Costs will vary depending on geographical location and the type of in-home adult care you need. Companion care, personal care assistance, and health care require different specialties. According to Genworth Financial, the 2021 national monthly median cost was $4,957 for homemaker services, $5,148 for a home health aide, $1,690 for adult day health care, $4,500 for assisted living facilities, and $7,908 for a semi-private room in a nursing home.