The following cost comparisons are based on the nursing home fees for semiprivate rooms in the Genworth 2020 Cost of Care Survey. According to this survey, the national average monthly cost for nursing home care is $7,756. New York is among the priciest states in the nation, with average fees coming in at $12,319. In Syracuse, fees are fairly consistent with the state median at $12,890 monthly. In the Utica area, facilities charge $9,581 per month on average, and in the Watertown area, fees average $11,589. Poughkeepsie seniors pay $13,748 monthly for nursing home care, and Kingston seniors pay the highest fees in the state at $14,979.