15. California | Average annual cost: $76,951

Homemaker services: $66,352 | Home health aide: $66,352 | Day health care: $20,800
Assisted living: $60,000 | Nursing home (semi-private): $110,960 | Nursing home (private): $137,240

(Photo: Shutterstock)

14. Vermont | Average annual cost: $78,866

Homemaker services: $65,208 | Home health aide: $66,352 | Day health care: $35,750
Assisted living: $63,720 | Nursing home (semi-private): $117,348 | Nursing home (private): $123,735

(Photo: Shutterstock)

13. Oregon | Average annual cost: $79,068

Homemaker services: $65,666 | Home health aide: $66,352 | Day health care: $30,984
Assisted living: $55,905 | Nursing home (semi-private): $121,363 | Nursing home (private): $134,138

(Photo: Shutterstock)

12. Washington | Average annual cost: $80,840

Homemaker services: $71,294 | Home health aide: $72,369 | Day health care: $26,000
Assisted living: $69,000 | Nursing home (semi-private): $114,975 | Nursing home (private): $131,400

(Photo: Shutterstock)

11. New Hampshire | Average annual cost: $82,927

Homemaker services: $65,208 | Home health aide: $66,924 | Day health care: $22,100
Assisted living: $79,800 | Nursing home (semi-private): $127,750 | Nursing home (private): $135,780

(Photo: Shutterstock)

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10. Minnesota | Average annual cost: $82,937

Homemaker services: $70,356 | Home health aide: $75,504 | Day health care: $23,754
Assisted living: $51,390 | Nursing home (semi-private): $132,313 | Nursing home (private): $144,303

(Photo: Shutterstock)

9. New Jersey | Average annual cost: $83,165

Homemaker services: $59,488 | Home health aide: $59,488 | Day health care: $22,815 | Assisted living: $79,800
Nursing home (semi-private): $135,050 | Nursing home (private): $142,350

(Photo: Shutterstock)

8. New York | Average annual cost: $83,524

Homemaker services: $57,772 | Home health aide: $59,488 | Day health care: $23,335
Assisted living: $57,600 | Nursing home (semi-private): $147,825 | Nursing home (private): $155,125

(Photo: Shutterstock)

7. North Dakota | Average annual cost: $84,271

Homemaker services: $64,018 | Home health aide: $66,352 | Day health care: $26,936
Assisted living: $49,149 | Nursing home (semi-private): $146,000 | Nursing home (private): $153,172

(Photo: Shutterstock)

6. Delaware | Average annual cost: $85,833

Homemaker services: $57,200 | Home health aide: $57,200 | Day health care: $19,739
Assisted living: $80,280 | Nursing home (semi-private): $148,190 | Nursing home (private): $152,388

(Photo: Shutterstock)

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5. Hawaii | Average annual cost: $86,913

Homemaker services: $64,064 | Home health aide: $68,640 | Day health care: $18,980
Assisted living: $60,000 | Nursing home (semi-private): $144,175 | Nursing home (private): $165,619

(Photo: Shutterstock)

4. Connecticut | Average annual cost: $88,871

Homemaker services: $54,912 | Home health aide: $57,200 | Day health care: $22,490
Assisted living: $75,600 | Nursing home (semi-private): $155,125 | Nursing home (private): $167,900

(Photo: Shutterstock)

3. Massachusetts | Average annual cost: $90,040

Homemaker services: $66,352 | Home health aide: $67,793 | Day health care: $19,175
Assisted living: $73,020 | Nursing home (semi-private): $151,475 | Nursing home (private): $162,425

(Photo: Shutterstock)

2. District of Columbia | Average annual cost: $110,375

Homemaker services: $59,785 | Home health aide: $59,785 | Day health care: N/A
Assisted living: N/A | Nursing home (semi-private): $149,650 | Nursing home (private): $149,650

(Photo: Shutterstock)

1. Alaska | Average annual cost: $188,327

Homemaker services: $64,064 | Home health aide: $64,156 | Day health care: $36,660
Assisted living: $79,590 | Nursing home (semi-private): $448,950 | Nursing home (private): $436,540

(Photo: Shutterstock)

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Related: 15 Most Expensive States for Long-Term Care: 2019

There are some 73 million baby boomers in the U.S., and by the end of the coming decade, all of them will have turned 65, according to the U.S. Census Bureau.

Seven in 10 people 65 and older will need some type of long-term care during their lifetime, and the cost will vary depending on the patient’s required level of care, care setting and geographic location.

A new study by Genworth finds that the cost for facility and in-home care services rose on average from 1.9% to 3.8% per year from 2004 to 2020. That increase amounts to $797 annually for home care and as much as $2,542 annually for a private room in a nursing home.

At the current rate, some care costs are surpassing the 1.8% U.S. inflation rate, Genworth said, citing government reports.

The findings come from 14,326 surveys completed in July and August by long-term care providers at nursing homes, assisted living facilities, adult day health facilities and home care providers. The survey encompassed 435 regions based on the 384 U.S. Metropolitan Statistical Areas as defined by the U.S. Office of Management and Budget.

Genworth found in a follow-up study that these factors are contributing to rate increases for long-term care, particularly amid the COVID-19 pandemic:

  • Labor shortages
  • Personal protective equipment costs
  • Regulatory changes, including updated CDC guidelines
  • Employee recruitment and retention challenges
  • Wage pressures
  • Supply and demand

See the gallery for the 15 most expensive states for long-term care, according to Genworth.

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