What's the difference between Assisted Living and Nursing Homes

Published on July 29, 2024 by Contour Team

If you’re starting to explore care options for an aging parent or loved one, you’re likely running into a wave of unfamiliar terms—and two that often come up are assisted living and nursing homes. While they might seem similar at first glance, they serve very different purposes. Understanding the distinction can help you make a confident, informed decision during what is often a stressful and emotional time.

What Is Assisted Living?

Assisted living communities are designed for older adults who are mostly independent but could use help with daily tasks. Think of it as a bridge between living at home and needing full-time medical care.

Residents in assisted living usually have their own apartment or private room. They enjoy communal meals, activities, and social events, while also having access to help with:

  • Medication reminders
  • Bathing and grooming
  • Dressing
  • Housekeeping and laundry
  • Transportation

The focus is on maintaining independence while offering just the right amount of support. Many communities feel more like resorts or upscale apartment complexes than medical facilities.

What Is a Nursing Home?

Nursing homes—also known as skilled nursing facilities—are for people who need 24/7 medical supervision. Residents often have complex health conditions or mobility issues that require hands-on care from licensed nurses and aides.

In a nursing home, medical care is a core part of daily life. These facilities are typically equipped to handle:

  • Chronic illness management
  • Wound care
  • Rehabilitation (like physical or occupational therapy)
  • IV treatments or feeding tubes
  • End-of-life care

Rooms may be shared or private, and the environment is more clinical than assisted living. For some residents, a nursing home is a long-term solution; for others, it’s a short-term stop after hospitalization or surgery.

Key Differences at a Glance

FeatureAssisted LivingNursing Home
Level of careModerate help with daily tasksHigh-level medical and personal care
Medical staff on siteLimited or on-call24/7 licensed nurses and aides
IndependenceEmphasizedLimited, depending on condition
Living arrangementsPrivate apartments or suitesOften shared rooms
Cost (varies by state)~$4,500/month on average~$7,900/month on average
Insurance coverageTypically private payMay be covered by Medicaid/Medicare in certain cases

So… Which One Is Right?

If your loved one is mostly independent but needs some help with daily living—or is simply feeling isolated at home—assisted living could be the perfect fit. If they have significant medical needs or need round-the-clock care, a nursing home may be more appropriate.

Still not sure? You don’t have to figure it out alone. At Contour we can help you understand the options and find the right balance for your loved one.


Need help choosing the right fit?
We’re here to walk you through every step. Contact us today for a free consultation.

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