Long-term care costs continue to rise according to the 2011 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services and Home Care Costs.   National average rates for a private nursing home room increased 4.4% to $239 daily or $87,235 annually, in 2011. Assisted living base rates rose by 5.6% to $3,477 monthly or $41,724 annually. Adult day services went up by 4.5% to $70 per day after remaining unchanged in last year’s study. Home health aides and homemaker/companion service rates were unchanged at $21 and $19 per hour, respectively.  Read more.