A Guide to Assisted Living

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The facilities can look like luxury apartments or modest group homes, and can vary in pricing structures. Here’s a guide.

Are you confused about what an assisted-living facility is, and how it differs from a nursing home? And what you can expect to pay? Here’s a guide to this type of housing for older people.

What is assisted living?

Assisted-living facilities occupy the middle ground of housing for people who can no longer live independently but don’t need the full-time medical supervision provided at a nursing home. They might be right for those who have trouble moving about, bathing, eating or dressing, or who have Alzheimer’s disease or other forms of dementia.

Assisted-living facilities can look like luxury apartments or modest group homes, but they are staffed with aides who can help residents take a shower, get out of bed, get to the dining room, take medications, or help with other daily tasks and needs. Meals, activities and housekeeping are usually provided. Some facilities have trained nurses on-site, but in many states the facilities are not required to have them at the ready, or at all. Popular buildings — or specialized units within them, such as ones for dementia — have waiting lists.

“The key is to start early,” said Eilon Caspi, an assistant research professor at the University of Connecticut. “You don’t want to wait for the crisis and then have 24 hours to make a decision.”