ASSISTED LIVING |
RESIDENTIAL CARE (rest home) |
SKILLED NURSING (nursing home) |
Regulated by MA Executive Office of Elder Affairs – Tenant Landlord Agreement |
Licensed & Regulated by MA Department of Public Health |
Licensed & Regulated by MA Department of Public Health |
Provide up to 3 meals daily, social activities, & events |
Provide 3 meals daily, snacks, social activities & events |
Provide 3 meals daily, snacks, social activities & events |
Housekeeping & laundry services (may require an extra fee) |
Housekeeping & laundry included |
Housekeeping & laundry included |
Offer 24 hour security |
24 hour supervision & security |
24 hour skilled nursing, IV drugs, oxygen, injections, mechanical lift transfers |
Onsite staff responds to emergencies call 911 |
Onsite staff respond to emergencies; gives first aid & calls 911 when appropriate |
Onsite staff respond to emergencies; gives first aid & calls 911 when appropriate |
May provide oversight of a resident’s self-administration of medication (extra fee) |
Administers medications; maintains medical record, takes MD orders; coordinates medical care needs incl. x-rays, lab, & other services on site |
Administers medications; maintains medical record, takes MD orders; coordinates medical care needs incl. x-rays, lab, & other services on site |
Supervision of bathing/dressing for a set number of hours. Additional hours by fee. |
Provides assistance with ADL |
Provides assistance with ADL to total care |
Minor nursing services |
RN or LPN available; medical director available for consultation |
RN & LPN coverage 24/7; medical director available for consultation |
Resident provides furniture |
Encourage personal belongings; furniture provided if desired by resident |
Furniture provided; may have special units for rehab, dementia etc. |
Primarily private pay; limited Medicaid slots; VA A&A elligible |
Mostly subsidized by Medicaid, SSI, long term care insurance, & private pay VA A&A eligible |
Medicare, Medicaid, long term care insurance & private pay |