Nursing homes are not the only option for your loved one–explore these senior care services
Written by
By Ivy Shelden
Published

When a senior loved one needs more care than you can give at home, it’s normal to feel overwhelmed and anxious.
You might worry that a nursing home, also known as a Skilled Nursing Facility or SNF, is your only option, which can mean:
But the truth is, many older adults don’t need the intensive medical care that nursing homes provide. Instead, they just need help with daily activities or a little extra support to stay safe and comfortable at home.
Here are some alternatives to nursing homes that keep your loved one supported and help you find the right balance for your family.
In-home care involves a professional Helper coming to your loved one’s home to provide care, helping your loved one stay in their own home as long as possible.
This option lets your loved one stay in familiar surroundings, such as their family home or an assisted living community, while getting help with daily tasks.
To keep care flexible and costs as low are possible, platforms like Herewith make it easy to start small and adjust care as needs change. On Herewith, you can book Helpers for full-time, part-time or even one-time tasks.
Better yet, because you’re booking directly, you avoid paying 30-50% overhead fees that are typical with agency models.
You could start with just a few hours a week for things like:
Then add personal care, such as help with bathing or getting dressed, when it’s needed.
Many families find that combining family support with affordable senior home care is the best way to stay within budget and keep loved ones comfortable at home.
Learn about the signs your loved one may benefit from in-home care.
If your loved one is still quite self-sufficient but could use a light support and more social activities, independent living may be a good option.
Seniors in independent living communities typically live in apartment-like homes and staff provide meal plans, light housekeeping and social opportunities for residents.
These communities do not usually provide assistance with activities of daily living (ADL’s) such as bathing, dressing or medication management–but you can also hire part-time Helpers to do these tasks if the need arises.
The average cost of an independent living apartment is around $3,000 per month, but the cost heavily depends on your location (state and city), the size and layout of the apartment, and what services you choose to add on.
Adult day programs provide care and social activities during the day in a facility setting, so your loved one can return home in the evenings. They work well if your family wants to handle most of the care but needs help during work hours.
The average cost of adult day programs is around $1,500-$2500 per month, depending on your location and number of care hours you choose.
Combining day programs with other budget-friendly home care options such as Herewith Helpers can help keep costs low while avoiding the nursing home option.
Adult foster care, sometimes called adult family homes or residential care homes, offers a smaller, more personal alternative to larger facilities.
In these homes, a handful of older adults live together in a family-like setting. Adult foster homes can be the home of a relative, or a non-related professional.
Residents get help with daily activities, meals, and often some light medical care. With fewer residents, the environment usually feels more like a home than an institution, and it’s easier to build genuine connections with the people around them.
Adult foster care also tends to be more affordable than traditional nursing homes, typically costing between $2,500 and $4,500 a month, depending on the level of care and where you live.
It’s a good option if your loved one doesn’t need constant medical supervision but would still benefit from steady support and the comfort of daily companionship.
Assisted living is similar to independent living, only with a higher level of care.
These communities often provide assistance with ADLs such as bathing and dressing, mediation management and even medical care in addition to meals and housekeeping.
Of course, a higher level of care does mean higher costs, with assisted living costing around $4,000-$8,000 per month.
While assisted living communities provide more care than independent living, not all care tasks your loved one needs are guaranteed to be covered.
An easy way to supplement assisted living is to hire a Helper to assist with extra tasks such as companionship or memory care.
Even choosing among a handful of options for your loved one can feel like a huge decision. You don’t have to figure it all about immediately–your plan will likely evolve over time.
Start by looking closely at:
Even if your loved one only needs a little help now, planning ahead means you can adjust care without sudden changes later.
Sitting down with your loved one to talk about long-term care plans may be challenging, but it’s important to involve them in every step.
Learn more about how to talk to aging parents about in-home care.
Now that you’ve learned about some nursing home alternatives, how do you figure out how to afford each option?
You might be surprised at how much financial help for caregivers is available.
Most families use a mix of personal funds, insurance, and benefits like:
It makes sense to start with just enough care to meet current needs. You can always add more hours or services as circumstances change.
Nursing homes serve an important purpose for those who need round-the-clock medical care. But they aren’t the only option–or even the best option–for many older adults.
What’s most important to know is: you have choices. From in-home care to adult day programs, there are flexible, affordable ways to keep your loved one safe, comfortable, and connected to family.
Explore our trusted in-home senior care services to get started with flexible, affordable care that adapts to your family’s needs.
Still need help?
Call our Support team for further assistance.
Mon-Sat, 9AM-6:30PM PT
415-506-9776
support@herewith.com
Copyright 2026
Herewith provides a platform to assist Helpers and care recipients in connecting regarding in-home non-medical care opportunities. Herewith does not employ any Helpers, nor does it recommend any Helpers and/or care recipients who use its platform. User information provided in profiles, posts, and otherwise on the Herewith platform is not generated or verified by Herewith. Each user of Herewith’s platform is responsible for conducting their own vetting before determining whether to enter into an employment relationship and for their own conduct, including compliance with applicable laws.