The number families dread but never calculate. Plug in the real numbers and find out.
The national average for assisted living in 2026 is around $5,500/month. Memory care runs $1,500-$2,500 above that. In high-cost states (NY, MA, NJ, CA, the District) you can add 30-50% on top.
Here's the part nobody likes: the math is straightforward. Monthly cost minus monthly income equals the burn rate. Starting savings divided by the burn rate equals the runway. There's no algorithm needed. Just the willingness to look.
It doesn't include selling the house — which, in much of the country, can fund several years of care all by itself. It doesn't include long-term care insurance benefits, if you have them. It doesn't include a Medicaid spend-down at the end, which is what most families end up doing after savings run out.
What it does show is the cliff. The point where you go from "we have options" to "we're applying for Medicaid." Knowing where that cliff is buys you the runway to plan, sell, downsize, or get an elder-law attorney involved before you fall off it.
Palmelle's placement advisors do this calculation with families every day. Honest, free, no facility-direct sales call.
Talk to a person