Assisted living and nursing homes are sometimes misunderstood as different terms for the same thing, but there are important differences between the two. Both lifestyles offer day-to-day support for older adults, but their care levels are very different.
Assisted living communities are designed for older adults who require some support for everyday tasks, but do not require the intensive care typical of nursing homes. Nursing homes offer a higher level of care and support with daily tasks.
Learning more about the differences can help your loved one access the level of care that suits their physical, emotional, and social needs.
Assisted Living Explained
Assisted living is a long-term care option for older adults who require some support with daily activities, but not to the extent of nursing care services. Residents can enjoy social hobbies, engage in community programs, and focus on spending time with loved ones and friends without worrying about chores and personal care tasks.
Assisted living residents can benefit from:
- Individualized care tailored to each resident’s unique and evolving needs
- Cozy accommodations, safety and security systems, and utilities
- Access to 24-hour health service staff
- Convenient services like chef-prepared dining and daily housekeeping
- Amenities such as private dining, recreational spaces, salon, library, chapel, and courtyard
- Recreational and social opportunities like special events, classes, outings, and wellness programs
Nursing Homes Explained
Nursing homes are also called skilled nursing communities and typically offer a higher level of care than assisted living communities. Designed for those who don’t require acute hospital-level care, nursing homes often provide round-the-clock supervision, meals, nursing care, support with daily tasks, and rehabilitative therapies.
What to Consider
Choosing the type of care you or a loved one needs and finding the right community can be a complex and deeply personal process. The following are other key considerations to keep in mind:
Support Needs
Consider the level of support your loved one needs with activities of daily living (ADLs) such as:
- Bathing, grooming, dressing, and going to the bathroom
- Preparing and eating food
- Moving from place to place
- Managing household tasks such as shopping, finances, taking medication, and following up on doctor appointments
It’s a good idea to discuss with your healthcare provider and get their professional opinion on what your loved one needs. In some cases, certain communities require an initial assessment by a healthcare provider.
Financial Considerations
Long-term care can be a significant financial commitment. According to the National Institute on Aging, Medicare, Medicaid, and long-term care insurance may cover some costs related to nursing home care. But many people pay for the bulk of their residency themselves.
Each resident typically covers assisted living costs independently, but Medicaid may provide some assistance depending on certain factors. Long-term care insurance policies may also cover some aspects of assisted living.
Financial support will vary from person to person and state to state, so make sure you understand your costs before signing any contracts.

Local Availability
Older adults may want to stay close to their family, friends, and community. If you’re interested in long-term care but want to stay close to home, use tools like the Eldercare Locator or Medicare’s Care Compare tool to explore options.
It’s also a good idea to visit local communities in person, take a tour, and ask questions about what they offer and what’s included in the base cost.
Personal Preferences
Last but not least, consider personal preferences. Is there an environment your loved one prefers, such as warm versus cooler climates? What activities do they want regular access to, like spiritual services, book clubs, or gaming nights? And what amenities, such as dining, outdoor spaces, or a fitness room, are most important?
Because your loved one will be moving to their next home, be sure to prioritize communities that align with what they value.
Other Types of Care
Assisted living and nursing home care are not the only lifestyles available. Depending on your loved one’s unique needs, you may also consider other residential options like:
- Independent living: This option works best for people who can handle personal tasks alone. Independent living allows residents to focus on hobbies, socializing, and relaxing while staff take care of chores, maintenance, and dining.
- Memory care: People with memory conditions like dementia and Alzheimer’s may benefit from memory care. At The Legacy of Saint Michael, memory care staff undergo specific training to better support those with memory conditions.
- Respite care: This temporary arrangement can give caregivers a break, knowing their loved one is cared for.
Lifestyles at The Legacy of Saint Michael
We offer a variety of lifestyle options at The Legacy of Saint Michael, including independent living, assisted living, and memory care. We also offer an Aging in Place program that allows residents to transition seamlessly from one level of care to another without having to move from their apartments.
Our team strives to make your next chapter comfortable, rewarding, safe, and conducive to your health and well-being. Learn more about our lifestyle options, or contact us today to book a tour.