When a loved one needs more support, one big question often comes first: assisted living or a nursing home?
Both offer help and supervision, but they’re designed for very different needs.
We asked Michelle Lavoie, resource coordinator for the Hartford HealthCare Center for Healthy Aging, to break down the differences to help you make the right choices.
When assisted living may be the next step
Assisted living can be a great option when you need extra help but still have independence.
“Assisted living is ideal if you need support but can still move around on your own, even with a walker or cane,” says Lavoie. “While you need to be somewhat independent with personal care, staff can help you with daily tasks like bathing, dressing and managing medications.”
Assisted living communities may also offer:
- Private or semi-private living spaces, with staff available to assist as needed.
- A social environment with group activities and outings.
- Access to healthcare services like on-site nursing staff or partnerships with healthcare providers.
- A home-like setting that’s often more residential compared to a hospital or nursing home.
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Do you need more care?
If your needs extend beyond what assisted living provides, a nursing home may be the better fit.
“A nursing home offers a higher level of assistance for people who are unable to care for themselves,” explains Lavoie. “Licensed medical professionals are always available to provide care, manage chronic conditions and respond to emergencies.”
Nursing homes can also offer:
- Complete assistance with mobility, eating, personal hygiene and other essential daily tasks.
- Help with taking medications.
- A more structured environment to support your daily needs.
Finances are a big part of this decision
Choosing the right facility also means considering what’s affordable – now and in the future.
“Assisted living facilities are private-pay. Medicare and Medicaid do not cover assisted living,” explains Lavoie. “Some programs may help with care costs but don’t cover room and board.”
Medicare may cover short-term rehab in a skilled nursing facility, but long-term care is usually private-pay or covered by Medicaid.
Planning ahead starts today
The best time to explore assisted living or nursing home options is before you actually need them. This prep gives you time to compare facilities, take tours and get on waitlists – especially since nursing homes can often have long wait times.
Still unsure which option is right for you? Don’t be afraid to ask the people you trust.
“Talk to your doctor, family and friends,” says Lavoie. “Your future is a big decision, and the right support can help you find the best fit.”
