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Senior Housing Options

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They are smart, happy and caring. They have matched me better than any other agency.

– Virginia B.

There are many housing options available for seniors. One of the most significant decisions an individual can make is to move from their home into a facility that provides more support and services.  It can be an even more difficult decision for an aging family member who has lived in the same home for many years. 

Before deciding, consider the following issues:

  • Stability of the old and new neighborhood.
  • Proximity to children or grandchildren.
  • New facility’s compatibility to senior’s needs and/or abilities.
  • Stairs and other accessibility issues.
  • Cost to maintain old home versus cost of living in new facility.
  • Availability and accessibility of transportation and medical care.
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They seem to be on top of everything. I'm new at this, and they've been more than supportive in the various questions that I've had.

– Stephen R.

Your Family is Our Family

No family should experience the stresses of aging without the needed information to make the best decision. Our Certified Senior Advisors® is dedicated to providing compassion, dedication, professionalism, and advice to give the reassurance we all need when helping our loved ones.   

Contact us today to start the conversation on how our core values and philosophy of care can help you and your family.

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They make my life easier in every way. They allow me to live. I'm being taken care of now, and life is more positive and light. I didn't want to live very much, and now I have a reason to live.

– Steve G.

 

Types of Senior Housing

ECHO Housing

Elder Cottage Housing Opportunities (ECHO) refers to accessory units and mother-in-law flats that allow a person to share a single-family home with another person or family.  These flats are designed using universal design criteria that make them suitable for those with disabilities or age-related challenges.  These pre-fabricated units can be added to or removed from an existing structure as needs change.

Active Adult Communities

These are age-restricted housing developments created for seniors who enjoy participating in a variety of physical and social activities.  This type of community attracts people who want to own their own homes in an environment that offers many amenities for seniors.

Independent Community Living

These are typically apartments that only accept people over a certain age – usually 55. The apartments are found in many communities.  Some are under federal housing guidelines and will only accept low-income seniors, but most are privately owned and operate much like any apartment complex. A growing trend in these apartment complexes is to provide services that typically are not found in apartment buildings – like an on-site activities program, van services, and meals in a communal dining room.

Continuing Care Retirement Communities (CCRC)

These are communities where a continuum of care levels is offered (also known as Lifecare Communities).  They are designed to provide active seniors an independent lifestyle while enjoying the privacy of their own home.  Coordinated social activities, dining, and healthcare are provided as needed.

Some communities may require the purchase of Long Term Care Insurance as criteria for acceptance.  Typically the insurance premiums are built into the purchase price and monthly fees.  Additional fees may provide for:  meals, scheduled transportation, housekeeping, unit maintenance, linen and personal laundry, health monitoring services, utilities, coordinated social activities, emergency call monitoring, and around-the-clock security. 

Many of these types of communities require an entrance fee that may or may not be refundable, and this fee may be substantial in some cases.  Therefore, it is imperative that the financial stability of the facility be thoroughly investigated.  Although these facilities may be able to help one “age in place”, inquire as to where a resident would be relocated if the nursing center became full or unavailable.  Many reputable CCRC’s contracts with rehabilitation centers in the event they are not able to keep the resident on site.

Types of Contracts:
  1. Extensive Agreement:  Provides residents with lifetime healthcare without an increase in the monthly fee when care is provided.
  2. Modified Agreement: Offers access to health care at discounted rates that are lower than fee-for-service.
  3. Fee-For-Service Agreement: Residents may initially pay a lower monthly service fee and are responsible for all costs of additional healthcare.

Assisted Living

These facilities provide professionally managed personal and health care services in a residential environment.  Assisted living facilities are appropriate for individuals who may no longer be safe living in their own homes, but do not need the level of service provided in a nursing home.  The older adults who live in these facilities are often dealing with physical and functional disabilities.  Some assisted living facilities may offer a secure unit that provides services for people who have Alzheimer’s disease or other dementias.  These facilities are generally private pay (meaning that neither Medicare nor Medicaid cover the costs).  They generally provide non-medical care, and do not provide 24-hour medical supervision or nursing care.  Some facilities may offer respite care to give a break for at-home caregivers.  Respite care can also be an excellent way to introduce a senior to the assisted living environment.

It is important to compare fees and services.  An all-inclusive fee may seem expensive, but when the costs of additional services in a fee-for-service arrangement are added up, an all-inclusive agreement may be a lower-cost option.

Nursing Care Facilities

These facilities provide care for individuals who need on-going medical care but do not need to be hospitalized.  The care is directed by a physician and is administered by nursing or other related professionals.  These facilities provide 24-hour medical supervision and offer rehabilitation, sub-acute, respite, and other short term needs.

In order for Medicare to pay for nursing home costs, a patient needs to have stayed at least three days in a hospital and have a condition that is improving.  Medicare will pay for most skilled nursing care costs for up to 100 days (see Medicare chapter for details).  Other sources of funding for nursing home costs include individual health insurance, Medicaid, Long Term Care Insurance, and personal funds.  The social worker and nursing home administrator can help determine what is covered, by whom, and for how long.  When looking for a nursing home, tour several facilities, and inquire about their specific costs.

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Personal Care
  • Bathing
  • Dressing
  • Assisting with ambulation
  • Assistance with daily grooming and hygiene
  • Assist with toileting needs
  • Assist with transfers to a wheelchair or into an automobile
  • Medication reminders.
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Homemaking
  • Light housekeeping
  • Meal prep
  • Shopping & errands
  • Vacuuming
  • Mopping
  • Sweeping
  • Taking out the trash
  • Washing dishes
  • Removing spoiled food from the refrigerator
  • Laundry
  • Ironing
  • Dusting
  • Organizing tasks
  • Removing clutter
  • Keeping bathrooms sanitary and clean
  • Changing bed linens
  • And many more tasks
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