When To Move From Assisted Living To Nursing Home

Our health needs change as we age and sometimes require more specialized care. For many seniors, this means moving from independent living to assisted living or nursing home care.

While both types of care provide support and assistance to seniors, there are some key differences between them. Assisted living facilities offer independence with additional help provided by staff, whereas nursing homes provide round-the-clock medical care and supervision.

Knowing when to transition from one type of care can be challenging. This article gives guidance on when moving from assisted living to nursing home care may be appropriate.

Assisted living vs. skilled nursing facility

While assisted living and skilled nursing facilities both provide care and support for seniors, there are some critical differences between the two. Here are some of the main distinctions:

Assisted living

  • Offers a lower level of care than a skilled nursing facility, providing help with activities of daily living such as dressing, bathing, dressing, or meal prep.
  • Residents typically live in private rooms or apartments and can access communal areas for meals and social activities.
  • Staff can assist as needed, but residents are encouraged to keep as much independence as possible.
  • Assisted living facilities may have medical staff available but are typically not trained in providing skilled nursing care.
  • Cost is generally lower than in skilled nursing facilities.
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Skilled nursing facilities

  • Provide a higher level of care than assisted living, including round-the-clock medical care, rehabilitation services, and assistance with daily activities.
  • Residents typically live in semi-private or private rooms and can access communal areas for meals and activities.
  • Staff includes licensed nurses and certified nursing assistants trained in providing skilled nursing care, administering medications, and managing medical equipment.
  • Skilled nursing facilities may offer specialized care for conditions such as dementia or Parkinson’s disease.
  • The average cost is generally higher than assisted living facilities.

Generally speaking, assisted living is geared towards older adults who need some help with daily living but can still maintain a degree of independence. Skilled nursing facilities are for those who need more medical care and supervision.

Signs it may be time to consider a nursing home

While assisted living can be a great option for many older adults, there may come a time when a move to a nursing home is necessary. Here are some signs that it might be time to consider a nursing home for your loved one:

  1. Physical decline or illness that requires more intensive care: Seniors with chronic conditions or serious illnesses may require more medical attention than an assisted living facility can provide. Nursing homes offer skilled nursing care, including wound care, medication management, and physical therapy.
  2. Cognitive decline or dementia that makes it difficult to manage activities of daily living: Seniors with cognitive impairment may require assistance with basic tasks such as bathing, dressing, and eating. Skilled nursing facilities can provide specialized memory care units and staff trained in caring for those with dementia.
  3. Increased dependence on caregivers or need for specialized medical equipment: Seniors who require a higher level of assistance may need specialized medical equipment or devices, such as oxygen tanks or wheelchair ramps. Nursing homes can provide access to this equipment and staff trained in its use.
  4. Safety concerns due to falls or other accidents: Seniors at risk of falls or other accidents may require round-the-clock supervision to ensure their safety. Skilled nursing facilities can provide 24-hour care and monitoring to reduce the risk of accidents.
  5. Inability to participate in activities or socialize with others in assisted living: Seniors who can no longer participate in the activities and socialization provided by assisted living may benefit from the structured activities and social opportunities offered by nursing homes.
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If a person’s care needs exceed what can be provided in an assisted living facility, or if they require a higher level of medical care or supervision, it may be time to consider a move to a nursing home.

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