From Almshouses to Assisted Living, Nursing Homes Have Come a Long Way

by | Aug 1, 2019 | Assisted Living Facility

Nursing facilities typically provide a safe, comfortable living space for the elderly or adults of any age who are recovering from elaborate medical procedures. They provide a place where those who are physically or mentally unable to care for themselves can avail themselves of assisted living without undue loss of independence, dignity, or autonomy. These facilities typically provide a range of medical services on the premises. These include physical therapy, nursing, food preparation, and more.

Who Pays for These Services

The facilities are usually financed through insurers and managed care agencies with whom they hold contracts. Consolidation within the insurance agency, shifts to managed care in the public and private sectors, and the Affordable Care Act have reduced the number of payers and placed regulations on the nursing home industry, thus increasing competitive pressure and decreasing the number of clients. However, the rapid growth of an aging population ensures that the industry has a long future.

The History of Nursing Homes

The forerunners to today’s nursing facilities were the almshouses established by settlers in the 1600s. They provided shelter and meals, and little else was seen to be necessary. Almshouses continued to exist until the 20th century, when their infrastructure was overwhelmed by the Great Depression.

The almshouses were replaced by convalescent homes where the elderly could get basic nursing care along with room and board. By the mid-1960s, they had proliferated throughout the United States, and demand soon emerged for increases in quality, codified in a 1987 Nursing Home Act. By the early years of the 21st century many were lush facilities bursting with amenities from Wi-Fi to cafes.

Inglemoor Rehabilitation & Care Center in Livingston, NJ, has served the elderly and infirm with competence and integrity for over 50 years. Please feel free to learn more about our wonderful facility by visiting us at

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