Assisted Living (8 Things You Probably Don’t Know,but Should)

Assisted Living; eight things you don’t know. We’re going to talk about an article I saw today from a home APlaceForMom.com. Actually, a pretty informative article and I think you need to be informed of Assisted Living. Because remember long-term care is, I don’t want to say pet peeve of mine, but there’s a lot of misconceptions about long term care. And I have done a written several articles on continuing care retirement communities.

I’ll continue to do them so, I think is important, but the basis of long-term care is that you have independent living; you’re just doing fine on your own, you have assisted living, and then you have full skilled nursing care.

Those are three components right there. Some might put a fourth like hospice or something like that, & that’s fine, but for right now independent living, assisted living and then nursing home. And the issue is, a lot of people think that you make a transition from Independent Living to nursing home without realizing that there is something in the middle called assisted living and I want go into this a little bit, and I hope you find my experience and insights helpful.

I’m meeting with a good friend of mine today for lunch, and she’s just went through all this with her own mom, and has told me that she’s learnt a lot. She’s a CPA a Certified Financial Planner, the whole kit caboodle with financial planning background. But the issue is that she doesn’t know, a lot of people don’t know, and when we put our heads together we can learn especially when it comes to what you do for your parents, and particularly or if you are someone who’s looking at potentially needing these kinds of cares for yourself, what do you do? And that’s the one of the answers were going to talk about here today.

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A Place for Mom; I do think that’s one of Joan Lunden, remember Joan Lunden the short blonde hair lady? She was on some kind of show, she’s the spokeswoman for I think it might be A Place for Mom actually, name is Joan Lunden, I can’t remember. Anyway, so they have a blog called Senior Living blog which is pretty good. And we’re going to talk about this.

If you’re just beginning your search for assisted living community to care for an aging loved one, now I’m coming at this today from the context of you have a mom or dad that you need to take care of but you don’t have the capacity to do so because you’re raising your own family; what do you do? And so, you’re looking at they’re no longer independent, all right, they can’t take care of everything on their own.

They need assistance in their living. It’s easy to assume that an assisted living community is the new nursing home or retirementhome.However, senior care professionals and senior living designers have worked over the past 30 years to revolutionize communities to make them truly feel like home.

According to National Investment Center’s Investment Guide, there are over six thousand three hundred professionally managed assisted living communities in the US with approximately almost 500,000 apartments. Now, when you look at Continuing Care Retirement Communities (CCRCs), there’s only 1900 of those, and I’m not sure if those 1,900 falls in here or not; I do not know. But there’s only like 25 thousand people, maybe 29 thousand people in CCRCs.

So, Assisted Living Facilities dominate CCRCs without question and the reason is that CCRCs is Continuing Care Retirement Communities have to have a certain level of wealth. There’s just no other way around that. With assisted living is more attainable for most Americans.

Alright, so we spoke with a few of our caring staff members at A Place for Mom who have knowledge of assisted living communities across North America, and they provide us with some great insight.

  1. Assisted Living provides different levels of care:

    One of the things you do not know assisted living provides different levels of care, absolutely. Because there’s no nationwide definition for assisted living though it is regulated in all 50 states, senior facilities that call themselves assisted living facility communities can offer differing levels of care.

It is helpful to understand that is regulated by the state and each facility can offer different levels of care, and still be considered assisted. They offer more cost-effective, residential approach to delivering many of the same services available in skilled nursing, either by employing home health agencies or personal care staff. A Place for Mom advisor in Chicago, says not all assisted living communities are equal. Some provide lighter care, and some care can even provide care for those who are bedridden or need help eating while remaining in assisted living as opposed to nursing home. So, we made a distinction between assisted living and nursing home.

So, what this guy, Dovid Grossman is saying, some, they can provide you for bedridden which is skilled nursing care, but others can just help you for small potato stuff that you wouldn’t get in a nursing home because nursing home we really need skilled care 24/7. It often depends on the community’s licensing. Many states have a tiered system of licensing where communities with a higher degree of Licensing are able to provide even more care.

  • Each Community is Unique:

    Care aside, the look and feel of communities varies as well. I’m telling you, it does from apartment buildings to just like a house down the street is crazy. You can look up “assisted living near me” google that; and you’ll see something that looks like a residential home. Basically that is what is is, it’s actually just a housing neighborhood. They have four or five people in there with care providers that come in on shifts. You know eight-hour shifts, it’s interesting. Some communities may have modern art décor while others are firmly grounded in mid-century modern design.

Assisted living communities come into all shapes and sizes, they can be towering apartments in city centers, sprawling complexes in the suburbs, or more intimate colleges or communities catering to a relatively small number of residents. There’s no nationwide standard size but according to our own definition, assisted living communities are licensed to care for at least twenty people but can have hundreds of residents living in residential communities.

This person says. every Assisted Living community has a different personality you can visit two communities down the street from one another that offer the same care and services but they have completely different feel and they might be very different in terms of the services they provide. So just because your loved one doesn’t like one community doesn’t mean they won’t get a great vibe at another one.

  • Accommodates Pets: I’m not going to read this but maybe you could get your dog going there as well.
  • Some Assisted Living Costs are Lower Than You Think: Says the living is often less expensive than home health or nursing home care in the same geographic area. The A Place for Mom Senior Care Calculator can help determine the cost of assisted living in your city and state. I’m going to jump on that at the different episodes and, it can compare it to the cost of maintaining a home or employing the full-time home care aide.

Now, you’ve always got to be advised just like the CCRC’s do. The CCRCs, they’re going to provide you certainly with a geared towards showing you that assisted living communities are affordable relative to the other options because that’s what these guys do. CCRCs are going to provide you with a calculator that CCRC is not expensive as you think, because that’s what they do just take with a grain of salt. That’s not saying that’s not right, it just is what it is what it is.

Additionally, more seniors are purchasing long-term care insurance to help finance their long-term care needs. They talk about VA benefits and whatnot. A Place for Moms; those with low income may need to use

Medicaid to provide to pay for senior care. Medicaid is not Medicare. Medicaid is health care for the indigent, the poor. I’m just telling you I know there’s a lot of people doing Medicaid planning, you just got to be very, very careful in doing that. The states; they’re one of the biggest budget gaps they have is funding of Medicaid, and so if you think you’re going to just easily hide your assets to qualify for Medicaid you have another thing coming because these states are going broke because their Medicaid commitments.

I always use this example; ten years ago, West Virginia passed a law but they can claw back assets after ten years that they can find out that you were able to do shielded or hid some of your assets and fun went on Medicaid by the state, ten years. And they’re going to get those suckers too so you better be careful. I’m never a big fan of Medicaid planning, I think if you got the assets you should pay for it for sure.

I don’t understand it, because there are people who don’t have the assets who can’t afford it, and they need it too; and so, if you have the assets you should pay. It is a moral thing on my perspective, you could disagree that’s fine, I just don’t get this whole idea of Medicaid planning, hiding assets that I could use to pay for my care when there are indigent people in America don’t have the assets to hide, and every dollar that is going towards you is going away from them, and that just doesn’t feel good to me.

  • The Type of Care is “Assisted Living” is Not Synonymous With Nursing Homes: One hundred percent agree with that, remember, Independent living, assisted living, nursing homes. Our research suggests that many families believe they need nursing homes for their ailing older loved one when in fact assisted living is the most appropriate option.

An assessment by an advisor or medical professional the best way to determine the care type needed, but some general distinctions can be drawn between the two. Assisted living residents are mainly independent but may need help with a couple of the daily living personal tasks such as bathing and dressing, while nursing home residents tend to need 24-hour assistance with every activity of daily living.

So, there’s something called activity of daily living, and there’s six topics I automatically can’t remember, but just basically a skilled nursing home you need help with all six is bathing, toileting, dressing, eating, something like that, trans, move yourself, I forgot the whole six, but assisted living says you just might need help with two; bathing and dressing for instance. Alright, so you got to understand, skilled nursing care you need help with all six of the activities of daily living (ADL), whereas assisted living you just need help with a couple. Does that help categorize this in your mind?

Assisted living residents are mobile while those who are bedridden require nursing homes yep. Nursing home residents generally have a single or semi-private room while. assisted living residents generally have a studio or one-bedroom apartment. Nursing home residents require fully staffed skilled nursing attention daily basis, while assisted living residents are more stable and do not need ongoing medical attention, which is why this assisted living is going to be cheaper because there’s not 24/7 requirements to be provided for. It’s just not.

  • There Are Culturally Diverse Options: So, the culture diverse, you can look if you want a golf community, if you want LGBT you do whatever you want so, I’m just not going to talk about that. There’s million different ways to look at the community you want to be a part of.
  • Specialized Dementia Care is Also Offered in Assisted Living: This is pretty interesting. Specialized dementia care is not synonymous with me with assisted living that’s actually synonymous with nursing care. Latest facts and figures show that 5.4 million Americans with Alzheimer’s and dementia required specialized treatment.

Many assisted living facilities offer dedicated Alzheimer’s memory care (that’s the word I looking for before), so you got independent, you got assisted living, nursing home and then memory care for residents which are designed to decrease agitation and improve their quality of life.

Generally, residents with early stage Alzheimer’s or dementia can live among the regular population of assisted living residents, but when the condition becomes advanced residents are then transferred to the memory care area of the assisted living community.

Memory care is considered to be specialized assisted living that secure to protect residents and also have staff specifically trained to deal with those diseases. That’s important actually, in the beginning stages of Alzheimer’s dementia is fine to be thrown in there the general population, but is that’s people who get it just moves down the path of getting worse and worse they have to be separated.

It sounds bad but you have to be because those people literally don’t know who they are, and that’s sad but scary too because they can do things to hurt other people without even knowing and you just can’t have that.

  • Some Communities Will Work Together to Place Couples Together: So, that’s good. Are you worried that one of your parents may need more assistance than the other but not sure how their needs will be met and assisted living community? You want to contact the communities to see if they can care for both your folks.

    Resources space that your parents will need consider what individual for share needs they have and plan for future health changes. I think it’s actually pretty important so if you’re researching assisted living for your mom and dad, you want to make sure that they can maybe age together.

    Aging in place, age together, you don’t have one over in Roswell Georgia another one Johns Creek you’d be bouncing back and forth that’s not good. The earlier you can think through this situation the better.

So, it’s pretty good article actually; the 8 things you did not know about assisted living and a bunch of comments on here. So, I’m going to share this to the notes here and then we’re going to do a lot more assisted living. Actually, I’m going to meet this lady for lunch today I’d like to hear her story about what she did with her mom and, it’s just something you need to be looking for.

Not just if you’re retired, you got to be thinking about your parents who are older as well. I was just talking to guy today, he brought his mother-in-law from India, and just because again she’s all alone, her husband died and you know there’s no one there to care for her.

And this happened all the time and so this guy’s four generations lived in his house, I mean, wonderful man and wonderful wife. He and his wife to do that, but there you go that’s the new era of retirement now.

Four generations are deep, because people are not dying at 65 like they did before, but they’re living. In fact, he tells me his mother-in-law’s this fit as an ox if that right. I don’t know, or whatever, fit is rabbit. I don’t know what to say, something’s fit; she’s not dying anytime soon was his point.

And that’s what we’re seeing more and more is that people are living longer and sometimes their brains are fading in this case a woman his mother-in-law’s fine by but 15-20 years is what she’s looking at for her life expectancy from here on, and she doesn’t want to sit in India all by herself while her kids are all over the world.

So, yeah that’s just for this one case, but it’s happening internally in the U.S. too. You know I’ve got my mom in West Virginia mom I’m sitting here in Atlanta, how do I care for her? We get that a lot.

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