Assisted Living vs. Nursing Home: What’s The Difference

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When it comes to healthy aging, quite honestly, there’s a lot to do. You’re supposed to make sure to keep your body active and your brain engaged all while maintaining your social connections as well. Sure, the benefits to your overall well-being are worth the effort, but retirement is supposed to be a time with less responsibility on your plate, right? Well, it turns out that in senior living you can have your cake and eat it too, so to speak. Here’s how programs like our Vivid Life make keeping active, engaged, and connected easy and fun! 

Benefits of Healthy Aging 

Good things happen when you focus on healthy aging. In addition to feeling better overall, which in and of itself is a win, other benefits of keeping active, engaged, and connected include:  

  • Improved ability to do everyday things ​ 
  • Reduced impact of illness and chronic disease​ 
  • Enhanced mobility, flexibility, and balance
  • Improved sleep
  • Increased energy level
  • Reduced feelings of depression and stress
  • Increased feelings of happiness and self-confidence
  • Reduced risk of cognitive decline 
  • Increased mental adaptability and cognitive reserve 
  • Improved memory recall and problem-solving skills 
  • Improved concentration and attention to detail  

How Senior Living Can Help 

At home, particularly when living alone, it can be hard to stay as active, engaged, and connected as you’d like. From lack of opportunity to lack of motivation to lack of transportation to mobility challenges, and more, it’s tough, we get it! That’s why we created the Vivid Life program in our senior living communities. It’s composed of three parts: Vibrant Body, Vibrant Brain, and Vibrant Connections. Here’s what each entails:  

Vibrant Body We offer amenities such as a state-of-the-art fitness center, a pool, walking trails, gardening opportunities, and even a dog park to help you stay active. A sample of activities includes:  

  • Walking club – Daily walks at different outdoor locations using pedometers to measure steps. 
  • Yoga – At least once per week for gentle yoga, and once per week for mindful breathing. 
  • Fitness classes – At least two times per week using a variety of hand weights, resistance bands, and circuit-type exercises. 
  • Tai Chi – At least once per week with a live instructor. 
  • Non-traditional exercise – Dancing, gardening, etc. at least two times per week. 
  • Physical games and sports – Golf, putting, bowling, croquet, bocce, and ping pong available daily with organized events one to two times per week. 

Vibrant Brain We offer monthly calendars filled with classes, events, creative arts, and enrichment opportunities to help keep you engaged. A sample of activities includes: 

  • Visiting lecture series – Twice per month with topics such as cultural, historical, local interest, career-oriented, etc. 
  • Creative art series – At least one per week with a theme that runs 3-6 weeks, such as poetry writing, storytelling, painting, digital photography, etc. 
  • Learning series – At least three times per month with an emphasis on learning something new such as foreign language, sign language, technology, hobbies, etc. 
  • Games – At least one time per week and may include poker, bridge, Scrabble, etc. 
  • Mindfulness – A meditation class once per week and gratitude discussion group twice monthly. 
  • Church service – At least once a week through visits by local churches. 
  • Stress reduction – At least once per month class that offers deep breathing exercises, nature walks, music appreciation, spa-type treatments, etc. 

 Vibrant Connections We offer resident-led clubs, social events, outings and volunteer opportunities for any interest to help you stay connected. A sample of activities includes: 

  • Outings – At least twice per month and may include going to concerts, art shows, museum visits, theatre productions, etc. 
  • Intergenerational programming – At least once per month and focuses on building relationships between young adults/children and residents. 
  • New resident welcome party – At least once per month to formally introduce all new residents, and includes ice breakers, social games, etc. to encourage connection. 
  • Philanthropic program – At least once per month provide residents the opportunity to give back to the community, such as volunteering for a local food bank or pet shelter. 
  • Resident-led clubs – May include game clubs, professional clubs, common interests, etc. that meet at least monthly.  

What’s more, it’s all right outside your door (or transportation is provided offsite) and all in a supportive environment with home maintenance, housekeeping, and restaurant-style dining freeing your time to make it even easier to stay active, engaged, and connected. 

Learn more about Vitality Living’s Vivid Life programs. Or find a Vitality Living community near you today to schedule a tour. 



Not so long ago, there were only two types of “homes”: the family home and the nursing home. Typically, older adults transitioned from the former to the latter when their care needs exceeded the family members’ ability to meet them, or when memory issues created unsafe conditions for remaining at home. At that time, people didn’t have any other choices.

However, times have changed quite a bit in recent years. In fact, older adults today have a wide array of options, including a diverse range of vibrant communities. But some confusion persists because the “nursing home” moniker continues to attach itself to anything in the realm of senior living.

Download The Complete Guide to Choosing Between Senior Living Options

Vocabulary matters when it comes to choosing a lifestyle for oneself or one’s parents. In fact, assisted living and nursing home communities are very different. Understanding the distinct characteristics of each is important for older adults pondering their choices as well as for their children helping them make those lifestyle decisions.

Time for a Change

Over the past 25 years, new forms of residences for older adults were developed and coined as assisted living and memory care communities. Developed to blend clinical care in a private residential setting with hospitality services, this model was initially designed to act as a bridge between home and nursing home settings by offering mostly basic services, such as medication management, personal care, dining, housekeeping, maintenance, activities, and transportation support. As needs increased, the concept was to transition into a nursing home for more complex care.

Today, older adults can usually remain in an assisted living community without having to move into a nursing home. Nevertheless, some care needs do exceed the licensing guidelines for assisted living, and as these guidelines are different in each state, families should always ask about the discharge criteria for the community they are considering.

Often, discharges are required when residents require the assistance of two people to transfer, when care delivery requires “on-demand,” rather than scheduled care, or when treatment requires intravenous medications or the assistance of clinical equipment. However, many communities allow families to bring in private caregivers to provide these services.

Assisted Living vs. Nursing Homes

Here are some key differences between nursing homes and assisted living lifestyles so that you can start to determine the right fit for your family.


In assisted living, residents furnish their own apartments with personal items, such as their own bedding and belongings that have special meaning. These communities usually offer a variety of apartments or suites to choose from, including studios, one-bedroom, and two-bedroom apartments in assisted living and typically private and shared studios in memory care.

Nursing homes supply basic furnishings, such as a hospital bed, bedding, wardrobe, nightstand, and dresser, and allow patients to bring some personal belongings as well. Moreover, patients live in rooms with bathrooms, rather than apartments, that they typically share with one to three other patients.

Person-Centered vs. Task-Focused Experience

A fundamental aspect of assisted living is individualized lifestyles for each resident; you will often hear the phrase “person-centered care.” A resident’s preferences are taken into consideration during the creation of care plans. Before moving into an assisted living community, residents are asked about their routines with questions such as:

  • What time do you typically go to bed and wake up?
  • Do you usually bathe or shower in the morning or evening and how often?
  • What are your interests, hobbies, and food preferences?

This information informs the care plan, activity schedules, and menu development. Staffing is then adjusted based on resident needs.

Nursing homes, on the other hand, create efficiencies by adhering to schedules based on staff availability first, rather than individual preferences. Caregivers are more task-focused, and the lifestyle is more regimented. This means fewer choices in schedules, activities, and dining options. Staffing is consistent and determined by regulations.

Cost of Living

Depending on which state you live in, the average monthly cost of senior housing may vary. A private room in an assisted living community ranges from $2,500 to $4,000 per month, while a private room in a nursing home ranges from $4,000 to $8,000. If you choose a shared room in a nursing home, the price is lower. Additionally, Medicare or Medicaid covers the majority of nursing home facilities, while coverage for assisted living communities varies, depending on the state.

Payment Sources

Often, the decision between choosing an assisted living or nursing home comes down to cost. For the most part, assisted living is funded by tapping into personal assets, such as the sale of a home, savings, investments, or family contributions. Some states have created programs that supplement the costs, so it is important to ask about state programs at the communities you are considering.

Nursing homes can be funded by personal assets but are more often funded by federal programs such as Medicaid. However, patients have to “spend down” assets to qualify for federal funding, and estate planning attorneys are often consulted for guidance through the process.

Other funding vehicles that can be applied to either assisted living or nursing home payments include Veteran’s Aid and Attendance benefits, long-term care insurance, and the conversion of life insurance policies.

Refer to this whitepaper written by Senior Housing News to learn more about funding options for senior living.

Making Your Choice

Despite the differences, some commonalities pervade nursing home and assisted living experiences. Both emphasize the availability of well-balanced, nutritious meals. Both take seriously the need to keep residents safe and secure. And both types of community may offer memory care services as well as supportive services, such as laundry and housekeeping.

Still, as you can see, assisted living communities and nursing homes have a world of difference. The right fit for you and your family will likely take some time and exploration of your options.

For more information on how to make the right decision for your family, including checklists and tips for financial planning, download our free e-book, The Complete Guide to Choosing Between Senior Living Options.

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