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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.
Choosing the right senior living community is one of the most important decisions families and older adults can make. Whether you're exploring options for yourself or helping a loved one, visiting a community in person provides insight far beyond what a website or brochure can offer.A thoughtful, well-prepared tour helps you evaluate if a community truly feels like homeand whether it meets your physical, emotional, and social needs. At Seniors Blue Book, were here to make that process easier, more transparent, and more empowering.Heres what to know before you tourand the key questions to ask while you're there. Before the Tour: Do Your HomeworkStart by identifying the level of care that may be needed:Independent Living for active seniors seeking a maintenance-free lifestyle and social engagementAssisted Living for those who need help with daily tasks like bathing or medication managementMemory Care for individuals with Alzheimers or other forms of dementiaSkilled Nursing for seniors requiring 24/7 medical support or short-term rehabilitationUse Seniors Blue Book to search communities in your area, compare services, and read reviews before scheduling your visits. During the Tour: What to Look ForObserve:Cleanliness and overall condition of the communityHow staff interact with residents (Are they friendly and respectful?)Residents' mood and engagement in activitiesSafety features: handrails, lighting, emergency call systemsAccessibility: elevators, ramps, transportation services Top Questions to Ask During Your VisitCare & ServicesWhat types of care are available on-site if needs change?How are care plans created and updated?Is staff available 24/7? What is the nurse-to-resident ratio?Do you offer memory care or skilled nursing if it becomes necessary?Costs & ContractsWhats included in the monthly fee?Are there additional charges for medication management or assistance with daily living?What is the policy on deposits, refunds, or move-outs?Lifestyle & CommunityWhat kinds of activities are offered daily or weekly?Are meals included? Can dietary needs be accommodated?Can residents bring their own furniture or pets?Are there religious services, wellness programs, or group outings?Communication & Family InvolvementHow is information communicated to family members?Can families be involved in care planning?Are there visiting hours or family events? Downloadable Checklist: Take Notes & CompareBring a notebook or use our free Senior Living Tour Comparison Checklist to rate each community on care, amenities, location, staff friendliness, and overall feel. This helps make an objective decision later. Bonus Tip: Ask to Talk to a Current Resident or Family MemberHearing first-hand experiences from someone living in the community can provide valuable perspectiveand peace of mind. How Seniors Blue Book Can HelpAt Seniors Blue Book, we connect families with trusted, local senior living options, home health providers, elder care services, and moreall in one place. With our free directory and personalized guidance, you can save time, reduce stress, and feel confident every step of the way.Search listings online: seniorsbluebook.comGet a free book: Available at libraries, hospitals, senior centers, and more Tour with ConfidenceTouring a senior living community shouldnt be overwhelmingit should be empowering. With the right questions, a clear plan, and help from trusted resources like Seniors Blue Book, you can make a decision that supports health, happiness, and peace of mind for years to come.Know someone beginning the search for senior care? Share this guide to help them start with clarity and confidence.
As the owner of Ashton Senior Placement, I want you to know that my journey into senior living began not in an office, but on the front lines, working as a nursing home social worker. For years, I had the privilege of walking alongside countless families and their loved ones, helping them navigate the daily realities of long-term care. This experience gave me a profound understanding of the emotional and practical challenges involved, and it ignited a passion within me to make the transition to senior living a much smoother, more positive experience for everyone.Why I Founded Ashton Senior PlacementI founded Ashton Senior Placement because I saw a critical need for a more personalized, compassionate approach to finding senior care. In my social work role, I often witnessed the overwhelming feelings families faced trying to sort through countless options on their own. My goal was to create a service that takes that burden off your shoulders, offering expert guidance rooted in real-world experience. I want to be the trusted resource I wished every family had during those complex times.Leveraging My Expertise for Your Peace of MindMy years as a social worker gave me an intimate understanding of the nuances within senior care communities what makes a good fit, what questions to ask, and how to identify quality care. I've been inside these communities, I've seen them in action, and I've advocated for residents. I leverage this unique expertise to meticulously vet each option, ensuring I recommend only the places that meet the highest standards of care and genuinely feel like home. Your peace of mind is my priority.More Than Just a Match It's About the Right FitFor me, its never just about finding 'a' place; it's about finding the right place. Just as I worked to understand the individual needs and personalities of residents in the nursing home, I apply that same approach here. I believe every senior deserves a community where they can thrive, maintain their dignity, and find joy. That's why I dedicate myself to understanding your loved one's unique preferences and needs, ensuring a match that truly feels like home.Your Trusted Advocate and GuideConsider me your advocate and guide through this important life transition. Having navigated countless difficult conversations and complex decisions in my social work career, I'm well-equipped to support you without judgment. From our first conversation to helping you tour facilities, I'll be by your side, providing clear, honest advice and unwavering support. My aim is to make this journey as smooth and stress-free as possible for your entire family, because I truly care.Our Service Is Free to You Here's HowOne of the most common questions I get from families is, 'How much does your service cost?' I'm always happy to tell them: my services at Ashton Senior Placement are completely free to you and/or your loved one. This might sound surprising, especially when you're already facing potential senior living expenses, but I want to be transparent about how it works. Just like how real estate agents are compensated by the seller, I receive a referral fee from the senior living communities once your loved one successfully moves in. This means my focus remains entirely on finding the absolute best fit for your needs, without any financial burden on your family during an already challenging time. My commitment is to your peace of mind, not your wallet.
Navigating senior care decisions can be overwhelming. From understanding the differences between assisted living and memory care to evaluating communities, managing budgets, and addressing emotional family dynamics its a lot to take on alone. Thats where a senior care advisor comes in: a compassionate expert who helps guide families through one of lifes most important transitions.Senior care advisors are trained professionals who assess your loved ones unique physical, emotional, and social needs. They work closely with families to evaluate options and identify the right fit whether thats in-home care, an assisted living facility, or a specialized memory care community. Most importantly, they understand that every familys situation is different, and they bring both empathy and expertise to the table.One of the key benefits of working with a local advisor is their knowledge of nearby communities. Theyve visited the locations, met the staff, and understand what makes each setting unique. This insider perspective helps families avoid the trial-and-error approach that can come with researching on their own. Advisors also help navigate budget concerns, offer assistance with paperwork, and ensure that questions about services, amenities, and care levels are answered thoroughly.At Assisted Living Locators, our local care advisors are available at no cost to families. They provide personalized guidance, coordinate tours, and act as advocates every step of the way. Learn more about how we can help you at AssistedLivingLocators.com. Partnering with a care advisor removes uncertainty and replaces it with clarity, confidence, and peace of mind just when your family needs it most.If you would like to learn more, please call us at 303-957-2555.
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.