Nursing homes in Festus charge $5,627 for care in a semi-private room and $6,737 for a private room. In-home care, which focuses on personal assistance and help around the home, and home health care, which comprises medical services at home, both cost $5,482 per month, $145 less than nursing home care. Assisted living, which provides nonmedical residential care and personal assistance, costs about $1,527 less than nursing home care. Adult day health care is the most affordable senior care choice. It’s provided at a facility during set hours at an average rate of $1,918 per month, $3,709 less than the cost of nursing home care.