Nursing Home Perceptions & Realities [Part II]

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Cost and Duration of Long-Term Care at Home

By Dr. David Edward Marcinko; FACFAS, M.B.A., CPHQ™, CMP™

By Thomas A. Muldowney; M.S.F.S., CLU, ChFC, CFP® CMP™

By Hope Rachel Hetico; R.N., M.H.A., CPHQ™, CMPhetico

This is the second post, in an exclusive four part series for the ME-P titled: At-Home or Nursing Home Care for Long-Term.”

Nursing Homes Less Desirable

Most agree that nursing homes are regarded as the least desirable LTC choice. Some people enter a nursing home after a hospital stay with a need for skilled care or for short-term respite care. Many people who are admitted to a nursing home remain there for the rest of their lives.

The Only Answer for Some

Nursing home care may be the only answer for single people requiring LTC or people with Alzheimer’s disease. However, nursing home care is not always available when needed. Many of the better nursing homes have substantial financial requirements, and have long waiting lists, some lasting months or years.


Unfortunately, some people will have difficulty being admitted to these nursing homes without a reservation. Many nursing homes will not accept Medicaid at the outset from a prospective resident; therefore, having funds available (which may be spent down) or LTCI may make a difference in getting into a nursing home.


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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact:



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3 Responses

  1. Long Term Care Assistance

    Did you know that 36% of Generation-X intends to rely on government assistance to finance Long-Term Care? When asked how they plan to finance their long-term care, Gen-Xers responded:

    * 36% would rely on government assistance, such as Medicaid
    * 26% would use their retirement savings
    * 24% would sell their assets
    * 22% would rely on other insurance products
    * 13% would rely on family and friends

    Note: December 2008 telephone survey of Generation-Xers, born between 1960 and 1980, conducted by StrategyOne on behalf of AHIP.

    Source: AHIP Press Release, February 11, 2009. For additional information about the survey, please visit:



  2. Elderly, At Risk, and Haphazardly Protected

    Here is a ProPublica and “Frontline” examination of the multibillion-dollar assisted living industry reveals a mishmash of minimal state regulation and no involvement by federal officials.

    Dr. Glenda


  3. Top 25 Most Expensive Markets for Long-Term Care Coverage

    Market Nursing Home Private Room Annual Rate
    Bridgeport-Stamford-Norwalk, CT $159,359
    Anchorage, AK $156,950
    New York-Northern New Jersey-Long Island, NY-NJ $155,180
    Poughkeepsie-Newburgh-Middletown, NY $155,180
    Hartford, CT $154,118
    Boston-Worcester-Lawrence, MA $146,372
    Rochester, NY $141,244
    San Diego, CA $135,554
    Seattle-Tacoma-Bremerton, WA $131,750
    San Francisco-Oakland-San Jose, CA $130,283
    Philadelphia-Wilmington-Atlantic City, PA-NJ-DE $129,239
    San Jose-Sunnyvale-Santa Clara, CA $127,130
    Albany-Schenectady-Troy, NY $126,932
    Portland, ME $121,910
    Honolulu, HI $121,154
    Washington-Baltimore, DC-MD $120,709
    Sacramento-Yolo, CA $120,322
    Boise, ID $118,475
    Milwaukee-Racine, WI $118,005
    Manchester-Nashua, NH $117,264
    Miami-Fort Lauderdale, FL $116,931
    Buffalo-Niagara Falls, NY $116,577
    Los Angeles-Riverside-Orange County, CA $115,165
    Detroit-Ann Arbor-Flint, MI $114,716
    Portland-Salem, OR $111,909

    Source: New York Life Insurance Company


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