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In-Home Care vs. Assisted Living

The crossover math: at New York's $35/hour 2025 median, roughly 41 hours a week of in-home care costs about what the state's assisted living median does.

HomeComparisonsIn-Home Care vs. Assisted Living
Short answer

New York's 2025 CareScout non-medical caregiver median is $35/hour. At that rate, roughly 41 hours a week of in-home care costs about the same as the state's $7,110/month assisted living median -- past that point, a licensed community is often the less expensive option on paper.

When home usually wins

For a parent who needs help a few days a week, or overnight supervision only, in-home care is usually less expensive and keeps someone in a familiar place.

When a community usually wins

Once care needs push past roughly 40 hours a week, or require more than one caregiver can safely provide alone, a licensed assisted living community often costs less overall and adds staffing depth one hired caregiver cannot match.

Source: CareScout Cost of Care Survey

Questions families ask

I'm exhausted and I don't think I can keep doing this alone. What should I actually do?

Take the exhaustion seriously as a real, measurable risk factor -- caregiver strain predicts worse outcomes for both the caregiver and the person receiving care. Use respite and adult day health care before reaching a breaking point, contact NYC Aging (DFTA) through CASC for free local support programs, and get an outside, objective opinion on the current care plan.

What county is Staten Island, and does that matter for senior care planning?

Staten Island IS Richmond County -- New York City's smallest borough by population, at roughly 495,747 residents per the 2020 Census, and its only borough that is also a single, standalone county. That matters because every county-level resource on this site -- APS, the ombudsman, NY Connects -- applies uniformly across the whole borough.

Who is the Area Agency on Aging for Richmond County?

NYC Aging (DFTA, the New York City Department for the Aging) is the Area Agency on Aging covering all of Richmond County/Staten Island, reachable by dialing 311 within NYC or (212) 244-6469 from outside. The local NY Connects access point is the Community Agency for Senior Citizens (CASC), (718) 489-3954.

Is Richmond County under mandatory Managed Long Term Care enrollment?

Yes. Mandatory MLTC enrollment in New York City -- including Richmond County/Staten Island -- began under Medicaid Redesign Team Initiative #90, approved August 31, 2012. New York City was actually the first region in New York State to require mandatory MLTC enrollment, ahead of the later rollout on Long Island.

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