What are Nursing Homes?

When your health takes an unexpected turn, due to an illness or injury, finding the right care can make all the difference. If your care needs go beyond what home care or assisted living can provide, a nursing home might be the right next step.

Nursing homes fill a special role when it comes to aging care. They provide 24-hour nursing care for people who don’t need a hospital but can’t live independently.

While the idea of a nursing home can feel overwhelming, stressful, or just unknown, we can tell you the right nursing home takes care of your medical needs and your quality of life. They’re also becoming an increasingly common aging care option — over one-third of older adults are expected to live in a nursing home at some point in their lives.¹

So, let’s take a look at nursing homes, what they offer, and whether they’re the right type of care for you or your loved one. 

A nursing home is a center or community that provides both short- and long-term skilled nursing care for people who require 24/7 medical care and supervision. It’s the highest level of care you can get without being admitted to a hospital.

Amy Prentzler, senior manager of clinical claims at CareScout, says nursing homes play a special role for those considering aging care.

“These centers can offer professional medical care, 24/7 supervision, social engagement, assistance with daily activities, specialized care, care circle support, and rehabilitation services,” she said. “Overall, nursing homes play a crucial role in ensuring that older adults receive comprehensive care tailored to their unique needs.”

While the term “nursing home” is widely used, you might also hear these centers referred to as:

• Care centers 

• Continuing care centers 

• Convalescent centers 

• Havens 

• Health centers 

• Homes for the aged 

• Living centers 

• Manors 

• Nursing centers  

Nursing homes can also be located inside a hospital or medical center as a separate skilled nursing unit. More often, nursing homes are their own distinct establishments. They can be privately owned, owned by shareholders, or run by non-profit organizations.

Nursing homes provide a wide range of services focused on helping you manage an illness or recover from an injury or surgery, which can include: 

• Health monitoring: Regular checks of vital signs and overall health. 

• 24-hour skilled nursing support: Assistance with wound care, IVs, and other medical needs. 

• Rehabilitation services: Physical, occupational, and speech therapies to assist in your recovery. 

• Support for activities of daily living (ADLs): Assistance with bathing, dressing, eating, and toileting. 

• Medicine management: Ensuring medications are taken correctly and on schedule. 

• Meals: Food can include three meals a day and light snacks. 

• Social activities: Programming to keep you engaged. 

• Transportation: Assistance getting to and from appointments. 

• Housekeeping and laundry: Cleaning and laundry services to keep your room comfortable.

Nursing homes can also specialize in certain types of care such as:

• Memory Care: For residents with Alzheimer’s or other forms of dementia. 

• Sub-Acute Care: A higher level of medical attention than standard nursing care. 

• Intermediate and rest-home care: For older adults who need moderate assistance.

A nursing home is a nursing home, regardless of its formal name, as long as it provides these services. However, the type and level of care can vary for each nursing home, so it’s important to research and find a nursing home that provides the nursing care you need. 

While nursing home residents can have different ages and different health conditions, there are typically two types of residents:

Short-term residents 

If you’re recovering from a surgery, injury, or hospital stay you might have a short-term stay in a nursing home. During your stay you can get the proper medical attention to regain your strength through physical, occupational, or speech therapy and receive help with daily tasks until you’re ready to return home.

Long-term residents 

If you have a chronic medical condition or disability that requires continuous medical care, you will require a long-term stay at a nursing home. People with advanced Parkinson’s disease, dementia, or significant mobility issues often need the level of care provided by a nursing home. 

Living in a nursing home is like living in an assisted living community but with more intensive medical care. Because nursing homes are designed with a focus on your medical needs, they can often feel more clinical than the apartments of an assisted living community, but that doesn’t mean you can’t create a sense of home. 

As you explore nursing home options, ask about personal touches you can bring for comfort, such as books, family photos, or other mementos. Some nursing homes also offer warm, inviting spaces, like communal living areas or gardens, where you can relax and enjoy a sense of community.

You’ll also get round-the-clock care. This doesn’t mean someone is with you every moment, but it ensures that when you need support, you get it — whether that’s with help using the bathroom at night or medical monitoring throughout the day. 

Like other aging care options, the cost of nursing homes can vary depending on several factors like location, room type, and the level of care you may need.

According to Genworth’s cost of care survey, and assuming a 5% annual inflation in 2024, the national monthly median cost of a private room in a nursing home is $10,220.

Depending on the length of your stay, there are a few different ways to pay for a nursing home.

Medicare can pay for short-term rehabilitation stays in a nursing home if you qualify. Typically, Medicare covers about 100 days of skilled nursing. 

Long-term residents can use private pay or long-term care insurance. If you have a long-term care insurance policy, talk with your insurance carrier to understand your coverage and if you qualify for benefits. Medicaid can also cover your nursing home stay if you’re eligible and if the center accepts Medicaid payments. 

It’s not always easy to know the right time to move to a nursing home. If you’re feeling overwhelmed or uncertain, it can help to discuss with your care circle or a licensed healthcare practitioner, such as your physician, nurse, or social worker, to establish the kind of care you need.

You might want to consider a short-term nursing home stay if you need rehabilitation after surgery or injury and can’t recover at home. If you have a medical condition that requires 24/7 care, you may need to consider a long-term stay.

As you consider a nursing home, Prentzler suggests evaluating these other factors: 

• Complex Medical Needs: “If an individual has chronic illnesses or requires frequent medical attention that cannot be adequately managed at home.” 

• Need for 24/7 Care: “When a person requires constant supervision or assistance with daily activities, such as bathing, dressing, and medication management.” 

• Safety Concerns: “If there are concerns about the individual’s safety at home due to memory issues, mobility problems, or the risk of falls.” 

• Social Isolation: “When an older adult is experiencing loneliness or social isolation, a nursing home can provide opportunities for social interaction and engagement.” 

• Caregiver Burnout: “If a person’s care circle is feeling overwhelmed or unable to provide the necessary level of care, a nursing home can relieve that burden.” 

• Rehabilitation Needs: “If someone is recovering from a surgery, an illness, or injury and needs intensive rehabilitation services that are best provided in a skilled setting.” 

• Cognitive Decline: “If an individual is experiencing significant cognitive decline, such as advanced dementia, and requires specialized care that can’t be provided at home.” 

While the right answer isn’t the same for everyone, it really depends on the amount and level of care you require. The right nursing home is the one that provides comprehensive care tailored to your needs.