There are no fees, ever, for families using our service. The advisor relationship is completely free for the family — before, during, and after placement. This page explains the pricing landscape on the other side: what Nevada senior-care operators actually charge.
Our advisor service: $0 for families
We don't charge families an intake fee, an advisory fee, an hourly fee, a placement fee, or a follow-up fee. We don't take a cut of operator pricing. The service is funded entirely by the placement fees we receive from operators when a family moves in. See how we get paid for the full mechanics.
What Nevada senior care actually costs in 2026
Pricing varies enormously by care category, operator tier, and geography. Approximate 2026 monthly ranges in the Las Vegas Valley:
Assisted Living (Residential Facility for Groups)
Typical range: $4,200 to $7,500 per month. The lower end represents smaller older communities with basic amenities; the upper end represents larger newer communities with premium dining, amenity depth, and lower resident-to-caregiver ratios. Most operators use a base rate plus a care-level add-on, with three or four levels. A higher care level can add $500 to $2,500 per month to the base rate. Henderson and Summerlin tend to skew higher; central Las Vegas tends to have more mid-tier options.
Memory Care
Typical range: $5,500 to $9,000 per month. Memory care commands a premium over standard assisted living because of higher staffing ratios and the operational cost of secured environments. Some memory-care operators use a single all-inclusive rate; others use a base + care-level structure similar to assisted living. Stand-alone memory-care communities and dedicated memory-care wings inside larger campuses operate at the higher end.
Residential Care Home (Home for Individual Residential Care)
Typical range: $3,500 to $7,000 per month. Small board-and-care homes typically use a flat-rate or simple-tier pricing structure. Quality and price vary widely between operators — some compete on price, others position as premium. The smaller resident count (typically 4-8) often means closer one-to-one attention but fewer amenities than a 60-bed assisted-living community.
Skilled Nursing Facility
Long-term private pay: $8,500 to $13,500 per month. Medicare-covered short-term rehab is a different financial picture — Medicare Part A covers up to 100 days of post-acute rehab after a qualifying 3-day inpatient hospital stay, with the first 20 days fully covered and a daily copay (about $204/day in 2026) for days 21-100. Long-term custodial care is Medicaid-eligible for residents who meet asset and income limits.
Adult Day Care
Typical: $75 to $125 per day in Las Vegas in 2026. Most programs are private-pay. Nevada Medicaid waivers cover a portion for qualifying participants. Some programs offer sliding-scale fees. VA-funded adult day care is available at certain participating programs for qualifying veterans.
In-Home Personal Care Services
Typical: $28 to $38 per hour for standard care. Live-in or 24-hour-awake-care rates run $300 to $450 per day depending on coverage model. Most agencies require 3- to 4-hour minimum shifts. Long-term care insurance and Nevada Medicaid waivers cover a portion for qualifying clients.
Hospice and Home Health
For patients enrolled in the Medicare hospice benefit or qualifying for Medicare home health, the cost is essentially zero out-of-pocket. Medicare covers virtually all hospice costs and 100% of home health for episodes meeting the homebound criteria.
Hidden costs to ask about
Headline rates are only part of the picture. Things to ask any operator about specifically:
- Community fee / move-in fee. Typically $1,500 to $5,000 one-time. Non-refundable at most operators.
- Care level add-ons. Most operators have 3-4 care levels with $500-$2,500/month increments.
- Second-person fees. If a couple is sharing a unit, the second person typically adds $1,000-$2,000/month.
- Medication management fees. Some operators include it; others charge $300-$500/month.
- Transportation. Some operators include scheduled transportation; others charge per-trip.
- Rate increase history. Most operators raise rates 4-8% annually. Ask for the increase history for the past 3 years.
- Short-term hospital stays. If the resident is hospitalized for a few days, does the family continue paying full rate? At what rate?
How to get the actual rate sheet
Ask each operator for an itemized rate sheet in writing, including the base rate for the unit type you're considering, the care-level rubric, all fees and add-ons, and the rate-increase history. Operators that won't provide this in writing are signaling something — either disorganization or a pricing model designed to make comparison hard. We help families build the side-by-side comparison as part of the free advisor service.
Call (702) 802-0093 for help.