The cost of senior care in Georgia sits below the national figure in every setting. Assisted living runs about $4,940 a month and a nursing home about $105,850 a year for a semi-private room, both lower than the typical state. Even so, the bills add up fast, and which setting a family chooses can swing the yearly cost by tens of thousands of dollars.

This guide lays out what every senior-care setting in Georgia costs side by side, what pushes the price up or down, and how families actually pay, from private funds to Medicaid for those who qualify.

In This Guide

What Each Setting Costs in Georgia

The figures below come from the CareScout (Genworth) Cost of Care Survey, the 2024 release that gives the most recent Georgia state-level data. These are medians from an industry survey, not government rates and not maximums, so the cost at any one provider can land higher or lower depending on location, room type, and how much care a person needs.

Read across the settings and Georgia comes in below the national figure in every category. Assisted living sits about $11,520 a year under the national median, a home health aide about $11,440 under it, and a semi-private nursing-home room about $5,475 under it. That makes Georgia a comparatively affordable state for senior care, but the gaps between settings still matter: a nursing home costs nearly twice what assisted living does, so matching the setting to the actual level of need is where the real savings come from.

Care setting Georgia (year) Georgia (month) National (year)
Assisted living about $59,280 about $4,940 about $70,800
Nursing home, semi-private room about $105,850 about $8,821 about $111,325
Nursing home, private room about $113,150 about $9,429 n/a
Home health aide (44 hrs/wk) about $66,352 about $5,529 about $77,792
Homemaker services (44 hrs/wk) about $64,064 about $5,339 about $75,504
Adult day care about $26,000 about $2,167 n/a

The in-home figures assume a steady schedule of about 44 hours a week, which works out to roughly $29 an hour for a home health aide and $28 an hour for a homemaker, closer to daily help than around-the-clock supervision. A home health aide, who can help with hands-on personal care like bathing and dressing, runs about $66,352 a year at that pace, and a homemaker, who handles household tasks like cooking and cleaning but not personal care, runs about $64,064. Adult day care, which provides supervised daytime care while a family caregiver works, is the lowest-cost option at about $26,000 a year. Round-the-clock home care costs far more, because the hours multiply quickly, which is why heavy daily needs often tip the math toward a facility even where the home is the preference.

What Drives the Price

The single biggest driver of cost is the level of care a person needs. A nursing home provides 24-hour licensed nursing care, with a staff of nurses and aides on every shift plus the building, equipment, and oversight that skilled care requires, which is why a semi-private room runs about $105,850 a year in Georgia. Assisted living is built for people who need help with daily tasks but not constant skilled nursing, so it carries a lighter staffing load and a lower price, about $59,280 a year. The roughly $46,000 yearly gap between the two settings is the cost of that round-the-clock skilled nursing.

In-home care occupies the middle. A home health aide or homemaker in Georgia runs about $64,064 to $66,352 a year at 44 hours a week, more than the monthly equivalent might suggest because the hours add up. A few hours of daily help stays affordable, but because in-home care is billed by the hour, continuous coverage climbs quickly past the cost of a facility. Adult day care, at about $26,000 a year, can stretch a budget when a family caregiver is available evenings and weekends.

Within any single setting, the advertised rate is rarely the whole bill. A facility usually quotes a base rate for room and routine services, then adds charges as care needs grow: help with more activities of daily living, medication management, memory care, or a higher staffing tier. A resident who enters needing little help and later needs much more can see the monthly cost climb well past the opening figure. When you compare quotes, ask what the base rate includes and what triggers an add-on, because two facilities with similar headline prices can bill very differently once care needs rise.

How Families Pay

Almost no one pays for years of senior care out of a single source. Most families start with private funds and shift to other payers as the bills mount. Here's how the main options work in Georgia.

Private pay is savings, income, the proceeds of a home sale, and long-term care insurance if a person bought it. It's the most flexible option, since it covers any setting, but it's also the one that runs out, and at about $105,850 a year for a nursing home or about $66,352 for a full-time home health aide, it can run out faster than families expect. Long-term care insurance, where it exists, can offset a share of the cost, though policies vary widely in what they pay and for how long.

Georgia Medicaid pays for long-term care, including nursing-facility care and home- and community-based services, for people who meet both a level-of-care test and the financial rules. Georgia is a 1634 state, and for institutional, or nursing-facility, Medicaid in 2026 a single applicant must have monthly income at or below $2,982, the 300% special income limit tied to the federal benefit rate, and countable assets at or below $2,000. Two features set Georgia apart for planning. First, nursing-facility Medicaid is an entitlement, which means every qualified applicant is covered with no waitlist. A nursing-home resident on Medicaid contributes most of their monthly income toward the cost of care while keeping a small personal needs allowance. Second, Georgia is a Medicaid non-expansion state, so adults generally qualify only through a specific category such as being aged 65 or older, blind, or disabled, rather than on income alone.

If a nursing home isn't the right fit, Georgia funds home and community-based care through the Elderly and Disabled Waiver Program, delivered as the Community Care Services Program (CCSP) and Service Options Using Resources in Community Environments (SOURCE). Both require a nursing-facility level of care and cover services like case management, personal care, adult day health, home-delivered meals, and caregiver respite so a person can be served at home instead of in a nursing home. Unlike institutional Medicaid, these waivers are not entitlements: they have limited enrollment slots and can carry a waitlist when slots are full, so a family counting on a waiver should apply early and plan for a possible wait. Two more rules shape long-term-care planning and follow the federal pattern: a 60-month look-back on assets transferred for less than fair value, which can trigger a penalty period, and estate recovery from the estates of people who received long-term-care Medicaid after age 55.

One gap trips up many families: Medicaid covers services, not the room and board in assisted living. Georgia's waivers pay for the care a person receives, not the rent-and-meals portion of an assisted-living bill the way nursing-facility Medicaid covers an institutional stay. A family choosing assisted living should plan to cover room and board privately, even where a waiver helps pay for the care services themselves.

A note on Medicare, because the assumption is common: Medicare covers only short-term skilled rehab after a hospital stay, not the long-term custodial care, the ongoing help with daily living, that most families are budgeting for. That long-term care is what private pay and Medicaid cover.

How to Plan and Budget

Start by matching the setting to the actual need, not the other way around. Because a Georgia nursing home costs nearly twice what assisted living does, the difference between the right setting and an over-built one can be tens of thousands of dollars a year. A candid assessment of how much help a person truly needs is worth more than a default assumption. Many people who need help with daily tasks but not skilled nursing are well served by assisted living, a few hours a day of in-home care, or adult day care, while someone needing continuous skilled care may find a nursing home costs no more than full-time help at home.

Then build a realistic timeline. Estimate the monthly cost of the right setting, list the resources available to pay for it, and work out how long private funds will last before Medicaid would come into play. If a home- and community-based waiver is part of the plan, apply early, because CCSP and SOURCE slots are limited and a waitlist can delay coverage. If Medicaid is likely to be part of the plan at all, the look-back and estate-recovery rules reward starting early and getting advice, because last-minute moves to qualify often trigger penalties. Two Brevy guides go deeper here: Medicaid Planning Strategies walks through how to position assets and income within the rules, and Medicaid Personal Needs Allowance, Explained covers the small monthly amount a resident keeps.

Finally, budget for the add-ons, not just the base rate. Care needs tend to rise over time, so the figure you start with is rarely the figure you finish with. A plan that assumes some increase is more likely to hold up than one built on today's lowest quote.

Frequently Asked Questions

It depends heavily on the setting. Per the 2024 CareScout (Genworth) Cost of Care Survey, assisted living runs about $59,280 a year (roughly $4,940 a month), a semi-private nursing-home room about $105,850 a year, a private room about $113,150, a home health aide about $66,352 a year and a homemaker about $64,064 (the in-home figures at roughly 44 hours a week), and adult day care about $26,000. These are statewide medians from an industry survey, not maximums, so an individual provider can cost more or less.

Yes. Georgia comes in below the national median in every category in the 2024 CareScout (Genworth) survey: assisted living runs about $11,520 a year under the national figure, a home health aide about $11,440 under it, and a semi-private nursing-home room about $5,475 under it. That makes Georgia a comparatively affordable state for senior care, though costs still vary widely by location and provider.

For nursing-facility care and home- and community-based services, yes, if a person meets a level-of-care test and the financial rules. For 2026, a single applicant must have monthly income at or below $2,982 and countable assets at or below $2,000. Nursing-facility Medicaid is an entitlement with no waitlist, while the home-based CCSP and SOURCE waivers have limited slots and can carry a waitlist. A nursing-home resident on Medicaid pays most of their income toward care and keeps a small personal needs allowance.

Not the room-and-board cost. Georgia's home- and community-based waivers, CCSP and SOURCE, pay for care services, not the rent-and-meals portion of an assisted-living bill the way nursing-facility Medicaid covers an institutional stay. A family choosing assisted living should plan to pay room and board privately, even where a waiver helps cover the care services.

Most start with private pay, savings, income, home-sale proceeds, and long-term care insurance if they have it, then turn to Georgia Medicaid once a person meets the level-of-care and financial rules. Because Georgia follows the federal 60-month look-back on transferred assets and recovers from the estates of people who got long-term-care Medicaid after age 55, planning early and getting professional advice usually pays off.

Learn More

Find personalized help building a realistic senior-care budget for Georgia at brevy.com.


The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.

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Brevy Care Team

Expert eldercare guidance from Brevy's team of healthcare professionals and researchers.