Collington Life Care Community in Bowie, MD
Save10450 Lottsford Road, Bowie, MD 20721
For more information about senior living options: (844) 490-3973
Collington Life Care Community offers competitive pricing for its residential options compared to the broader market of Prince George's County and the state of Maryland. For a studio apartment, Collington charges $2,906 monthly, significantly lower than the county's average of $4,428 and the state average of $4,656. The 1-bedroom option at Collington is priced at $3,516, which is quite comparable to Prince George's County's rate of $3,568 but still less than the state's average of $3,904. Conversely, the 2-bedroom accommodations present a different scenario; while Collington's cost of $4,206 exceeds both the county's average of $3,193 and the state's average of $3,497. Overall, Collington's pricing reflects a distinctive value proposition in certain room types while remaining competitive in others within this regional context.
| Floor plans | Collington Life Care Community | Prince George's County | Maryland |
|---|---|---|---|
| Studio | $2,906 | $4,428 | $4,656 |
| 1 Bedroom | $3,516 | $3,568 | $3,904 |
| 2 Bedrooms | $4,206 | $3,193 | $3,497 |
The staff provides wonderful care and genuine concern for residents. Collington's 125-acre campus offers beautiful gardens, walking trails, a lake, and ample opportunities to enjoy nature. Residents have access to a wide range of activities, including exercise classes, crafts, and social events. The living options, including cottages and villas, provide private spaces with modern amenities like kitchens and outdoor areas. The dining program is well-organized, with customizable meal options and flavorful choices. The community feels warm, supportive, and like a family that cares for one another. Management and medical staff maintain safety and well-being with transparent communication. The facilities are clean, well-maintained, and welcoming, with a variety of amenities such as pools, gyms, and salons.
One reviewer says "Don't die here" and laments that a loved one's death certificate could not be obtained for over a week, calling it ridiculous. Another reviewer asserts Collington rejects residents with complicated medical needs, noting there are "no vacancies" for anyone who is not able-bodied. A reviewer labels Collington "The Circus" and describes it as a horrible facility with frequent coronavirus outbreaks. A reviewer criticizes unprofessional staff, including kitchen staff not washing hands and inappropriate behavior in the Ivy Bar. A reviewer states nursing administration is horrible and that their practices are dangerous to patient safety. A reviewer describes care as abusive when nursing support is needed. A reviewer notes the main buildings are lacking amenities and do not appear well maintained. A reviewer complains of long dining delays and a buffet that was basically out of food, with staff showing indifference. A reviewer mentions the price as expensive.Collington Life Care Community in Bowie, Maryland, is best suited for active seniors who want a true continuing-care environment wrapped in a park-like campus. It works exceptionally well for residents who value independence but desire a built-in pathway to assisted living, memory care, or rehab without moving to multiple facilities. Its cottages and apartment options provide private outdoor space and a real sense of home, while a 125-acre campus offers long walking routes, a lake, gardens, and abundant opportunities to engage with neighbors. This is not a generic campus; it is a self-contained village designed to age in place while staying connected to a community.
Those with budget constraints will want to weigh the upfront buy-in and ongoing fees against the benefits on offer. Families seeking rapid access to memory care or highly specialized dementia services may prefer options with more immediate openings or different care models. Others who prize a more urban setting, closer proximity to family, or a layout with less acreage may find a different community more practical. While Collington earns praise for its culture and continuity, the spectrum of care and staffing patterns can create friction for residents with escalating needs or for households seeking pricing predictability.
On the upside, the campus's size, cottage living, and nature preserve deliver tangible quality of life: private outdoor spaces, opportunities to garden, walking along the lake, and participation in resident-led initiatives. The dining program supports autonomy - residents can select meals days in advance, and The Landing restaurant provides high-quality options. Abundant activities, shuttle transport, a wellness suite, gym, indoor pool, and beauty services sustain an active, social lifestyle. Critically, Collington presents itself as a continuum of care with on-site medical staff, rehab services, and accessible doctor visits, smoothing transitions within the campus for families. Across years of resident feedback, staff are described as caring, responsive, and protective, contributing a strong sense of safety and community.
Yet there are meaningful caveats to consider. A substantial upfront investment can limit flexibility for households with tighter budgets. Some reviews surface criticisms of food service, management responsiveness, or nursing leadership, serving as reminders that no campus is flawless. There are concerns about access for residents with complex medical or memory-care needs, including reports of waitlists or hesitancy to admit higher levels of care. The expansive, semi-rural setting can feel isolating for families seeking easier access for visits, and a few accounts hint at variability in day-to-day operations or staff consistency. Prospective residents should weigh these realities against the campus's enduring strengths.
Weighing the pros against the cons, the advantages still tilt toward stability and peace of mind: a genuine all-in-one continuum of care on a single, beautifully maintained campus reduces the churn of multiple moves and the anxiety of transitions. The physical environment - cottages, grounds, trails, a lake - supports independence while enabling safety nets. Long-tenured staff and a culture of personal attention appear repeatedly in positive feedback, and the ability to coordinate private services or family engagement reinforces a family-centered atmosphere. For families seeking a graceful, planned aging-in-place trajectory with abundant amenities and social opportunities, Collington offers a compelling option that can deliver real value when the budget aligns and care needs stay within the campus spectrum.
For families evaluating Collington, approach with a clear view of care needs, timing, and finances. Visit and tour with targeted questions about current vacancies for assisted living and memory care, waitlist dynamics, and the availability of on-site medical specialists. Confirm meal timing flexibility and dining options, and probe cottage versus apartment maintenance standards. Assess how concerns are escalated and resolved within the administration, and verify the consistency of staffing across shifts. When the fit is right, Collington provides a life-enriching environment that supports aging in place with confidence; when it isn't, alternatives with steadier pricing and different care models may better align with budget and expectations.
22 resident community capacity
Assisted LivingAssisted living facilities provide crucial support and care for seniors who may need help with daily tasks such as medication management, bathing, and meal preparation. These communities offer a safe and comfortable environment where seniors can maintain their independence while receiving the assistance they need to thrive in their golden years.
Continuing Care Retirement Community (CCRC)Continuing Care Retirement Communities (CCRCs) are important for seniors because they provide a range of housing options and care services all in one location. This allows seniors to age in place and receive the level of care they need as their health changes, without having to move to a new facility. CCRCs provide a sense of security and peace of mind for seniors and their families, knowing that they will be taken care of no matter what the future holds.
Independent LivingIndependent living communities are important for seniors because they offer a safe and supportive environment where older adults can live independently while still having access to amenities and services that enhance their quality of life. These communities provide social opportunities, recreational activities, and assistance with daily tasks, promoting overall well-being and allowing seniors to maintain their independence for as long as possible.
Memory CareMemory care is crucial for seniors as it provides specialized support and services for individuals with dementia or Alzheimer's disease. These programs offer a safe and secure environment where residents receive personalized care, cognitive stimulation, and help with daily activities. Memory care helps seniors maintain their independence, quality of life, and dignity while also providing peace of mind for their families.
Respite CareRespite care provides temporary relief for caregivers, allowing them to recharge and attend to their own needs. It also gives seniors the opportunity to socialize, receive professional care, and experience a change of scenery, promoting overall well-being and reducing feelings of isolation.
Activities on-siteActivities on-site are important for seniors because they provide opportunities for socialization, mental stimulation, physical activity, and overall well-being. Engaging in activities can help seniors stay active, maintain their independence, and improve their quality of life.
Beautician on-siteHaving a beautician on-site at a senior living community is important for seniors as it allows them to easily access grooming and personal care services, boosting their self-esteem and overall well-being. It also provides convenience and helps seniors maintain their sense of independence and personal style. Beauty salonBeauty salons are important for seniors because they provide a space for them to feel pampered, socialize, and maintain their personal grooming and hygiene. Regular visits to a beauty salon can help boost seniors' self-esteem and overall well-being.
Cable or satellite TVCable or satellite TV is important for seniors because it provides entertainment, news, and companionship, helping to combat loneliness and boredom. It also offers a wide range of programming options tailored to different interests and preferences.
Devotional services off-siteDevotional services off-site are important for seniors as they provide spiritual nourishment, social engagement, and a sense of community outside of the senior living facility. This can enhance overall well-being and help combat feelings of isolation and loneliness often experienced by older adults.
Dining roomDining rooms are important for seniors as they provide a space for socialization, connection, and nutritious meals. They offer opportunities for residents to bond over shared meals, foster a sense of community, and promote healthy eating habits. Dining rooms also ensure that seniors have access to well-balanced meals tailored to their dietary needs and preferences.
Financial aidFinancial aid is crucial for seniors as it can help them cover the costs of essential living expenses such as housing, food, and healthcare. Many seniors have limited incomes and savings, so financial assistance programs can provide them with the necessary support to maintain a decent quality of life in their retirement years. Financing adviceFinancing advice is crucial for seniors as they navigate the complexities of retirement planning, including managing fixed incomes, healthcare costs, and potential long-term care needs. Proper financial guidance can help ensure seniors maintain financial stability and security in their golden years.
Fully furnishedFully furnished senior living communities are important for seniors because they provide convenience, comfort, and a hassle-free moving experience. Seniors can easily settle into their new living space without the stress of having to buy and move furniture. This allows them to focus on enjoying their new home and community.
GardenGardens are important for seniors as they provide a peaceful and therapeutic environment for relaxation, physical activity, and socialization. Being in nature has been shown to reduce stress, improve mood, and promote overall well-being. Gardens also offer opportunities for seniors to engage in gardening activities, which can improve mobility, flexibility, and cognitive function. Additionally, gardens create a sense of community and connection with others who share a passion for plants and outdoor spaces. Home sale assistanceHome sale assistance is important for seniors because it can help alleviate the stress and complexities of selling their home. This service can provide guidance, support, and practical assistance throughout the entire selling process, allowing seniors to transition to a new living situation with ease and peace of mind.
Housekeeping servicesHousekeeping services are important for seniors because they help maintain a clean and safe living environment, promote independence, and reduce the risk of accidents or illnesses. Additionally, having assistance with household chores can alleviate physical strain and allow seniors to focus on other aspects of their well-being.
Indoor common areasIndoor common areas are crucial for seniors as they provide a space for socialization, recreation, and community engagement, promoting overall well-being and reducing feelings of isolation and loneliness.
KitchenetteKitchenettes are important for seniors living in senior living communities because they provide the convenience and independence of being able to prepare simple meals and snacks in the comfort of their own living space. This can help promote a sense of autonomy and well-being for seniors, allowing them to maintain some level of control over their dietary choices and daily routines.
LaundryLaundry services are important for seniors as they may have difficulty with physical tasks such as bending, lifting, or carrying heavy loads. Having access to laundry services can help seniors maintain personal hygiene, cleanliness, and independence in their daily lives.
Move-in coordinationMove-in coordination is important for seniors because it helps ease the transition into their new living environment. It ensures that all logistics, such as packing, organizing movers, and setting up utilities are taken care of, allowing seniors to focus on settling in and adjusting to their new home. Having a smooth move-in process can alleviate stress and anxiety, making the transition smoother and more enjoyable for seniors.
Outdoor spaceOutdoor spaces are important for seniors as they provide opportunities for physical activity, social interaction, exposure to natural light and fresh air, and a sense of connection to nature. Having access to outdoor spaces can improve overall well-being and quality of life for older adults living in senior communities.
Party spaceHaving access to party space is important for seniors as it provides opportunities for socialization, connection, and enjoyment. These spaces allow seniors to celebrate special occasions, host gatherings with friends and family, and participate in community events, enhancing their overall well-being and quality of life.
Private bathroomsPrivate bathrooms are important for seniors in senior living communities because they provide independence, dignity, and comfort. Having a private bathroom allows seniors to maintain their personal hygiene routines without the need for assistance, promoting a sense of autonomy and privacy. Additionally, private bathrooms help prevent the spread of infections and provide a safe and clean environment for seniors to navigate safely.
Security gateSecurity gates provide an added layer of protection and peace of mind for seniors living in a community. They help prevent unauthorized entry, deter potential intruders, and create a sense of security for residents. This extra security measure can make seniors feel safe and secure in their living environment. TV roomTV rooms are important for seniors in senior living communities because they provide a space for social interaction, entertainment, and relaxation. Watching TV can help reduce feelings of loneliness and boredom, and create a sense of community among residents. Additionally, TV rooms offer a break from daily routines and can be a source of comfort and familiarity for seniors. VA Benefits ConsultationVA Benefits Consultations are important for seniors because they provide valuable information on the benefits and resources available to them as veterans. These consultations can help seniors access financial assistance, healthcare services, and other support that can greatly improve their quality of life in their later years.
Wi-Fi/high-speed internet availableWi-Fi/high-speed internet is important for seniors to stay connected with loved ones, access online resources, and participate in virtual activities to combat feelings of loneliness and isolation. It also allows them to easily manage healthcare needs, access entertainment, and engage in lifelong learning opportunities.
Ronald Reagan Washington National (13 miles away) Baltimore-Washington International (19 miles away)
Community operated transportationCommunity operated transportation is crucial for seniors as it provides them with the means to access essential services, social activities, and medical appointments. It allows seniors to maintain their independence and quality of life by ensuring they can participate in activities outside of their homes. Additionally, community-operated transportation services offer a safe and reliable way for seniors to travel without having to rely on family or friends for assistance. Transportation arrangementTransportation arrangements are crucial for seniors as they may face challenges with driving, mobility, or access to public transportation. Having reliable transportation services ensures that seniors can easily attend appointments, social activities, and maintain their independence and quality of life. Transportation arrangement (non-medical)Transportation arrangements are essential for seniors as they provide access to essential services, activities, and social interactions outside the home. This service helps maintain independence, mobility, and overall well-being for seniors who may have limited transportation options.
24-hour call system24-hour call systems are important for seniors because they provide peace of mind and immediate assistance in case of emergencies. This technology ensures that help is always available, promoting safety and security for elderly individuals living alone or in assisted living facilities. 24-hour supervision24-hour supervision is important for seniors to ensure their safety, well-being, and access to immediate assistance in case of emergencies or health issues. This constant support provides peace of mind for both seniors and their loved ones, allowing them to age in place with dignity and security. Activities of daily living assistanceActivities of daily living assistance are important for seniors because they provide essential support with tasks such as eating, bathing, dressing, and mobility. This assistance helps seniors maintain their independence, dignity, and overall quality of life as they age.
Ambulatory care"Ambulatory care services provide essential medical support and treatment to seniors without requiring hospitalization, allowing them to maintain their independence and quality of life while managing chronic conditions or receiving routine medical care."
Assistance with bathingAssistance with bathing is crucial for seniors as it helps maintain personal hygiene, prevents infections, and ensures their overall well-being and comfort. It also provides a sense of dignity and independence for seniors who may struggle with this task on their own.
Assistance with dressingAssistance with dressing is important for seniors because it helps maintain their independence, promotes personal hygiene, prevents accidents and injuries, and improves overall quality of life. This service ensures that seniors can continue to dress comfortably and confidently, despite any physical limitations they may have.
Assistance with transfersAssistance with transfers is crucial for seniors as it helps prevent falls and injuries, maintains their independence, and ensures they can safely navigate their living environment. It also provides peace of mind for both seniors and their loved ones.
Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
Diabetic careDiabetic care is crucial for seniors as they are more susceptible to developing diabetes due to aging and other health conditions. Proper management of diabetes can help prevent complications such as heart disease, vision loss, and nerve damage, improving the overall quality of life for seniors in senior living communities.
Meal preparation and serviceMeal preparation and service are crucial for seniors as they may have limited mobility or energy to cook nutritious meals. Having access to healthy and convenient food options can ensure they are getting the proper nutrition needed to maintain their overall health and well-being.
Medication managementMedication management is crucial for seniors to ensure they are taking the right medications at the correct dosages and times. This helps prevent adverse drug interactions, reduces the risk of medication errors, and promotes overall health and well-being. Proactive management also allows for adjustments as needed based on changing health conditions or new prescriptions.
Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications. Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life. Meals provided"Meals provided" are crucial for seniors in assisted living communities as it ensures they have access to nutritious, balanced meals without the stress of meal planning and preparation. This can help promote overall health and well-being for seniors who may have limited mobility or cognitive abilities. Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications. Activities on-siteActivities on-site are important for seniors because they provide opportunities for socialization, mental stimulation, physical activity, and overall well-being. Engaging in activities can help seniors stay active, maintain their independence, and improve their quality of life. Community-sponsored activitiesCommunity-sponsored activities are important for seniors as they provide opportunities for social interaction, mental stimulation, and physical activity. These activities can help improve overall well-being, combat loneliness and isolation, and promote a sense of belonging and purpose among older adults. Devotional activities offsiteDevotional activities offsite are important for seniors because they provide social engagement, spiritual growth, and a sense of community outside of their living environment. This can improve overall well-being, mental health, and combat feelings of isolation or loneliness.
Fitness programsFitness programs are crucial for seniors as they help improve strength, flexibility, balance, and overall well-being. Staying active can reduce the risk of chronic diseases, improve mental health, and enhance quality of life in older adults.
GamesGames are an essential part of senior living as they help promote cognitive function, social interaction, and overall well-being. Playing games can improve memory, concentration, and decision-making skills while also providing a fun and engaging way to connect with others. Seniors who participate in games regularly tend to experience higher levels of satisfaction and happiness in their daily lives.
Live musical performancesLive musical performances can provide seniors with a sense of joy, nostalgia, and connection. Music has the power to evoke emotions and memories, improve mood and cognitive function, and foster social interaction among seniors. It can also serve as a form of therapy and stress relief for older adults, making it an important activity to include in senior living communities. Religious servicesReligious services provide seniors with a sense of community, support, and spiritual fulfillment, which can improve their overall well-being and mental health. It also offers them opportunities for socialization and connection with others who share their beliefs. Resident-run activitiesResident-run activities are important for seniors as they encourage social interaction, creativity, and a sense of autonomy. These activities empower seniors to stay engaged and active in their community while fostering meaningful connections with their peers. Scheduled daily activitiesScheduled daily activities are important for seniors because they provide structure, socialization, mental stimulation, and physical activity. Engaging in regular activities can improve overall well-being and quality of life for seniors living in a community setting.
EnglishEnglish is important for seniors as it allows them to communicate effectively with healthcare providers, understand important information related to their health and medications, stay connected with loved ones, and engage in social activities within their communities. It also opens up opportunities for lifelong learning and intellectual stimulation.Collington Life Care Community in Bowie, MD is a vibrant and welcoming senior living community that offers a range of care services and amenities to meet the diverse needs of its residents. As a Continuing Care Retirement Community (CCRC), it provides various levels of care, including Independent Living, Memory Care, and Respite Care.
Residents at Collington can enjoy an array of amenities designed to enhance their comfort and convenience. A beautician is available on-site, along with a beauty salon for personal grooming needs. Cable or satellite TV is provided in the well-appointed private rooms, ensuring entertainment options are always accessible. Community-operated transportation is available for scheduled outings and appointments outside the community. Devotional services are offered off-site for those seeking spiritual enrichment.
The dining experience at Collington is exceptional, with delicious meals provided daily in a communal dining room. The menu caters to special dietary restrictions such as diabetes diets, and meal preparation and service are taken care of by attentive staff members.
Engaging activities are an integral part of life at Collington. The community sponsors a variety of activities to promote social interaction among residents, including fitness programs, games, live musical performances, religious services, and resident-run activities. Devotional activities take place offsite as well for those who wish to further explore their spirituality.
Collington's location offers easy access to nearby amenities such as cafes, parks, pharmacies, physicians' offices, restaurants, transportation options, and hospitals. This ensures that residents have everything they need within reach.
The team at Collington provides 24-hour supervision and assistance with activities of daily living as needed. Ambulatory care is available for those requiring mobility support. Trained staff members assist with bathing, dressing, transfers, medication management, and special dietary restrictions.
Whether residents choose the independence of Independent Living or require specialized Memory Care or Respite Care services temporarily or long-term; Collington Life Care Community offers compassionate care in a supportive and secure environment. With its comprehensive care services, numerous amenities, and engaging activities, Collington is an ideal choice for seniors seeking a fulfilling and comfortable retirement lifestyle.
This part of Bowie, Maryland offers a convenient and accessible location with a variety of amenities nearby. There are several cafes such as Starbucks and Vigilante Coffee, as well as a range of dining options including Jasper's, McDonald's, Golden Corral, and Chick-Fil-A. Medical services are also easily accessible with multiple physicians' offices and pharmacies in the vicinity. The area is well-equipped with parks for outdoor recreation, including Watkins Regional Park and Allen Pond Park. For transportation needs, there are several metro stations within a few miles for easy travel around the city. In terms of healthcare, there are hospitals nearby such as Bowie Health Center-Emergency Medical Care and Riverside Medical District Heights. Additionally, there are places of worship available for spiritual support such as the Christian Community Presbyterian Church and College Park United Methodist Church. Overall, this area provides a combination of convenience, accessibility, and community resources that may be appealing to seniors considering living in Bowie.
Collington Life Care Community offers competitive pricing for its residential options compared to the broader market of Prince George's County and the state of Maryland. For a studio apartment, Collington charges $2,906 monthly, significantly lower than the county's average of $4,428 and the state average of $4,656. The 1-bedroom option at Collington is priced at $3,516, which is quite comparable to Prince George's County's rate of $3,568 but still less than the state's average of $3,904. Conversely, the 2-bedroom accommodations present a different scenario; while Collington's cost of $4,206 exceeds both the county's average of $3,193 and the state's average of $3,497. Overall, Collington's pricing reflects a distinctive value proposition in certain room types while remaining competitive in others within this regional context.
Collington Life Care Community is located at 10450 Lottsford Road, Bowie, MD 20721 in Prince George's County, Maryland
Collington Life Care Community's comprehensive features are designed to support residents with dementia or Alzheimer's disease in a nurturing environment. Assistance with dressing not only promotes dignity but also helps residents maintain a sense of routine, which can alleviate confusion. Medication management ensures that residents receive their prescribed treatments on time, reducing the risk of health complications. Thoughtfully prepared meals cater to nutritional needs and preferences, fostering both physical health and social interaction during mealtimes. Support with activities of daily living enables residents to engage in familiar tasks while receiving the guidance they need, enhancing their independence and confidence. Assistance with bathing promotes hygiene while addressing any safety concerns associated with cognitive decline. Help with transfers ensures mobility and reduces the risk of falls, while 24-hour supervision provides peace of mind for families, ensuring that trained staff is always available to respond to emergencies or provide comfort whenever required. Together, these features create a safe and supportive atmosphere that enhances the quality of life for individuals facing cognitive challenges.
Collington Life Care Community on seniors.fyi includes 5 photos including images showing living room, landscaping, architecture, windows, exterior, fireplace, rug, traditional decor, and more.
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A Thorough Discussion of Medications Potentially Linked to Dementia Risk
Dementia, influenced by aging and certain medications, may be exacerbated by drug classes such as anticholinergics, benzodiazepines, and antipsychotics, which are associated with cognitive impairment. Regular medication reviews by healthcare professionals are crucial for older adults to manage risks and optimize cognitive health.
Why Do Dementia Patients Sleep So Much? Understanding Oversleeping, Stages, and Care Approaches
Dementia often results in disrupted sleep patterns, leading to excessive daytime sleeping due to factors like brain damage affecting circadian rhythms, medication side effects, and lack of structure in daily activities. Caregivers must monitor these changes closely, as oversleeping can increase risks such as malnutrition or dehydration, and provide necessary support and routines to enhance patient engagement and well-being.
The transition from assisted living to skilled nursing care is often prompted by complex medical needs that assisted living cannot meet, with key indicators including frequent health declines, increased falls, severe memory issues, and caregiver burnout. Families should recognize these signs early to discuss options with healthcare providers and prepare for the emotional and logistical aspects of moving to a facility that offers comprehensive medical support.
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8 Key Indicators That Suggest It May Be Time to Transition from Assisted Living to Skilled Nursing Care