Guide to Senior Living in Nevada
Nevada’s senior population is growing relatively fast compared to the country overall — a growth of 2.6% in just 10 years according to census data — and the state is now home to roughly half a million seniors. Residents benefit from a 0% income tax rate, which covers retirement accounts and Social Security, and a lower than average cost of health care.
The cost of senior care in Nevada fares well in comparison to other states. For instance, assisted living is more affordable in Nevada, at an average of $3,400 per month, when compared to the United States at $4,051, according to the Genworth 2019 Cost of Care Survey. Seniors may be eligible for financial assistance to cover some of this cost.
This guide contains cost comparisons for senior living in Nevada. Financial assistance programs that relate to senior living are also included, as well as links to useful resources at the state and local levels.
Covid-19 Rules and Restrictions for Nevada Senior Living Facilities
The following rules and guidelines were obtained from the State of Nevada Department of Health and Human Services Division of Public and Behavioral Health website, as well as other state-level government sites. Among others, these rules apply to long-term care facilities including nursing homes and assisted living facilities.
This data has been most recently updated on 7/19/20, but keep in mind that COVID-19 is a rapidly evolving crisis, so all of the below information can change at any time. For additional questions and up-to-date information, you can contact your loved one’s senior living facility or your local Area Agency on Aging.
Visiting Loved Ones
|Can I visit my relative in person if he/she wants emotional support from me?||Yes, especially window visits (may vary by facility)|
|Can I visit my relative in person for end-of-life compassion care?||Yes|
|Will my loved one be required to self-quarantine after I visit him or her?||No|
|Do I need to wear PPE and/or a cloth mask if I do visit my relative in person?||Yes|
|Are hairdressers and other non-medical contractors still allowed in senior living facilities?||No (may vary by facility)|
|Does the state recommend or require that senior living facilities assist families with setting up virtual visit alternatives?||Yes|
|Are visitors being screened for elevated temperatures?||Yes|
|Are visitors being asked questions about health, travel, and potential virus contact?||Yes|
Outings and Group Activities
|Are residents allowed to leave the facility for non-medical reasons?||NA|
|Are residents of senior living facilities who leave and return required to self-quarantine?||NA|
|Are senior living facilities required to cancel all group outings?||Yes|
|Are residents still eating together in the dining hall?||Yes (may vary by facility)|
|Are facilities still allowed to host group activities within the community?||Yes (may vary by facility)|
Safety Measures for Staff & Contractors
|Are staff members and contractors being screened for elevated temperatures?||Yes|
|Are staff members and contractors being tested for Coronavirus?||Yes|
|Are staff members and contractors being asked questions about health, travel, and potential virus contact?||Yes|
Safety Measures for Residents
|Are staff members required to regularly screen residents for coronavirus symptoms?||Yes|
|Are residents relied on to screen themselves and self-report potential coronavirus symptoms?||NA|
|Are staff members required to take residents’ temperatures?||Optional|
|Are residents being tested for coronavirus?||Yes|
Paying for Senior Living in Nevada
Assisted living is one of a handful of long-term care options in Nevada, and it sits near the midpoint in terms of price. The average monthly cost of assisted living is $3,400, which is roughly twice that of adult day care at $1,733. Homemaker services and home health care are priced equally at $4,290, and nursing home care is the most expensive by far at $7,604 for a semi-private room.
Home Health Care
Adult Day Care
Nursing Home Care
The Cost of Assisted Living in Nevada
Assisted living is much more affordable in Nevada compared to the surrounding states and the United States overall. Nevada’s cost is $651 below average for the country, at $3,400 per month, and $1,100 below that of California and Oregon. Idaho is closer to the state’s average at $3,728 per month, and Utah’s average of $3,400 is identical to Nevada’s.
The Cost of In-Home Care in Nevada
Nevada’s in-home care rates are a perfect match with the U.S. average, a sure sign to seniors that they are getting a good price at $4,290 per month. The monthly rates in Idaho are cheaper but only by $95. Utah is close to Nevada in affordable care at $4,578 per month, but California and Oregon are more expensive, costing seniors $858 – $1,045 more monthly.
The Cost of Nursing Home Care in Nevada
Nevada seniors can get affordable nursing home care in their state at the monthly rate of $7,604. This is only $91 above the national average and the most affordable price for nursing home care in the surrounding area. In Idaho, nursing home care costs seniors $320 more, in California, $1,156 more, and in Oregon, $1,947 more. Utah alone reports the cheapest option for 24/7 medical care, averaging $1,201 less per month than Nevada.
Financial Assistance for Senior Living in Nevada
Seniors in Nevada who need help covering the cost of health and long-term care can apply for Medicaid benefits and additional services available under the waiver programs. The Home and Community Based Waiver (HCBW) covers the cost of personal care received in state-licensed residential care facilities, which includes assisted living, among other services that are more useful for those living in their own home.
The other relevant waiver for seniors who wish to live in assisted living is the Waiver for the Frail Elderly (FE). This program covers fewer services than the HCBW, but it retains coverage of augmented personal care, which makes it just as valuable for senior living specifically.
Nevada Medicaid has an income limit equal to 138% of the federal benefit rate for an individual — $16,612 per year as of 2020 — and $22,491 for a couple. It also has a limit of $2,000 in countable resources. The applicant must be 65+ or have a disability, and they must be a legal resident of Nevada. There is no public information available on financial eligibility for the waiver programs. However, these programs are generally intended for low-income seniors who require a nursing level of care.
Contact: Applications for Medicaid and other state benefits can be submitted online via Access Nevada. Call (800) 992-0900 for assistance and information on applying in person. Residents are directed to contact a local ADSD office to ask about the requirements and application process for the HCBW and Frail Elderly waivers.
The Assisted Living Waiver is intended specifically to help at-risk seniors in residential care facilities and, as with the above-mentioned waivers, it provides residents with augmented personal care. This covers eligible residents for the personal care and supervision received in assisted living and other types of facilities. The AL waiver also provides recipients with case management from a social worker if needed. Assisted living facilities must be participants in the Low-Income Housing Tax Credit (LIHTC) program to be eligible for this waiver.
Applicants must be 65+ and the services must be deemed necessary to prevent the recipient from being placed in a nursing facility. They must also be living in an eligible assisted living facility and below the financial limits. Income guides aren’t publicly available; residents are directed to call the Aging and Disability Services Division.
Contact: More details are available on the Assisted Living Waiver website. Call the closest Aging & Disability Services office to ask about the financial requirements and begin the application process.
Senior Living Laws and Regulations in Nevada
Note: All these rules typically apply to non-clinical senior living facilities, such as independent living, assisted living, and memory care facilities. Nursing homes and other senior living facilities with a clinical setting may have additional or slightly different requirements and regulations.
In Nevada, senior living facilities are licensed as residential facilities for groups. These facilities must provide a core set of services to residents on a 24/7 basis, including food, supervision, shelter and assistance. The Bureau of Health Care Quality and Compliance under Health and Human Services is responsible for evaluating and licensing Nevada’s senior living facilities. States laws and regulations are contained in Nevada Revised Statutes Ch. 449.017 and Nevada Administrative Code 449.156.
Admissions and Care Policy
Senior living facilities serve residents in a group environment and staff are responsible for providing food, personal care and security at all times. These facilities may serve elderly, frail, mentally handicapped or disabled people. Residents are assessed upon entry, and again at least annually, to develop an individualized care plan. All assessments include a check for dementia.
People who are bedridden or who require confinement or full-time nursing supervision cannot be admitted to a senior living facility. If a person develops any of these needs, the facility must receive a medical exemption from the state to allow the resident to stay.
Facility administrators must, upon request, make available the schedule of fees, services provided, optional charges and the refund policy on unused fees.
Memory Care Requirements
Residential care facilities that have received additional evaluations from the state may operate Alzheimer’s units, which are also known as memory care communities. A senior living facility without suitable accommodation must relocate the resident if they’re found to be suffering from dementia or other memory loss and cannot safely be cared for.
Memory care communities must be a secure unit with a minimum ratio of 1:6 caregivers to residents, and at least one caregiver awake at all times. Living quarters must be lockable, and all exit doors must be alarmed.
Staff must receive training in providing care to residents with dementia, including emergency procedures, within their first 40 hours on the job. They must also complete a further set of dementia-specific training sessions within 90 days.
Nevada seniors in senior living facilities are permitted to store and administer medication for themselves unless otherwise indicated by a health care professional. Residents in memory care generally aren’t permitted to handle medication unsupervised. Staff members who manage or administer medication must complete approved medication training courses beforehand, as well as additional annual training and exams. The facility must keep in-depth records of medication use to prevent abuse and administrative errors.
Regulations on Staffing
Caregivers must be 18+ and able to communicate clearly in English. They must also have the knowledge and skills required to care for the specific resident population of the facility. All staff must have completed current CPR and first aid training programs within a month of their employment, and within two months they must have received training relevant to the resident population. Specific facilities that mandate further training include memory care and those who care for people with chronic illness or mental illness. The mandated training subjects for each member of staff must be completed annually.
Nevada Senior Living Free Resources
Nevada’s Aging and Disability Services Division is responsible for over a dozen programs for seniors, including the HCBW financial assistance program as detailed in this guide. Advocacy, dispute resolution and protective services are also available to help at-risk Nevadans. Services and waivers are provided to eligible population groups based on health, social and financial need, which is determined via annual assessments.
Contact: Visit or call the local Aging & Disability Services office to request services. Reports of suspected abuse or neglect of elderly Nevadans can be submitted by phone to Adult Protective Services. If the individual is in immediate danger, call the police.
Area Agencies on Aging in Nevada
There are five agencies in Nevada, known as aging and disability resource centers, that are part of the Nevada Care Connection network. Staff members at the local resource centers can provide one-on-one counseling on the options available for long-term care in the county, and how to plan ahead. Counselors can connect seniors and caregivers to appropriate services with referrals, arrange the necessary assessments for waiver services and provide legal services.
|AREA AGENCY ON AGING||ADDRESS||PHONE NUMBER|
|Division for Aging Services||3416 Goni Road, Building DCarson City, NV 89706||(775) 687-4210|
|Division for Aging Services||1010 Ruby Vista Drive, Suite 104|
Elko, NV 89803
|Division for Aging Services||1860 E. Sahara AvenueLas Vegas, NV 89104||(702) 486-3545|
|Division for Aging Services||445 Apple Street, Suite 104Reno, NV 89502||(775) 688-2964|
Veterans Affairs Offices in Nevada
Nevada has several Veterans Advocacy and Support Team offices located in major cities to help residents get connected to their benefits and provide assistance with claims if they’re denied. Veterans or their surviving spouse may be eligible for a monthly VA pension, and this can be increased further if eligible for the Aid and Attendance benefit. These benefits combined can cover a substantial amount of senior living costs. The Department of Veterans Services is also looking to celebrate veterans in senior living and other facilities in the Veterans in Care program.
Social Security Offices in Nevada
Seniors and people with disabilities who have a low income may be eligible for federal Supplemental Security Income (SSI) payments. Eligibility for SSI is dependent on the individual’s financial need, as opposed to Social Security benefits, which are based on earning history. Nevadans who qualify for SSI payments are automatically qualified for Medicaid and some waiver services. Seniors can do an eligibility check on Benefits.gov or view a list of additional benefits. Read more about how to apply for SSI, including how to get help in person or over the phone, or contact a local office.
|SOCIAL SECURITY OFFICE||ADDRESS||PHONE NUMBER|
|Henderson Social Security Offices||10416 S. Eastern AvenueHenderson, NV 89052||(800) 772-1213|
|Las Vegas Social Security Offices||1250 S. Buffalo DriveLas Vegas, NV 89117||(800) 772-1213|
|North Las Vegas Social Security Offices||4340 N. Simmons StreetNorth Las Vegas, NV 89032||(800) 772-1213|
|Reno Social Security Offices||1170 Harvard WayReno, NV 89502||(800) 772-1213|
Frequently Asked Questions
How much does assisted living cost in Nevada?
The state is fairly affordable in relation to the region and the country as a whole. Nevada’s average monthly cost for assisted living is $3,400 — a savings of 16% compared to the national average $4,051. Nevada shares its average cost with Utah, but California and Oregon are much less affordable at $4,500 per month.
Does Nevada Medicaid pay for assisted living?
Yes. The state Medicaid program can help cover some of the bill for assisted living, and there are three relevant waivers in this guide that may provide further financial assistance for Nevadans who need help paying for a residential care facility.
What are activities of daily living?
This term refers to the incidental tasks that healthy adults perform dozens of times each day, such as meal preparation and cleanup, bathing, dressing and transferring to and from a bed or wheelchair. These and other tasks are commonly referred to as ADLs.
What types of care are provided in assisted living facilities?
Staff members provide personal care, such as assistance with activities of daily living, as well as the necessary food, accommodation and security. These types of care must be present day and night. Temporary medical care can also be provided, but residents who need full-time nursing supervision cannot be admitted to assisted living.
What types of services are available in assisted living?
Residents receive the care services as described above. The individual facilities around Nevada can provide additional services that cater to the age, health and social needs of the resident population. Services may include podiatrist, pharmacy, physical and speech therapies, beauticians, hairdressers and transport for group lunches.
The Top Cities for Senior Living in Nevada
Learn more about the cost of senior living in the top Nevada cities. Additionally, find reviews and information about assisted living facilities and other senior living communities across the state.