One number.
It doesn’t change later.
We run one home. Eight residents maximum. In Columbia, Maryland. This isn’t a network or a franchise. It’s one house. And the way we charge reflects that.
"We were told one rate a month. By month three, we were paying nearly double."
We hear this all the time from families who call us after a bad experience somewhere else. A facility advertises a low base rate. What they don't say upfront is that every care task costs extra. A "care point" for help with dressing, another for escorting to the dining room, another for a medication reminder.
As your parent's needs increase, which they often do, so does the monthly bill. The number keeps changing. And you stop trusting what you’re being told. Families end up comparing bills instead of focusing on their loved one.
We built our model to be the opposite of that. One flat monthly rate. Everything included. The same bill every month. If your parent needs more help this week than last, the number doesn’t change.
Typical Range
Our all-inclusive rate typically falls between $7,500 to $10,000 per month, depending on the specific care and mobility needs at the time of admission. No hidden tiers, no surprise invoices.
Understanding Maryland Care Levels (Level 1, 2 & 3)
Under Maryland Department of Health regulations (COMAR 10.07.14), assisted living facilities are licensed to provide specific levels of care. Know what your parent actually needs before comparing pricing models.
Minimal Assistance
Occasional reminders for meals or medication. Independent mobility and bathing. Requires light oversight rather than hands-on physical support.
Typical Corporate Base: $5,200 – $6,600/moDaily Hands-On Help
Daily assistance with bathing, dressing, grooming, and routine medication management. Minor assistance needed when standing up or walking.
Typical Corporate Cost: $7,000 – $9,000/moHigh Physical & Cognitive Care
Full physical assistance for transfers, complex multi-dose medication regimens, incontinence care, and 24/7 awake supervision for fall prevention or dementia.
Expose the "Care Points" Trap
Most corporate facilities quote a low starting rate but charge extra for every task. Select your parent's required care needs below or tap a preset to see how corporate bills reach $8,000–$12,000+.
Select Care Needs
Trained staff logging, ordering, and administering daily doses.
Help with showers, transfers, and safety supervision.
Daily support with morning and evening routines.
Physical assist for transfers (gait belt/2-person/lifts).
Delivering meals to private room during recovery or illness.
Routine hygiene checks, assistance, and heavy laundering.
Supervision and redirection during nighttime hours.
Estimated Monthly Total
💡 Compare Value: Corporate facilities advertise low base rates as bait. As a senior's mobility or health needs progress, point surcharges can quickly push monthly costs above $10,000.
*Estimated average market rates for corporate facilities in Maryland as of July 2026.Comparing Senior Living Models
Understand the fundamental differences between large corporate facilities, franchise chains, and a Doctor of Physical Therapy-led residential home.
| Operational Feature | Model A: 100+ Bed Corporate | Model B: Tiered Chain | Model C: Columbia Care Home |
|---|---|---|---|
| Pricing Structure | Point-system surcharges for every task | Tiered packages (Tiers 1–5) | 100% Flat-Rate All-Inclusive |
| Clinical Leadership | Administrative floor managers | Visiting off-site nursing staff | Doctors of Physical Therapy (DPT) On-Site Daily |
| Staff-to-Resident Ratio | 1 caregiver : 15–20 residents | 1 caregiver : 10–12 residents | 1 caregiver : 4 residents max (8 total) |
| Fall & Transfer Protocol | Strict "No-Lift" Policy / 911 Call | 911 Call for unassisted falls | DPT Biomechanical Assessment & Assist |
| Nighttime Care | Call-pendant response (on-call staff) | Sleeping caregiver on cot | 24/7 Awake Caregivers On Shift |
Radical Transparency: What's Included & Excluded
100% Covered in Flat Monthly Rate
- • Level 1, 2, & 3 high-acuity personal care
- • Complete medication administration
- • 2-person physical transfers & gait support
- • Incontinence management & extra linen care
- • All home-cooked meals, snacks, & room tray service
- • Daily housekeeping & personal laundry
- • 24/7 awake night supervision
- • DPT mobility oversight & fall prevention
External / Third-Party Direct Expenses
- • Prescription medication co-pays (billed by pharmacy)
- • Personal incontinence pull-ups/pads (family provided)
- • Specialized dry cleaning services
- • Third-party 1-on-1 private duty nursing beyond licensure
What this looks like in real life
This is how the house actually runs every day.
24/7 Awake Care
Our caregivers don't sleep on shift. They stay awake through the night, so your parent doesn't have to press a button and wait while someone is roused from a cot.
Clinical Oversight
Our clinical team, both Doctors of Physical Therapy, monitor every resident daily. This isn’t a checkbox. It’s how decisions actually get made here.
Medication Management
Every medication, every dose, logged and administered by trained staff. No pill organizer left on a nightstand. No family chasing refills.
Full Personal Assistance
Bathing, dressing, toileting, transfers. Whether it takes 20 minutes or an hour, it's part of what we do. We don't clock care time.
Meals & Snacks
Home-cooked food served throughout the day. Not a tray dropped off at a door. A shared table, with people who know your parent’s preferences.
Housekeeping & Laundry
Your loved one's room is kept clean and their laundry done. These aren't optional add-ons. They're part of living here with dignity.
Move-in process
When someone moves into our home, we spend time understanding their medical history, mobility, and daily routines so care is set up properly from day one.
There is a one-time move-in fee that covers onboarding, preparation, and setup before arrival.