An assisted living community provides communal living, often with planned activities, housekeeping and laundry, transportation, meals, exercise and wellness programs, opportunities to socialize with other residents, and assistance with activities of daily living. These can include bathing, toileting, eating, and dressing, and may also include things like medication reminders. Some have special wings for residents who develop Alzheimer's or dementia.
In a nursing home, residents are under the 24-hour care of licensed or registered nursing staff (in a skilled nursing facility) or of certified nursing assistants (in an intermediate care facility). Some examples of reasons seniors might need skilled nursing would be if they were bed bound, needed a respirator, or had wounds that were not healing and required daily care.