If someone you love needs help at home, you are about to make three decisions at once — how many hours, who provides them, and how to pay for it — usually under time pressure and usually while getting conflicting answers. This section exists to give you the same information a good advisor would give you on the phone, in writing, with sources, before you talk to anyone.
We track 405 agencies licensed by Nevada HCQC to provide personal care services in the home across Las Vegas and Clark County, pulled from the state's public license registry in November 2026. We publish the license number, how long each has been licensed, and how to verify any of it yourself in about two minutes.
Start here if you take one thing from this page. Medicare does not pay for in-home personal care. It pays for skilled, doctor-ordered home health, which is a different service with a weekly cap. Families discover this on a sales call, after weeks of planning around an assumption. Here is exactly what Medicare does and does not cover, quoted from Medicare.gov.
Find in-home care that fits — in about 60 seconds
Six quick questions. No cost, no obligation, and we tell you straight if what you need is not what we do.
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What in-home care costs here
The honest short answer: the Nevada statewide median for a non-medical caregiver is $37 an hour, and most families are choosing between roughly 8 and 40 hours a week. What that adds up to:
See what care costs per month at every hours-per-week level.
The full cost breakdown covers shift minimums, overnight and live-in pricing, why the rate is more than double what the caregiver is paid, and which figures we refuse to publish and why.
Types of in-home care
Hourly in-home care
The most common way care starts: a caregiver for a set block of hours on set days.
24-hour home care
Awake caregivers in rotating shifts, around the clock.
Live-in caregivers
One caregiver stays in the home, with a private place to sleep and defined off-hours.
Overnight caregivers
Coverage from evening to morning, awake or asleep depending on need.
Respite care at home
Short-term coverage so the family caregiver can rest, travel, recover, or simply stop.
Personal care and bathing help
Hands-on help with bathing, dressing, grooming, the bathroom, and getting around.
Companion care
Company, conversation, activity and light supervision — without hands-on personal care.
Dementia and Alzheimer's care at home
Care built around cognition rather than around tasks.
Care after a hospital or rehab stay
The two to six weeks after discharge, when readmission risk is highest and nobody has a plan.
Parkinson's care at home
Care that works around on-off fluctuation, freezing and medication timing.
Stroke recovery care at home
Support through the months when recovery is still moving.
Home care alongside hospice
Hospice covers the clinical care. It does not cover the hours.
Rides, errands and appointments
Driving to appointments, the pharmacy and the grocery store — with one legal limit worth knowing.
Meals, laundry and light housekeeping
The homemaker side of in-home care — and the reason many households stay viable.
Paying for it
Eight ways families in this state actually cover in-home care, including the two that most people assume work and do not.
Medicare
Medicare does not pay for in-home care
Private pay
Private pay is how most Clark County families pay for in-home care
Long-term care insurance
Long-term care insurance usually covers in-home care — with conditions
Nevada Medicaid Personal Care Services
Nevada Medicaid pays for personal care services at home, if you qualify
HCBS Waiver for the Frail Elderly
Nevada’s Frail Elderly waiver — and the waitlist nobody mentions
VA benefits
VA programs that reach in-home care in Southern Nevada
Nevada state programs
Nevada’s state-funded options, and how small they actually are
Medicare Advantage supplemental benefits
Some Medicare Advantage plans offer in-home support — read that carefully
Home care compared with the alternatives
Home care vs assisted living
Staying home with paid help vs Moving to assisted living.
Home care vs home health
In-home care (personal care) vs Home health (skilled).
Agency vs hiring a caregiver privately
A licensed agency vs A privately hired caregiver.
Hourly vs live-in vs 24-hour
Hourly or live-in vs 24-hour awake coverage.
Home care vs adult day care
A caregiver at home vs An adult day program.
Dementia care at home vs memory care
Dementia care at home vs A memory care community.
Choosing an agency
Licensed agencies by city
Browse all 405 licensed agencies · Our shortlist for Las Vegas
By area
- In-home care in Summerlin
- In-home care in Green Valley
- In-home care in Anthem
- In-home care in Seven Hills
- In-home care in Sun City Summerlin
- In-home care in Centennial Hills
- In-home care in Spring Valley
- In-home care in Enterprise
- In-home care in Sunrise Manor
- In-home care in Paradise
- In-home care in Sun City Aliante
See how we are paid and how this state regulates referral services.
See free local help that is not us.
Common questions
Does Medicare pay for in-home care?
No. Medicare.gov states plainly that Medicare does not pay for 24-hour-a-day care at home, home meal delivery, homemaker services unrelated to your care plan, or custodial and personal care that helps with daily living activities when that is the only care you need. Medicare covers skilled home health under a doctor's order, for a homebound patient, usually capped at 28 hours a week combined.
How much does in-home care cost in Las Vegas?
The Nevada statewide median for a non-medical caregiver is $37 an hour an hour, per the CareScout Cost of Care Survey 2025. We publish the state figure rather than a metro figure because CareScout collects at metro level but only publishes state medians — anyone quoting you a documented 'Las Vegas Genworth rate' cannot show you the source.
How many in-home care agencies are licensed in Las Vegas and Clark County?
405, per the Nevada HCQC public license registry. We list all of them, including the ones that will never pay us anything.
Is a Nevada caregiver allowed to give medication?
No. Administering medication — including eye drops, prescription topical creams and suppositories — is on the prohibited list in NAC 449.3978. A caregiver may give reminders and hand over the container. There are narrow exceptions for blood glucose testing and stable maintenance-dose insulin via an auto-injector, with documented training.
Do I pay you for this?
No. We are compensated by care providers when a referral results in service, which is a real conflict of interest, so we publish it, we list every licensed agency including non-partners, and we tell you when what you need is a state program rather than a private agency.
Sources for this page
- CareScout Cost of Care Survey 2025 — state data tables — CareScout (Genworth), 2025. More than 25,000 rates collected from long-term care providers nationwide between July and November 2025. Annual figures assume 44 hours a week for 52 weeks.
- Home health services — Medicare.gov, Centers for Medicare & Medicaid Services, 2026.
- Agency to Provide Personal Care Services in the Home — Nevada Bureau of Health Care Quality and Compliance, 2026.
- NRS Chapter 449B — Agencies to Provide Personal Care Services and Related Entities — Nevada Legislature, 2025.
- NAC Chapter 449 — including NAC 449.396 to 449.3982 — Nevada Legislature, 2026.
Reviewed by the Vegas Senior Advisor care team. Last updated November 11, 2026. Spot something wrong? Call (725) 465-8617 and we will correct it within one business day.
