Nursing homes and assisted living in Nevada

Nevada has care settings in big cities like Las Vegas, Henderson, and Reno, and in smaller areas too. Here we explain what care settings are called in this state, how Medicaid can help, and who to call.

What care settings are called here

• Residential facility for groups: this is the name Nevada law uses for homes that provide meals, a place to live, daily help, and supervision to older adults or people with disabilities. It includes what other states call assisted living. They can be small houses with just a few beds or large communities with more than 100 residents. Some have special approvals called endorsements, for example to provide memory care for people with Alzheimer's disease and dementia.
• Facility for skilled nursing: this is a nursing home, with ongoing nursing care ordered by a doctor.
• Facility for the care of adults during the day: this is an adult day center, where the person spends the day and goes home to sleep.
• Home for individual residential care: a private home where someone is paid to care for no more than two older adults or people with disabilities.

In 2025, the state created the Nevada Health Authority (NVHA). Today, its Health Care Purchasing and Compliance Division is in charge of licensing these places. You may still see documents with the office's former name, the Bureau of Health Care Quality and Compliance.

How Medicaid helps in Nevada

The program is called Nevada Medicaid, and it is now part of the Nevada Health Authority. For long-term care, the main options are:

• Nursing home: Medicaid can pay for the stay if the person qualifies based on income and medical need. Usually, the person pays part of their income toward the cost of care. This is called patient liability.
• Waiver for the Frail Elderly (FE): this Medicaid waiver is for people 65 or older who need a nursing home level of care but would rather get help at home or in the community. It can include case management, help around the house, adult day care, companion services, respite care for the caregiver, home-delivered meals, and augmented personal care in a residential facility for groups or in assisted living. The Aging and Disability Services Division (ADSD) runs this waiver together with Medicaid. Services depend on the person's needs and on the funds available.

To apply for Medicaid, use the Access Nevada portal, which has a tool to check whether you might qualify, or go to a Division of Social Services (DSS) office. To ask for the waiver, contact ADSD at (775) 687-4210. Always confirm the requirements for your situation with the agency.

How much care costs in Nevada

According to CareScout's Cost of Care Survey 2025 (data from July to November 2025, published in March 2026), the median costs in Nevada are:

• Home caregiver (non-medical): $37 an hour.
• Adult day care: $80 a day.
• Assisted living: $6,241 a month.
• Nursing home, semi-private room: $11,786 a month.
• Nursing home, private room: $14,463 a month.

These are reference amounts. The real price varies from place to place.

Who to call

• Nevada Long-Term Care Ombudsman: a free and confidential program that supports residents of nursing homes, assisted living, and residential care homes. Statewide line: 1-888-282-1155.
• Nevada Care Connection: the statewide network of resource centers that helps older adults and their families explore options and plan care. You can find the centers at nevadacareconnection.org or call ADSD at (775) 687-4210.
• Eldercare Locator (national line): 1-800-677-1116.

Tips for your family

• Check the license and inspections. The state publishes the list of licensed places and their inspection reports. They are a normal tool to help you choose with confidence.
• Ask about endorsements. If your loved one has dementia, ask whether the home has the endorsement for memory care.
• Ask if they accept the waiver. Not every home works with the Waiver for the Frail Elderly. Ask on your first call.
• Ask about language. Many homes have staff who speak Spanish. Ask who will care for your loved one on each shift.

On hogaresparamayores.com, you can see Nevada's licensed places and compare them at your own pace.