Assisted Living vs. Nursing Home – Different Care Levels for Different Needs

September 9, 2025 | Assisted Living, Living Choices, Skilled Nursing

When comparing assisted living vs. nursing home options, it’s important to understand that each provides very different levels of care. A nursing home is a place for people who can’t be cared for at home and need 24-hour nursing care. It could be for short-term rehabilitation after a stay in the hospital or for chronic conditions or disabilities requiring long-term nursing care. Assisted living, on the other hand, is for seniors who don’t need nursing care but who do need help with activities of daily living (ADLs). ADLs include assistance with bathing, dressing, toileting, getting out of bed, and eating. The criteria for assisted living vs. nursing homes really depends on what your needs are now, what they may be in the future, the services and amenities offered by the community, and what your budget will allow.

Woman helping elderly man walk and understand assisted living vs. nursing home in Greenville, SC

What Is the Type of Care at Assisted Living vs. a Nursing Home?

There are significant differences in the types of care offered at assisted living and nursing homes. Take a look at what your loved one can expect from each: 

Assisted Living

In addition, to a personal care plans to help with activities of daily living, many assisted living communities in Greenville, SC, provide the following services:
  • Healthcare monitoring
  • Housekeeping and laundry
  • Medication management
  • Recreational and social activities
  • 24/7 security
  • Scheduled transportation
  • Two or more meals per day
Similar to independent living communities, assisted living communities provide the same types of social and lifestyle benefits for seniors with different needs.

Nursing Homes

In addition to both basic and skilled nursing care, many nursing homes provide the following services:
  • Oversight by a physician
  • Help with activities of daily living
  • Recreational and social activities
  • Pastoral care
  • Three meals per day, plus snacks between meals
  • Housekeeping and laundry
  • 24/7 security
  • Physical, occupational, and speech therapies
Assisted Living vs. Nursing Home Chart

Dementia Care in an Assisted Living Community vs. Nursing Home

If a family member has Alzheimer’s or another form of dementia, look for a senior living community that has a dedicated staff specializing in caring for people with memory loss. Assisted living is designed for early-stage dementia and offers a safe, familiar, and supportive environment that focuses on each person’s strengths and capabilities. Nursing home dementia care, on the other hand, is generally for individuals in the later stages of the disease, when symptoms are more debilitating. This distinction highlights an important aspect of assisted living vs. nursing home care – matching the level of support to the progression of dementia. Life Plan Communities, also called Continuing Care Retirement Communities (CCRCs), offer multiple levels of care, including memory care. Rolling Green Village, for example, offers a dedicated memory care neighborhood that engages each resident in ways that allow them to thrive. When considering a senior living community for your family member, a Life Plan Community like Rolling Green Village can provide the care they need, both now and in the future, at predictable costs – without ever having to move to another community. Costs of Assisted Living vs. Nursing Home Expect to pay more for nursing care than assisted living, as it’s a higher level of care. Costs vary from one community to the next based on size, services and amenities provided. Assisted Living:
  • Generally lower costs than nursing homes
  • Monthly fees cover room, board, and assistance with activities of daily living
  • May have additional charges for specialized care and amenities
Nursing Homes:
  • Typically higher costs due to skilled medical care
  • Monthly fees cover room, board, skilled nursing care, and assistance with activities of daily living
  • Additional charges for specialized services may apply. 
Factors Affecting Assisted Living vs. Nursing Home Costs
  1. Location: This varies based on the local cost of living.
  2. Level of care: Nursing homes, with higher medical care, are generally more expensive.
  3. Amenities: Facilities with more amenities may have higher fees.
  4. Room type: Private rooms may cost more than shared accommodations.
  5. Specialized services: Charges may apply for additional medical treatments or therapies.
When considering the cost of assisted living vs. nursing homes, it’s best to discuss your options with the community. There may be nursing services or an in-home agency that can bridge the gap between assisted living and skilled nursing. Explore our skilled nursing checklist on evaluating care options for your loved one. Paying for Care Medicare does not cover assisted living, so most people pay for it out of pocket or with help from limited coverage provided by long-term care insurance. Nursing home care can be paid for privately, with long-term care insurance, Veterans Aid & Attendance Benefits, Medicare or Medicaid. Medicare generally doesn’t cover long-term stays in a nursing home, and it only pays for medically necessary care – it doesn’t pay for room and board. Medicare covers certain daily skilled care services on a short-term basis (up to 100 days in a benefit period). In addition, Medicare requires a three-night stay in the hospital prior to admission to a skilled nursing facility. For more information on Medicare coverage, visit Medicare.gov or call 1-800-633-4227.

How to Start Your Search for Assisted Living vs. Nursing Home

Find Assisted Living Communities in Your Area

Decide which type of setting your family member would prefer. Bigger communities aren’t always better, and a smaller community may not offer all the amenities that a larger community provides. In addition, consider future needs and whether the community can accommodate them.
  • Ask people you trust for recommendations – friends, family members or a physician.
  • Contact the South Carolina Department of Health for a list of licensed facilities. Assisted living communities are regulated by the state.
  • Visit Eldercare Locator or call at 1-800-677-1116.
  • Check a community’s online reviews, although don’t rely solely on these reviews.
Once you have a list of assisted living communities to visit, call them to schedule your personal visit. Be sure to have questions to ask and review any materials after your visit with family members. To help you prepare for your visit, download a checklist of what to ask from the AARP website.

Find Nursing Homes in Your Area

The Centers for Medicare & Medicaid Services rates more than 15,000 nursing homes on a scale of 1 to 5 stars (the more stars, the better). Use their online tool to find and compare nursing homes in the Greenville area. You can use this checklist on assisted living vs. nursing homes as a guide on what questions to ask when you visit a nursing home.  You can also ask your social worker at the hospital to help you find a nursing home that meets your needs and help with your transfer when you’re ready to be discharged.

Adult woman hugging senior mom after finding right care for assisted living vs. nursing home in Greenville, SC

Explore Your Options With Assisted Living vs. Nursing Homes at Rolling Green Village

Choosing between assisted living vs. nursing home care can feel overwhelming, especially when you want the very best for your loved one. At Rolling Green Village, we understand that every senior’s needs are unique, which is why we offer a full range of care options designed to provide comfort, dignity, and peace of mind at every stage of life. Our compassionate team is here to guide you through the decision-making process and help you find the right fit for your family. For more information or to discuss your care options in assisted living vs. nursing homes at Rolling Green Village, use our contact form or call 864-558-9301.

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