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How do you know when to move from assisted living to a nursing home? There is no specific timeframe that applies to each person, but in every case, it is critical to determine what type of care you need.
An assisted living community offers the opportunity to maintain independence while receiving support to meet most of your daily needs. A nursing home may be necessary when complex health issues require 24-hour nursing care and continuous medical supervision. Skilled nursing facilities provide specialized services, including physical, occupational, and speech therapy, as well as wound care and intravenous (IV) therapy.
Nursing home services differ significantly from those provided by assisted living communities. But what exactly are these differences, and how do they impact the level and type of care you may need?
What Is an Assisted Living Community?
Assisted living is a residential community that provides a non-institutional environment for people who can provide for many of their own needs. Some locations may offer some support, such as aiding in managing diet and nutritional needs. Some also help with incontinence. Some help with the highest levels of care including feeding, transferring, and behaviors. Additionally, many will offer medical care in addition to custodial care and have nurses on staff to oversee resident’s care. The assisted living level of care is for older adults who could be frail but do not need 24-hour medical nursing care. Residents may also benefit from having some of their medical needs addressed by a home health service that will come into the community. Assisted living helps with activities of daily living such as housecleaning, meals, dressing, and medication reminders and monitoring. The average assisted-living resident is 84 years old and needs help with two or three of the activities mentioned above. Assisted Living has a vibrant and social appeal as there are numerous offerings to stay active and engaged in life enrichment activities.
Some older adults move into assisted living because living alone may not be safe for them due to the risk of falling, memory difficulty, or the risk of taking the wrong medication or an incorrect dosage. Moving into assisted living provides you with the support you need now, and that may delay your need for more advanced care until sometime in the future if you do not need that level of care right now.
A licensed nurse may be available to provide individualized care. Staff may be on site 24 hours a day, depending on the community’s rules and regulations for that state. However, in some communities, the assisted living medical team is not available 24 hours a day.
Keep in mind that each community sets its own objectives, based on specific state regulations. You should always clarify what is expected.
While intense memory care for those who have end-stage Alzheimer’s disease or dementia, some assisted living communities will incorporate a memory care element to them. This will allow your family members to have the type and level of help they need right now, with the ability to step up care over time as their condition changes.
Assisted living communities handle many of the more difficult tasks for those who are older. That could include light housekeeping, meal preparation, transportation for grocery shopping or medical appointments, and other tasks.
What Is a Nursing Home?
A nursing home provides a higher level of care with nursing support. This means your loved one will receive around-the-clock assistance from nurses and other medical professionals. Nursing homes have a more clinical environment and can address medical needs, such as wound care, intravenous therapies, and ventilation care. While you may assume skilled care is necessary, many assisted living communities can offer a much higher level of support than you might realize.
In a nursing home, your loved one will likely reside in a semi-private or private room, depending on their preference, budget, and availability. They may visit the dining room for meals and participate in activities in various areas. However, if they need to eat in their room, assistance is readily available.
The most important difference between an assisted living community and a nursing home is that a nursing home is regulated by federal mandates and typically offers short term acute rehabilitative care offered 24 hours a day by a team of licensed professionals which are funded by medicare. While most people will use skilled nursing for short-term needs, your loved one may require medical treatment that cannot be managed at home or in an assisted living community.
Intravenous therapy
Ventilation care
Hourly monitory of vital signs or blood sugars
Injections of medications
Wound care
Post-surgery care
Some care settings may be better suited for your loved one if they have complex medical conditions that you cannot manage properly around the clock. Many facilities also offer specialized memory care units for end-of-life needs.
The nursing home setting is designed to meet both the needs of the residents and the specialized care they require, which can sometimes feel more institutional. You may find supportive solutions for therapy, such as specific functional rehabilitation services, infusion therapy, or wound care treatments. Options for providing separate rooms for older adults with infections or illnesses might also be available. However, even in nursing homes, intensive care is not typically provided, and your loved one may be transferred to a hospital to receive the highest level of care when necessary.
Frequently Asked Questions
What is the average length of stay at an assisted living community?
Many people live in assisted living for 2 to 3 years. They often then move to nursing homes that can better meet their ongoing needs due to worsening health conditions, limited mobility, memory care needs, or more support.
What is the main difference between assisted living and nursing homes?
The difference in nursing home care is the level of medical care and support you receive. Skilled care means more licensed nurses and staff available to provide ongoing care.
What are signs to know it’s time to move?
Senior living options are extensive, but there are a few signs to monitor for to know when it’s time to move:
CarePatrol Can Help You Determine When to Move from Assisted Living to a Nursing Home–and Which one to Choose
CarePatrol has local senior care advisors nationwide who are ready to help you determine when it’s time to move to a nursing home and find the best senior care solution. Also, if care needs change in the future, your local senior care advisor will help you find the right community.
We partner with over 20,000 senior care communities across the nation and take families on tours of the communities so you can view the accommodations and feel confident in your decision.
To get started, find a CarePatrol location nearest you, or learn more about care options and request more information online.
Rehabilitation Services Provided in Skilled Nursing FacilitiesRehabilitation services are a cornerstone of skilled nursing facilities (SNFs), designed to help individuals recover from illnesses, injuries, or surgeries and regain their independence. Heres a closer look at the rehabilitation services offered in skilled nursing facilities and their benefits.1. Physical TherapyPhysical therapy is a critical component of rehabilitation in skilled nursing facilities. It focuses on helping residents restore strength, mobility, and physical function after surgery, injury, or a medical event such as a stroke. Key aspects of physical therapy include: Strength Training: Exercises to rebuild muscle strength and endurance. Balance and Coordination: Techniques to prevent falls and improve stability. Mobility Exercises: Activities designed to improve range of motion, walking ability, and the use of mobility aids such as walkers or wheelchairs. By working closely with licensed physical therapists, residents can achieve improved independence and a better quality of life.2. Occupational TherapyOccupational therapy in SNFs is designed to help residents regain the skills needed for daily living. This therapy focuses on enhancing a persons ability to perform activities of daily living (ADLs) such as dressing, grooming, eating, and bathing. Specific interventions include: Adaptive Techniques: Teaching residents how to use assistive devices or modify tasks to suit their abilities. Fine Motor Skills Training: Improving dexterity for tasks like buttoning clothes or holding utensils. Energy Conservation Strategies: Helping residents manage fatigue and perform tasks more efficiently. Occupational therapists work with residents to restore independence and adapt to new physical or cognitive limitations.3. Speech TherapySpeech therapy addresses communication and swallowing difficulties that may result from strokes, neurological disorders, or other medical conditions. Speech-language pathologists (SLPs) in skilled nursing facilities focus on: Swallowing Therapy: Treating dysphagia (difficulty swallowing) to prevent complications like choking or aspiration pneumonia. Communication Training: Helping residents regain or improve their ability to speak, understand language, or use alternative communication methods. Cognitive Therapy: Assisting residents with memory, problem-solving, and organizational skills. Speech therapy improves both safety and quality of life by enabling residents to eat, communicate, and engage with others effectively.4. Specialized Rehabilitation ProgramsSkilled nursing facilities often provide rehabilitation programs tailored to specific conditions, including: Post-Stroke Rehabilitation: Combining physical, occupational, and speech therapies to address the multifaceted challenges of stroke recovery. Orthopedic Recovery: Rehabilitation for individuals recovering from joint replacement surgeries, fractures, or other musculoskeletal injuries. Cardiac Rehabilitation: Programs focused on improving heart health and endurance following heart attacks or surgeries. Neurological Rehabilitation: Care for residents with conditions such as Parkinsons disease, multiple sclerosis, or traumatic brain injuries. These specialized programs ensure that residents receive targeted care to address their unique recovery goals.5. Benefits of Rehabilitation Services in Skilled Nursing FacilitiesRehabilitation services in skilled nursing facilities offer numerous benefits, including: Faster Recovery: Access to expert care and tailored therapies helps residents recover more quickly. Enhanced Mobility and Independence: Therapy restores physical function and confidence, enabling residents to perform tasks on their own. Improved Quality of Life: Rehabilitation helps residents regain their abilities, reducing frustration and fostering a sense of accomplishment. Preventing Complications: Therapies such as swallowing training and balance exercises minimize risks like choking, falls, and re-hospitalization.
Our eyes are incredibly precious, yet its easy to take our vision for granted until problems arise. Lets focus on proactive steps to maintain and improve our eye health. Here are some tips to keep your vision in top shape:Schedule Regular Eye Exams:One of the best ways to safeguard your vision is by scheduling regular eye exams. Comprehensive eye exams can detect vision problems early on, allowing for prompt treatment and prevention of further complications. Make it a priority to see your eye doctor at least once a year, even if you dont currently wear glasses or contact lenses.Protect Your Eyes from UV Rays: Just like your skin, your eyes can be damaged by the suns harmful UV rays. Whenever youre outdoors, especially on bright, sunny days, wear sunglasses that offer UV protection. Look for sunglasses that block 100% of UVA and UVB rays to shield your eyes from potential damage. Give Your Eyes a Break from Screens: In todays digital age, many of us spend a significant amount of time staring at screens, whether its for work, leisure, or staying connected. Prolonged screen time can lead to digital eye strain, characterized by symptoms like dry eyes, blurred vision, and headaches. To reduce eye strain, follow the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away.Eat a Balanced Diet:Nutrition plays a crucial role in maintaining eye health. Incorporate foods rich in vitamins and antioxidants, such as leafy greens, colorful fruits and vegetables, fish high in omega-3 fatty acids, and nuts and seeds. These nutrients can help protect against age-related vision problems like macular degeneration and cataracts.Practice Good Eye Hygiene:Proper eye hygiene is essential for preventing eye infections and irritation. Wash your hands frequently, especially before touching your eyes or handling contact lenses. Follow your eye doctors recommendations for contact lens care, including proper cleaning, disinfecting, and storage.Stay Hydrated: Dehydration can contribute to dry eyes, so be sure to drink an adequate amount of water throughout the day. Aim for at least eight glasses of water daily to keep your eyes and body hydrated.Get Plenty of Sleep:Adequate sleep is crucial for overall health, including eye health. During sleep, your eyes receive much-needed rest and replenishment. Aim for 7-9 hours of quality sleep each night to help reduce eye fatigue and maintain optimal visual function.By incorporating these simple yet effective tips into your daily routine, you can help protect and preserve your precious eyesight for years to come.Your eyesight is irreplaceable, so take care of your eyes today for a brighter tomorrow!
Moving to a new home can be scary and stressful, especially for older people. But don't worry! Here are some easy ways to make moving day less scary and more fun.1. Pick the Right HomeFirst, choose a new home that feels good. Think about what you like. Do you want a garden view? Do you need help with cooking? Make sure your new home has what you need to be happy.2. Make ListsWrite down everything you need to do. This helps you remember important things. Start early and take your time. Don't rush!3. Choose Special ThingsWhen you move to a smaller home, you can't take everything. Pick the things that mean the most to you. It's okay to feel sad about leaving some things behind.4. Get Help from MoversHiring people to help you move can make things much easier. They know how to pack and move your stuff safely.5. Use Good BoxesUse boxes that stack well. Plastic boxes with lids are great because they're easy to pack and unpack.6. Say Goodbye to Your Old HomeHave a party to say goodbye to your old home. Take lots of pictures to remember it. This can help you feel better about moving.7. Think Happy ThoughtsMoving can be exciting! Think about all the fun new things you'll do in your new home. You might make new friends or try new activities.8. Pack a Special BagPack a bag with things you'll need right away in your new home. Put in things like:MedicineToothbrush and toothpastePajamasSnacks and waterThis way, you won't have to search through all your boxes on the first night.9. Make a Moving Day PlanPlan out your moving day. Know when you'll leave and when you should arrive at your new home. Don't forget to plan for breaks along the way.Remember, moving can be a big change, but it can also be the start of a great new adventure in your life!
At CarePatrol we help families find Assisted Living, Independent Living, Memory Care, and In-Home Care. We review the care and violation history of the communities we work with. We are a free service and exist to provide the safest care options for seniors across America.