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Assisted living residences or assisted living facilities provide supervision or assistance with activities of daily living. Assisted living is a philosophy of care and services promoting independence and dignity. Some facilities provide minor help with medications as well. A nursing home may be a good choice if both medical and personal care needs have become too great to handle at home. A nursing home is normally the highest level of care for older adults outside of a hospital. Nursing Home residents in a skilled nursing facility may also receive physical, occupational, and other rehabilitative therapies following an accident or illness. Assisted Living communities are regulated and licensed at the US state level. The housing is friendlier to older adults, more compact, with easier navigation and assistance in outside maintenance. Assisted living residences or assisted living facilities provide supervision or assistance with monitoring of resident activities to help to ensure their health, safety, and well-being.