
1. Sticker shock in every direction
Genworth’s 2023 Cost‑of‑Care Survey pegs the Colorado median assisted‑living rent at $4,600–$5,433 per month—and that’s before add‑on care fees. (Source).
Meanwhile, the Bell Policy Center’s 2024 Home‑Care Cost Model reports the median wage paid to non‑medical aides is $17/hour, translating to client rates of roughly $34–$38/hour after agency overhead. (Source)
2. Hourly rates by county (Q1 2025 quotes)
Low High Median
Denver, Jefferson
$34 - $37 - $35.50
Boulder, Broomfield
$35 - $38 - $36.50
Douglas, Castle Rock
$36 - $40 - $37.75
3. Breakeven math
- < 40 hours/week → Home care cheaper than ALF median.
- ≈ 56 hours/week → Spending equals $5,000 +/month (ALF median).
- 24/7 needs → Skilled nursing facility or live‑in caregiver may be financially comparable.
Reality check: Even at 60 hrs/week, you still control the environment—pets stay, favorite chair stays, grandkids visit anytime.
4. Hidden costs to compare
Factor
Moving & buy‑in fees
None vs $2,000–$5,000 move‑in fee typical
Couples pricing
Pay for hours, not a second unit vs Second resident fee often +$1,000/mo
Flexibility
Scale hours up/down monthly vs Locked lease; care tier escalates fees
Social life
Must arrange outings vs Built‑in activities
5. Tax breaks & funding hacks
- Colorado Child & Dependent Care Credit (claim up to $1,200 on state taxes for parent care).
- Long‑Term Care Insurance—most modern policies reimburse non‑medical PCW hours once ADL triggers met.
- VA Aid & Attendance—up to $2,727/mo for veteran + spouse in 2025 rate table.