Senior Living

Deciding when to consider senior living is a significant and emotional decision for you and your family. Whether you're planning for yourself or helping a parent navigate their options, the choices can feel overwhelming.

There are many types of senior living facilities, and costs can vary widely. It is normal to feel unsure about where to start. You may also wonder what questions to ask.

That's exactly why we’re creating this comprehensive senior living resource center. We want to help seniors and their caretakers feel less burdened with planning, and ultimately to help you worry less and live more.

Smiling senior woman walks outside with a man, representing active lifestyles for those exploring what is assisted living and how Medicare covers assisted living.

What You'll Find Here

This resource section is designed for seniors and their caregivers who want honest, practical information about senior living options, without the pressure of sales calls or facility tours. We've organized everything into clear, easy-to-navigate sections that address the real questions families are asking, from the basics like ‘what is assisted living?’ and ‘does Medicare cover assisted living?’ to ‘what’s the difference between assisted living vs nursing home?’ 

Our mission is straightforward: to equip seniors and their families with the knowledge and tools they need to make better decisions about senior living.

Happy older couple enjoys a tabletop game together at home, highlighting the importance of comparing assisted living vs nursing home options and understanding if Medicare pays for assisted living.

Types of Senior Living Facilities

What types of senior living facilities are out there for older adults? We’ll define them all for you.

Independent Living Communities

These are apartment-style or cottage communities for seniors who can live alone but want convenience and social opportunities. Residents typically have private kitchens within their units.

Medical services commonly included are generally limited to emergency call systems and basic wellness programs. Some offer health screenings or educational seminars.

Medical services not generally included: nursing care, medication management, assistance with medical appointments, or help with activities of daily living. Residents manage their healthcare independently.

Check out our breakdown on Senior Living Costs by Facility to plan for other cost considerations.

Pros

Cons

Maintains independence and privacy
Can be expensive
Social activities and amenities
Limited care services are available
Maintenance-free living
Less personal attention
Emergency support available
Medical care and transportation are the responsibility of the senior
Often includes some meals and transportation
May need to move if health needs change

Assisted Living Facilities 

Assisted living communities offer housing and help with daily personal care tasks. This includes bathing, dressing, managing medications, and preparing meals. Residents typically reside in private or semi-private apartments.

Medical services include reminders for medication, assistance with daily activities such as bathing and dressing, health monitoring, and coordination with outside healthcare providers. Some facilities also have visiting nurses or doctors.

Medical services NOT included: 24-hour skilled nursing care, complex medical procedures, IV therapy, ventilator care, dialysis, or intensive medical monitoring. Cannot handle acute medical emergencies beyond calling 911.

Check out our breakdown on Senior Living Costs by Facility to plan for other cost considerations.

Pros

Cons

Assistance with daily tasks while maintaining some independence
Higher costs than independent living
24-hour staff availability
Less privacy than living at home
Social activities included
May not offer enough care for complex medical needs
Meals provided
Higher chance of staff turnover
Medication management available

Memory Care Facilities 

These are Specialized facilities explicitly designed for people with dementia, Alzheimer's, or other cognitive impairments. They are often part of assisted living communities but have enhanced security and specialized programming.

Medical services include all assisted living services plus specialized dementia care and behavior management. Medication administration is often more intensive. The team provides safety monitoring and coordinates with neurologists and psychiatrists. Some facilities have on-site medical staff.

Medical services NOT included: Complex medical procedures, intensive medical equipment, skilled nursing for non-dementia conditions. They may not equip themselves for multiple chronic conditions beyond cognitive impairment.

Check out our breakdown on Senior Living Costs by Facility to plan for other cost considerations.

Pros

Cons

Staff trained in dementia care
Most expensive option
Secure environment prevents wandering
Can feel restrictive
Specialized activities and therapies
Visitor access is limited
Structured routines
Residents may decline even with good care
Family support resources
Families may face emotional challenges
Facilities may not be able to handle severe medical conditions that require skilled nursing

Skilled Nursing Facilities (also known as Nursing Homes) 

These facilities offer 24-hour medical care and supervision. They assist residents who require extensive support with daily activities or have severe medical conditions.

Medical services include: 24-hour skilled nursing care, medication administration, wound care, and therapy, physical, occupational, and speech therapy. Also may include IV therapy, feeding tubes, oxygen therapy, and dialysis coordination. On-site or visiting doctors are available.

Medical services NOT included are intensive care unit-level treatment, major surgical procedures, and acute psychiatric care. Residents move to hospitals for serious emergencies.

Check out our breakdown on Senior Living Costs by Facility to plan for other cost considerations.

Pros

Cons

24/7 medical care
Limited privacy
Physical therapy and rehab services
High staff turnover
Accepts Medicare and Medicaid
Expensive if paying privately
Handles complex medical needs
Potential for lower quality of life
Has trained nursing staff
Social stigma
Can manage several chronic conditions
Offers help for recovery after hospital stays

Continuing Care Retirement Communities (CCRCs)  

These multi-level communities offer independent living, assisted living, and skilled nursing all on one campus. They enable residents to age in place seamlessly.

Medical services included: These vary by community, ranging from minimal services in independent living to complete skilled nursing care. They often include on-site medical clinics, pharmacies, and healthcare coordinators.

Medical services NOT included: Services vary by section of the community. Independent living sections have minimal medical services, while skilled nursing sections provide comprehensive care.

Check out our breakdown on Senior Living Costs by Facility to plan for other cost considerations.

Pros

Cons

Seamless transition between care levels
High entry fees and monthly costs
Comprehensive services
Long waiting lists
Social consistency
Less flexibility to change communities
Often high-quality amenities
Financial commitment, even if health improves
Long-term care security
Partnerships with local hospitals and medical groups

Palliative Care Facilities

These specialized facilities focus on providing comfort care and symptom management for individuals with serious illnesses, emphasizing quality of life over curative treatment. They serve patients with life-limiting conditions who may benefit from pain management, emotional support, and comprehensive care coordination.

Medical services included: Pain and symptom management, 24/7 nursing care, palliative medicine, medication management, physical/occupational therapy, speech therapy, social work services, chaplaincy and spiritual care, nutritional counseling, respiratory therapy, and coordination with specialists. Many facilities also provide family counseling, bereavement support, and care planning services.

Medical services not included: Curative treatments, aggressive life-extending interventions such as chemotherapy or radiation (unless for palliative care), emergency surgical procedures, ICU services, diagnostic testing for curative purposes, and experimental treatments. Some facilities may not provide certain specialized medical equipment or 24/7 physician coverage, depending on their specific model.

Check out our breakdown on Senior Living Costs by Facility to plan for other cost considerations.

Pros

Cons

Expert symptom management and pain control
Limited availability in some geographic areas
Improved quality of life for patients and families
May not be covered by all insurance plans
24/7 specialized nursing care
It can be emotionally difficult for families to accept
Comprehensive support services, including emotional and spiritual care
Some facilities have waiting lists
Family education and support
Costs can be high for private-pay patients
Coordination with existing medical teams
May require significant travel if specialized facilities aren't local
Focus on patient dignity and comfort
Family members may struggle with the transition from curative to comfort-focused care
Bereavement services for families, often covered by Medicare, can be provided alongside curative treatments when appropriate
Some facilities may have restrictions on family involvement or visiting hours

Key Healthcare Questions We Recommend Asking Any Facility

  1. What medical services are provided on-site versus requiring outside providers?
  2. How are medical emergencies handled?
  3. What happens if medical needs exceed what the facility can provide?
  4. Are there additional costs for medical services beyond basic care?
  5. How does the facility coordinate with residents' existing doctors?
  6. What insurance (Medicare, Medicaid, private) does the facility accept?

As seniors’ health conditions and associated needs will likely change over time, the level of medical care available is often the determining factor in choosing between assisted living facilities.

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Senior Living and Medicare  

What does Medicare cover, and what does it not cover? We’ll get into the basics.

What’s Covered?

A common question many seniors and their families ask is, 'Does Medicare pay for assisted living?'

Unfortunately, Medicare coverage for senior living facilities is specific and, in most cases, minimal. It’s essential to review your plan for specific coverage details, but this general guide will help you get started. What Medicare DOES Cover:

  • Skilled nursing facilities (nursing homes) - Only for short-term stays (usually defined as up to 100 days) after a qualifying 3-day hospital stay, and only for skilled medical care or rehabilitation
  • Home health services - If you're homebound and need skilled nursing or therapy
  • Hospice care - Including hospice services provided in senior living facilities

Make sure to check your plan for specific requirements and coverage details.

What Medicare Does Not Cover

  • Independent living communities - No coverage
  • Assisted living facilities - No coverage for room, board, or custodial care
  • Memory care facilities - No coverage for room, board, or custodial care
  • Long-term stays in nursing homes - Only covers short-term skilled care, not ongoing custodial care
  • Help with daily activities like bathing, dressing, and eating (called "custodial care")

The Key Distinction: Medicare only pays for skilled medical care, not custodial care or housing costs. If you need help with daily living activities but don't require skilled nursing care, Medicare won't cover the cost.

Healthcare worker speaking with an elderly woman in a wheelchair at an assisted living facility, showing support and care related to questions like does Medicare cover assisted living.

Senior Living Costs

Important Reality: Most people are surprised to learn that Medicare doesn't cover the costs of senior living facilities. The monthly fees for assisted living or memory care, ranging from $3,000 to $10,000+, are usually paid out-of-pocket (or through Medicaid if you qualify).

Since Medicare does not cover senior living costs, planning for these expenses or considering long-term care insurance while you're healthy is essential. 

Cost Factors

  • Location is a primary factor that creates significant price variations. Expensive urban areas, such as San Francisco or New York, can cost double or triple what rural communities in the South or Midwest typically do. Even within states, costs can vary significantly between cities.
  • The level of care needed also has a major impact on pricing. Basic independent living costs significantly less than facilities that provide extensive medical care, physical therapy, or specialized memory care programming.
  • The quality of facilities and amenities also impacts costs. Luxury communities with resort-style amenities, fine dining, and more extensive programming generally charge much higher rates compared to more basic senior living facilities.
  • Room type and size will also influence pricing, with options ranging from private apartments to shared accommodations, and studios to larger two-bedroom spaces.

Other Cost Considerations

Medicare Advantage (Part C) Considerations: Some Medicare Advantage plans may offer additional benefits for home health services or short-term care in assisted living facilities. Coverage varies by plan, so be sure to review your plan details carefully.
Medicaid as an Alternative: While Medicare does not cover senior living expenses, Medicaid may help with the costs of assisted living or nursing homes for those who qualify.

Medicare and Palliative Care: Medicare covers palliative care services under hospice benefits, but some aspects of palliative care may be available earlier in a senior’s healthcare journey. Coverage varies by plan, so be sure to review your plan details carefully.

Supplemental Insurance Options: Medigap can help cover out-of-pocket costs for Medicare-covered services, but does not cover assisted living or custodial care.

State-Specific Programs: Some states offer additional programs that help seniors with housing and care costs.

Understanding Medicare’s limits on senior living coverage highlights the importance of financial planning. Since most long-term care costs aren't covered by Medicare, exploring options to pay for senior living is essential for your peace of mind.

Senior Living Costs by Facility

Independent Living can range from $1,500 to $6,000 per month or more, covering housing, meals, transportation, and activities. You're generally paying for community living with minimal care services included.

Assisted Living typically costs $3,000 to $7,000 per month and includes personal care assistance, such as medication management, bathing, and help with dressing. Assisted Living represents the largest segment of the senior living population.
Memory Care facilities cost an average of $4,000 to $ 8,000 per month, due to specialized staff training, secure environments, and more structured programming for dementia and Alzheimer's care.

Skilled Nursing/Nursing Homes can cost anywhere from $6,000 to $15,000 or more per month for 24/7 medical care and supervision. A range of factors contribute to the variance in the cost of these facilities, including location and the increased care needs of residents.

Continuing Care Retirement Communities (CCRCs) typically require entrance fees ranging from $100,000 to $1,000,000 or more, in addition to monthly expenses of $3,000 to $6,000 or more. These communities provide lifetime care across all levels as residents’ needs change.

Beyond base monthly fees, budget for care level increases over time, as most residents require more assistance as they age. Many facilities charge extra for services like medication management, physical therapy, beauty services, guest meals, and transportation to medical appointments.

Other Ways to Pay:

  • Private pay - This is the most common method of payment for senior living facilities.
  • Medicaid - Medicaid covers nursing home care for those who qualify financially.
  • Long-term care insurance - This can offset the cost of certain aspects of senior living facilities, although it is essential to review specific plan details.
  • Veterans' benefits - For qualified veterans, these plans may cover certain benefits; however, it is essential to review specific plan details.

Additional Senior Living Resources

Area Agencies on Aging are nonprofit agencies designated by states to address the needs of all seniors at the local level.

Below are some additional senior living resources that may be helpful.

Resources

  • The U.S. Health and Human Services (HHS) has federal resources near you provided by to find your state site to get cost information, facility data, and other guidance.
  • The Administration for Community Living (ACL) offers resources on Aging and Disability Advocates and Service Providers, which include aging services, long-term care options, community living, and disability advocacy. They maintain searchable databases of organizations, programs, and service providers of all types.
  • The State Departments of Aging provides resources near you with regulatory oversight, complaint databases, licensing information, and consumer protection resources. Each state has different regulations and quality standards for senior living facilities.
  • U.S. News & World Report can help you find the best senior living communities near you by analyzing data from nearly 450,000 residents/families at over 3,800 senior living communities nationwide. You can also search senior living facilities and compare amenities.
  • AARP offers extensive resources for care at home like facility checklists, and consumer guides to support individuals in caregiving roles. They offer advice on home care, planning for assisted living, and provide a state resource locator.
  • LeadingAge compiles state partners that are nonprofits dedicated to aging and offers a searchable directory of service providers, plus resources on planning and paying for long-term care.
  • Senior Housing News offers Assisted Living Archives with timely industry news, data, and market intelligence for professionals and consumers researching senior living options. You can also find information by the category of senior living facility you're interested in.
  • The National Center for Assisted Living (NCAL) provides resources for consumers with  information on searching for facilities, reporting complaints, and facility licensing requirements, among other resources.

How to Use These Resources Effectively

  • Start with your local Area Agency on Aging for personalized guidance and state-specific information. Use NIC and U.S. News ratings for market data and quality comparisons. 
  • Cross-reference facility information across multiple sources, especially checking state licensing databases for complaints or violations.
  • AARP's comprehensive checklists and consumer guides provide excellent frameworks for facility visits and contract reviews. 
  • Always verify your current licensing status through state regulatory agencies and request recent inspection reports from facilities.

The combination of government oversight, industry data, and consumer advocacy creates a robust system for researching senior living options. Using multiple trusted sources helps ensure you get accurate, current, and comprehensive information for this critical decision.

Senior Living Frequently Asked Questions

What is assisted living?
Does Medicare cover assisted living? (Does Medicare pay for assisted living?)
What is the difference between assisted living vs nursing home?

This information is based on currently available Medicare data and is subject to change. Find more details on Medicare.gov or call 1-800-MEDICARE for the most current information.

Have more questions?

Feel free to contact us with any additional questions or for more information on our products and services.

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