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Assisted Living Costs By State 2021

It is estimated that over 50% of Americans over the age of 65% will need some form of care during their lives. Assisted living communities are a popular option for adults who require this care.

Assisted living residences or facilities are housing facilities for those with disabilities or adults who cannot or choose not to live independently. Assisted living facilities are similar to retirement homes in that they provide a group living environment for residents and usually cater to an older population.

Assisted living services include supervision or assistance with everyday activities, coordination of services outside health care providers, and monitoring residents to ensure their health, well-being, and safety.

Assisted living offers different levels of care, a diversity of services, and a wide range of options to best fit the needs of the person looking for care. Assisted living is subject to state oversight and its meaning depends on both the state and provider of the service in question. Assisted living facilities can be owned by for-profit companies, non-profit organizations, or governments.

Unfortunately, as in retirement homes, there have been reports of mistreatment, abuse, and neglect of residents in assisted living facilities.

Cost of Assisted Living

Like the cost of rent across the U.S., assisted living costs vary greatly from state to state.

The Genworth Financial Cost of Care Survey reported that the national median for an assisted living facility in 2019 cost $48,612 per year or about $4,051 per month. This is a 2.97% increase since 2018.

States with the Highest Assisted Living Costs

Below are the ten states with the highest cost of assisted living. Numbers are the annual cost of a private one-bedroom.

  1. District of Columbia - $135,450 per year
  2. New Hampshire - $84,255
  3. New Jersey - $76,800
  4. Delaware - $72,414
  5. Alaska - $72,000
  6. Massachusetts - $67,680
  7. Washington - $66,000
  8. Vermont - $64,050
  9. Rhode Island - $62,385
  10. Maine - $62,031

The District of Columbia, which has the highest cost of assisted living of any state, has an annual cost of $135,450, a 10.38% increase from 2018. This means that an assisted living facility costs about $11,288 per month. The annual cost in D.C is also over $50,000 more than the second-highest state, New Hampshire, which costs $84,255.

Missouri has the lowest cost of assisted living at $34,556 per year. This is over $100,000 less than in the District of Columbia.

Here are the 10 states with the highest yearly assisted living costs by state:

  1. New Hampshire ($84,255)
  2. New Jersey ($76,800)
  3. Delaware ($72,414)
  4. Alaska ($72,000)
  5. Massachusetts ($67,680)
  6. Washington ($66,000)
  7. Vermont ($64,050)
  8. Rhode Island ($62,385)
  9. Maine ($62,031)
  10. Connecticut ($58,560)

Assisted Living Costs By State 2021

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Assisted Living Costs By State 2021

State Annual Cost
New Hampshire$84,255
New Jersey$76,800
Delaware$72,414
Alaska$72,000
Massachusetts$67,680
Washington$66,000
Vermont$64,050
Rhode Island$62,385
Maine$62,031
Connecticut$58,560
Virginia$57,600
California$54,000
Oregon$53,985
Kansas$53,670
Hawaii$52,500
Wisconsin$52,200
Ohio$52,062
Maryland$51,600
Illinois$50,040
New Mexico$49,200
Colorado$49,140
Iowa$48,933
Indiana$48,300
North Carolina$48,000
Michigan$48,000
New York$47,856
Pennsylvania$46,950
Tennessee$46,800
Montana$45,840
Nebraska$45,831
Minnesota$45,600
Wyoming$45,360
West Virginia$45,000
Texas$45,000
Arizona$45,000
Idaho$44,730
Louisiana$43,800
South Dakota$42,840
Mississippi$42,291
South Carolina$42,000
Florida$42,000
Kentucky$41,958
North Dakota$40,860
Utah$40,800
Nevada$40,800
Georgia$40,020
Alabama$39,000
Arkansas$38,100
Missouri$34,566
Oklahoma$32,210

Assisted Living Costs By State 2021