Des Moines offers seniors several long-term care options depending on their needs and living preferences. Home care costs $5,815, which includes personal care and assistance with household chores, and costs the same as home health care, which involves limited skilled nursing services and rehabilitation therapy. At $1,517, adult day care is the most affordable option. Assisted living costs about $1,000 less than in-home care at an average of $4,803 per month. Nursing homes charge $7,148 for semiprivate accommodations, making it the most expensive alternative with a monthly increase of $1,333.