Assisted Living vs Nursing Home

Donna Nichols • July 7, 2021

One question we get asked a lot at Assisted Living Made Simple is, What is the difference between assisted living vs nursing home ? Let me try to clear up the differences for you.

Assisted Living vs Nursing Home

Assisted living is great for seniors who no longer want to live alone and maintain a home, but want to live an active, social lifestyle. Seniors in assisted living are usually active, but may need assistance with activities of daily living, such as, bathing, dressing, medication management and meal preparation.

Communities do have nursing available should you require it and some have it available 24 hours a day, seven days a week.

Assisted Living vs Memory Care Communities: What's the Difference?

Some of the amenities of an assisted living community are:

  • Three meals a day, in a restaurant-style atmosphere
  • Transportation to and from doctor’s appointments
  • Happy hours
  • Activities based on holidays and residents interests
  • Laundry, housekeeping, maintenance
  • Spacious apartments (some with small kitchenettes)
  • Wider doorways and ramps to allow easier access for wheelchairs and walkers

Assisted living is private-pay, but once you factor in everything you receive, it costs about the same as living in your house. To find out more, check out my other blog, Aging in Place.

What is the next level of care after assisted living?

The next level of care after assisted living really depends on the level of care you require. There are assisted living communities where you can age in place and never leave. There are also those who cannot handle serious conditions and you will have to be moved to a nursing home. So, it really just depends on what has happened to you and your condition.

Nursing Homes

Nursing homes are also referred to as skilled nursing facilities and are for those who require full-time medical assistance and around-the-clock monitoring. Nursing homes are for those who need a higher level of care but do not require hospitalization.

Residents in nursing homes do need advanced medical care in addition to their activities of daily living, such as, diabetic or other injections, catheter care, cognitive declination, advanced stages of Parkinson’s, impaired judgement and behavioral issues.

Services a nursing home provides:

  • Palliative and preventative long-term care
  • Dental services
  • Nutritional meal preparation
  • Prescription medicine administration, injections as well
  • Increased safety features
  • Rehabilitative services, such as speech, occupational, physical, and cognitive therapy

The cost of a nursing home is usually covered by insurance; it will depend on your specific plan. Medicaid is another way to pay for a nursing home, if you qualify.

When should you move from assisted living to nursing home?

The time to move from an assisted living community to a nursing home depends on your or the community’s doctor’s assessment as your health declines.

Should they determine you need more care than the community can handle, ex. Injections, catheter care, in-depth therapy, palliative care or long-term care, they will recommend you be moved to a nursing home.

Still wondering?

Are you still questioning if assisted living is better than a nursing home? Well, if you are still an active senior, but no longer want to live alone or maintain your home, assisted living is the choice for you; it is so much better than waiting until it’s too late and then having to live in a nursing home.

Be sure to enjoy your golden years while you can!!

If you’re looking for other senior living articles and resources then click here.

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Gratitude in Every Season

By Donna Nichols • November 13, 2025
As Thanksgiving approaches, we’re reminded that gratitude isn’t just a holiday tradition — it’s a way of life. At Assisted Senior Services, we see it daily: in the quiet strength of caregivers, the wisdom of our seniors, and the small moments that make a big difference. We believe gratitude is more than a feeling. It’s a practice. A way of seeing the world, even in challenging times. For seniors, caregivers, and families, this season can stir a mix of emotions. There may be joy in gathering, but also grief, fatigue, or change. That’s why we hold space for all of it — and honor the quiet strength it takes to keep showing up with love. Gratitude doesn’t erase hardship, but it helps us carry it. It reminds us that even in uncertainty, there are still ordinary gifts: a warm hand to hold, a shared laugh, a moment of peace. Whether you’re caring for a loved one, navigating new challenges, or simply pausing to reflect, this season invites us to slow down and appreciate the ordinary gifts around us — a warm smile, a shared story, a helping hand. We are grateful for: • The families who trust us to walk alongside them, through transitions and triumphs. • The caregivers who show up with compassion and grace. • The caregivers who offer comfort, dignity, and patience every single day. • The seniors who teach us resilience, humor, and the value of every day – reminding us of what really matters. This Thanksgiving, we honor your journey. We celebrate your courage. And we’re here to support you — not just during the holidays, but all year long. So, whether your Thanksgiving is bustling or quiet, traditional or tender, we hope you find something to hold onto — and someone to hold it with. From all of us at Assisted Senior Services, thank you for being part of our community. We’re honored to support you, and we wish you a season filled with warmth, connection, and care. Happy Thanksgiving!