Assisted Living: Making the Choice That Fits Your Needs
Assisted living caters to individuals requiring assistance with daily activities, falling short of the extensive care provided in nursing homes. These facilities vary in size, accommodating anywhere from 25 to over 100 residents. Typically, various levels of care are available, with additional services incurring extra charges.
Residents of assisted living typically reside in their own living quarters while sharing communal spaces. They benefit from numerous amenities, including up to three daily meals, aid with personal care, medication management, housekeeping, and laundry services. Moreover, they receive 24-hour supervision, security, and on-site staff support, along with access to social and recreational activities. Some assisted living communities are part of larger entities offering additional care levels, such as independent living and skilled nursing care. Specific arrangements differ by facility and state regulations.
The majority of individuals cover the expenses of assisted living independently, with this option generally costing more than independent living but less than nursing home care. Medicare does not cover assisted living expenses, although Medicaid may offer coverage for certain aspects, depending on eligibility and state regulations. Additionally, some long-term care insurance policies partially cover this form of care.
What are Continuing Care Retirement Communities (CCRCs)?
CCRCs, also known as life care communities, provide a spectrum of services within one locale. These communities often feature independent housing, such as houses or apartments, alongside assisted living and skilled nursing care facilities, all situated on a single campus. Health care services and recreational programs are typically included as well.
Within a CCRC, the level of care received is determined by individual needs. Residents who can no longer live independently may transition to the assisted living facility or receive home care within their independent living unit. Alternatively, they may access the CCRC's nursing home if necessary.
Most CCRCs impose a one-time entrance fee, which can be considerable, along with subsequent monthly fees. Residents are primarily responsible for covering these expenses, although Medicare, Medicaid, and long-term care insurance may offer partial coverage, depending on the level of care provided.
Resources for Identifying Long-Term Care Facilities
For those seeking information on long-term residential care options, several resources can provide guidance:
Utilize the Eldercare Locator or call 800-677-1116 for assistance in locating care services within your vicinity.
Visit LongTermCare.gov to explore housing options for older adults and access local services.
Contact your local Area Agency on Aging, local and state offices on aging or social services, or tribal organization.
Employ Medicare's Care Compare tool to identify and compare nursing homes and healthcare facilities in your state or territory.
Assess the quality of nursing homes and healthcare facilities using the Joint Commission's Quality Check tool.
Transitioning to a Long-Term Care Facility
The process of relocating an older adult to an assisted living facility, group home, or nursing home can be challenging and represents a significant change for both the individual and their caregivers. Adjustments may take time for all involved. Consider the following suggestions to facilitate the transition:
Familiarize yourself with the facility's staff before the move, discussing strategies for a seamless transition.
Advocate for the needs and preferences of the older adult throughout the process.
Offer support and listen attentively to any concerns expressed, refraining from engaging in arguments about the necessity of the move.
Seek support from a social worker or mental health professional to address a range of emotions that may arise, from feelings of loss and guilt to relief.
Following the individual's relocation, maintain regular communication to gauge their adjustment and ensure their needs are being met. Establish a rapport with the facility's staff to collaborate effectively as partners.