The purpose of this study was to determine the problems associated with depressionng nursing and assisted living facility residents through a thorough review of literature. The ective of this study was to gain a better understanding of how depression affects older U.S. is in institutionalized settings.The design used to study the problem was an in-depth literature review. This design was o locate information from three sources; 1) peer-reviewed journals, and 2) governmental private agencies' publications from the Internet.The results of the study indicate six concluding points to the study. The first, residents in nursing and assisted living settings are under diagnosed when it comes to depression. ond, antidepressants are the most common form of treatment for depression. Third, more es than males have the diagnosis of depression in either setting. Fourth, employees at ursing and assisted living facilities need more training on how to identify the signs and mptoms of depression and to relay these findings to the appropriate personnel. Fifth, hysicians also need more training to treat and diagnose depression in the elderly and the final ncluding point is that there is no uniformly used depression scale geared to assess the level of pression in the older adults living in nursing and assisted living facilities.