As you age, it’s important to think about your long-term living situation. Will you age in place or move to a retirement community? Are there any nursing homes in your area? The right choice for you depends on your needs and the level of care you’re looking for. When asking yourself these questions, it’s essential to understand the differences between different types of long-term housing options for older adults.
Aging in Place
A popular decision for many adults is aging in place, which means modifying your current home to ensure it meets your needs as you get older. One advantage of aging in place is the ability to maintain your independence and routines. After years of building a life, it’s only fair you get to continue to enjoy that familiarity and comfort.
However, you should consider home modifications if you choose to age in place. Adding grab bars in the bathrooms, installing stairlifts, building ramps for wheelchairs or walkers, and removing trip-hazards are all things to consider when aging in place.
Learn more about what home modifications to consider in our blog, Home Modifications for Aging in Place Safely.
Independent Living
Independent living is a great option for individuals 55 years and older who are still able to manage daily tasks independently but seek a community that offers convenience, socialization, and maintenance-free living.
Independent living communities come in various types, including single-family homes, apartments, and condos. Some communities might also offer more specialized options like co-housing or shared living spaces. This diversity allows residents to choose a living arrangement that best fits their preferences and needs.
These types of communities typically offer a range of services, amenities, and activities to enhance the lives of their residents. This may include fitness centers, recreational activities, and organized social events, like arts and crafts classes, movie nights, or group outings. Independent living communities can help you meet new people and participate in activities you enjoy. Plus, many communities also provide transportation for local errands, which can be especially helpful for those who prefer not to drive.
It’s important to note that independent living communities are not designed for those with significant medical needs. They typically do not have medical staff on-site, so residents who require medical care will have to seek assistance through nearby healthcare providers or home health services. Independent living communities focus on providing a supportive environment for residents to maintain their independence and quality of life, without the added complexities of medical supervision.
Assisted Living
Assisted living is designed for those who need help with daily household activities, but do not require the level of medical care provided in a nursing home. Assisted living may help with things like:
- Cooking
- Bathing
- Dressing
- Help managing medications
- Traveling to appointments
In assisted living facilities, residents receive 24-hour support and care, but the goal is to maintain a level of independence (based on your situation). Typically, the more care you need, the more expensive assisted living will be, but it can vary based on location and the type of care needed. The cost may include meals, housing, basic housekeeping, and maintenance.
Many assisted living communities create personalized care plans based on each resident’s needs. Similar to independent living communities, assisted living may provide activities to keep residents active and engaged, like exercise programs and social events. Residents can maintain their dignity while receiving the care and support they need.
Nursing Homes (Long-Term Care)
For individuals with more serious medical needs, nursing homes provide long-term round-the-clock medical care and assistance with daily living activities. Their staff, including nurses and physicians, are equipped to help manage chronic health conditions, disabilities, and complex medical needs.
In addition to daily personal care, many nursing homes offer on-site medical services such as physical therapy, occupational therapy, and other specialized treatments.
Some nursing homes also offer memory care for individuals with Alzheimer’s, dementia, or other memory-related conditions. These facilities provide tailored environments that help ensure safety and provide structure, support, and specialized treatments to individuals with cognitive impairments.
While nursing homes do not offer the same level of independence as independent or assisted living, they are essential for those who need high-level care, continuous care. They provide a safe, nurturing environment where residents receive the medical attention and personal care they need.
It’s important not to confuse nursing homes with skilled care facilities, which provide short-term, medically intensive care, such as rehabilitation after surgery or illness, and are often covered by Medicare for a limited time.
When it comes to cost, there are a few factors that can determine how much you’ll pay for a long-term nursing home. Nursing homes are generally more expensive than other types of living arrangements because of the extent of care provided. The national median cost of nursing homes is over $9,000 a month for a private room, and around $8,600 a month for a semi-private room. Location and the types of amenities you choose all affect the cost of a nursing home. Medicare and the Compass Rose Health Plan do not cover the cost of nursing homes (long-term custodial care).
Wondering what it costs to age?
Download our Costs of Senior Care guide to help you understand your living options as you age and the associated costs.
Download Guide
The decision about where you live as you age is a personal one that requires careful consideration of your lifestyle, health, and long-term needs. Whether you’re considering aging in place, moving to independent living, assisted living, or a skilled care facility, it’s important to understand the level of care you need, the costs involved, and the amenities that will support your well-being.
Planning ahead can help ensure all your needs are met when the time comes. It’s also important to stay flexible, as your needs may change over time. If you’re unsure where to start, our Compass Rose Aging Well resource coordinator is here to assist you. We can help you explore different housing options in your area, assist with planning a potential move, and discuss necessary home modifications to support aging in place. We’re committed to helping you find the best solution to meet your needs and provide peace of mind for you and your family.
Published: April 1, 2025
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