Home and home health care agencies provide similar services, such as housekeeping and personal grooming, with the latter also offering limited medical care delivered by registered nurses or therapists. However, the average fees for both services are identical at $4,290 per month. Adult day health services in local centers are the most affordable, at $1,138, while assisted living is the least costly option that Houston seniors pay the same average rate of $4,576 for home care and in-home health care. However, home health aides are usually trained to also provide medical monitoring services along with personal care services. Adult day health care is the cheapest senior care option in the city, at a median cost of $1,099. Older Houston residents can also opt for residential care in an assisted living facility, at an average cost of $4,245. Nursing home care is the most expensive in the area, at $5,262 per month.