The Cost of Home Care in Massachusetts

According to the Health Services Research Report, 65% of the elderly who need daily living assistance rely on informal caregiving, with another 30% relying, to some extent, on paid care (eg home care). Estimations suggest formal caregiving costs approximately $133 billion a year.

Informal caregiving may be provided by a family member, friend or neighbor. Formal caregiving may be provided by a Personal Care Aide (PCA) that is contracted through a home care service company or by a Healthcare Professional.
Generally, Registered Nurses (RN) take on the role of Home Healthcare Professional. Since an RN is a licensed medical professional, he/she has the ability to order certain tests, monitor the senior’s health and administer medication via injections or through an IV.

The Cost of Home Care in Massachusetts

According to the Genworth Financial 2018 Cost of Care Survey, the hourly rate for a Personal Care Aide who is providing home care is $25.75. The annual cost of home care in Massachusetts is typically around $60,000.

National & Local Averages for Home Care

The national average hourly cost of a Personal Care Aide in the U.S. is $21 and $22 an hour for a Home Healthcare Professional. Locally, Massachusetts ranks as one of the more expensive states for in-home senior care with hourly wages ranging from $28 to $35.

When you choose North River Home Care, you get what you pay for. By adhering to high standards, the professionalism and quality of senior in-home care is guaranteed. The personal care aides with North River Home Care have compassionately served over 1,000 senior clients in Massachusetts.

Personal Care Aide Training and Certification

Although a Personal Care Aide is not a medical professional, per se, these individuals typically receive specialized training from the home care company they work for. There are also certification programs available.

If the PCA will be working with an agency funded by Medicaid or Medicare, he or she must meet specific requirements. Besides meeting these requirements, to work with these agencies, it is essential that the Personal Care Aide passes a state certification and/or an evaluation test.

Formal Caregiving with a Personal Care Aide

A Personal Care Aide performs a variety of tasks to assist the senior on a daily basis.

A Personal Care Aide can provide assistance with:

  • Cooking
  • Feeding
  • Ensuring medications are taken on time
  • Showering/Bathing
  • Dressing
  • Toileting (including issues related to incontinence)
  • Light housework (i.e., dishes, laundry, etc.)
  • Walking assistance to prevent falls
  • Shopping
  • Pet care

Calculating Home Care Service Costs

Companies specializing in providing home care for seniors can perform a comprehensive assessment to determine the type of care an individual needs. Here’s how the costs tend to breakdown:

Hourly Rates

When a senior remains somewhat independent in his or her day-to-day activities, 24-hour care may not be necessary. In cases such as these, hourly rates will be the pay rate used. Some companies do require that their clients have a caregiver spend a minimum amount of time at the home: The minimum amount of required time usually ranges from 2 to 4 hours.

Daily Rates

These rates are used when a senior needs care or assistance 24-hours a day. These rates are usually calculated daily. The caregiver’s breaks and rests are deducted from the daily total. Daily rates vary greatly, ranging from $200 to around $350 a day.

Overnight Rates

Overnight rates are not usually calculated by the hour and these rates are not as costly as daily rates. The activities performed and the number of hours the caregiver is providing service to the senior is typically less at night than during the day. For this reason, overnight rates are less costly than daily rates are.

An overnight client is usually a senior who needs assistance when heading to the bathroom or an individual who has a degenerative condition like Alzheimer’s, which causes him/her to wander off during the night. The home care worker is there to ensure the senior remains safe and to offer assistance with toileting or any other task that the senior needs help with.

When family members are serving as the primary caregivers for their loved one during the day, overnight caregivers are frequently hired to care for the senior throughout the night. Overnight home care rates range from $120 to $200 for a 10- to 12-hour shift.

Issues Affecting the Cost of Home Care

How much long-term home care will cost depends on the kind of home care a senior needs and the duration of that care. Other factors include the provider used and the location in which the senior lives.

In addition, evenings, weekends and holidays are usually more expensive than a typical weekday is. Furthermore, unless a company offers all-inclusive fees, additional services performed by the Personal Care Aide or Healthcare Professional may result in extra charges.

To find out exactly how much you can expect to pay–and for ways to save money with home care–contact us today online or by phone at (781) 659-1366.

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Home Care Service Area

North River Home Care serves families and their loved ones in the Southshore, Cape Cod, and Metrowest areas. Below is a list of specific areas we serve. View our full service area.

Boston, SouthEastonMattapoisettSharon
BridgewaterHalifaxNorth AttleboroWalpole
Cape CodHinghamPembrokeWeymouth