The 2010 Census found almost 394,500 Nevadans were in the 65 and over age group. Leap forward a decade and the 2020 Census reveals seniors comprise 16.1% of the population, an increase of over 105,300. The weather is a factor, as Nevada offers plenty of warmth without the same levels of heat found more often in neighboring Arizona. However, the most appealing aspect is the probable financial incentives for living in Nevada, which doesn’t tax its residents’ incomes. Nevada doesn’t collect taxes from estates, inheritances, withdrawals from retirement accounts, or public and private pensions.

Nevada has many in-home care agencies providing non-medical services for seniors needing help with everyday activities, such as getting dressed, bathing and housekeeping. There are also home health care agencies dispatching skilled nurses and therapists to homes across the state, delivering basic medical care, such as pain management and speech therapy. Despite the differences in the two home care services, the state’s average fee is the same for both, at $5,148 per month.

This guide discusses Nevada senior care costs in relation to neighboring states. It also describes how Medicaid and Medicare help pay for home care services. Finally, we list some useful senior-friendly resources.

The Cost of In-Home Care in Nevada

According to the 2021 Genworth Cost of Care Survey, the typical Nevadan pays another $191 per month for in-home care when compared to the average American, who pays $4,957. Despite this, the median fee in Nevada is more affordable than in all the states that share its borders. In Arizona, in-home care typically costs $5,339 per month, while in Idaho, $5,434 is the norm. Utah’s costs are higher still, at $5,625, although not as high as Oregon, where seniors can expect to pay around $6,006, which is still $95 per month below California’s average fees.

$5148

Nevada

$4957

The United States

$5434

Idaho

$6101

California

$5339

Arizona

$5625

Utah

$6006

Oregon

Nevada’s most affordable city for in-home care services is Las Vegas, which has a median fee of $4,767. In St. George, Utah, the average is $5,148, which roughly reflects the average cost difference between the two states. Nevada’s next most affordable city is Reno, where seniors typically pay $5,720, while in Carson City, they pay around $6,101. 

$4767

Las Vegas

$6101

Carson City

$5720

Reno

$5148

St. George, UT

Although in-home care and home health care agencies specialize in different services, they share an average fee of $5,148. This isn’t as affordable as either assisted living ($3,750) or adult day health care ($1,788), but seniors receiving care at home can benefit from one-on-one support from caregivers they often come to know personally. Despite its high costs when compared to other senior care services, home care fees aren’t as expensive as those of nursing homes, where Nevada’s average fee for a semiprivate room is $9,216 per month.

$5148

In-Home Care

$5148

Home Health Care

$1788

Adult Day Health Care

$3750

Assisted Living Facility

$9216

Nursing Home Facility (semiprivate room)

Does Medicaid Cover Home Care in Nevada?

Medicaid doesn’t directly pay for home care in Nevada but the state’s Long Term Support Services and Home and Community Based Services divisions can help. The Waiver for the Frail Elderly can pay for medical and non-medical services, as can the Waiver for Persons with Physical Disabilities, while Personal Care Services concentrates solely on non-medical assistance and the Waiver for Persons with Physical Disabilities helps those most in need. Nevada’s waivers, unlike Medicaid, are not entitlement programs, so successful applicants may need to join a waiting list as spaces are limited.

Home Waiver Programs in Nevada

The following waivers are designed to help seniors with varying levels of need and different qualifying criteria get the assistance they require to continue living safely and comfortably at home.

Waiver
Contact
Services Provided

(775) 687-4210

Seniors aged 65 and over with qualifying financial and functional needs work with case managers to ensure their services suit their requirements. These can include in-home care services, such as light housekeeping, meal preparation and shopping. There is also provision for adult day health care 4 times weekly, respite care when the caregiver is absent and a personal emergency response system for seniors living alone. To apply, seniors should complete an application form and mail it to their nearest Aging and Disability Services Division

(775) 687-4210

The Community Options Program for the Elderly is similar to the Waiver for the Frail Elderly, with the exception being it focuses more on in-home services, such as assistance with bathing, dressing and toileting. However, it also provides for seniors best served by adult daycare, companionship support, and in-home services, such as light housekeeping and laundry. The program is open to adults aged 65 and over who are at risk of institutional care. They must also meet the financial and functional need criteria of who can be cared for at home. The application process is the same as that for the Waiver for the Frail and Elderly.

(775) 687-4210

The Waiver for Persons with Physical Disabilities is open to Nevadans of all ages. It helps residents with severe physical disabilities avoid institutional care facilities by providing their home care. Case managers arrange all services the successful applicant needs, which typically includes medical, non-medical, social and educational support. The program also pays for personal care services, such as bathing and dressing, and in-home assistance, including light housekeeping. The applicant must have a diagnosed disability and have income and assets within the program's limits to be eligible. Applicants should complete the application form and send it to their local Aging and Disability Services Division office.

(800) 525-2395

Personal Care Services is a non-medical program for seniors with mobility limitations. It's available to residents on low incomes assessed as in need by a physical or occupational therapist. Services typically include essential shopping, meal preparation and light housekeeping, in addition to assistance with daily tasks, such as bathing and toileting. Unlike other waivers, seniors can self-direct their care, which may allow authorized family members to be their paid caregivers. Applicants should call Nevada's Medicaid fiscal agent at (800) 525-2395 to start the application process.

How to Know If You’re Eligible for Medicaid in Nevada

Nevada’s Medicaid program has strict guidelines that prioritize the neediest. For a single person, annual income shouldn’t exceed $10,092, and assets, $2,000. If both spouses in a two-person household apply, the combined income limit is $15,132, and assets, $3,000. Supplemental Security Income recipients are already eligible for Medicaid in Nevada. You should know part of the review process will cover 5 years of your financial history to check if assets were knowingly gifted or undersold to prepare for a future Medicaid claim.

2022 Medicaid Income Limits for Seniors in Nevada

Income Limits*
Asset Limits

Single Person

$10,092

$2,000

Two-Person Household

$15,132

$3,000

*Per year

In addition to satisfying the income and asset limits, applicants must also be able to prove they fall within the program’s other guidelines. These include:

  • Being a U.S. citizen, or legal resident
  • Being a Nevada resident
  • Being at risk of entering an institutional care facility

How to Apply for Medicaid in Nevada

There are three ways to apply for Medicaid in Nevada. They are:

  • Online: The fastest method is to visit ACCESS Nevada, which has a pre-screening tool to accelerate the process
  • By phone: Call the Division of Welfare and Supportive Services at (800) 992-0900
  • In-Person: Make an appointment at the nearest northern or southern Division of Welfare and Supportive Services office 

What Information You Will Need

  • Proof of citizenship, such as a birth certificate or a permanent residency ID card
  • Social Security card
  • Policy number for all health insurance plans
  • Proof of income and assets, such as bank statements and documents relating to stocks, bonds, etc.

How to Get Help Applying for Medicaid

Several organizations can answer questions about Medicaid. In some cases, information can be accessed online, in others, such as when legal help is available, it’s face-to-face.

Contact
Area Served
Services Provided

Statewide

The Division of Welfare and Supportive Services has offices located throughout Nevada. As each is set up to assist with Medicaid applications, potential applicants can make contact with a local advisor who can give them more information and assist with their application.

(702) 229-6596

Southern Nevada

The Southern Nevada Senior Law Program is a nonprofit that provides free legal advice and representation for seniors in matters involving civil law. This includes supporting clients dealing with Medicaid and Medicare issues, such as denial of benefits.

Statewide

If you prefer to look online for content about Nevada's Medicaid, the American Council on Aging's website is a useful free resource. The information is current, specific to Nevada and written by experienced Medicaid planning and eligibility experts. 

Does Medicare Cover In-Home Care in Nevada?

In general, Medicare does not cover the cost of non-medical home care. That being said, there are situations in which Medicare provides some coverage for medical home care, referred to as “Home Healthcare.” There are several eligibility restrictions for coverage, including that individuals must be homebound and have a referral from their doctor specifically for home healthcare services.

Below is an overview of some of the skilled medical professionals whose in-home services are typically covered by Medicare – for more in-depth information, refer to our Guide to Home Healthcare.

  • Physical Therapists: Physical therapy is used to help patients recover from injuries (broken bones, knee injuries, etc.), treat ongoing conditions such as arthritis, and assist in recovery from surgeries and procedures such as a knee or hip replacement.
  • Visiting Nurses: Licensed nurses can provide a number of medical services for those who don’t need to stay in the hospital, but do need regular medical services such as wound care, changing feeding tubes, etc.
  • Occupational Therapists: Occupational therapists help seniors regain or maintain the ability to accomplish normal, daily tasks, such as bathing, dressing, eating, and other daily activities.
  • Speech Therapists: Speech therapists help seniors who are struggling to adequately communicate due to a stroke, dementia, or any other cause regain the ability to functionally communicate using a variety of means. Additionally, speech therapists help to keep seniors independent by modifying diets, teaching special techniques to swallow safely, and retraining associated muscles.

As mentioned above, in-home care is distinctly different from home healthcare. But, there can be some overlap in services between the two types of care. So, while Medicare doesn’t cover non-medical in-home care, there are in-home care services that may be covered in special circumstances when they’re provided in conjunction with home healthcare (such as an occupational therapist helping with eating or dressing)

Other Financial Assistance Options for In-Home Care in Nevada

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 Resources for Seniors in Nevada

Seniors living in Nevada can request free and low-cost assistance from a wide range of government agencies and nonprofit organizations. The resources listed here can help cover home repair costs, reduce energy bills, make filing taxes less stressful and support caregivers.

Contact
Area Served 
Services Provided

(775) 443-4751

Rural Areas Statewide

USDA Rural Development finances a grant and loan program to help Nevadan homeowners in rural areas pay for necessary repairs, improvements and modernization costs to their homes. Loans of up to $40,000 on 20-year fixed interest rates of 1% are available. Grants of up to $10,000 are also available for residents aged 62 and over to only pay for health and safety improvements. They need only be repaid if the home is sold within 3 years of the grant's approval. Eligible applicants are homeowners on low incomes living in rural areas who are unable to get affordable credit from other sources.

Multiple Contacts

Statewide

Nevada's Weatherization Assistance Program can help seniors save money on their home-fuel costs by making them more energy-efficient. Depending on the energy audit results, work may include sealing air leakage points, insulating attics, walls and floors, and installing solar screens. The program is available to homeowners and renters with incomes at or below 150% of the federal poverty guidelines. All work is free, although applicants in rental properties may be asked to contribute half the cost of installations that add to the property's value.

(888) 687-2277

Statewide

The AARP Foundation Tax-Aide Program helps seniors prepare and submit their taxes every year. Although open to all, it prioritizes those on low incomes. For much of the year, seniors can choose the online option, which includes free software and support. As tax day looms closer, the AARP can connect seniors with IRS-certified volunteers who can help by phone or face-to-face. In some centers, volunteers may be able to take on the bulk of the work, with the seniors only required at the finalization stage.

Statewide

The purpose of the Energy Assistance Program is to help Nevadans on low incomes meet the costs of cooling and heating their homes. To be eligible for assistance, the applicant must be applying for a home they reside in, have a monthly income no greater than 150% of the federal poverty guidelines and be responsible, at least in part, for paying their energy supplier. To apply, seniors should download the application form and return a completed copy by mail or fax to the contact details printed on the form. 

(775) 687-4210

Statewide

Family Support Services is a free program administered by the Aging and Disability Services Division to help families provide care to their loved ones and help them avoid institutional care. Applicants must reside with their elderly relatives, whose incomes cannot exceed 300% of the poverty guidelines. The program can cover costs for respite services, either within the senior's home or in a facility, to give the primary caregiver some relief from their duties. Vouchers are also available to reduce costs for a range of necessities, such as food, utilities, adaptive equipment and medical/dental services not already covered by insurance.

COVID-19 Rules for In-Home Care Providers in Nevada

Home health care agencies in Nevada that accept payments through Medicaid and Medicare must comply with the CMS mandate on COVID-19 vaccinations. The CMS has directed agencies to ensure all staff receive the first dose of a CDC-approved COVID-19 vaccine by January 27, 2002, and the second by February 28, 2022. All agencies operating in Nevada must fully comply with the mandate by March 28, 2022. If you’re concerned about the vaccination status of you or your loved one’s caregiver, you should contact the agency for clarification. 

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.

In-Home Care Laws and Regulations in Nevada
Scope of Care
Home care agencies may provide non-medical assistance with activities of daily living, including light housekeeping, grooming and supervision.
Care Plan Requirements
Home 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 Requirements
Home care providers are prohibited from administering prescription and non-prescription medications.
Staff Screening Requirements
All direct care staff must complete a background check, including a criminal record check, prior to providing service to clients.
Staff Training Requirements
Home care agencies must provide adequate training for direct care staff in accordance with licensing requirements.
Medicaid Coverage
Home care agencies are not required to accept Medicaid-funded clients.
Reporting Abuse
Concerns 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.

How to Find an In-Home Care Provider in Nevada

Whether you are looking for yourself or a loved one, finding a quality home care provider can be a stressful process. When you hire an in-home care aide you’re placing a lot of trust in the hands of the person by inviting them into your home, so you’ll want to be diligent in your search. At Caring.com, we’re here to help – we’ve created a helpful checklist below that can help guide you through the process of both determining your needs and finding a home care agency that will provide the best care possible.

Finding a Home Care Provider Checklist

Find Home Care Agencies Near You

To find quality home care providers near you, simply input the zip code or city where you would like to start your search. We have an extensive directory of home care agencies all across the nation that includes in-depth information about each provider and hundreds of thousands of reviews from seniors and their loved ones.

2018, 2019, 2020, 2021, 2022

Right at Home Las Vegas

2911 N Tenaya Way, Suite 106, Las Vegas, NV, 89128

She cleans him well. They could hire more employees to fill in.
She cleans him well. They could hire more employees to fill in.

2017, 2018, 2019, 2021, 2022

Home Instead – Las Vegas, NV

2340 Paseo Del Prado, Suite D112, Las Vegas, NV, 89102

When searching for inhome care for my Grandmother, Home Instead was friendly and professional.
When searching for inhome care for my Grandmother, Home Instead was friendly and professional.

2020, 2021, 2022

Right at Home Henderson/Boulder City

50 S. Stephanie St., Suite 203, Henderson, NV, 89012

They helped the most by meeting my wife, and I’s needs. I like that they communicated well with us and had great customer service.
They helped the most by meeting my wife, and I’s needs. I like that they communicated well with us and had great customer service.

2020, 2021, 2022

ComForCare Home Care- Henderson NV

6270 Mclead Dr, Suite 140, Las Vegas, NV, 89120

I hired this company to care for me after a surgical procedure and they were compassionate, caring and allowed me to have a speedy recovery. I am very grateful to them. Their caregivers are excellent … (read more)
I hired this company to care for me after a surgical procedure and they were compassionate, caring and allowed me to have a speedy recovery. I am very grateful to them. Their caregivers are excellent … (read more)

2020

Visiting Angels – Henderson, NV

1701 N Green Valley Pkwy # 9a, Henderson, NV, 89074

Excellent service. The best I ever had. They truly are angels. God bless them!
Excellent service. The best I ever had. They truly are angels. God bless them!

Every’s Home Care – Los Angeles, CA

10940 Wilshire Blvd Suite 600 , Los Angeles, CA, 90024

Personal Care Attendants provide service to individuals in their own homes and communities, who need assistance caring for themselves as a result of old age, sickness, disability and/or other inflicti … (read more)
Personal Care Attendants provide service to individuals in their own homes and communities, who need assistance caring for themselves as a result of old age, sickness, disability and/or other inflicti … (read more)

DEVONEE’S Heart & Soul Healthcare

5000 West Oakey Blvd, Las Vegas, NV, 89146

DeVonee’s Heart & Soul Healthcare, LLC is a homecare in Las Vegas, NV. Inspired by our founder’s 10-year-old daughter, DeVonee, who also requires 24 hour care. We provide our clients with compassionat … (read more)
DeVonee’s Heart & Soul Healthcare, LLC is a homecare in Las Vegas, NV. Inspired by our founder’s 10-year-old daughter, DeVonee, who also requires 24 hour care. We provide our clients with compassionat … (read more)

My Joy Home Care Agency – Las Vegas, NV

304 S. Jones Blvd. #1485, Las Vegas, NV, 89107

My Joy Home Care Agency has trained caregivers in the field of memory care and in-home care who are dedicated to serving the veterans and elderly, individuals who are ill or have disabilities, and tho … (read more)
My Joy Home Care Agency has trained caregivers in the field of memory care and in-home care who are dedicated to serving the veterans and elderly, individuals who are ill or have disabilities, and tho … (read more)

Excellence Home Care – Las Vegas, NV

620 Cragin Park Dr , Las Vegas, NV, 89107

Excellence Home Care employs fully screened, trained and dependable caregivers who provide sensitive, confidential care in a way that respects your loved one’s dignity and well-being while helping the … (read more)
Excellence Home Care employs fully screened, trained and dependable caregivers who provide sensitive, confidential care in a way that respects your loved one’s dignity and well-being while helping the … (read more)

TheKey – Henderson

2480 West Horizon Ridge Parkway Suite 120, Henderson, NV, 89052


Comfort Keepers Home Care – Las Vegas, NV

9402 Del Webb Blvd, Las Vegas, NV, 89134

We provide a range of senior care services and home assistance. From companionship to errands and groceries, our highly-trained Comfort Keepers can support your loved ones in the comfort of their own … (read more)
We provide a range of senior care services and home assistance. From companionship to errands and groceries, our highly-trained Comfort Keepers can support your loved ones in the comfort of their own … (read more)

BrightStar Care Las Vegas W

4775 S. Durango Dr., Suite 200, Las Vegas, NV, 89147

I like that they text right away if I have a need. I like that their care staff is great.
I like that they text right away if I have a need. I like that their care staff is great.

2018

Comfort Keepers

2920 Green Valley Parkway, Bldg. 4 Ste. 412, Henderson, NV, 89014

Comfort Keepers is the best organization I have ever seen, they really helped me out a lot, and I would recommend them to anyone I see. The services were very beneficial and I loved my caregiver from … (read more)
Comfort Keepers is the best organization I have ever seen, they really helped me out a lot, and I would recommend them to anyone I see. The services were very beneficial and I loved my caregiver from … (read more)

2017

Independent Life

4955 S Durango, Suite 120, Las Vegas, NV, 89113

We have been with this agency for many years. Their care taker wasn’t coming to the home for the hours we had. He would come once by-weekly if that, but they were getting paid for seven days a week. I … (read more)
We have been with this agency for many years. Their care taker wasn’t coming to the home for the hours we had. He would come once by-weekly if that, but they were getting paid for seven days a week. I … (read more)

Golden Heart Senior Care

9300 Sun City Blvd., Suite 103, Las Vegas, NV, 89134

A year and a half ago,my pool service provider recommended Golden Heart Senior Care to my brother.He was concerned about me having support for my daily living as I got older.I am an 88 year old widow … (read more)
A year and a half ago,my pool service provider recommended Golden Heart Senior Care to my brother.He was concerned about me having support for my daily living as I got older.I am an 88 year old widow … (read more)

Visiting Angels

9436 West Lake Mead Blvd, Las Vegas, NV, 89134

11/1/2019 I chose this agency based on the reviews, the TV ads and website information. I moved from California to Nevada at the end of September. Prior to that, I contacted the owner, Michael, in Au … (read more)
11/1/2019 I chose this agency based on the reviews, the TV ads and website information. I moved from California to Nevada at the end of September. Prior to that, I contacted the owner, Michael, in Au … (read more)

Home Assist Personal Caregiver Services

4850 WEST FLAMINGO ROAD, STE 25, Las Vegas, NV, 89103

IHealth and Care professionals helped me quick to recover from my injury. I do like working with them. I recommend to anyone who needs to go through rehabilation.
IHealth and Care professionals helped me quick to recover from my injury. I do like working with them. I recommend to anyone who needs to go through rehabilation.

Horizon Ridge Home Care

2008 Poppywood Ave, Henderson, NV, 89012

Horizon Ridge provides excellent home health care caregivers. You will be carefully matched with a caregiver who will be the best fit to care for you in your home. My caregiver is punctual, dependable … (read more)
Horizon Ridge provides excellent home health care caregivers. You will be carefully matched with a caregiver who will be the best fit to care for you in your home. My caregiver is punctual, dependable … (read more)

Senior Helpers

5560 S. Fort Apache #110, Las Vegas, NV, 89148

Senior Helpers has done a wonderful job helping me care for my husband with Dementia. It was really difficult when my husband got to the point that he could not be left alone. I was not able to leave … (read more)
Senior Helpers has done a wonderful job helping me care for my husband with Dementia. It was really difficult when my husband got to the point that he could not be left alone. I was not able to leave … (read more)

Arms of Angels

5850 W Desert Inn Road, Las Vegas, NV, 89146

Arms of Angels Home Care is magnificent. Whenever they’ve been called, they’ve been very helpful, very accommodating, and they go out of their way to help you. My brother has a care companion in his h … (read more)
Arms of Angels Home Care is magnificent. Whenever they’ve been called, they’ve been very helpful, very accommodating, and they go out of their way to help you. My brother has a care companion in his h … (read more)