Cost of Residential Care for Disabled Adults in Gurgaon (2026 Complete Guide)
If you are a parent or family member of an adult with cerebral palsy, Down syndrome, or severe learning disabilities, one of the first questions you may have is:
How much does residential care actually cost in Gurgaon?
In 2026, residential care for adults with disabilities can vary significantly depending on the person’s level of support, accommodation, medical needs, personal care requirements, and services included in the monthly package.
But the monthly fee is only one part of the decision.
Families also need to understand what the fee includes, what costs may be additional, how disability-specific care differs from general senior care, and what questions to ask before choosing a residential facility.
At Saksham by Kriti, residential care packages are currently structured in the range of ₹45,000 to ₹80,000 per month, depending on assessed care requirements.
At Saksham by Kriti , we believe that transparent pricing is the foundation of trust. Unlike most care homes, we publish our package rates openly, because families deserve clarity before making one of the most important decisions of their lives.
This guide explains these factors so families can compare residential care options in Gurgaon and Delhi NCR with greater clarity.
What Determines the Cost of Residential Care for Disabled Adults?
There is no single price for disability residential care because two adults with the same diagnosis may require very different levels of support.
Several factors can influence the cost.
1. Level of daily support
Someone who is largely independent but requires supervision may need a different care arrangement from someone who requires assistance with bathing, feeding, transfers, mobility, or communication.
2. Medical needs
Regular medication, health monitoring, specialist appointments, physiotherapy, mobility support, and other medical requirements can affect the level of care needed.
3. Personal care requirements
Support with activities of daily living (ADLs), including bathing, dressing, feeding, toileting and mobility, can require additional caregiver time.
4. Accommodation
The type of room and facilities provided can affect the overall monthly cost.
5. Therapy and rehabilitation
Physiotherapy and other therapies may either be included within a residential package or charged separately, depending on the facility.
6. Staffing and supervision
The level of supervision required during the day and overnight is another important consideration, particularly for adults who require significant assistance.
Residential Care vs Senior Care: Why the Difference Matters
A residential facility designed primarily for elderly residents is not automatically suitable for an adult with a developmental or intellectual disability.
Adults with cerebral palsy, Down syndrome, intellectual disabilities or severe learning disabilities may require support with areas such as:
Communication
Mobility
Personal Care
Structured Routines
Behavioural Support
Medication Management
Physiotherapy
Social Engagement
Supervision
Decision-Making & Daily Choices
The important question is therefore not simply:
“How much does the facility cost?”
It is:
“Does the facility have the people, systems and environment required for my loved one’s specific support needs?”
What Is Included in Residential Care at Saksham by Kriti?
At Saksham by Kriti, residential packages are designed around the assessed needs of adults with disabilities.
Depending on the package and individual requirements, the residential offering includes:
Private Air-Conditioned Accommodation
Nursing Support
Doctor-Led Medical Oversight
Physiotherapy
Daily Meals
Electricity
Laundry
Structured Daily Routines
Family Communication & Care Discussions
Medication Support
Access to an In-House Pharmacy
What May Not Be Included in the Monthly Residential Fee?
A transparent comparison also requires families to understand potential additional expenses.
Depending on the facility and individual circumstances, these may include:
Specialist Consultations
External Hospital Visits
Emergency Treatment
Certain Investigations or Diagnostic Tests
Personal Clothing & Toiletries
Transportation Outside the Facility
Other Services Not Included in Package
Before admission, ask for a written list of inclusions, exclusions and additional charges.
This can prevent unexpected expenses later.
Residential Care Cost Comparison in Gurgaon
Families often compare disability-specific residential care with old-age homes and assisted-living facilities.
The following comparison is useful as a framework, but prices and services vary between facilities and should be independently confirmed.
| Type of Facility | Indicative Monthly Cost | Typical Population | Key Consideration |
|---|---|---|---|
| Basic Old-Age Homes | ₹10,000 – ₹25,000 | Elderly residents | May provide limited medical or disability-specific support |
| Standard Assisted Living | ₹35,000 – ₹80,000 | Seniors requiring assistance | Primarily designed around ageing-related support |
| Premium Senior Living | ₹66,500 – ₹2,00,000 | Seniors seeking premium accommodation | Higher accommodation cost does not necessarily mean disability-specific expertise |
| Disability-Specific Residential Care | ₹45,000 – ₹80,000 | Adults with disabilities | Designed around individual disability-related support needs |
| Government-Supported Options | Free / Subsidised | Eligible persons with disabilities | Availability, eligibility, and services vary |
Why Disability-Specific Care Costs What It Does
Residential care for adults with intellectual disabilities is fundamentally different from elder care or general assisted living. The cost reflects:
- Trained caregivers who understand cerebral palsy, Down syndrome, and severe learning disabilities — not general nursing staff
- Structured routines designed around cognitive and developmental needs, not just physical assistance
- Behavioural support for individuals who may experience agitation, communication challenges, or emotional dysregulation
- Medical oversight including daily doctor visits, physiotherapy, and an in-house pharmacy
- Lower resident-to-caregiver ratios because adults with intellectual disabilities need more individualized attention than typical elder care residents
When you compare ₹45,000–₹80,000 per month for specialized disability care with ₹66,500+ per month for general assisted living, the cost difference reflects a fundamentally different care model. In our experience working with adults who have cerebral palsy and severe learning disabilities, a resident may need two-person transfers for bathing, structured communication routines to prevent agitation, and physiotherapy sessions that go beyond basic mobility exercises. These requirements demand staff who are trained in disability-specific protocols, not caregivers trained only in elder assistance. That training, those ratios, and that expertise are what the monthly fee actually covers
According to the World Health Organization (WHO), intellectual disability care requires "specialized, person-centred support that addresses cognitive, behavioural, and physical needs simultaneously", a standard that general elder care facilities are not equipped to meet.
Short-Term and Day Care Costs: An Alternative Starting Point
Short-Term and Day Care Costs: An Alternative Starting Point
Respite Care (Short-Term Stay)
| Service | Cost | What’s Included |
|---|---|---|
| Respite Stay | ₹5,000/day | Private AC room, 24/7 dedicated caregiver, daily doctor visits, nursing and physiotherapy care, all meals, electricity and laundry |
Respite care is ideal for families who need temporary support, whether for caregiver rest, travel, medical recovery, or a trial period before long-term admission.
Day Care (8 AM – 8 PM)
| Service | Monthly Cost | Best For |
|---|---|---|
| Independent Day Care | ₹30,000/month | Adults who need minimal support and can manage most activities with supervision |
| Assisted Day Care | ₹45,000/month | Adults who need help with daily living activities (ADLs) such as bathing, dressing, and feeding |
Both day care packages include safe surroundings, personal caregiver support, daily doctor visits, medication management, lunch and evening snacks, air-conditioned space, and on-site pharmacy.
How Condition Type Affects Care Costs
The cost of residential care can vary significantly depending on the individual’s condition, because different disabilities require different types and intensities of support. The National Trust Act, 1999 recognizes four specific disability categories , Autism, Cerebral Palsy, Intellectual Disability, and Multiple Disabilities for which specialized care schemes are designed.
Cerebral Palsy Residential Care Costs
Adults with cerebral palsy often need mobility assistance, physiotherapy, and physical care alongside cognitive support. The level of physical assistance required directly impacts the care tier:
- Low Care (₹45,000/month) — for adults with mild CP who are largely independent but need supervision
- Medium to High Care (₹60,000–₹70,000/month) — for adults with moderate CP who need regular mobility assistance and personal care
- Very High Care (₹80,000/month), for adults with severe CP who need 24/7 physical support, including transfers, feeding, and positioning
Both day care packages include safe surroundings, personal caregiver support, daily doctor visits, medication management, lunch and evening snacks, air-conditioned space, and on-site pharmacy.
Learn more: Cerebral Palsy Care at Saksham by Kriti
Down Syndrome Residential Care Costs
Adults with Down syndrome may need structured routines, communication support, and supervision rather than intensive physical care. Their care needs can also change as they age:
- Low to Medium Care (₹45,000–₹60,000/month) — for adults with DS who need supervision, routine, and social engagement
- High Care (₹70,000/month) — for adults whose care needs are increasing with age or who have associated health conditions
Learn more: Down Syndrome Support at Saksham by Kriti
Severe Learning Disability Residential Care Costs
Adults with severe learning disabilities often need consistent guidance, behavioural support, and communication assistance:
- Medium Care (₹60,000/month) — for adults who need structured daily guidance and supervision
- High to Very High Care (₹70,000–₹80,000/month) — for adults with complex behavioural needs or co-occurring conditions
Government Disability Care Options
Families with limited financial resources may also want to investigate government-supported disability programmes.
The National Trust, established under the National Trust Act, 1999, covers four disability categories:
- Autism
- Cerebral Palsy
- Intellectual Disability
- Multiple Disabilities
The National Trust operates programmes including Samarth and Gharaunda, which support residential and group-home-related services through registered organisations.
However, eligibility, availability, fees, capacity and services can vary.
Families should verify the current requirements directly with the relevant government authority or registered organisation rather than assuming that a particular scheme will be available in their location.
Eligibility for Government Schemes
- To be eligible for Samarth or Gharaunda, the individual must:
- Have one of the four National Trust Act disabilities (Autism, CP, Intellectual Disability, Multiple Disabilities)
- Possess a valid UDID card (Unique Disability ID) and Aadhaar card
- For Gharaunda: be 18 years or above
- Not be enrolled simultaneously in other National Trust schemes (Disha, Vikaas)
- Have a BPL certificate or income certificate for subsidized care
When Government Schemes Make Sense
Government schemes are a valuable option for families with limited financial resources. They provide a safety net and basic care. However, families should understand that:
- Quality varies significantly by Registered Organization running the centre
- Capacity is severely limited approximately 40 Samarth centres and 14 Gharaunda centres serve all of India
- The model is institutional, not home-like or personalized
- Medical oversight is basic there is no daily doctor visit or physiotherapy built in
- Admission can be bureaucratic and time-consuming, requiring UDID cards, BPL certificates, and legal guardian documentation
When Private Care Like Saksham by Kriti Makes Sense
Private residential care is the right choice when families want:
- Doctor-led medical oversight with daily visits and 24/7 nursing
- Personalized care plans based on individual assessment
- Condition-specific expertise in CP, Down syndrome, and severe learning disabilities
- A home-like environment rather than an institutional setting
- Transparent pricing and clear communication about what is included
- Faster admission and more flexible care transitions
What Should You Budget Beyond the Monthly Fee?
Families should plan for costs beyond the monthly residential care fee. Here is a realistic budget checklist:
One-Time Costs:
- Refundable security deposit — varies by facility, collected at admission
- Medical assessment — initial health evaluation (may be separate)
- Personal setup — clothing, toiletries, comfort items for the room
Ongoing Costs (Beyond Monthly Fee)
- Specialist consultations — neurologist, orthopaedic, psychiatrist visits as needed (typically ₹1,000–₹3,000 per visit)
- External hospital visits — if specialized treatment is needed outside the facility
- Emergency medical fund — recommended reserve for unexpected medical events
- Family visit transportation — travel costs for regular family visits
- Personal items — ongoing toiletries, clothing replacements, personal preferences
A Realistic Annual Budget Framework
Based on our experience with families across Delhi NCR, here is what a realistic first-year budget looks like for a resident needing medium-level care:
| Expense Category | Estimated Annual Cost |
|---|---|
| Monthly residential care (₹60,000 × 12) | ₹7,20,000 |
| One-time security deposit | ₹50,000–₹1,00,000 (refundable) |
| Specialist consultations (4–6 visits/year) | ₹6,000–₹18,000 |
| Personal items and clothing | ₹15,000–₹25,000 |
| Family visit transportation (weekly from Delhi/Gurgaon) | ₹20,000–₹40,000 |
| Emergency medical reserve (recommended) | ₹50,000–₹1,00,000 |
| Total first-year estimated cost | ₹8,61,000–₹10,03,000 |
This framework is an estimate, not a quote. Actual costs depend on the individual’s health, the facility chosen, and the family’s visit frequency. But having this number in mind before starting your search prevents the most common budgeting mistake families make — underestimating by 20–30%.
Under Section 24(3)(b) of the RPWD Act, the government is mandated to provide “facilities for persons including children with disabilities who have no family or have been abandoned, or are without shelter or livelihood”. However, in practice, government infrastructure for lifelong adult disability care remains limited, making private long-term planning essential for most families.
What Should Families Ask Before Choosing a Residential Care Home?
When comparing care homes, price alone should never be the deciding factor. Use this checklist when visiting any residential care facility in Gurgaon, Delhi, Noida, or Faridabad:
| Question | What to look for |
|---|---|
| Who provides care overnight? | Ask whether trained care staff are present |
| What is the caregiver-to-resident ratio? | Ask for the actual ratio rather than “24/7 care” |
| Are staff trained in disability care? | Ask what training they receive |
| Is physiotherapy included? | Confirm frequency and whether it costs extra |
| How are medications managed? | Understand the medication process |
| What happens during a medical emergency? | Ask about escalation and hospital arrangements |
| Are rooms private or shared? | Confirm accommodation before admission |
| How are families updated? | Ask about communication practices |
| What happens if care needs increase? | Understand reassessment and pricing |
| Can families visit before admission? | A facility visit should be encouraged |
| Can I speak with existing families? | Where possible, ask whether consented references are available |
At Saksham by Kriti, we answer all of these questions openly, because we believe that an informed family makes the best decision for their loved one.
What Does “What After Us” Planning Mean?
For many parents, the monthly residential fee is not the most difficult question.
The harder question is:
“What happens when I am no longer able to provide or arrange this care?”
Observe the environment
Are residents engaged? Are rooms clean and accessible? Is there enough space for movement and activities?
Ask about staff
Who provides care during the day? Who is present overnight? What training do caregivers receive?
Understand medical support
Ask who reviews residents, how medications are managed and what happens during emergencies.
Examine the routine
Ask to see a typical day.
- What happens after residents wake up?
- When are meals?
- When does physiotherapy happen?
- What activities are offered?
- How much unstructured time is there?
Understand family involvement
Ask how often families receive updates and how they participate in important care decisions.
Common Mistakes Families Make When Budgeting for Residential Care
In our experience working with families across Gurugram, Delhi, Noida, and Faridabad, we see the same patterns repeat. These are the mistakes that cost families money, time, and emotional distress:
Choosing the cheapest option first: A facility charging ₹15,000/month often does not include medical oversight, trained caregivers, or physiotherapy. When a medical event occurs, the family pays separately for hospital visits, specialist consultations, and emergency transport, often exceeding the cost of a higher-tier facility.
Not asking about overnight staffing: Many facilities advertise “24/7 care” but only have a night watchman, not a trained caregiver. Always ask: “Who is awake and present between 11 PM and 6 AM, and what is their training?”
Assuming physiotherapy is included: Some facilities list it as a service but charge ₹300–₹500 per session separately. Over a month, this can add ₹6,000–₹15,000 to the bill.
Visiting only once before admitting: A single visit during business hours shows you the best version of the facility. Visit during meal times, early mornings, and weekends to see real daily operations.
Not planning for cost escalation: As a resident ages or their condition progresses, care needs increase. A family budgeting for ₹45,000/month today may need ₹70,000/month in two years. Always ask about the facility’s process for care tier reviews and cost adjustments.
Overlooking the admission assessment: A proper care home should conduct a medical and functional assessment before quoting a final price. If a facility gives you a fixed price without assessing your loved one, that is a sign they may not be tailoring care to individual needs.
Forgetting to factor in family visit costs: If the facility is in Sohna or Tauru but the family lives in Delhi or Ghaziabad, weekly visits become a significant recurring expense in fuel, time, and missed work days.
Not checking UDID card status: If you plan to apply for government schemes now or in the future, ensure your loved one has a valid UDID card. Without it, you cannot access Samarth, Gharaunda, or other National Trust benefits.
Why Pricing Transparency Matters
Most residential care homes in Gurgaon do not publish their pricing. Families are often told to “call for a quote” or “visit first, then we will discuss cost.” This is particularly common across Delhi NCR, whether you are searching from Gurugram, South Delhi, Noida, Greater Noida, Ghaziabad, or Faridabad, the experience is the same: no transparent pricing until you have already invested time in a visit.
Why pricing transparency matters:
- Families need to plan financially before visiting facilities
- Transparency builds trust before the first conversation
- Comparison shopping is a right, not a privilege
- Hidden costs create stress at an already emotional time
A reputable care home should be willing to share its pricing framework before asking a family to visit. The final package will always depend on the individual’s assessed support needs, but the starting structure should be openly available. If a facility refuses to discuss cost until after a visit, that is worth questioning.
For reference, Saksham by Kriti’s package rates are published here, with final pricing confirmed after an initial care assessment.
Is Residential Care the Right Choice for Your Family?
There is no universal answer.
Residential care may be worth exploring when:
- The primary caregiver is ageing
- The person requires more support than the family can consistently provide
- The family needs respite
- The individual would benefit from a structured environment
- Parents are beginning long-term “What After Us” planning
- Home-based care is becoming difficult to sustain
A facility should be assessed not just by its rooms and price, but by its staff, care practices, medical support, accessibility, daily routine, family communication and ability to adapt to changing needs.
Ready to Discuss Residential Care for Your Loved One?
If you are exploring residential care for an adult with cerebral palsy, Down syndrome, or a severe learning disability in Gurgaon or Delhi NCR, the best next step is a free, confidential consultation with our care team.
We will help you:
- Understand which care tier is right for your loved one
- Walk through what daily life looks like at our facility
- Discuss pricing and deposit details based on your specific needs
- Explore whether day care or respite care might be a better starting point
- Plan for long-term care through our “What After Us” program
Key Takeaways
- Residential care for disabled adults in Gurgaon costs ₹45,000–₹80,000/month depending on care level, with doctor-led models including daily medical oversight that basic facilities do not
- Day care (₹30,000–₹45,000/month) and respite care (₹5,000/day) are lower-cost starting points for families not yet ready for full-time residential admission
- Always ask who is present overnight, whether physiotherapy is included, and what happens when care needs increase — these three questions reveal more about a facility than any brochure
- Government schemes (Samarth, Gharaunda) under the National Trust Act, 1999 provide subsidized options but have severely limited capacity (~54 centres for all of India) and institutional models
- Budget for 20–30% beyond the monthly fee for specialist consultations, transportation, personal items, and an emergency medical reserve
- The RPWD Act, 2016 (Section 24) mandates government schemes for disability social security, community centres, and healthcare but practical implementation remains limited, making private care planning essential
Frequently Asked Questions
At Saksham by Kriti, residential care packages currently range from ₹45,000 to ₹80,000 per month, depending on the individual’s assessed care and support requirements. Prices at other facilities may differ depending on accommodation, staffing, medical services and what is included.
At Saksham by Kriti, residential packages include services such as accommodation, meals, nursing support, doctor-led medical oversight, physiotherapy, electricity, laundry and structured support. Families should confirm the exact inclusions for their selected package.
A security deposit may apply depending on the residential package and admission terms. Families should confirm the current deposit amount directly with the facility before admission.
Physiotherapy is included in Saksham by Kriti’s residential care offering, with the frequency and nature of therapy determined according to individual needs.
Yes. Saksham by Kriti offers respite care for adults with disabilities. The current published rate is ₹5,000 per day, subject to assessment and applicable package terms.
Yes. Saksham by Kriti offers day-care options currently ranging from ₹30,000 to ₹45,000 per month, depending on the level of support required.
Government-supported programmes are available for eligible persons with disabilities through programmes associated with the National Trust, including Samarth and Gharaunda. Eligibility, availability and services vary, so families should verify current information with the relevant authority or registered organisation.
Not necessarily. Some families begin with a consultation, day care or respite stay to understand their loved one’s response to a structured care environment before considering longer term residential care.
About Our Medical Reviewer
This article was reviewed by the Saksham by Kriti clinical care team to ensure that the information on long-term care, daily support, residential care and disability care reflects our experience of supporting adults with disabilities and their families.