What costs extra in assisted living?
How to compare communities without budget surprises
Two communities can quote similar base rent and still have very different total monthly costs. The difference is usually in care levels and add-on services.
Common add-on costs
- Care level fees: Assistance with transfers, bathing, toileting, and medication support.
- Medication management: Often billed separately from room and board.
- Incontinence supplies: Usually not included.
- Escort services: Additional support for appointments or meals.
- Special diets or enhanced dining: May carry extra charges.
- One-time move-in/community fees: Ask what is refundable and what is not.
Questions to ask every community
- What is included in base rent?
- How are care levels assessed and re-assessed?
- What triggers a move to a higher care tier?
- Can you provide a sample invoice for a resident with similar needs?
A clear cost picture prevents rushed decisions later. Use our Comparison Worksheet and keep each estimate in writing.