Nursing homes in Poway charge $9,384 for semi-private rooms and $12,167 for private accommodations, making this the costliest senior care solution in the city. Seniors who obtain private care in their homes pay thousands of dollars less for care. For example, agencies that provide in-home care, which encompasses personal care, companionship and basic housekeeping, charge $6,387 for care, while agencies that provide home health care charge $6,473 for skilled nursing. Seniors who are seeking residential services and primarily need personal care services pay comparatively affordable rates of $5,475 for assisted living, and those who receive personal care and skilled nursing services in a community environment pay $2,058 for adult day health care.