Choosing between assisted living and skilled nursing is a significant decision, one that many families face when a loved one’s health begins to decline. While both settings provide care and support, understanding the differences can help you and your loved one make the best choice based on their needs, preferences, and goals.
Why Do Some People Need Skilled Nursing?
Skilled nursing facilities (SNFs) provide 24/7 access to registered nurses (RNs) and are equipped to handle specific medical procedures that require immediate or ongoing attention. If a resident needs around-the-clock RN care on-site, skilled nursing may be the right choice.
However, if the individual only requires periodic care, such as wound care, therapy, or hospice services, those can often be provided within assisted living through external providers like home health or hospice.
Can My Loved One Stay in Assisted Living Long-Term?
A common question we hear is: “Can my loved one remain in assisted living if their health declines?”
The answer depends on the type and severity of their health changes. While some health issues may require a higher level of care, such as a skilled nursing facility, others can be effectively managed within an assisted living setting, especially with the support of home health services or outpatient therapy. Hospice or palliative care are other avenues that can provide additional support, and they’re both available on-site in assisted living communities.
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Wouldn’t It Be Easier to Move Directly into a Nursing Home?
It might seem simpler to make one move instead of two. But the real question should be:
What environment does my loved one want—and what level of care do they truly need?
Skilled nursing is necessary for some, but many older adults thrive longer in assisted living when their medical needs are able to be met.
Supporting Changes in Mobility in Assisted Living
When a resident begins having difficulty with mobility, we collaborate with their doctor, care team, and family to determine if the change is temporary or long-term.
If improvement is likely, we often recommend home health services or outpatient physical therapy, which can significantly enhance strength, independence, and confidence.
These services not only improve safety but also help residents continue enjoying life on their own terms.
Can Assisted Living Communities Use Mechanical Lifts?
Assisted living communities may use mechanical lifts, but at Edgewood, we do not use them. That doesn’t automatically disqualify someone from moving in if they’ve been using a mechanical lift. Instead of immediately saying we can’t help, we ask the following:
- “How long has this person needed a lift?”
- “Is it a short-term or permanent need?”
With physical and occupational therapy, some individuals regain mobility and no longer require a lift. In fact, these therapies may even help prevent some patients from needing a lift by enabling them to maintain their strength and balance.
Benefits of Physical & Occupational Therapy in Assisted Living
One of the greatest advantages of assisted living is that residents can often access therapy on-site. If someone starts to skip meals because it’s painful to walk to the dining room, we can intervene early. A doctor can order therapy before issues like falls, weight loss, or long-term decline occur.
If a resident improves and no longer qualifies for therapy, they can always requalify later if their condition changes. Best of all, Medicare can usually cover the cost.
When a Higher Level of Care Is Needed
If therapies are unsuccessful or if a resident experiences a significant, permanent health change, we may need to explore whether assisted living remains the safest option.
These decisions are never easy, but we’re here to help guide families through every step with compassion and clarity.
Why Assisted Living May Be the Better First Step
Even if a loved one may need more care later, starting with assisted living often provides the right balance of support, independence, and engagement.
Assisted Living Can:
- Encourage Independence
Residents are supported but encouraged to take care of themselves, helping them maintain their strength, dignity, and self-confidence.
- Help Foster Social Connection
Those who are still socially active benefit from the vibrant activities and community life in assisted living. Skilled nursing typically serves residents with more advanced needs, which can limit opportunities for peer interaction and engagement.
- Offer RN Access
While skilled nursing requires an RN on-site 24/7, Edgewood provides on-call RN access at all times, which is sufficient for many residents who don’t require continuous medical supervision.
- Provide More Affordable Care
Assisted living is typically more cost-effective than skilled nursing, especially for individuals who are not yet eligible for Medicaid or require only limited daily medical care.
Honoring Your Loved One’s Wishes
Ultimately, your loved one’s comfort and input matter.
Ask:
- Would they like to try home health or outpatient therapy to improve their mobility?
- Do they feel more comfortable in an assisted living setting after touring?
- What kind of environment helps them feel most at home?
How someone feels about where they live often affects their ability to adapt and thrive.
Ready to Make the Move?
Edgewood Is Here to Help
At Edgewood, we understand that every person’s journey is unique. Whether your loved one needs minimal support now or more advanced care later, we’re here to walk with you, providing personalized guidance and heartfelt care every step of the way.
We’re just an email away. Reach out to us at info@edgewoodhealthcare.com.
