At $5,550 per month, assisted living is among Lititz's costlier senior care solutions. Seniors who live independently and obtain private services at home pay about $200 less for in-home care, which includes nonmedical custodial care and companionship, and home health care, which has certified caregivers who administer skilled nursing services. Adult day health care facilities, which don’t provide housing but offer personal care, meals, skilled nursing and recreation in a community setting, charge even lower monthly rates of $1,837. Only nursing home care, which is for seniors who need 24-hour medical support and intensive personal care services, costs more at $11,528, about double the price of assisted living.