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Stay At Home or Move to An Assisted Living?

One of the biggest decisions facing a family is whether a senior should stay at home or move into an assisted living facility. There are many factors involved with this decision and, as always the case, there is usually no clear-cut answer.

Staying at Home

The most comfortable – and easiest decision – is to stay at home. Typically, this is the residence where the senior has resided for a very long time. If the senior needs help with activities of daily living, services from a Home Health agency can be added. Of course, there is a cost involved with these services, depending on how many hours per week are needed. The family is often involved when the senior stays at home. There are calls at all hours of the day and your attention is needed. This may disrupt your daily routine as the needs of the senior become a family priority. Additionally, there are social implications of staying home. Basically the senior is alone except for the Home Health aide and any family visits. Clearly there are logistical questions that need to be decided: who takes the senior to the doctor and makes sure they are eating properly? Who visits on a regular basis? And who steps up in a medical emergency?

Moving to an Assisted Living Facility

Assisted living can often be the right choice, although a whole new set of factors would have to be examined before making this decision. What is the cost of the assisted living facility versus staying at home? The cost would include the basic rental charge which is determined by the size of the apartment. An added cost is the care charges, based on how many hours a week care is needed from the staff. Also, families need to factor in is the Community Fee, a onetime charge, which is nonrefundable. Three meals a day are provided and that cost savings needs to be factored into the decision. Socialization is now completely changed as there are many other seniors, in similar condition, living at the assisted living facility. One important advantage: doctors are brought into the facility from doctor services and/or there is transportation available to take the senior to medical appointments. Keep in mind that seniors seem to thrive in this environment, but there are many cases where the senior goes downhill after the traumatic ordeal of moving from their home.

Decision Time

As you can see, it’s an extremely difficult hard decision. Assisted Living Nationwide can help find you the appropriate facility. The service is free of charge and we work with facilities all over the country. Let our expertise help guide you to make the right decision. It’s too important to you, your family and your loved one

Living At Home with Help Versus Assisted Living

A common scenario: what to do when one spouse needs the maximum amount of care due to memory loss and the other is able to live independently? Families often wonder whether it is better to have the couple continue to live in their home with a great deal of support services from home care agencies or place the couple in an assisted living facility. Let’s look at this issue from an economic, social and medical perspective:

 In-Home Care from a Private Agency


The average cost for an 8 hour day care at home on a daily basis is approximately $5000 a month.

(8 hours/day x $23/hour x 7 days/week = $1288/week or about $5000/month)

In addition to this cost, the couple would still assume the fees of associated with owning or renting a home (e.g. heat, electricity, water, taxes etc.) as well as necessities such as food, transportation, housekeeping and so forth.


The couple remains in their own home, where they feel comfortable and can maintain an independent lifestyle.


The spouse who can live independent assumes responsibility for such things as maintaining the house/apartment, shopping, errands and driving to medical appointments. Moreover, round-the-clock 24 hour care is extremely expensive, so there will be periods where no help will be available. He or she may also feel isolated from friends and every day social interaction.

Support and Care from an Assisted Living Facility


The average cost of ALF apartment for a couple in the US is approximately $5500/month plus $1500 (fee for second person) or approximately $7000/month.

This fee would include private apartment, three prepared meals daily, on-site fitness, beauty salons, recreational and social activities as well as maximum assistance (for one) in terms of activities of daily living (etc. eating, bathing, dressing, toileting, walking and medication assistance.)



Assisted livings generally provide better quality of care and residents have access to trained staff members 24 hours a day. Most ALF have specially designated memory loss residences. Additionally, there is a much higher level of socialization at an assisted living facility,


Higher cost than living at home with help, although one needs to add into the mix that cost of the apartment, food, amenities and activities are included into the monthly fee.

Most couples want to stay in their homes as long as possible — and that is understandable – and certainly desirable. The key is to figure out when it becomes too stressful for the couple to live alone and, even more importantly, when safety concerns arise.

Making the Right Decision

As individuals age and memory loss becomes more pronounced, assisted living facilities can offer support while maintaining independence. Assisted Living Nationwide helps examine the pros and cons of each situation and offer professional expertise to help families make this most difficult decision.