When dealing with the emotional strain of watching a loved one struggle with dementia, worrying about the costs of patient care can make the situation worse. Since we provide nursing care for different purposes, we’ve seen firsthand how in-home care can benefit patients. Explore the costs of in-home dementia care to manage finances without sacrificing care.
How Much Does In-Home Dementia Care Cost?
The cost of dementia care at home varies significantly based on the level of medical expertise required, ranging from home health aides ($25-$35/hour or $4,000-$7,000/month) to registered nurses ($60-$90/hour or $12,000-$18,000/month). Expect to pay $40-$50/hour ($5,000-$8,000/month) for certified nursing assistants or $45-$60/hour ($8,000-$12,000/month) for licensed practical nurses.

Each service level offers unique expertise and support, letting you find the right care for your situation. Our staffing solutions continue to help families find personalized solutions that balance quality and affordability.
Caregiver | Hourly | Monthly |
HHAs | $25-$35 | $4,000-$7,000 |
CNAs | $40-$50 | $5,000-$8,000 |
LPNs | $45-$60 | $8,000-$12,000 |
RNs | $60-$90 | $12,000-$18,000 |
Hourly Rates vs Monthly Rates
When considering in-home dementia care, hourly rates of $25 to $90 offer flexibility, allowing you to pay only for the specific amount of care needed and to adjust service hours as your loved one’s needs change.
Ranging from $4,000 to $18,000, monthly rates provide predictable budgeting and can sometimes offer cost savings for consistent, long-term care needs, especially when near full-time care is required.
1. Home Health Aide
At $25 to $35 per hour, home health aides provide basic personal care for patients with early-stage dementia in getting dressed, preparing meals, and providing companionship. Some care providers may charge $4,000 to $7,000 per month. The lower end reflects part-time care or less experienced aides, while the higher end covers more extensive hours.
2. Certified Nursing Assistant
At $40 to $50 per hour, CNAs offer more hands-on personal care, including assistance with mobility and vital sign monitoring, and have completed a certification program. Their increased cost of $5,000 to $8000 per month reflects specialized training and a broader scope of care than home health aides.
3. Licensed Practical Nurse
Charging $8,000 to $12,000 per month, LPNs are licensed to provide basic medical care, such as administering medications, changing dressings, and monitoring patient health under the supervision of a registered nurse. Their higher cost of $45 to $60 per hour is due to their nursing education, licensure, and ability to perform more complex care tasks.
4. Registered Nurse
Costing $60 to $90 hourly rates, RNs are highly trained and licensed healthcare professionals who can provide comprehensive medical assessments, develop care plans, administer medications, and manage complex medical conditions. Their significantly higher monthly fees of $12,000 to $18,000 reflect their extensive education, advanced skills, and ability to provide the highest level of in-home medical care.

Factors Affecting Home Care Costs for Dementia Patients
Evaluating these factors enables families to anticipate expenses, make informed care decisions, and create a realistic budget based on their loved one’s specific needs.
Level of Care
This factor determines the intensity and frequency of assistance required, directly impacting the number of caregiving hours and the level of caregiver expertise needed. Here are some situations:
- A person with early-stage dementia needs assistance with meal preparation and light housekeeping for five hours a day, three days a week.
- A person with late-stage dementia needs 24/7 care, including assistance with feeding, toileting, and mobility, requiring around-the-clock caregivers.
- A person with dementia and a recent hip fracture require specialized care, including assistance with transfers and wound care, in addition to regular dementia care.
Caregiver Qualifications
The level of training, experience, and certifications held by the caregiver influences their hourly rate and the quality of care provided. Caregivers with specialized dementia training or certifications, like CNAs or LPNs, generally command higher rates than those providing basic companionship.
- An HHA has basic experience in providing companionship and assisting with light chores.
- A CNA or LPN can provide personal care and basic medical care at home.
- A registered nurse manages complex medical needs and provides skilled nursing care for a dementia patient with multiple health conditions.
Location
The cost of living and the local market rates for caregiving services vary significantly from one region to another.
- In-home dementia care in major metropolitan cities may cost more per hour than in small towns.
- Caregiving rates in a densely populated urban area may be higher than in a sparsely populated rural area within the same state.
- The specific neighborhood within a city can influence rates, with more affluent areas potentially having higher caregiving costs.
Supplies and Home Modifications
Homeowners may spend $3,000-$15,000 to remodel their homes for aging patients, which can contribute to the total cost of dementia care at home.
- Purchase incontinence supplies, such as adult diapers and underpads.
- Install grab bars in the bathroom and a ramp at the entrance of the house to improve safety and accessibility.
- Invest in a medication dispenser to help manage a person with dementia’s medications.

Related Questions
Is It Better to Keep Dementia Patients at Home?
Deciding to keep a dementia patient at home depends on your needs and your ability to provide support. Letting dementia patients stay at home can offer comfort and familiarity, which might help reduce confusion and anxiety. However, if your home environment and resources are limited, you may also consider checking a care facility.
How Can I Prepare for Long-Term Dementia Care Costs?
Preparing for long-term dementia care costs requires planning and budgeting. You should explore insurance options, such as long-term care insurance, that cover in-home care expenses. Include daily living expenses, medical supplies, and possible home modifications, then check for government benefits that can help cover these costs.
How Can I Reduce the Cost of In-Home Dementia Care?
Using a combination of professional and family care can reduce the cost of in-home dementia care. Look into community resources that may offer support groups or low-cost services. Explore local non-profits that might have programs to assist with dementia care.
Conclusion
Understanding the home care costs for dementia patients can help you create realistic budgets and explore financial assistance options while protecting your loved one’s health. Consider looking into professional care providers like Proactive Healthcare Staffing to see what options fit your budget and needs.