WHAT IS ASSISTED LIVING?
Assisted living facilities offer a housing alternatives for older adults who
may need help with dressing, bathing, eating, and toileting, but do not require
the intensive medical and nursing care provided in nursing homes.
Assisted living facilities may be part of a retirement
community, nursing home, senior housing complex, or
may stand-alone. Licensing requirements for assisted
living facilities vary by state and can be known by
as many as 26 different names including: residential
care, board and care, congregate care, and personal
care.
WHAT SERVICES ARE PROVIDED?
Residents of assisted living facilities usually have their own units or apartment.
In addition to having a support staff and providing meals, most assisted
living facilities also offer at least some of the following services:
- Health care management and monitoring
- Help with
activities of daily living such as bathing, dressing,
and eating
- Housekeeping and laundry
- Medication reminders and/or
help with medications
- Recreational activities
- Security
- Transportation
HOW TO CHOOSE A FACILITY?
A good match between a facility and a resident’s needs depends as much
on the philosophy and services of the assisted living facility as it does on
the quality of care.
The following suggestions can help you get started in your search for a safe,
comfortable and appropriate assisted living facility:
- Think ahead. What will the resident's future needs
be and how will the facility meet those needs?
- Is
the facility close to family and friends? Are there
any shopping
centers or other businesses nearby (within walking distance)?
- Do admission
and retention policies exclude people with severe
cognitive impairments or severe physical disabilities?
- Does the facility provide a written statement
of the philosophy of care?
- Visit each facility more
than once, sometimes unannounced.
- Visit at meal times,
sample the food, and observe the quality of mealtime
and the service.
- Observe interactions among residents and staff.
- Check to see if the facility offers social, recreational,
and spiritual activities?
- Talk to residents.
- Learn what types of training
staff receive and how frequently they receive training.
- Review state licensing reports.
The following steps should also be considered:
- Contact your state’s long-term care
ombudsman to see if any complaints have recently
been filed against the assisted living facility you
are
interested in. In many states, the ombudsman checks
on conditions at assisted living units as well as
nursing homes.
- Contact the local Better Business
Bureau to see if that agency has received any complaints
about the assisted living facility.
- If the assisted
living facility is connected to a nursing home,
ask for information about it, too. (Information on
nursing homes can be found on
the Medicare website at http://www.medicare.gov/nhcompare/home.asp).
WHAT IS THE COST FOR ASSISTED LIVING?
Although assisted living costs less than nursing home care, it is still fairly
expensive. Depending on the kind of assisted living facility and type of services
an older person chooses, the price costs can range from less than $10,000 a
year to more than $50,000 a year. Across the U.S., monthly rates average $1,800
per month.
Because there can be extra fees for additional services,
it is very important for older persons to find out
what is included in the basic rate and how much other
services will cost.
Primarily, older persons or their families pay the
cost of assisted living. Some health and long term
care insurance policies may cover some of the costs
associated with assisted living. In addition, some
residences have their own financial assistance programs.
The federal Medicare program does not cover the costs
of assisted living facilities or the care they provide.
In some states, Medicaid may pay for the service component
of assisted living. Medicaid is the joint federal and
state program that helps older people and those with
disabilities pay for health care when they are not
able to afford the expenses themselves. Additional
information on financing can be obtained from the resources
listed below
WHERE CAN I LEARN MORE ABOUT ASSISTED LIVING?
Older persons who want to find out more about the assisted living option can
start by contacting their local area agency on aging (AAA). Contact the U.S.
Administration on Aging’s Eldercare Locator at 1-800-677-1116 or visit
www.eldercare.gov to find the AAA office closest to you.
Here are other places you can check for more specific
information about assisted living
Assisted Living Federation of America
11200 Waples Mill Road, Suite 150
Fairfax, VA 22030
(703) 691-8100
www.alfa.org or
email info@alfa.org
Consumer Consortium on Assisted Living
2342 Oak St.
Falls Church, VA 22046
(703) 533-8121
http://www.ccal.org
National Center for Assisted Living
201 L St., NW
Washington, DC 20005
(202) 842-4444
http://www.ncal.org/consumer/index.cfm
American Association of Homes and Services for the
Aging
2519 Connecticut Ave., NW
Washington, DC 20008-1520
(202) 783-2242
http://www.aahsa.org
The American Seniors Housing Association
5100 Wisconsin Ave., NW
Suite 307
Washington, DC 20016
(202) 237-0900
http://www.seniorshousing.org
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