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Assisted Living and Nursing Homes

Many adult children, especially those who are long-distance caregivers, fear that their aging parents may have to move to an assisted living or a nursing home because they are unable to provide care themselves. There are assisted living facilities that offer care (i.e., giving medication and helping with bathing or dressing) for seniors who can no longer live alone, but do not need 24-hour nursing home care. Residents usually have their own private apartment, with access to on-site staff and common areas for socializing. A reputable assisted living community strives to make residents feel at home with amenities, comfort, privacy, and social activities with assistance that is tailored to each resident's needs.

Assisted living facilities are owned and operated by both for-profit and nonprofit organizations and can range in cost from $800-$4,000 a month or more, depending on where you live. Fees may be inclusive or there may be additional charges for special services. Costs are generally lower than for home health services or nursing home care.

"Some facilities charge a one-time entrance fee and have additional fees for items such as having meals delivered, for dementia care, or for extra transportation services," a study by MetLife Mature Market Institute reveals. "While an increasing number of state Medicaid waiver programs are providing coverage for assisted living facilities for low-income individuals who qualify, most residents pay privately or through a long-term care insurance policy," according to the report.

"Close to 90 percent of it is private pay the study continues, which means seniors pay out of pocket with private funds, usually when Medicaid is not an accepted form of payment for senior housing expenses."

A nursing home, also known as a skilled nursing facility (SNF), or skilled nursing unit (SNU), is a facility for those in need of constant nursing care. Elderly people go to a nursing home when they can no longer perform many of the activities of daily living and need extensive assistance. Such facilities often provide ongoing assistance for aging residents and may also offer rehabilitative services-especially regarding accidents and reversible illness.

It is helpful to get credible, local references in planning a major life change of moving to an assisted living or nursing home facility. A CSA Family Care Manager can help you and your parents identify their particular needs and find credible local resources.




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