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What In-Home Care Costs

New York's 2025 CareScout non-medical caregiver median is $35/hour -- the math on when a licensed community becomes the cheaper option.

HomeCosts & PayingWhat In-Home Care Costs
Short answer

New York State's 2025 CareScout median for a non-medical caregiver/home health aide is $35/hour, or roughly $6,673/month at a full-time equivalent. There is no Staten Island-specific figure published anywhere.

The hours-per-week math

Hours/weekApprox. monthly cost at $35/hr
10 hrs/week~$1,517
20 hrs/week~$3,033
40 hrs/week~$6,067
60 hrs/week~$9,100
168 hrs/week (round-the-clock)~$25,480

The crossover point

New York's 2025 CareScout assisted living median is $7,110/month. At $35/hour, that is roughly 41 hours a week of in-home care -- once a parent needs meaningfully more supervision than that, a licensed community is often the less expensive option on paper, even before counting the value of round-the-clock staffing a single hired caregiver cannot provide alone.

Home health is different math entirely. Medicare-covered home health -- skilled, intermittent nursing or therapy visits ordered by a physician -- is billed per visit, not hourly, and is not a substitute for the custodial caregiver hours in the table above.

Source: CareScout Cost of Care Survey

Questions families ask

Can the ombudsman attend a care planning conference with my parent's facility?

Yes -- with the resident's consent, an ombudsman representative can attend a care planning conference or similar meeting to help ensure the resident's own preferences are represented and heard, particularly in situations where family and facility staff see the care plan differently.

How do I report suspected abuse or neglect on Staten Island?

Staten Island's borough Adult Protective Services office is reachable at (929) 221-8794. The citywide DSS-OneNumber referral line -- covering all five boroughs -- is (718) 557-1399, Monday-Friday 9am-5pm; say "APS" when prompted. If someone is in immediate danger, call 911 instead.

Is New York City's Adult Protective Services structure different from the rest of the state?

Yes. Most of New York State runs APS county-by-county through each county's own Department of Social Services. New York City -- including Richmond County/Staten Island -- centralizes APS under the NYC Human Resources Administration (HRA), Office of Special Services, with borough-specific phone lines rather than five separate county-run agencies.

What's the difference between calling APS and calling NYSDOH's facility complaint line?

Adult Protective Services investigates suspected abuse, neglect or financial exploitation of a vulnerable adult, whether at home or in some care settings, and is reached in Staten Island's borough at (929) 221-8794. NYSDOH's facility complaint line -- (212) 417-5990 for Adult Care Facilities, (212) 417-4999 for nursing homes -- is a separate regulatory channel focused specifically on licensed facility violations.

What happens after I make an APS report on Staten Island?

APS staff generally follow up to assess the situation and determine what intervention, if any, is appropriate -- this can range from connecting the individual with support services to, in more serious cases, coordinating with law enforcement or pursuing legal protective measures. The exact process and timeline depend on the specifics of the case.

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