Since Genworth created its Cost of Care Survey in 2004, the cost of long-term care in the U.S. has increased every year. And the effects of the coronavirus pandemic have driven up expenses even more this year.

2020 saw a considerable increase in the cost of residential community assisted-living facilities, Genworth said, and following last year’s trend, in-home care costs are also on the rise. Over a single year, assisted-living facility rates rose by 6.15%, resulting in an annual national median cost of $51,600 per year.

The services of homemakers (those who assist in the home and have more of a hands-off role with errands, chores, etc.) increased in cost by 4.44%, coming to an annual national median cost of $53,768. That was closely followed by home health aide services (which have more of a hands-on role with clients). These services saw a 4.35% increase in cost, rising to an annual national median of $54,912.

Private room nursing home rates increased by 3.57%, with an annual national median cost of $105,850, and semi-private nursing home rates jumped by 3.24% to an annual national median cost of $93,075. The one area that saw a decrease was adult day care, which declined by 1.33% to an annual national median cost of $19,240.

Genworth’s research included 435 cities and towns across all 50 states. The following list, from lowest to highest, includes the annual, monthly and daily costs for the top 10 most expensive states for long-term care in an assisted-living facility. Also included in the rankings are the cost of private room nursing homes and semi-private room nursing homes in those states.
 

10. Kansas
The annual cost for assisted living in Kansas is $61,080, the monthly cost is $5,090, and the daily charge is $167.

Care in a private room in a nursing home is much less in the state, which ranked No. 45. The annual cost is $84,315, the monthly cost is $7,026, and the daily cost is $231.

The state ranked No. 42 for the cost of a semi-private room in a nursing home, with an annual cost of $80,300, a monthly cost of $6,692 and a daily cost of $220.


 

9. Vermont
The annual cost for assisted living in Vermont is $63,720, the monthly cost is $5,310, and the daily cost is $175.

The state ranked No. 20 for the cost of a private room in a nursing home, with an annual cost of $123,735, a monthly cost of $10,311 and a daily cost of $339.

The state ranked No. 16 for the cost of a semi-private room in a nursing home with an annual price tag of $117,348, a monthly cost of $9,779 and a daily cost of $322.

 

8. Washington
The annual cost for assisted living in Washington is $69,000. The monthly cost is $5,750, and the daily rate is $189.

The state ranked No. 15 for the cost of a private room in a nursing home with an annual price tag of $131,400, a monthly cost of $10,950 and a daily cost of $360.

The state ranked No. 18 for the cost of a semi-private room in a nursing home, with an annual price tag of $114,975, a monthly cost of $9,581 and a daily cost of $315.

 

7. Maine
The annual cost for assisted living in Maine is $71, 298, the monthly cost is $5,942, and the daily cost is $195.

The state ranked No. 18 for the cost of a private room in a nursing home with an annual charge of $127,385, a monthly charge of $10,615 and a daily charge of $349.

The state ranked No. 17 for the cost of a semi-private room in a nursing home, with an annual price tag $115,705, a monthly cost of $9,642 and a daily cost of $317.

 

6. Massachusetts
The annual cost for assisted living in Massachusetts is $73,020, the monthly rate is 6,085, and the daily rate is $200.

The state ranked No. 5 for the cost of a private room in a nursing home, with an annual price tag of $162,425, a monthly cost of $13,535 and a daily cost of $445.

It ranked No. 3 for the cost of a semi-private room in a nursing home, with an annual price tag of $151,475, a monthly cost of $12,623 and a daily cost of $415.

 

5. Connecticut
The annual cost for assisted living in Connecticut is $75,600, the monthly cost is $6,300, and the daily cost is $207.

The state ranked No. 3 for the cost of a private room in a nursing home, with an annual cost of $167,900, a monthly cost of $13,992 and a daily cost of $460.

It ranked No. 2 for the cost of a semi-private room in a nursing home with an annual price tag of $155,125, a monthly cost of $12,927 and a daily cost of $425.

 

4. Alaska
The annual cost for assisted living in New Jersey is $79,590, the monthly cost is $6,633, and the daily cost is $218.

The state ranked the highest (No. 1) for the cost of a private room in a nursing home, with an annual price tag of $436,540, a monthly price tag of $36,378 and a daily price tag of $1,196.

It also took the top ranking (No. 1) for the highest cost of a semi-private room in a nursing home, with an annual cost of $448,950, a monthly cost of $37,413 and a daily cost of $1,230.

 

3. New Jersey
The annual cost for assisted living in New Jersey is $79,800, $6,650 monthly and $219 daily.

The state ranked No. 11 for the cost of a private room in a nursing home, with an annual price tag of $142,350, a monthly price tag of $11,863 and a daily price tag of $390.

It ranked No. 10 for the highest cost of a semi-private room in a nursing home, with an annual price tag of $135,050, a monthly price tag of $11,254 and a daily price tag of $370.

 

2. New Hampshire
The annual cost for assisted living in New Hampshire is $79,800, $6,650 monthly and $219 daily.

The state ranked No. 13 for the cost of a private room in a nursing home, which stands at $135,780 annually, $11,315 monthly and $372 daily.

It ranked No. 12 for the cost of a semi-private room in a nursing home, which stands at $127,750 annually, $10,646 monthly and $350 daily.

 

1. Delaware
The annual cost for assisted living in Delaware is $80,280, the monthly cost is $6,690, and the daily charge is $220.

The state ranked No. 8 for most expensive cost for a private room in a nursing home, with an annual cost of $152,388, a monthly cost of $12,699 and a daily cost of $418.

It ranked No. 5 for the cost of a semi-private room in a nursing home, with an annual cost of $148,190, a monthly cost of $12,349 and a daily cost of $406.