Honest Pricing · Las Vegas
What Home Care Actually Costs in Las Vegas: Honest Numbers from Two Nurses
Written and reviewed by Halston Juracka, RN-BSN, CBIS and Kayla Juracka, RN-BSN · Updated August 2026
Almost every home care website in this valley hides its prices. You call, they qualify you, and the number arrives only after the sales pitch. We think that's backwards. We are the nurse owners of a Las Vegas home care practice, and this page is the straight answer we wish every family could find at 2am: what care costs here, why, and how families actually pay for it.
Tell us what's going on. Get a nurse's honest read.
Nevada Licensed PCA No. 12250-PCS-0 · Nurse Owners · Prices Published
Serving Summerlin, Henderson & Las Vegas
How much does home care cost in Las Vegas?
In Las Vegas in 2026, hourly home care from a licensed agency generally runs between $28 and $40 per hour for standard caregivers, depending on the agency, the caregiver's certification, and the level of need. Skilled nursing visits at home typically range from $90 to $200 or more per hour. Around-the-clock care, whatever the provider, is a five-figure monthly commitment.
Las Vegas Market Ranges, 2026
Standard caregivers
$28–$40/hour
Licensed agency, hourly
Skilled nursing visits at home
$90–$200+/hour
Skilled nurse vist at home
Around-the-clock care
$18k–$30k /month
Any licensed provider
Those are the ranges families encounter across the valley. Now the part almost nobody explains: what moves the number. Certification matters, a personal care attendant with minimal training costs less than a certified nursing assistant, and agencies staffing CNAs pay more for better people. Oversight matters most of all: at many agencies, nobody clinical ever reviews what happens on a shift. At practices like our concierge nursing practice, a registered nurse builds the plan and reads every visit note, and that vigilance is a real cost that buys a real thing, problems caught early instead of discovered in an emergency room.
What does Apex charge?
We publish our prices because families deserve to plan. Caregivers, all certified nursing assistants under our direct nursing oversight, are $65 per hour. Nursing visits, delivered personally by the two of us, are $200 per hour. Most families choose a care membership that bundles caregiver hours, nursing oversight, and full coordination with doctors and family: memberships start at $3,000 biweekly, which is about $6,500 per month and includes 20 caregiver hours per week, and range up to $9,500 biweekly for our most involved level of care. Every plan is priced after a free in-home nursing assessment, because we will not price care we have not seen.
Apex Pricing at a Glance
Caregivers
$65/hour
All certified nursing assistants, under direct nursing oversight
Nursing visits
$200/hour
Delivered personally by the nurse owners
Care memberships
$3,000–$9,500 biweekly
About $6,500 per month at the starting level, including 20 caregiver hours per week, nursing oversight, and full coordination
Every plan is priced after a free in-home nursing assessment. We will not price care we have not seen.
Families often cover part of this care through long-term care insurance, HSA funds, or VA benefits. Our free guides in the Apex Resource Library walk through each option.
Tell us what's going on. Get a nurse's honest read.
What does 24-hour home care cost?
Around-the-clock care in Las Vegas, from any licensed agency, generally lands between $18,000 and $30,000 per month depending on rates and structure. At standard valley rates of $30 to $40 per hour, 24/7 coverage runs roughly $21,000 to $29,000 monthly. Families are often surprised, and it is exactly why acting early matters: the family that gets twenty hours a week of support at the first warning signs often prevents the crisis that would have demanded round-the-clock care later. Early is cheap. Late is expensive, in money and in choices.
We cover schedules, staffing models, and what around-the-clock support really involves on our 24-hour home care page.
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How does home care compare to assisted living or a nursing home?
Assisted living communities in the Las Vegas valley typically run $4,500 to $9,000 or more per month, with memory care commonly $6,000 to $10,000 and up. A private room in a skilled nursing facility often exceeds $10,000 to $13,000 per month. So for part-time support, home care is usually the less expensive option, and it keeps the person in their own home. For heavy, round-the-clock needs, a facility can be cheaper on paper, and this is where we tell families the honest thing: the comparison is not just dollars. A facility price buys a shared building and rotating shift staff. Home care buys their own bed, their own routine, and, done right, one consistent team whose only job is them. Some families need the facility, and when they do, we help them find the right one. Many just need the right support at home, sooner than they think.
Option
Typical monthly range, Las Vegas valley
Home care, about 20 hours per week
$2,400–$3,500
At standard valley hourly rates of $28 to $40
24/7 home care
$18,000–$30,000
At standard valley hourly rates of $28 to $40
Assisted living
$4,500–$9,000+
At standard valley hourly rates of $28 to $40
Memory care
$6,000–$10,000+
At standard valley hourly rates of $28 to $40
Skilled nursing facility, private room
$10,000–$13,000+
At standard valley hourly rates of $28 to $40
Market ranges reflect what families report and what we observe across the valley; individual providers vary.
Does Medicare pay for home care?
Mostly no, and this surprises almost every family. Medicare pays for home health, a short-term benefit of skilled visits, a nurse or therapist a few times a week after a qualifying event, and then it ends. It does not pay for the daily hands-on help most families actually need: bathing, meals, mobility, supervision, the hours. Medicaid can cover home care for those who qualify financially, through Nevada's waiver programs. For everyone in between, home care is private pay, which is why the next section matters more than any other on this page.
For clinical needs at home beyond caregiving, see what private nursing at home covers.
How do families actually pay for home care?
Four ways come up constantly in our practice. Long-term care insurance: if your loved one carries a policy, it likely reimburses home care, families pay the agency and the insurer reimburses them, and we provide every document carriers require, and prepare the claims paperwork for our members. VA Aid and Attendance: wartime veterans and surviving spouses with limited assets can qualify for up to $2,424 to $2,874 per month toward care; most families have never heard of it, and our free Ways to Pay guide walks through it. HSA funds and tax deductions: qualified in-home nursing services are HSA-eligible, and for chronically ill loved ones, care costs are often tax-deductible medical expenses above 7.5 percent of adjusted gross income, worth a conversation with your CPA. And family cost-sharing: siblings splitting a care membership three ways is one of the most common arrangements we see, and often the difference between waiting and acting.
The Ways to Pay guide, and every other free family guide we publish, lives in our free resource library.
The honest bottom line
Good care costs real money everywhere in this valley. What varies wildly is what the money buys. Before you sign with anyone, us included, ask every agency the same questions: who supervises the care, who reads the visit notes, what happens when a caregiver calls out, and what their license number is. We keep a free printable list of those questions in our free resource library, and we are happy when families use it to interview our competitors.
Start with real numbers for your situation. Every family gets a free in-home nursing assessment and a written plan with an exact price, whether or not they ever hire us. Take the free two-minute Home Safety Check, or call the owners directly
Halston Juracka, RN-BSN · (702) 843-7402
Kayla Juracka, RN-BSN · (702) 280-4348
Email: admin@apexhomenursing.com
BOOK YOUR 15-MINUTE NURSE CALL FOR MORE INFORMATION
HJ
About the owners
Halston Juracka, RN-BSN, CBIS and Kayla Juracka, RN-BSN are the registered-nurse owners of Apex Home Nursing Services, a premium private-pay home care agency serving Summerlin, Henderson, and the greater Las Vegas valley. Halston is a Certified Brain Injury Specialist and nurse educator. They founded Apex to give referral partners a clinically serious, reliable resource and to give families nurse-led care that actually keeps people safe at home.
References
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U.S. Centers for Disease Control and Prevention. Facts About Falls, Older Adult Fall Prevention, 2026. cdc.gov/falls
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Reducing Hospital Readmissions, StatPearls, NCBI, 2024; and 30-day readmission analyses among older adults. ncbi.nlm.nih.gov
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Genworth and CareScout 2024 Cost of Care Survey; Nevada cost data. payingforseniorcare.com/nevada
This guide is general educational information, not medical, legal, or financial advice. Apex Home Nursing Services is an RN-owned, private-pay personal care agency in Las Vegas, Nevada. Registered nursing services, where applicable, are provided by the RN owners under their own Nevada licenses, coordinated by, not provided by, the agency.