Nestled between California and Utah, Nevada offers seniors an eclectic mix of world-class entertainment, quality health care services and stunning natural scenery. The state is home to 3,080,000, and seniors aged 65 and older make up 16.1% of the population. Nevada’s Department of Health and Human Services, Aging and Disability Services Division oversees a number of programs and services designed to help seniors remain as independent and active as possible, and the state’s Medicaid plan includes a waiver program that funds in-home care for eligible seniors. The average cost of 44 hours of in-home care statewide is $4,290 per month, which is the same as the national average cost.

This guide includes in-depth information about in-home care in Nevada, including average monthly care costs, financial assistance programs to help seniors pay for home care, and a list of free and low-cost resources.

The Cost of In-Home Care in Nevada

In-Home Care Costs in Nearby States

Genworth’s 2019 Cost of Care Survey shows that the average cost of in-home care in Nevada is $4,290 per month, based on 44 hours of care weekly. Average care costs in Nevada are the same as the national average of $4,290 and lower than four of the five states that border Nevada. Costs in Oregon, California, Utah and Arizona are all higher than in-home care costs in Nevada, while at $4,195 per month, home care costs are slightly lower in Idaho.

$4290

Nevada

$4290

United States Average

$4195

Idaho

$4576

Utah

$4767

Arizona

$5148

Oregon

$5335

California

Cost of Other Types of Care in Nevada

At a monthly average cost of $4,290, in-home care costs in Nevada are the same as home health care services. As is typical in most states, adult day care is the least-expensive senior care option in Nevada at an average cost of $1,733 per month, while assisted living costs an average of $3,400 per month. Nursing home care, which includes 24/7 skilled nursing services in a specialized residential facility, is the most expensive type of senior care at a statewide average cost of $7,604 per month.

$4290

In-Home Care

$4290

Home Health Care

$1733

Adult Day Care

$3400

Assisted Living Facility

$7604

Nursing Home Care

The Cost of In-Home Care in Nevada’s Top Cities

While the statewide average cost of in-home care is $4,290, actual costs may be higher or lower than the state average depending on the local cost of living in a particular city. At a monthly average cost of $4,957, the most expensive home care in the state is in Reno. Just south of Reno, costs in Carson City are $190 less each month at $4,767, while in Las Vegas, home care costs are below the state average at $4,242 per month.

$4290

Nevada

$4242

Las Vegas

$4767

Carson City

$4957

Reno

Financial Assistance for In-Home Care in Nevada

Nevada Aging and Disability Services Division’s Homemaker Program

The Homemaker Program is a needs-based service designed to help reduce the need for out-of-home care for seniors and people with permanent disabilities. Homemaker services are delivered by paid and volunteer homemakers who provide non-medical support such as light housekeeping, laundry, meal preparation, escorts to appointments and shopping for essentials.

Who Is Eligible?
To qualify for in-home care through the Homemaker Program, applicants must be aged 60 or older, or be designated as disabled by the Social Security Administration. They need to be assessed by an Aging and Disability Services social worker as being unable to manage homemaker tasks due to age and/or disability.

Applicants must also live in their own home or the home or a family member, and have an annual income at or below 110% of the Federal Poverty Level.

How to Apply
Seniors can apply to the Homemaker Program by contacting the nearest Aging and Disability Services office or by calling Aging and Disability Services at 1-888-729-0571.

VA Enhanced Pension Benefits

The VA offers two enhanced pension benefit programs for qualified veterans, survivors and dependents. Known as the VA Aid and Attendance Benefit and the VA Housebound Allowance, these two programs provide a higher monthly pension benefit than the standard VA pension, and these benefits can be used towards the cost of in-home care.

Who Is Eligible?
To qualify for either program, applicants must first qualify for the regular VA pension. For Aid and Attendance Benefits, applicants need to be bedridden due to disability or chronic illness; be legally blind; or require help from another person to perform one or more activities of daily living such as dressing, bathing, grooming or adjusting a prosthetic device.

For the Housebound Allowance, applicants must have a disability rated at 100% by the VA that renders them largely housebound. Applicants may also have one disability rated at 100%, and at least one additional disability rated at 60%.

Qualifying disabilities or illnesses for either benefit do not need to be service-related.

How to Apply
To apply for Aid and Attendance or Housebound, contact an accredited Veterans Services Officer at the Nevada Department of Veterans Services by calling 702-830-2000 or visiting the nearest county Veteran’s Services office.

More Ways to Pay for In-Home Care

While the above programs help many people finance in-home care, they will not cover all costs for everyone. There are other ways to pay for in-home care, including out-of-pocket arrangements with siblings, annuities, reverse mortgages, private insurance, and more. Read Caring.com’s Guide to In-Home Care Costs to learn more about these alternative payment options.

Free and Low-Cost In-Home Care Resources in Nevada

Nevada seniors who need in-home care services can get support through various statewide programs and agencies. These programs include free Medicare counseling, advocacy, assistance with prescription drug costs and legal representation.

ContactServices Provided
Nevada Department of Health and Human Services, Aging and Disability Services Division

775-687-4210The Aging and Disability Services Division of Nevada’s Department of Health and Human Services is the state agency responsible for developing, administering and advocating for programs and services to support healthy aging among seniors.
State Health Insurance Assistance Program

1-800-307-4444Nevada’s State Health Insurance Assistance Program provides free unbiased information, personalized counseling and support to seniors who need help with Medicare plans, supplemental health insurance and long-term care. SHIP counselors are available for one-on-one, in-person or phone counseling appointments.
Nevada Care Connection Resource Centers

Contact the nearest Resource Center

Seniors, people with disabilities and their families can access free support, information about local resources and referrals to free and low-cost programs by contacting their nearest Nevada Care Connection Resource Center.
Aging and Disability Services Community Advocates

Contact the nearest Resource Center

ADSD Community Advocates work to help aging and disabled Nevadans access programs and services designed to help improve health, wellness and community engagement. Advocates offer outreach services at community events such as health fairs, visit seniors’ centers, and can provide one-time emergency financial assistance to seniors who need emergency funds.
Senior Rx Program

866-303-6323The Senior Rx Program is a state-sponsored program that helps low-income seniors cover their prescription drug costs. To qualify for this program, seniors must be enrolled in a participating Part D Medicare plan and be aged 62 or older.
Senior Medicare Patrol

1-888- 838-7305Nevada’s Senior Medicare Patrol is a free program that helps Medicare beneficiaries and their families prevent, detect and respond to healthcare fraud and abuse. The Patrol provides free information sessions and one-on-one counseling sessions for seniors throughout the state.


In-Home Care Laws and Regulations in Nevada

Agencies and individuals that provide in-home care services in Nevada are required to follow the rules and regulations outlined in the Nevada Administrative Code Ch. 449.749. These regulations are designed to protect seniors and vulnerable adults who require homemaker services.

Scope of CareHome care agencies may provide non-medical assistance with activities of daily living, including light housekeeping, grooming and supervision.
Care Plan RequirementsHome care clients and/or their legal representatives must be provided with a plan of care, including details regarding costs, prior to receiving service from a home care provider.
Medication Management RequirementsHome care providers are prohibited from administering prescription and non-prescription medications.
Staff Screening RequirementsAll direct care staff must complete a background check, including a criminal record check, prior to providing service to clients.
Staff Training RequirementsHome care agencies must provide adequate training for direct care staff in accordance with licensing requirements.
Medicaid CoverageHome care agencies are not required to accept Medicaid-funded clients.
Reporting AbuseConcerns about abuse should be reported to local law enforcement.

Frequently Asked Questions

How Much Does In-Home Care Cost in Nevada?

According to the Genworth 2019 Cost of Care Survey, the average cost of in-home care in Nevada is $4,290 per month, based on 44 hours of service weekly. Actual costs may be higher or lower than the state average depending on the location and the number of service hours needed.

Are There Programs to Cover Home Modifications in Nevada?

Seniors who need home modifications such as a wheelchair ramp, lowered counters or grab bars may qualify for financial assistance through the statewide Assistive Technology for Independent Living Program. This program is geared towards Nevadans of all ages who live with a disability that causes significant functional impairment, and who also lack the financial resources needed to pay for their home accessibility modifications.

Are There Financial Assistance Programs for In-Home Care in Nevada?

Yes. Nevada’s Aging and Disability Services Division offers a Homemaker Program. This program funds homemaker services for low-income seniors who require in-home support to delay or prevent institutionalization and promote healthy aging.

What Does It Mean to Age in Place?

Aging in place means growing old in one’s own home, rather than moving to an institutional setting such as a nursing facility. In-home care can help seniors age in place by providing critical assistance with day-to-day tasks such as running errands, preparing meals, helping with pet care and performing light housekeeping.

What Are “Activities of Daily Living”?

Activities of daily living are all the tasks one needs to perform daily to maintain basic hygiene, health and wellness. These tasks include getting dressed, bathing and using the toilet, grooming, eating and moving about one’s home. ADLs can also include doing laundry, preparing meals and light housekeeping.