Nursing Homes & Long-Term Care
Nursing Home vs Assisted Living: Which Is Right?
NHQC Editorial Team · Last updated April 14, 2026
At a Glance
| Feature | Assisted Living | Nursing Home |
|---|---|---|
| Medical care | Limited | 24/7 skilled |
| Staffing | Caregivers + LPN | RN on duty |
| Median cost (2023) | $5,350/mo | $8,929/mo |
| Medicare coverage | No | Up to 100 days post-hospital |
| Medicaid coverage | Some state waivers | Yes (for eligible) |
Disclaimer: This content is for educational purposes only and is not medical, legal, or financial advice. NHQualityCampaign.org is not affiliated with or endorsed by the U.S. government or the federal Medicare program.
Frequently Asked Questions
Can I age in place in assisted living?+
Sometimes — some facilities add licensed nursing services as needs increase, but complex care still typically requires a move.
Does Medicare pay for either?+
Medicare only covers short-term skilled care in a nursing home after a 3-day hospital stay, not assisted living.
Is assisted living safer?+
Not inherently — safety depends on the specific facility, staff ratios, and resident acuity.
Can couples stay together?+
Assisted living usually accommodates couples; nursing homes vary by facility.
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