Assisted Living and Nursing Homes can both have people on hospice.
It was explained above. Assisted Living is a more home like environment where people have mobility, even with walkers and wheel chairs, and can get to their meals, enjoy the entertainment, and function either on their own or with the assistance of a caregiver. Meals are provided and there is a base fee for living, and then up charges for care. The levels of care and extent of care allowed to be offered by the Assisted Living are determined by the State, such as if Memory Care is provided, or a particular level of nursing, medication management, care of wounds and to what level. Assisted living is not a medical model. Residents are not to be bed bound unless for a short term, like a week, due to an illness. There is not round the clock nursing care in assisted living, it is more of a social model. You are charged depending on the type apartment you have and the level of care you need.
In a Nursing Home, it is a medical model. There is a large nursing staff; there are doctors who are part of the team. Residents can be bed bound and on full nursing care round the clock. Medicare will cover nursing home care if needed for usually 90 days or so. If a person cannot privately pay, there are facilities where Medicaid will pay and they are not usually as elegant as the private pay nursing homes. Nursing homes do not charge by level of care, there is a daily rate no matter your needs. It can run $10,000 a month and up.
People who need assistance with their activities of daily living but are otherwise carrying on in their daily lives would choose assisted living. People who need full time nursing availability because of wounds, illness, incapacitation, failure to thrive, inability to be mobile, or who have advanced Alzheimer's would most likely be in a Nursing Home
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