Free Guide

Aging in Place vs Assisted Living

A clear comparison to help families understand the real tradeoffs and decide what's right for their situation.

The Honest Truth

There's no universally "better" choice. The right decision depends on your family's specific situation — health needs, finances, social preferences, and how involved family can be.

Many families assume aging in place is always cheaper and better. Sometimes it is. Sometimes assisted living makes more sense. This guide helps you think through the real factors.

Side-by-Side Comparison

Factor Aging in Place Assisted Living
Independence Maximum — stay in your own home, keep your routine Moderate — shared community, some scheduled activities
Social Connection Requires effort — must be proactive about social activities Built-in — daily interaction with residents and staff
Medical Support Coordinated with outside providers On-site staff, often 24/7
Cost (Light Care) $500-1,500/month for monitoring + light support $4,000-6,000/month typical
Cost (Heavy Care) $5,000-10,000+/month for 24/7 care $6,000-10,000/month for memory care
Home Maintenance Your responsibility (or hire help) Included
Family Involvement Often higher — more coordination needed Reduced daily burden, but still important

When Aging in Place Works Well

  • Light to moderate care needs — Help with some tasks, but not full-time supervision
  • Strong family involvement nearby — Someone can check in, coordinate care, and respond to issues
  • Home is already safe — Or can be modified affordably (grab bars, lighting, stair lifts)
  • The person wants to stay home — Autonomy and familiar environment matter deeply
  • Monitoring can bridge gaps — Technology can provide awareness without constant in-person presence

When Assisted Living Makes Sense

  • Memory care needs — Dementia progression requires specialized 24/7 supervision
  • Social isolation — Loneliness at home is causing depression or decline
  • Family is far away — No local support network to coordinate and respond
  • Home modifications are impractical — Multi-story home with no way to live on one level
  • 24/7 care is needed — At this level, assisted living is often comparable or cheaper

Questions to Ask Yourself

  1. How much can family realistically be involved day-to-day?
  2. What level of care is needed now? In 1-2 years?
  3. Is the home safe — or can it be made safe affordably?
  4. How important is staying in the current community?
  5. What does the person themselves want?
  6. What's the realistic budget for care?

Frequently Asked Questions

What is aging in place?

Aging in place means remaining in your own home and community safely as you age, rather than moving to assisted living or a nursing facility. It often requires home modifications, support services, and monitoring to ensure safety.

Is aging in place cheaper than assisted living?

It depends on the level of care needed. Light support and monitoring at home is typically much cheaper than assisted living. However, 24/7 in-home care can exceed assisted living costs. Most families fall somewhere in between.

Not sure what makes sense for your family?

A Home Safety Review can help you understand whether aging in place is realistic for your situation — and what it would take to make it work safely.