Elder care in Ecuador is available, but not nearly as prevalent and somewhat different than in the U.S.
Ecuador is a familial culture, so it’s very common for multiple generations to live under the same roof. That means there is less need for dedicated nursing homes or assisted living facilities in Ecuador.
You will find some “tercera edad” (third age) facilities in the major cities like Cuenca, Manta, Quito and Guayaquil, but most expats who need elder care typically opt for in-home services provided by a nurse.
In-home nurses are available for around $5/hour. That means you can hire a full-time nurse to come to your home for around $40/day or $1,200/month. You can get 24-hour, in-home care for about $3,600/month, which is far more affordable than similar services or nursing homes in the U.S.
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