A Louisiana senior advisory practice
The hard part isn’t choosing. It’s not knowing what the choices are.
For someone you love, in Louisiana. We’ll lay out every option in your parish, including the ones nobody has mentioned yet, and help you tell the urgent from the merely loud.
No two families land in the same place.
A diagnosis does not tell you whether someone can stay at home. The same condition, at the same age, points one family toward a few hours of help a week and another toward a move. What makes the difference is everything the diagnosis leaves out.
The recommendation covers the care side of this. The rest, what the money will carry and what your family can actually sustain, is the part worth a conversation.
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What actually decides it
- What help is needed, and with what
- Which conditions are in play, and how fast they are moving
- How many medications, and who is keeping track
- Who else is nearby, and how much they can really do
- What paid help at home would cost, against what a community costs
- What the money will carry, this year and four years from now
- Whether the care they need exists near them at all
Staying at home is not automatically the cheaper answer. Past about fifty hours a week of paid help it usually stops being one. Where the numbers cross over
The Louisiana landscape
Six levels of senior care, and what each one is called here.
Louisiana licenses all of them through one agency, the Louisiana Department of Health, and uses its own names for several. Staying home is a real answer on this list, not a consolation. Most families end up somewhere they had not heard of when they started looking.
In-home personal care
Home and Community-Based Services (personal care)
A parent who wants to stay home but needs help with daily tasks
- Typical cost
- About $26/hour, roughly $4,957/month at 44 hours a week
- Louisiana Medicaid
- Yes, through LT-PCS (up to 32 hours a week, no waitlist) and the Community Choices Waiver (waitlisted)
Home health
Home Health Agency
A parent recovering at home who needs skilled, doctor-ordered care
- Typical cost
- Often covered by Medicare when doctor-ordered; otherwise varies
- Louisiana Medicaid
- Yes, as a Medicaid benefit when eligible; Medicare also covers intermittent skilled care under conditions
LAC Title 48 Part I Chapter 91
Adult day care
Adult Day Health Care center
A parent who lives at home, often with a working caregiver, and needs daytime supervision
- Typical cost
- About $88/day, roughly $1,913/month
- Louisiana Medicaid
- Sometimes, through the ADHC Waiver, but it is waitlisted
LAC Title 48 Part I Chapter 42
Assisted living
Adult Residential Care Provider (ARCP)
A parent who needs a residential setting with meals and daily help, but not full-time nursing
- Typical cost
- About $5,163/month (private one-bedroom)
- Louisiana Medicaid
- No for room and board (private pay); care services only, case by case, through a waiver
LAC Title 48 Part I Chapter 68
Memory care
Not a separate license: an Alzheimer's Special Care Unit inside an ARCP or a nursing home
A parent with dementia who wanders or needs a secured, specialized setting
- Typical cost
- Estimated $5,500 to $6,500/month (no single surveyed figure)
- Louisiana Medicaid
- Same as its host setting: no room and board in an ARCP; covered in a nursing home if eligible
Nursing home
Nursing facility (skilled nursing)
A parent with the highest medical needs who needs around-the-clock nursing
- Typical cost
- About $7,604/month (semi-private) to $8,076/month (private)
- Louisiana Medicaid
- Yes: room, board, and care, if income, asset, and care-level rules are met
LAC Title 48 Part I Chapter 97
Not sure which of these fits? That is the ordinary starting point, and it is the question an advisor answers first.
Ways to reach us
Four ways to reach us.
There is no wrong first step. Pick the one that fits today.
Schedule a conversation
Thirty minutes with a Louisiana advisor. You leave with a written summary and clear next steps, whether or not you continue with us.
Send us your situation
A short private note in your own words. An advisor reads it and calls you back within one business day.
Chat with our advisor line
Type a question. Our on-call advisor line reads every message. Simple questions get answered there. Anything that needs a real advisor gets handed to a person the same day, with your name and question already in hand.
Learn how Louisiana senior care actually works
Plain-English writing on the questions families ask us most: how Medicaid works in Louisiana, the real cost of assisted living by parish, when in-home care is enough and when it is not, and how to know it is time.
