Would a home health aide or assisted living facility be the most financially beneficial?

2 answers | Last updated: Oct 08, 2016
Ariellmae asked...

We are looking for care for both of my grandparents. Both are over 88 and don't need 24 hour medical care but they do need close to 24 hour monitoring. Since it's for two people, we are trying to figure out which would be more financially beneficial- getting a home health aide for close to 12 hours a day or having two people in an assisted living facility? I'm new to this site and I just think this feature is like an answered prayer! Thank you


Expert Answers

Maria Basso Lipani writes a popular website on geriatric care topics, where she puts her expertise as a Licensed Clinical Social Worker to good use answering care planning questions. Maria is a graduate of Columbia University School of Social Work and is licensed in California and New York.

Depending upon where your grandparents live, the cost for 12 hours per day of a home health aide and the cost of an assisted living facility for both grandparents may be about the same. For example, near or in a big city a home health aide might cost $20 per hour and you could expect the cost of an assisted living to start at $3500 per month per person. Using these estimates you'd pay about $240 per day for the home health aide (12 hours x $20) which would amount to $7,200 per month if the care was provided for 30 days. This is roughly the same as the cost of moving both of your grandparents to an assisted living facility.

If you haven't already, I'd strongly suggest calling a few home care agencies and assisted living facilities in your grandparents' community and then doing some similar calculations. Be sure to take into account days of the month where family may be willing and able to step in so that 12 hour assistance isn't need and also consider how your grandparents' needs may change over time and require more that 12 hours of care. One way to assess this is to connect with their physicians and ask that very question - "Without using your crystal ball ;), how might you expect my grandmother's or grandfather's health to change in the next several years and how would those changes impact the amount of care he/she might need?"

Lastly, I want to add here that cost really should be only one factor as you begin to plan your grandparents' care with them; where they would prefer to live should be first and foremost in any discussion and every effort should be made to honor those wishes for as long as emotionally, physically and financially possible.

All the best to you.


Community Answers

Licia answered...

SOMETIMES YOU CAN FIND A HOME HEALTH CAREGIVER LIKE MYSELF THAT DOES ALL SORTS THINGS FOT THE ELDERLY EXCEPT FOR NURSING CARE...I ONLY CHARGE $12.00. NOT EVERYONE CHARGES 20.00 A HOUR