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.

Got Questions?
Need Help?

By Donna Nichols March 9, 2026
If you’ve ever walked into a room full of older adults and noticed the sweaters, shawls, and space heaters humming in the corner, you’re not imagining it — many seniors really do feel colder than everyone else. And it’s not just a quirk. There are real, physical reasons behind it, and understanding them can make daily life a lot more comfortable. 1. Our Internal Thermostat Changes Over Time As we age, the body becomes less efficient at regulating temperature. The internal “thermostat” in the brain doesn’t respond as quickly to cold, so seniors may feel chilly even when the room is warm enough for others. 2. Less Muscle = Less Heat Muscle mass naturally decreases with age, and muscle is what helps generate body heat. With less of it, the body simply produces less warmth. Even active seniors may notice they get cold more easily than they used to. 3. Thinner Skin and Reduced Circulation Skin becomes thinner over time, offering less insulation. On top of that, circulation often slows, meaning warm blood takes longer to reach hands, feet, and other extremities. This is why fingers and toes are often the first to feel icy. 4. Medications Can Play a Role Many common medications — including those for blood pressure, thyroid issues, or depression — can affect how warm or cold someone feels. It’s not always the medication itself, but how it interacts with the body’s temperature signals. 5. Underlying Health Conditions Conditions like anemia, diabetes, thyroid disorders, or poor circulation can all contribute to feeling cold. Sometimes, persistent chilliness is the body’s way of asking for a check-in with a healthcare provider. 6. Hydration and Nutrition Matter More Than You Think Dehydration and low-calorie intake can both make the body feel colder. Seniors who don’t drink enough water or who eat lightly may notice they’re chilly more often. Simple Ways to Stay Warm and Comfortable • Layer up with breathable fabrics • Keep moving — even gentle stretching boosts circulation • Warm beverages throughout the day • Use blankets or heated throws safely • Check room drafts and adjust thermostat settings • Talk with a doctor if coldness is new or worsening A Warm Note to Close Feeling cold isn’t a sign of weakness — it’s a natural part of aging. With a few small adjustments and a little awareness, seniors can stay cozy, comfortable, and confident all year long.
By Donna Nichols March 3, 2026
Spring has a way of softening the world. The air warms, the light lingers, and suddenly the small things — a bird call, a new bloom, a gentle breeze — feel like invitations to breathe a little deeper. For many seniors, especially those carrying grief, stress, or the weight of a long winter, March can feel like a quiet turning point. Here’s why spring so often brings emotional renewal, no matter your age. 1. Light Returns, and So Does Energy Longer days naturally lift mood. More sunlight helps regulate sleep, boosts energy, and gently nudges the body out of winter’s heaviness. Even a few minutes outside can shift the way the day feels. 2. Nature Models Healing Spring is a season of second chances. Trees bud again, flowers push through the soil, and the world rebuilds itself without rushing. For seniors navigating loss or change, this slow, steady renewal can feel reassuring — a reminder that healing isn’t linear, but it is possible. 3. Movement Feels More Natural Warmer weather encourages small steps: a walk to the mailbox, a few minutes on the porch, tending to a plant. These simple movements help ease stiffness, improve mood, and reconnect the body with the world around it. 4. Social Life Blossoms Too As the weather improves, people naturally come out of hibernation. Neighbors chat outside, community events pick up, and families gather more often. Even brief interactions can brighten a day and reduce feelings of isolation. 5. Spring Encourages Reflection — and Release There’s something about fresh air and open windows that invites a mental reset. Many seniors find themselves sorting through memories, letting go of what no longer serves them, and making space for what’s next. A Season That Meets You Where You Are Spring doesn’t demand big changes. It simply offers gentle reminders: you’re still growing, still healing, still here. Whether you’re grieving, rebuilding, or simply ready for a lighter season, March brings a quiet kind of hope — one that arrives softly and stays.
By Donna Nichols February 5, 2026
The body content of your post goes here. To edit this text, click on it and delete this default text and start typing your own or paste your own from a different source.