamas, Clark, Columbia, Multnomah, Skamania, Washington, Yamhill
OR - Rest of State Remaining counties
Pennsylvania PA - Altoona Blair
PA - Erie Erie
PA - Harrisburg-Carlisle Cumberland, Dauphin, Perry
PA - Johnstown Cambria
PA - Lancaster Lancaster
PA - Lebanon Lebanon
PA - Pittsburgh Allegheny, Armstrong, Beaver, Butler, Fayette, Washington, Westmoreland
PA - Reading Berks
PA - Scranton—Wilkes-Barre Lackawanna, Luzerne, Wyoming
PA - State College Centre
PA - Williamsport Lycoming
PA - York-Hanover York
PA/NJ - Allentown- Bethlehem-Easton
Carbon, Lehigh, Northampton, Warren
PA/NJ/DE/MD - Philadelphia-Camden-Wilmington
Bucks, Burlington, Camden, Cecil, Chester, Delaware, Gloucester, Montgomery, New Castle, Philadelphia, Salem
PA - Rest of State Remaining counties
Puerto Rico PR - Aguadilla-Isabela-San Sebastián
Aguada, Aguadilla, Añasco, Isabela, Lares, Moca, Rincón, San Sebastian
PR - Fajardo Ceiba, Fajardo, Luquillo
PR - Guayama Arroyo, Guayama, Patillas
PR - Mayagüez Hormigueros, Mayagüez
PR - Ponce Juana Díaz, Ponce, villalba
84
State Name State or Region Counties
Region Definitions
Appendix — Regions I Cost of Care Survey 2012
Puerto Rico (cont.) PR - San Germán- Cabo Rojo
Cabo Rojo, Lajas, Sabana Grande, San Germán
PR - San Juan-Caguas-Guaynabo
Aguas Buenas, Aibonito, Arecibo, Barceloneta, Barranquitas, Bayamón, Caguas, Camuy, Canóvanas, Carolina, Cataño, Cayey, Ciales, Cidra, Comerío, Corozal, Dorado, Florida, Guaynabo, Gurabo, Hatillo, Humacao, Juncos, Las Piedras, Loíza, Manatí,Maunabo, Morovis, Naguabo, Naranjito, Orocovis, Quebradillas, Río Grande, San Juan, San Lorenzo, Toa Alta, Toa Baja, Trujillo Alto, vega Alta, vega Baja, Yabucoa
PR - Yauco Guánica, Guayanilla, Peñuelas, Yauco
PR - Rest of State Remaining counties
Rhode Island RI/MA - Providence- New Bedford-Fall River
Bristol (RI), Bristol (MA), Kent, Newport, Providence, Washington
RI - Rest of State Remaining counties
South Carolina SC - Anderson Anderson
SC - Charleston-North Charleston-Summerville
Berkeley, Charleston, Dorchester
SC - Columbia Calhoun, Fairfield, Kershaw, Lexington, Richland, Saluda
SC - Florence Darlington, Florence
SC - Greenville-Mauldin-Easley
Greenville, Laurens, Pickens
SC - Myrtle Beach-North Myrtle Beach-Conway
Horry
SC - Spartanburg Spartanburg
SC - Sumter Sumter
SC - Rest of State Remaining counties
South Dakota SD - Rapid City Meade, Pennington
SD - Sioux Falls Lincoln, McCook, Minnehaha, Turner
SD - Rest of State Remaining counties
Tennessee TN - Cleveland Bradley, Polk
TN - Jackson Chester, Madison
TN - Johnson City Carter, Unicoi, Washington
TN - Knoxville Anderson, Blount, Knox, Loudon, Union
TN - Morristown Grainger, Hamblen, Jefferson
TN - Nashville-Davidson-Murfreesboro-Franklin
Cannon, Cheatham, Davidson, Dickson, Hickman, Macon, Robertson, Rutherford, Smith, Sumner, Trousdale, Williamson, Wilson
TN/GA - Chattanooga Catoosa, Dade, Hamilton, Marion, Sequatchie, Walker
TN/KY - Clarksville Christian, Montgomery, Stewart, Trigg
TN/MS/AR - Memphis Crittenden, DeSoto, Fayette, Marshall, Shelby, Tate, Tipton, Tunica
TN/vA - Kingsport- Bristol-Bristol
Bristol City, Hawkins, Scott, Sullivan, Washington
TN - Rest of State Remaining counties
85
State Name State or Region Counties
Region Definitions
Cost of Care Survey 2012 I Appendix — Regions
Texas TX - Abilene Callahan, Jones, Taylor
TX - Amarillo Armstrong, Carson, Potter, Randall
TX - Austin-Round Rock-San Marcos
Bastrop, Caldwell, Hays, Travis, Williamson
TX - Beaumont-Port Arthur
Hardin, Jefferson, Orange
TX - Brownsville- Harlingen
Cameron
TX - College Station-Bryan
Brazos, Burleson
TX - Corpus Christi Aransas
TX - Dallas-Fort Worth-Arlington
Collin, Dallas, Delta, Denton, Ellis, Hunt, Johnson, Kaufman, Parker, Rockwall, Tarrant, Wise
TX - El Paso El Paso
TX - Houston-Sugar Land-Baytown
Austin, Brazoria, Chambers, Fort Bend, Galveston, Harris, Liberty, Montgomery, San Jacinto, Waller
TX - Killeen-Temple-Fort Hood
Bell, Coryell, Lampasas
TX - Laredo Webb
TX - Longview Gregg, Rusk, Upshur
TX - Lubbock Crosby, Lubbock
TX - McAllen-Edinburg-Mission
Hidalgo
TX - Midland Midland
TX - Odessa Ector
TX - San Angelo Irion, Tom Green
TX - San Antonio-New Braunfels
Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson
TX - Sherman-Denison Grayson
TX - Tyler Smith
TX - victoria Calhoun, Goliad, victoria
TX - Waco McLennan
TX - Wichita Falls Archer, Clay, Wichita
TX/AR - Texarkana Bowie, Miller
TX - Rest of State Remaining counties
Utah UT - Ogden-Clearfield Davis, Morgan, Weber
UT - Provo-Orem Juab, Utah
UT - Salt Lake City Salt Lake, Summit, Tooele
UT - St. George Washington
UT/ID - Logan Cache, Franklin
UT - Rest of State Remaining counties
86
State Name State or Region Counties
Region Definitions
Appendix — Regions I Cost of Care Survey 2012
vermont vT - Burlington-South Burlington
Chittenden, Franklin, Grand Isle
vT - Rest of State Remaining counties
virginia vA - Blacksburg- Christiansburg-Radford
Giles, Montgomery, Pulaski, Radford
vA - Charlottesville Albemarle, Charlottesville City, Fluvanna, Greene, Nelson
vA - Danville Danville, Pittsylvania
vA - Harrisonburg Harrisonburg, Rockingham
vA - Lynchburg Amherst, Appomattox, Bedford, Bedford City, Campbell, Lynchburg City
vA - Richmond Amelia, Caroline, Charles City, Chesterfield, Colonial Heights City, Cumberland, Dinwiddie, Goochland, Hanover, Henrico, Hopewell City, King and Queen, King William, Louisa, New Kent, Petersburg City, Powhatan, Prince George, Richmond City, Sussex
vA - Roanoke Botetourt, Craig, Franklin, Roanoke, Roanoke City, Salem City
vA/NC - virginia Beach-Norfolk-Newport News
Chesapeake City, Currituck, Gloucester, Hampton City, Isle of Wight, James City, Mathews, Newport News City, Norfolk City, Poquoson City, Portsmouth City, Suffolk City, Surry, virginia Beach City, Williamsburg City, York
vA/Wv - Winchester Frederick, Hampshire, Winchester
vA - Rest of State Remaining counties
Washington WA - Bellingham Whatcom
WA - Bremerton- Silverdale
Kitsap
WA - Kennewick-Pasco-Richland
Benton, Franklin
WA - Longview Cowlitz
WA - Mount vernon-Anacortes
Skagit
WA - Olympia Thurston
WA - Seattle-Tacoma-Bellevue
King, Pierce, Snohomish
WA - Spokane Spokane
WA - Wenatchee-East Wenatchee
Chelan, Douglas
WA - Yakima Yakima
WA - Rest of State Remaining counties
West virginia Wv - Charleston Boone, Clay, Kanawha, Lincoln, Putnam
Wv - Morgantown Monongalia, Preston
Wv/KY/OH - Huntington-Ashland
Boyd, Cabell, Greenup, Lawrence, Wayne
Wv/OH - Parkersburg-Marietta-vienna
Pleasants, Washington, Wirt, Wood
Wv/OH - Wheeling Belmont, Marshall, Ohio
87
State Name State or Region Counties
Region Definitions
Cost of Care Survey 2012 I Appendix — Regions
West virginia (cont.) Wv - Rest of State Remaining counties
Wisconsin WI - Appleton Calumet, Outagamie
WI - Eau Claire Chippewa, Eau Claire
WI - Fond du Lac Fond du Lac
WI - Green Bay Brown, Kewaunee, Oconto
WI - Janesville Rock
WI - Madison Columbia, Dane, Iowa
WI - Milwaukee-Waukesha-West Allis
Milwaukee, Ozaukee, Washington, Waukesha
WI - Oshkosh-Neenah Winnebago
WI - Racine Racine
WI - Sheboygan Sheboygan
WI - Wausau Marathon
WI/MN - La Crosse Houston, La Crosse
WI - Rest of State Remaining counties
Wyoming WY - Casper Natrona
WY - Cheyenne Laramie
WY - Rest of State Remaining counties
USA USA All states excluding Puerto Rico
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Methodology
CareScout CareScout has conducted the Genworth Cost of Care Survey annually since 2004. Located in Waltham, Massachusetts, CareScout has specialized in helping families find long term care providers nationwide since 1997.
This year, CareScout — a Genworth company — contacted more than 46,000 providers to complete nearly 15,300 surveys of nursing homes, assisted living facilities, adult day health facilities and home care providers. Potential respondents were selected randomly from the CareScout nationwide database of providers in each category of long term care services. Survey respondents representing all 50 states, the District of Columbia and Puerto Rico were contacted by phone during January and February of 2012. Survey respondents were informed that survey data provided would be included in the Genworth 2012 Cost of Care Survey results. Survey questions varied, based on the type of care provider.
Considered the most comprehensive survey of its kind, the Genworth Cost of Care Survey is the first to publish costs for all 384 U.S. Metropolitan Statistical Areas (MSAs). MSA definitions are established by the Office of Management and Budget and include approximately 84 percent of the U.S. population. The survey also includes some counties outside of the MSA regions. To create accurate historical trends for this expanded scope, CareScout recast the base data from the 2007 survey into the current region structure. As a result, CareScout is able to report a five-year compound annual growth rate for each region.
Home Care (HC)Surveyors completed nearly 3,500 interviews with licensed home health care providers representing approximately 19 percent of home care agencies. The agencies surveyed provided home health care and homemaker services where a skilled nurse does not need to be present. 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.
Annual rates are based on 44 hours of care per week, multiplied by 52 weeks. Where a rate range was provided, the midpoint was used. The survey excludes weekend and holiday rates.
Adult Day Health Care (ADH)Across 437 regions, surveyors polled more than 42 percent of adult day health care facilities, resulting in more than 1,200 completed surveys. 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.
Appendix — Methodology I Cost of Care Survey 2012
89
ADH facility rates are structured in a variety of ways: some charge by the hour, some by the half-day and others for the full day, regardless of utilization. All rates used in Genworth’s survey were extrapolated to a daily (6-8 hours) rate.
ADH facility rates may be subsidized by the government or the community. A government subsidy is based on the individual’s ability to pay. However, a community subsidy is available to individuals regardless of their income level. This survey captures the full private pay rates or, where applicable, the community subsidy rates. This survey does not capture the government subsidy rates.
Annual rates are based on the daily rate multiplied by five days per week, and then multiplied by 52 weeks.
Assisted Living Facilities (ALF)Across 437 regions, surveyors polled more than 16 percent of licensed assisted living facilities, resulting in more than 6,500 completed surveys.
Unlike nursing homes, there is no uniform regulatory standard for assisted living facilities. As a consequence, states have instituted licensing standards that vary from state to state. The assisted living facilities polled were licensed according to the licensure requirements of the state in which the assisted living facility was located.
Currently, there are more than 70 different names or designations for facilities licensed as some form of an assisted care facility. Generally, only about 50 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.
Surveyors collected the monthly private pay rates as they ranged from basic care to more substantial care for a one-bedroom unit in an assisted living facility. Where a rate range was provided, the average of the high and low was used in the annual cost calculation. Surveyors also determined whether the facility charges a non-refundable community or entrance fee. This study shows that approximately 33 percent of assisted living facilities charge a one-time, non-refundable fee.
Annual rates are based on the monthly fee multiplied by 12 months.
Nursing Homes (NH)Across all regions of the study, surveyors polled more than 24 percent of certified and licensed nursing homes, resulting in more than 3,700 completed surveys.
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.
Annual rates are based on the daily fee multiplied by 365.
Cost of Care Survey 2012 I Appendix — Methodology
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End Notes(For Data Table End Notes, See Page 73)
1 Percentage increase represents the compound annual inflation rate for surveys conducted from 2007 to 2012.2 National Clearinghouse for Long Term Care Information, U.S. Department of Health and Human Services: Planning for LTC. Date accessed: 1/18/12.
3 Genworth companies Long Term Care Claims Experience Data, December 1974 through 12/31/11.4 Our Family, Our Future: The Heart of Long Term Care Planning, an Age Wave/Harris Interactive study sponsored by Genworth, October 2010.
5 2012 Alzheimer’s Disease Facts and Figures, Alzheimer’s Association, Alzheimer’s and Dementia, volume 8, Issue 2.6 Ibid7 Ibid8 Genworth companies Long Term Care Claims Experience Data, December 1974 through 12/31/11.9 2012 Alzheimer’s Disease Facts and Figures, Alzheimer’s Association, Alzheimer’s and Dementia, volume 8, Issue 2.10 Beyond Dollars: The True Impact of Long Term Caring, Genworth, 9/30/2010.
Appendix — end Notes I Cost of Care Survey 2012
Cost of Care Survey 2012
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Genworth 2012Cost of Care SurveyHome 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.
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