Study Details Implications of Deciding Assisted Living Versus Nursing Home
A comprehensive study reveals significant gaps between what seniors prefer for care and what actually occurs. The research highlights important emotional and practical considerations families face when choosing between assisted living and nursing home placements.
Senior Preferences vs. Reality
The Genworth Caregiving in COVID-19 Beyond Dollars Study 2021 found that 79% of older adults prefer receiving care at home, yet only 42% actually receive in-home assistance. For residential facilities, just 5% of seniors expressed a desire for assisted living communities, though approximately 13% ultimately moved into such settings.
Guilt and Care Placement Decisions
Family members experience varying levels of guilt depending on the care arrangement chosen. According to recent research, families placing loved ones in assisted living reported greater guilt (35%) compared to those providing home care (22%), moving seniors to a caregiver’s residence (15%), or utilizing adult day facilities (9%). However, nursing home placements generated the highest guilt levels at 40%.
Insurance Impact on Care Decisions
Long-term care insurance significantly influences where seniors receive care. About one-third (29%) of 2021 respondents believed in its importance, compared to 15% in 2018. Those with long-term care insurance proved 25% more likely to use assisted living versus 11% among uninsured seniors. Insurance holders benefit from improved accommodations and more space than typical nursing home environments provide.
Professional Support and Resources
Families increasingly consulted professionals between 2018 and 2021:
- Social workers: increased from 18% to 23%
- Financial professionals: grew from 17% to 20%
- Attorneys and elder law specialists: rose from 7% to 11%
Most helpful resources included television programs (70%), internet social networks (68%), and elder law specialists (66%).
Increasing Care Complexity
Care needs have become more severe and prolonged. Nearly half (49%) of care recipients now require assistance with all daily living activities, up from 39% in 2018. Average care duration increased from 3 years to 3.5 years, with seniors experiencing more age-related limitations, cognitive impairments, and rehabilitation needs.
Key Takeaway
Choosing between assisted living and nursing home care is a decision with significant emotional and financial implications. Planning ahead with the guidance of an elder law attorney and exploring long-term care insurance options can help families make informed decisions. If you are facing this decision for a loved one, contact an experienced elder law attorney today.
