Choosing a senior living community is a decision that starts with understanding what level of care best supports your or your loved one’s lifestyle. Whether you’re planning ahead or responding to recent changes in health or mobility, knowing the available options can help you move forward with clarity and confidence.
Our how-to guide breaks down the different levels of care available in senior living communities and what signs might indicate it’s time to make a change.
What does “level of care” mean within senior living?
A level of care refers to the type and amount of support someone needs on a daily basis. In senior living, that can range from minimal help with housekeeping and balanced meals to full-time nursing care or specialized memory support.
Understanding these distinctions helps families and older adults match services to needs, which ultimately leads to greater peace of mind, safety, and comfort.
Signs it’s time to consider a change in senior care
Not every change is obvious. Often, a loved one seems mostly independent, but there are subtle cues that additional support may be beneficial. Here are a few questions to consider:
- Are they managing medications on time and safely?
- Do they need help preparing meals or maintaining their home?
- Are they experiencing memory loss or confusion that disrupts their daily routine?
- Have there been recent falls or safety concerns?
- Do they appear isolated or withdrawn?
If you’re noticing more than one of these signs, it may be time to explore which level of care is appropriate.
Comparing levels of care: what’s the difference?
Most senior living communities offer a continuum of care, allowing residents to transition to higher levels of support without needing to relocate to another community. Here’s a brief overview of the most common care levels:
Independent living
Best for: Adults who are active and can manage their own daily needs
Services often include:
- Housekeeping and home maintenance
- Dining options
- Life enrichment programs and social opportunities
- Wellness and transportation services
Independent living is ideal for those who want to enjoy a maintenance-free lifestyle with access to amenities and community.
Assisted living
Best for: Individuals who need help with activities of daily living (ADLs) such as bathing, dressing, or medication management
Services typically include:
- 24/7 caregiver support
- Assistance with daily routines
- Personalized wellness and dining plans
- Scheduled transportation and social activities
Wondering who qualifies for assisted living? It’s often a good fit for those who need daily support but still want to maintain their independence.
Memory care
Best for: Adults with Alzheimer’s or other related dementias who need a secure, structured environment
Services include:
- Specially trained team members
- Customized programs for cognitive engagement
- Safety monitoring and around the clock supervision
- Support with behavior management and communication
Each community may have different memory care requirements, but common indicators include wandering, confusion, and changes in judgment or personality.
Skilled nursing and long-term care
Best for: Individuals with complex health conditions or recovering from illness or injury
Services include:
- 24/7 licensed nursing care
- Medication and pain management
- Rehabilitation therapies
- Ongoing care coordination
This level of care provides the highest level of clinical support in a senior living community.
Related: The importance of a continuum of care: planning for the unknown
How to choose the right level of care
Choosing the best fit involves more than checking boxes. It requires a thoughtful look at personal goals, lifestyle preferences, and long-term priorities. Start by honestly assessing current needs, including physical, cognitive, and social support. Consulting a senior living advisor can help clarify which services might be most beneficial. Even if full independence is still possible today, it is important to plan for tomorrow.
Communities that offer a range of care levels, such as Life Plan Communities, allow for seamless transitions if additional support becomes necessary. Touring communities, either in person or virtually, can provide valuable insight into daily life, from social activities to staff interactions. Finally, do not hesitate to speak with senior living advisors who can explain care options and help guide you toward the right choice for your needs.
Find peace of mind at a PMMA® senior living community
Understanding your options empowers you to make a decision that feels right whether you’re preparing for a move now or simply planning for the future. With the right support, senior living can be the beginning of a more comfortable and connected lifestyle.
Have more questions? Download our Just Ask brochure to learn more about care levels, community life, and next steps.