A retirement home differs from a nursing home primarily in the level of medical care given. A place in a retirement home can be paid for on a rental basis, like an apartment, or can be bought in perpetuity on the same basis as a condominium. You do not need to provide medical evidence that you need a minimum level of care. Assisted living residences or assisted living facilities provide supervision or assistance with coordination of services by outside health careproviders. A nursing home is normally the highest level of care for older adults outside of a hospital. The housing is friendlier to older adults, more compact, with easier navigation and assistance in outside maintenance. A nursing home is normally the highest level of care for older adults outside of a hospital. A nursing home may be a good choice if both medical and personal care needs have become too great to handle at home. Generally, retirement homes are designed for seniors who need minimal to moderate support with their daily living activities. Nursing Home residents in a skilled nursing facility may also receive physical, occupational, and other rehabilitative therapies following an accident or illness. Housing arrangements for the future can be a stressful, anxiety-provoking topic for you and your family. You have a close network of nearby family, friends, and neighbors. Assistance may include the administration or supervision of medication, or personal care services provided by a trained staff person. A retirement home differs from a nursing home primarily in the level of medical care given. Housing arrangements for the future can be a stressful, anxiety-provoking topic for you and your family. Assistance may include the administration or supervision of medication, or personal care services provided by a trained staff person. Senior Living - info and advice for older adults. Retirement homes are privately owned rental accommodations for seniors who are able to manage and pay for their own care. More than two-thirds of the states use the licensure term assisted living.