Long-Term Care Cost Guide

The Wisconsin Medicaid answer, verified

Yes - Wisconsin's two Medicaid long-term care programs, Family Care (through a managed care organization) and IRIS (self-directed), pay for assisted living SERVICES but not room and board, which "are the responsibility of the program members who must pay these costs out of pocket"; Family Care members may live in a licensed CBRF, a licensed or certified adult family home, or a certified RCAC, while IRIS members may only use their own home, a licensed/certified AFH or a certified RCAC (CBRFs and registered RCACs are not allowable IRIS settings). Here is what that means in practice for Sherwood families - eligibility, what waivers cover, and what stays out of pocket.

Assisted living near Sherwood compares against a national median of $6,200 a month - and Wisconsin's own median of $6,540, ranked #19 of 50 states.

A semi-private nursing home room runs $9,581 a month at the 2025 national median - the number Sherwood families weighing skilled care start from.

In-home care averages $35 an hour nationally - about $80,080 a year at 44 hours a week for Sherwood households.

Medicaid is the payer of last resort for long-term care, and whether it helps with assisted living depends entirely on your state. Yes - Wisconsin's two Medicaid long-term care programs, Family Care (through a managed care organization) and IRIS (self-directed), pay for assisted living SERVICES but not room and board, which "are the responsibility of the program members who must pay these costs out of pocket"; Family Care members may live in a licensed CBRF, a licensed or certified adult family home, or a certified RCAC, while IRIS members may only use their own home, a licensed/certified AFH or a certified RCAC (CBRFs and registered RCACs are not allowable IRIS settings). Nursing home care is covered in every state for those who qualify financially - assisted living is the state-by-state question.

The honest Wisconsin answer, verified against official sources: Yes - Wisconsin's two Medicaid long-term care programs, Family Care (through a managed care organization) and IRIS (self-directed), pay for assisted living SERVICES but not room and board, which "are the responsibility of the program members who must pay these costs out of pocket"; Family Care members may live in a licensed CBRF, a licensed or certified adult family home, or a certified RCAC, while IRIS members may only use their own home, a licensed/certified AFH or a certified RCAC (CBRFs and registered RCACs are not allowable IRIS settings). Eligibility is strict - income and asset limits apply, and there is typically a five-year look-back on gifts and transfers - so families planning a Medicaid path should talk to an elder law attorney early.

Single-story senior living community exterior with covered entrance and garden beds
Wide, well-lit corridor in a care community with handrails on both walls
Bright private room in a senior community with bed, armchair and family photos on the dresser
Clipboard with a facility tour checklist resting on a lobby table

The 2026 numbers

Care type2025 national medianWhat it covers
In-home care$35/hourNon-medical help at home - meals, bathing, companionship
Adult day care$95/dayDaytime supervision and activities, evenings at home
Assisted living$6,200/monthHousing plus daily-living help; care-level fees extra
Memory caretypically 20-40% above assisted livingSecured dementia care with higher staffing
Nursing home (semi-private)$9,581/month24/7 skilled medical care
Nursing home (private room)$355/daySame care, private room
The U.S. median for assisted living is $6,200 a month; a semi-private nursing home room runs $9,581 a month; in-home care averages $35 an hour.Source: CareScout / Genworth 2025 Cost of Care Survey (published March 2026)

Find senior care options near Sherwood

These platforms show communities and home-care agencies near you with pricing guidance. Advisors are free to families - providers pay them, as they do this site.

A Place for MomFree advisor - largest U.S. senior living networkSee communities with A Place for Mom
Caring.comDirectory with reviews and pricing guidanceBrowse communities on Caring.com

Disclosure: this is an independent guide. If you connect with a provider through a link here, the platform may pay this site a referral fee. That fee never changes your price - and it never changes what the inspection records say.

Wisconsin: Medicaid, prices and the inspection file

QuestionWisconsin answer
Medicaid & assisted livingYes - Wisconsin's two Medicaid long-term care programs, Family Care (through a managed care organization) and IRIS (self-directed), pay for assisted living SERVICES but not room and board, which "are the responsibility of the program members who must pay these costs out of pocket"; Family Care members may live in a licensed CBRF, a licensed or certified adult family home, or a certified RCAC, while IRIS members may only use their own home, a licensed/certified AFH or a certified RCAC (CBRFs and registered RCACs are not allowable IRIS settings).
State median, assisted living$6,540/month (#19 of 50 states)
Licensing & inspection recordsWisconsin Department of Health Services (DHS), Division of Quality Assurance (DQA)

Wisconsin has no license category called "assisted living facility" - DQA licenses Community-Based Residential Facilities (CBRFs, 5+ residents, up to 3 hours of nursing care per week) and 3-4 bed Adult Family Homes, certifies 1-2 bed Adult Family Homes, and registers or certifies Residential Care Apartment Complexes (RCACs, independent apartments, max 28 hours/week of services); crucially, a merely REGISTERED RCAC may serve private-pay tenants only, so Medicaid dollars cannot follow a resident there - only a CERTIFIED RCAC can take Medicaid waiver funding.

Yes - Wisconsin's two Medicaid long-term care programs, Family Care (through a managed care organization) and IRIS (self-directed), pay for assisted living SERVICES but not room anSource: Wisconsin Medicaid / official source
Inspection and complaint records for Wisconsin senior care facilities are public.Source: Wisconsin Department of Health Services (DHS), Division of Quality Assurance (DQA)

This guide is research, not advice: an independent summary of published costs and state rules. It is not a care provider, placement agency, law firm or financial advisor - care and Medicaid decisions deserve professional advice for your family's situation.

Weekly medication organizer and pill bottles on a kitchen counter

What this means for Sherwood families

A fair comparison prices the whole picture: home care hours plus home maintenance, transport, and the family hours nobody bills. Communities bundle those in - which is why the sticker comparison understates what assisted living replaces.

This guide is research, not advice: an independent summary of published costs and state rules. It is not a care provider, placement agency, law firm or financial advisor - care and Medicaid decisions deserve professional advice for your family's situation.

Common questions

How much does assisted living cost?

The U.S. median is $6,200 a month ($74,400 a year) per the 2025 CareScout Cost of Care Survey - before care-level fees, which add hundreds more at higher need levels. State medians vary widely; this guide shows your state's number and rank on every page.

How do I check a facility's inspection record?

Every state has a licensing or certification agency that publishes inspection results and complaint histories - this guide links your state's agency on every page. Search every finalist before any deposit: violations, complaint patterns and how the operator responded tell you more than the tour.

Does Medicaid pay for assisted living?

It depends entirely on your state: 36 states cover some assisted living services through waivers, 9 cover them in limited settings, and 6 have no assisted living pathway at all. Even where covered, waivers typically pay for care services while the family handles room and board. This guide's Medicaid page gives your state's verified answer.

Should my parent stay home with help or move to assisted living?

Run the hours math first: in-home care at about $35 an hour serves people who need help, not round-the-clock supervision. Below about 30-40 hours a week, home usually costs less; past that - or when safety needs someone always present - assisted living's $6,200 median often buys more coverage. The right answer follows the care needs, not the buildings.

What is memory care and why does it cost more?

Memory care is assisted living specialized for dementia - secured areas, higher staffing, trained caregivers - and typically prices 20-40% above standard assisted living in the same market. If dementia is in the picture, ask specifically about memory-care rates and staff training, not the general rate.

Find senior care options near Sherwood

These platforms show communities and home-care agencies near you with pricing guidance. Advisors are free to families - providers pay them, as they do this site.

A Place for MomFree advisor - largest U.S. senior living networkSee communities with A Place for Mom
Caring.comDirectory with reviews and pricing guidanceBrowse communities on Caring.com

Disclosure: this is an independent guide. If you connect with a provider through a link here, the platform may pay this site a referral fee. That fee never changes your price - and it never changes what the inspection records say.

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