What Is a Level 3 Assisted Living Facility?

Author: Ashlee Shefer

Reviewed By: Brindusa Vanta

A Level 3 assisted living facility caters to seniors requiring extensive hands-on assistance with multiple daily living activities. Also referred to as enhanced care, Level 3 assisted living supports residents with more complex needs, including physical impairments or mild to moderate cognitive disorders, than those in Level 2 care. A Level 3 designation varies depending on state regulations and a facility’s policies. However, it’s usually the highest level of care in assisted living before residents consider nursing home care. 

What Services Does Level 3 Assisted Living Offer?

Level 3 assisted living communities provide 24-hour hands-on support for a variety of daily living tasks, including bathing, dressing and grooming. They typically house residents with mobility issues and employ trained staff to assist with walking, wheeling or transferring from beds to chairs. Seniors also have access to incontinence care and medication management, depending on their needs.

These communities also offer medical services similar to nursing homes. For example, they often employ registered nurses, physicians and rehabilitative therapists or arrange appointments with local providers. If they accept residents with memory loss, Level 3 communities may offer cognitive therapies or have specialized memory care wings. 

Difference Between Level 3 Assisted Living and Nursing Home Care

Level 3 assisted living communities emphasize personal care assistance, while nursing homes focus on medical care and supervision. Although Level 3 assisted living residents sometimes have medical conditions, they’re still more independent than most nursing home residents. Level 3 assisted living communities offer some on-site medical services, but they mainly focus on helping residents stay independent, foster social connections and participate in recreational activities. Meanwhile, nursing homes provide around-the-clock medical care and supervision for seniors with acute or chronic health conditions. They help residents manage their conditions while ensuring safety and comfort. Some residents transition from Level 3 assisted living to nursing home care if their health declines or they develop new conditions requiring more intensive care.