Aging Wisely | Highgate Senior Living Blog

Assisted Living Facilities vs Nursing Home Care: What's the Difference

Written by Highgate Senior Living | May 11, 2017 8:21:40 PM

 


Choosing senior living options is a significant and often emotional decision, shaped by heartfelt conversations with your parent or spouse. Whether it's driven by safety concerns, declining health, or the impact of isolation on their well-being, this choice carries immense weight. It's not just about finding a place—it's about ensuring your loved one receives the best care and that your financial decisions are sound.

This article will guide you through the crucial differences between assisted living and nursing home care, empowering you to make an informed, confident choice for your loved one's future. 

What is Assisted Living?

Imagine a place where you can maintain your independence while enjoying the comfort of a home-like environment. Assisted living facilities provide apartment-style living spaces, often personalized with your own furniture and cherished items from home. Here, you can receive the support you need with daily activities, such as dressing, bathing, and medication management. Beyond the essentials, assisted living offers a vibrant community life with daily recreational activities and exciting outings. It’s not just about living—it’s about thriving in a supportive, engaging setting.

What is a Nursing Home?

A nursing home, or skilled nursing facility, caters to individuals needing extensive medical care and assistance. Unlike the personalized, home-like atmosphere of assisted living, nursing homes typically offer hospital-like living arrangements, with limited space for personal furnishings. Due to the varying physical and psychological needs of residents, nursing homes tend to offer broader activities that accommodate all functional levels. The primary focus of a nursing home is to provide continuous medical care for seniors with severe health conditions that require frequent monitoring and treatment adjustments. While nursing homes play a crucial role in healthcare, they lack the vibrant, independent living environment that makes assisted living a superior choice for many seniors.

What are the Three Biggest Differences Between Assisted Living Facilities and Nursing Homes?

Choosing the right senior living option for your loved one is a critical decision, often filled with emotional and practical considerations. Understanding the key differences between assisted living facilities and nursing homes can greatly aid in this process.

1. Care

Assisted Living: These facilities provide top-tier care just below the level of skilled nursing facilities. They offer medication management, end-of-life care, home health coordination, and 24/7 assistance to ensure your loved one's safety. Residents receive help with daily activities like meals, bathing, grooming, and using the bathroom, allowing them to maintain a degree of independence.

Nursing Homes: Residents typically require intensive care due to physical immobility or severe cognitive impairments. Staffed by certified nurses, these facilities offer around-the-clock medical care but with less freedom for residents. Assistance includes bathing, grooming, toileting, and laundry, but the focus is heavily on medical care.

2. Lifestyle

Assisted Living: Residents enjoy apartment-style living where they can decorate to their taste, creating a personal and comfortable space. These facilities encourage active and engaged lifestyles with a variety of activities and outings, promoting a vibrant community atmosphere.

Nursing Homes: The living arrangements resemble a hospital setting, often with shared rooms. The focus is on medical care, leading to fewer activities and outings due to the residents' immobility. The environment can be more restrictive, and adapting to different daily routines and personalities can be challenging.

3. Cost

Assisted Living: Generally more affordable than nursing homes, assisted living can be paid for privately, through long-term care insurance, or via benefits like the Aid and Attendance pension for qualifying Veterans. Some life insurance policies can also cover costs.

Nursing Homes: More expensive due to the higher level of medical care provided, nursing home costs can be covered privately, through private health insurance, long-term care insurance, or by Medicare or Medicaid, depending on the facility and resident needs.

Research Indicates There Are Notable Differences Between Assisted Living Facilities and Nursing Homes

Research highlights substantial differences between these two settings, influencing quality of life, health outcomes, and financial considerations.

Quality of Life and Mental Health

Research underscores the significant impact of social interaction and physical activity on the well-being of seniors:

  • Social Interaction: Studies demonstrate that active social engagement reduces feelings of loneliness, depression, and anxiety among older adults. Assisted living facilities prioritize community interaction, offering extensive opportunities for socialization and engagement, contrasting with the more clinical environment of nursing homes.

  • Physical Activity: Maintaining physical health is vital for seniors' overall well-being. Assisted living facilities typically provide robust recreational activities and fitness programs, fostering a more active lifestyle than is typically found in nursing homes. This emphasis not only promotes physical health but also enhances mental acuity and emotional resilience.

Health Outcomes

Comparative studies highlight significant differences in health outcomes between residents of assisted living facilities and nursing homes:

  • Personalized Care: Assisted living facilities, with their lower staff-to-resident ratios, can implement personalized care plans tailored to individual needs. Research indicates that such personalized care leads to better health outcomes and higher resident satisfaction compared to the more standardized care often found in nursing homes.

  • Hospitalization Rates: Research comparing hospitalization rates between assisted living and nursing home residents provides insights into the effectiveness of each setting in managing chronic conditions and preventing acute health crises.

Cost and Financial Impact

Understanding the financial aspects of senior care is crucial for informed decision-making:

  • Cost-Effectiveness: Studies evaluating the cost-effectiveness of assisted living versus nursing home care consider not only direct costs but also long-term financial implications and impacts on families. Assisted living generally offers more affordable options and various payment strategies, including long-term care insurance and veterans' benefits, making it a viable choice for many families.

  • Insurance Trends: The landscape of insurance coverage for senior care is evolving, favoring the flexibility and affordability of assisted living options. Awareness of these trends can assist families in planning and financing optimal care for their loved ones.

Emerging Trends

Recent advancements are transforming senior living environments:

  • Technological Integration: Assisted living facilities are increasingly integrating technology such as remote monitoring, telehealth services, and smart home devices. These innovations enhance safety, improve healthcare management, and elevate residents' quality of life.

Making the decision to move to a senior living community is challenging, and delaying it can limit options to nursing homes. Understanding the differences between assisted living and nursing home care helps you decide the right time to move and choose the best option for your parent's needs.

For more information, read our Definitive Guide to Assisted Living or watch this video on how to determine the level of care you need