An underused comparison, and for some families the single best value in senior care.
| Measure | Figure | What it covers | Source |
|---|---|---|---|
| Non-medical caregiver, hourly | $37 an hour | Nevada statewide median | CareScout (Genworth), 2025 |
| Adult day health care, daily | $80 a day | Nevada statewide median | CareScout (Genworth), 2025 |
At Nevada's median, a day in an adult day program costs about what two and a half hours of in-home care costs — and a day is six to eight hours of supervision, activity, meals and other people. On coverage per dollar it is not close.
Where adult day wins
- Social engagement, which is the thing home care structurally cannot provide
- Coverage per dollar for a working family caregiver
- Structure and routine, which help many people with dementia considerably
- Cognitive and physical activity programming
Where home care wins
- Personal care — the shower, the dressing, the toileting help
- Anyone who cannot tolerate the transport or the group setting
- Evenings, nights and weekends, which day programs do not cover
- Someone in the late stages, or medically fragile
Most families that get this right use both. Three days of adult day for engagement and coverage, plus a caregiver in the mornings for the shower and getting out the door. It usually costs less than an equivalent number of in-home hours and works better. Nevada's Frail Elderly waiver covers adult day care services and, separately, home-delivered meals, if the person qualifies.
Adult day programs in Las Vegas.
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Related
Home care vs assisted living
Staying home with paid help vs Moving to assisted living
Home care vs home health
In-home care (personal care) vs Home health (skilled)
Agency vs hiring a caregiver privately
A licensed agency vs A privately hired caregiver
Hourly vs live-in vs 24-hour
Hourly or live-in vs 24-hour awake coverage
Dementia care at home vs memory care
Dementia care at home vs A memory care community
Common questions
Is adult day care cheaper than in-home care?
Per hour of coverage, considerably. At Nevada medians a full day in an adult day program costs about what two and a half hours of in-home care costs. It does not cover personal care at home, evenings or weekends, so many families use both.
Sources for this page
- CareScout Cost of Care Survey 2025 — state data tables — CareScout (Genworth), 2025. More than 25,000 rates collected from long-term care providers nationwide between July and November 2025. Annual figures assume 44 hours a week for 52 weeks.
Reviewed by the Vegas Senior Advisor care team. Last updated November 11, 2026. Spot something wrong? Call (725) 465-8617 and we will correct it within one business day.
