Deciding between a Nursing Home & Assisted Living for a Senior with Dementia

By Steve Lorberbaum 6  am On

Caring for a senior loved one with dementia can be emotionally challenging, and deciding on the best care option is one of the most important choices you may face. While both assisted living and nursing homes offer specialized care, each has distinct features that cater to varying levels of need. Below, we break down the differences to guide your decision.

Understanding the Key Differences

The primary difference between assisted living and nursing homes comes down to the level of care provided. Assisted living facilities are designed for individuals who can still manage some independence but need help with activities of daily living (ADLs) such as bathing, dressing, and medication organization. On the other hand, nursing homes provide 24/7 medical supervision and care for individuals with significant health challenges, including advanced dementia. 

Those with early- to mid-stage dementia may thrive in assisted living communities, where they can enjoy social environments with some independence. Meanwhile, individuals with late-stage dementia, who often require more intensive medical attention, may be better suited for nursing homes. 

Assisted Living

Assisted living facilities often focus on creating homelike environments that promote independence and social engagement. Many of these communities now include memory care units specifically tailored for dementia patients. 

Features of assisted living for dementia care:

  • Specialized staff – Caregivers are trained in dementia care and understand how to manage symptoms like confusion and agitation.
  • Structured activities – Programs and activities are designed to stimulate cognitive and social functioning.
  • Safety measures – Secured entrances and exits prevent wandering, a common concern for dementia patients.
  • Private living spaces – Residents often have their own apartments or rooms, giving them a sense of autonomy. 

Assisted living tends to work best for individuals with early-stage dementia who can still participate in group activities and maintain some independence. 

In-home care can be a wonderful alternative to assisted living. Caring for senior loved ones can be challenging for families who don’t have expertise or professional training in home care, but this challenge doesn’t have to be faced alone. Family caregivers can turn to Assisting Hands Home Care for the help they need. We provide high-quality in-home care as well as comprehensive Alzheimer’s, dementia, stroke, and Parkinson’s care.

Nursing Homes

Nursing homes (also known as skilled nursing facilities) offer a much higher level of care, making them suitable for seniors with advanced dementia. These facilities provide around-the-clock medical supervision and support for individuals who may no longer recognize loved ones or manage daily tasks independently. 

Features of nursing homes for dementia care:

  • Comprehensive medical care – Nursing homes have on-site nurses and physicians who can address complex medical needs associated with late-stage dementia. 
  • Memory care specialization – Many nursing homes provide specialized dementia units designed for seniors requiring constant supervision. 
  • End-of-life support – These facilities are equipped to provide palliative and hospice care for individuals nearing the end stages of dementia. 
  • Assistance with advanced needs – From feeding to managing mobility challenges, staff members are trained to handle every aspect of care. 

For families who cannot meet the intensive demands of late-stage dementia care at home, nursing homes offer safe and secure environments. 

Even when families have the best intentions, caring for a senior loved one with dementia can be challenging. Fortunately, Assisting Hands Home Care is here to help. We are a leading provider of dementia care. Potomac families can take advantage of our flexible and customizable care plans, and our caregivers always stay up to date on the latest developments in senior care.

Cost Considerations

Another key factor in choosing between assisted living and a nursing home is cost. Assisted living facilities are generally less expensive than nursing homes, as they don’t offer the same level of medical care. According to recent data, the average monthly cost of assisted living in the U.S. is around $4,500, while nursing homes can cost upward of $8,000 per month for private rooms. 

Payment options:

  • Assisted living costs are often paid out of pocket, though some long-term care insurance policies may help.
  • Nursing homes may qualify for Medicaid coverage if your loved one meets specific criteria. 

Reviewing your financial situation and exploring available resources is an essential step in determining the right care setting. 

Factors to Consider when Making a Decision

  • Level of care needed – Assess whether your loved one requires occasional help with daily tasks or 24/7 medical attention. 
  • Stage of dementia – Early-stage dementia can often be managed in assisted living, while advanced stages may necessitate nursing home care. 
  • Environment preferences – Some individuals may prefer the homelike atmosphere of assisted living, while others need the clinical environment of a nursing home. 
  • Proximity to family – Consider choosing a facility that’s convenient to visit so family members can regularly provide emotional support. 

Making this decision can be overwhelming, but carefully weighing these factors will help you choose the best care option for your loved one.

Many seniors prefer aging in place over moving to assisted living facilities. If your senior loved one needs assistance to remain safe and comfortable while living at home, reach out to Assisting Hands Home Care, a leading Potomac home care service agency. Our dedicated in-home caregivers can assist with meal prep, bathing and grooming, exercise, medication reminders, and many other important tasks. Contact one of our experienced Care Specialists today to learn more about our reliable in-home care services.