How Much Does 24/7 In-Home Care Cost Per Month

how much does 24/7 in home care cost per month

24 Hour In Home Care Cost

When exploring elderly and senior in-home care options for 24/7 in-home care, budget is always the number one consideration, and the cost that you will pay per month depends on several factors, including:

  • Service Area
  • Services Provided
  • Skill Level and Experience of Private Caregiver

This blog will deal exclusively with the cost of 24/7 in-home non-medical care. In-home health care is more expensive and involves skilled nursing and medical services, and home health aides must hold a nursing certification or higher medical training. In contrast, in-home non-medical care provides companionship and assistance with Activities of Daily Living (ADLs).

In-home non-medical care professionals typically do not hold advanced nursing or medical credentials and are not licensed to offer medical services. They should however be licensed by the state to provide in-home non-medical care with a current HCA (Home Care Aid) number, which can easily be verified online.

In-Home Care Location Area

In-home care cost varies by State, and by location within the State. This article will deal specifically with the cost of 24/7 in-home care in Southern California, including Orange County, Los Angeles County, San Diego County, Riverside County, and San Bernardino County. In comparison to the rest of the United States, Southern California is on the higher side of the cost of living, which means in-home care options will be more expensive here than in most other parts of the United States.

At Home Care Services Provided

What level of in-home care will be required? Here is a list of typical services that can be provided for 24/7 in-home care:

  1. Companionship – when seniors are alone, they can get depressed and lonely, and it helps to have someone present.
  2. Personal Care – bathing and other basic hygiene (e.g., hair, nails, and oral hygiene) may be challenging and unable to be accomplished alone.
  3. Transfer Care – getting in and out of bed or a chair or a car may not be possible without help.
  4. Mobility Work/Light Exercise – assistance with a short walk, going up and down stairs, or doing light physical therapy exercises can ensure some physical activity.
  5. Toileting Care – continence may be an issue or physically being able to get to and use the toilet without help may be a challenge.
  6. Meal Prep and Feeding – making sure to get adequate calories and nutrition by way of cooking and feeding may not be possible without help because of limited physical ability.
  7. Light Housekeeping Tasks – keeping the home picked up and tidy may be physically challenging without help.
  8. Dementia Care – having help determining and carrying out activities and setting a daily routine can be invaluable in managing seniors with dementia or Alzheimer’s.

From the above list, companion care would be the lowest cost, while adding ADLs (#s 2-7 above) would add more cost, and dementia care would carry the highest cost per month depending on the exact situation.

Skill Level and Experience of Private Caregiver

Like any profession, highly skilled and more experienced private caregivers can command a higher rate than someone new to the industry. As a rule of thumb, you will want someone with a minimum of 3-5 years of experience anyway, which means there will not be that much variation in the rate if you are selecting someone who fits these criteria.

Cost of 24 Hour Home Care

When considering these cost factors collectively, one can expect to pay in the range of $18,000 to $25,000 per month for 24/7 in-home care depending on the level of care required. Compared to the cost of an assisted living facility ($5,000/month) or a skilled nursing facility ($9,000/month to $12,000/month), deciding to go with 24/7 in-home care can cost more and take many outside their budget.

A balanced approach may be to find a reduced in-home care schedule, and where practical, have family members provide some of the off-hour support and care, which would still allow the senior to stay in their home to enjoy the comfort, freedom, and independence they are used to without disrupting their normal routine and surroundings.

This would result in a significant cost reduction for the in-home care expense. For example, a 4-to-8-hour daily commitment 5 to 7 days per week would reduce the monthly cost to $2,500 to $7,500 per month depending on the number of hours per day and number of days per week ranging from a minimum of 4 hours per day 5 days per week to a maximum of 8 hours per day 7 days per week.

California coverage map

In-Home Care Locations Served in California

  • Fullerton
  • Laguna Beach
  • Laguna Woods
  • Los Angeles
  • Menifee
  • Mission Viejo
  • Murrieta
  • Newport Beach
  • Orange
  • Riverside
  • San Diego
  • Temecula

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