What Is Level 2 Assisted Living?

From independent living to memory care, there are multiple types of residential senior living. Assisted living, one common type of long-term residence, can be subdivided even further, depending on where you live and the level of care. 

Some states, like Texas, use an A, B, and C designation to indicate the levels of care involved in an assisted living facility (ALF). Other ALFs use numbered tiers — Levels 1, 2, 3, and so on. Level 2 facilities offer an intermediate level of care and assistance with the activities of daily living (ADLs) and other supportive services.

Knowing when it’s time for assisted living can be challenging. You may have noticed that your senior loved one has experienced some changes: they’ve become withdrawn, perhaps, or are not bathing or dressing appropriately each day. If you believe that your loved one would benefit from moving to an assisted living facility, the first step is to have a medical professional do an assessment. This assessment can happen in the home, at a hospital or clinic, or in the facility where they may already live. 

Older adults may need the intermediate level of care offered by a Level 2 facility if they require active help every day, but don’t need 24/7 supervision. Safety risks may also play a role in their placement in Level 2 care. If your loved one is at risk of falling or has fallen in the past, a Level 2 facility might be appropriate. General physical decline or a recent hospitalization can also suggest this type of care. 

Once a person has been determined to be a good fit for Level 2 care, the process for admission will differ from facility to facility. Family members should work together to talk to their parents about assisted living, using patience and compassion when sharing concerns and potential solutions.

Level 2 services may vary somewhat between facilities. State-based laws and regulations can play a role in the types of care offered. In general, Level 2 care includes one-on-one assistance by trained caregivers when needed. 

When you are determining the care your senior loved one needs, you may want to look at the following factors, assessing each potential residence based on your loved one’s needs and preferences:

• Care Needs: Consider the level of care your loved one requires. This may include an assessment of their medication regimen, daily activities, or housekeeping needs. Make sure you understand what a facility offers to meet those care needs before committing. 
• Personal Preferences: Consider how your loved one spends their day. Are they a sociable person, or do they prefer a quieter daily life? What activities bring them enjoyment? What is their home life like?
• Mobility Needs: Mobility should not negatively impact assisted living participation. Most facilities have accessibility features that accommodate residents with some mobility needs.  If your loved one has complete mobility loss, they may find a better fit in nursing home care.
• Available Amenities: These will differ from facility to facility, but may include age-friendly activities and events, social areas, fitness or craft centers, and even gardening opportunities. 
• Dietary Requirements: Is your loved one on a restricted diet? Do they need assistance with eating? What are their food preferences? Level 2 care may offer help with eating, and most facilities provide meals that cater to residents’ preferences and nutritional needs.
• Memory Care Needs: Level 2 assisted living may be appropriate for those with early-stage Alzheimer’s or other types of dementia. If your loved one can still handle some of their ADLs and live comfortably with some independence, Level 2 assisted living may be the right choice. If their dementia is more advanced, however, a memory care unit could provide more specialized cognitive care.

Even if you know when it's time for the move to assisted living, it can be challenging to start the conversation with your loved one in a way that honors their wishes. It may take time to find the right words to address your concerns thoughtfully and respectfully. It’s vital to include them in any decisions that will impact them, however. 

Do your homework before the conversation: consult a medical professional or do online research so you understand what Level 2 care offers. Be patient with your loved one, and offer them choices rather than giving an ultimatum. Make it clear throughout that their well-being is your top priority.

How to choose the right level of care in an assisted living community. (2025). High Point Residence | Huddleston, Cameron. (2021). How to assess when an older adult requires caregiving assistance.. AARP | Levels of care in assisted living: a complete guide (& more). (2024). Village Walk | Participating in ActivitiesYou Enjoy As You Age. (2022). National Institute on Aging | Understanding Type A and Type B assisted living communities. (2025). Carriage Inn Katy