Senior Housing Options
Senior Housing Options with Fonda Insley, Sales Director at Atria Campana Del Rio, covering a range of living arrangements from Independent Living to Memory Care. Understand factors determining when to move and differences between Independent, Assisted, and Memory Care living.
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Presentation Transcript
Senior Housing Options Fonda Insley, Sales Director Atria Campana Del Rio
Welcome Agenda: When should I move Independent Living Assisted Living Memory Care Skilled Nursing(Rehabilitation Hospitals)
When should I move? Is coordinating help to maintain the home becoming overwhelming? Is physical safety (from falls, wandering, medication concerns) an issue? Are you or your loved one socially isolated? Do you eat alone? Do you see your friends? Are family and friends expressing concern about living in the home? Is driving becoming problematic? Are your meals of the microwave variety? Is proper nutrition a concern? Are you concerned about forgetting things? Ask yourself: Do I want to move before or during a crisis?
Senior Living Independent Living: Supportive living community that typically includes: dining, housekeeping, maintenance, activities, transportation, exercise. Assisted Living: Supportive living community that includes all of the above, but adds hands-on care with things such as: bathing, dressing, escorting, showering, grooming, toileting, and medication management. Memory Care: Supportive living community that includes all of the above, usually in a secure environment, with staff trained to assist with cueing, redirecting, and supporting the needs of residents with varying levels of dementia or Alzheimer s Disease.
Independent Living No State licensing requirement Can be a converted apartment complex to a purpose-built community Services vary: Housekeeping may be every week, every other week, every month, etc. Meals may be one per day, two per day, 15 per month, etc. Transportation may or may not be included. If it is, transportation services are usually restricted to a certain radius from the community. Utilities, except for phone and internet (and maybe cable) are included Quality and programming of activities varies widely from community to community There is typically no medical oversight.
Assisted Living The AZ State Department of Health Services has established rules and regulations that assisted living communities must follow. The State surveys facilities every year. Results are posted online. Services provided by any assisted living facility will vary widely. Services can be provided in any space licensed by the State. Current rules do not require a nurse to be on site. The presence of nurses will vary from a nurse who simply reviews the program to nurses who work directly with residents. Some communities offering nursing availability 24/7 (this practice is becoming rare). All caregivers must hold certification. Communities may or may not require background checks, fingerprint cards,
Memory Care / Alzheimers / Dementia To confuse people companies have branded/named Memory Care differently. Offer specially trained Caregivers and staff to meet the unique needs of the residents. Normally more staff per resident than Assisted Living. Typically secured environment. Licensed the same as Assisted Living. Programming is unique to each company/community
Skilled Nursing / Rehabilitation Hospital Normally requires a 3 night Hospitalization prior to admitting to Skilled Nursing. Paid by Medicare or ALTCCS. Limited number of days. Usually short term . Can move into Assisted Living from Hospitals .
Financial Considerations Rental Model or Buy In? Community Fee Annual increases Long Term Care Insurance/private pay/ALTCCCS/VA Aid and Attendance Assisted living packages vary from a la carte services, where each service has a price tag; to levels of care in which services are grouped together; to point systems. Apples to oranges. Medications are never included in pricing, but medication management options are available Add-ons are always available additional meals, laundry, room service, alcoholic drinks
Models of Care Facility vs. Small Adult Care Home Integrated vs. Segregated (and how do I move from Independent Living to Assisted Living?) What is a CCRC? Rules and Regulations vary drastically from state to state.
How to make an educated selection Tour, tour, tour. Dine, dine, dine. Review deficiencies on State website. Should I use a referral agent? What are the out-clauses? What are the notice periods? Five senses . How does the building smell? How do residents who live there look? Dressed? Bed head? Happy? Engaged? Were you introduced to any residents and/or staff? Ask yourself, is this a place where I could feel at home?
Valuable Resources www.atriaseniorliving.com (Atria website) http://hsapps.azdhs.gov/ls/sod/SearchProv.aspx?type=AL (AZ Department of Health Services Care Check) https://www.pcoa.org/ (Pima Council on Aging) http://www.benefits.va.gov/pension/aid_attendance_housebound.asp (VA Aid and Attendance) http://www.jacksonwhitelaw.com/altcs-planning/ (Jackson White Law) http://www.alz.org/10-signs-symptoms-alzheimers-dementia.asp (Alzheimer s Association, Know the 10 Signs)