The decision typically falls into one of three paths: assisted living facility, family home with in-home care, or a dedicated casita on a family member’s property. Each path has trade-offs around independence, family proximity, ongoing cost, and lifestyle fit. The casita path is gaining traction nationally as the Harvard Joint Center for Housing Studies 2026 report documents, and Nevada AB 396 has now made the legal path clearer in the Las Vegas valley. The right answer depends on the parent’s care needs, the family’s lot size and financial situation, and what the parent themselves want. Conversations are best had earlier rather than later.


