Assisted living communities are not nursing homes, though many people think of them as the same. Over the past few decades, these two types of senior living have grown distinctly different. Nursing home is no longer the senior care catch-all term it used to be.
In fact, A Place for Mom surveyed 100 families who contacted us seeking “nursing homes” for their relatives. After consulting with our Senior Living Advisors, 89 of those families determined that a nursing home wasn’t the right choice for their loved one. They ended up selecting a more social, communal senior living environment instead.
So what’s the main difference between assisted living and nursing homes?
Assisted living communities provide a more social lifestyle for seniors who are generally active but need help with everyday tasks. Nursing homes provide long-term medical care for adults with serious health issues. Nursing homes usually cost more than assisted living due to the higher level of care.
Assisted living is an ideal option for seniors who can no longer live alone but want to maintain a social lifestyle. Assisted living communities provide long-term housing for older adults who are generally active but need support with activities of daily living (ADLs). These could include bathing, dressing, using the toilet, and managing medications.
Additionally, assisted living cultivates a strong sense of community. While residents can find privacy in their apartments, they’ll usually eat together in the dining room. Throughout the month, staff members typically organize activities, entertainment, and outings.
Nursing homes serve seniors and others who require full-time monitoring and medical assistance. These facilities offer the highest level of care for individuals who don’t require hospitalization.
Elderly adults who need long-term care at a nursing home often have severe physical or cognitive health conditions that require 24-hour nursing. They may be bedridden or need to use a wheelchair with the assistance of staff members.
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Assisted living communities offer services and amenities to keep residents as healthy, socially engaged, and independent as possible. While nursing homes also focus on these areas, they offer around-the-clock medical care to treat more serious health issues.
Skilled nursing care is a key feature of many nursing homes. That means trained medical professionals are available at all times to assist your loved one. If your family member has a serious medical condition, they likely need specialized care from licensed health care professionals at a skilled nursing facility. Assisted living senior care aides are highly trained but may not be medically certified.
Assisted living services and amenities could include:
Nursing homes may offer services such as:
Assisted living communities benefit seniors who are generally active but need some assistance with daily tasks. If an elderly loved one develops chronic or debilitating health problems, then nursing homes will benefit them more. The higher level of care offered in a nursing home versus an assisted living community makes it an ideal choice by providing medical care in addition to companionship, help with ADLs, and on-site amenities.
Assisted living may be a good option for someone who:
A skilled nursing facility is an ideal choice for seniors who may:
Nursing homes and assisted living have different criteria. While assisted living communities could require residents to meet certain health standards and abilities, nursing homes usually have entry requirements to show the patient requires a higher level of care.
For instance, assisted living communities may require that your loved one be able to eat independently or transfer between a bed and a wheelchair without assistance. They also might not accept residents with severe cognitive impairment or behavioral issues.
On the contrary, seniors need to meet the state’s criteria to enter a nursing home. This might involve getting a physical assessment and a physician’s order.
The median monthly cost of assisted living was $4,500 in 2021, compared to $7,908 for a semi-private room at a nursing home and $9,034 for a private room.[1]
Nursing home and assisted living costs vary by community, location, and services offered. The difference in cost between assisted living and nursing homes is significant because assisted living communities don’t offer full-time medical care.
However, unlike many assisted living communities, nursing homes can often be paid for using government assistance for lower-income residents.
Our advisors help 300,000 families each year find the right senior care for their loved ones.
In the past several decades, senior living choices have expanded as the needs and expectations of older adults have changed. Finding the right option that meets your loved one’s needs is an important part of keeping them healthy, active, and safe.
The best way to decide which care type is best for your loved one is by talking to those with experience in deciding between these care types. At no cost, A Place for Mom’s Senior Living Advisors can guide you through the many senior living options to help you find the best fit for your family.
Genworth. (2022, June 2). Cost of Care Survey.
The information contained in this article is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not recommend or endorse the contents of the third-party sites.