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Assisted Living
Home-->Retirement Planner-->Housing-->Assisted Living

WHAT ARE ASSISTED LIVING RESIDENCES?

Assisted living residences are:

  1. housing environments which provide individualized health and personal care assistance in a home-like setting. The level of care available is between that provided in congregate housing (housing with meal service) and a skilled nursing facility. In these settings:
    bullet residents are semi-independent physically or mentally, or frail persons who need frequent assistance;
    bullet services offered include, personal care assistance, health care monitoring, limited health care services and/or the dispensing of medications;
    bullet state licensing and regulation by state social welfare agencies is required.
  2. important because they promote independence by meeting residents' supportive needs while preventing inappropriate institutionalization.
  3. known by various other names. The most common are: personal care homes, sheltered housing, residential care, homes for adults, managed care, catered living, board and care, and domiciliary care.

WHO RESIDES IN ASSISTED LIVING RESIDENCES?

Assisted living housing is often deemed necessary when you have difficulty performing daily tasks and have no one to help you. Some indicators are:

bulletneeding help preparing meals, bathing, dressing, toileting, or taking medication -needing assistance with housekeeping chores or laundry
bulletrequiring some health care assistance or monitoring
bulletneeding transportation to doctors, shopping, and personal business, and
bulletfeeling frequently confused or experiencing memory problems

HOW TO BEGIN

Use this check list to evaluate characteristics you should look for in an assisted living residence:

bulletDoes the residence have a home-like atmosphere?
bulletDoes the residence appear small in size and not feel overwhelming?  
bulletDoes the residence offer personalized health care services?
bulletDoes the staff encourage performing tasks yourself with assistance?  
bulletDo units have a full bathroom and kitchenette?  
bulletIs there an emergency call system?  
bulletAre friends and family close enough to visit and are they encouraged to do so?
bulletWhat kind of health and personal care support is available?  

THE COST AND FINANCIAL ASSISTANCE

Currently most assisted living facilities are privately operated. This means that the costs of care are not usually covered by publicly financed programs. The average fee, which includes meals and personal care assistance, ranges from $1,200 to $2,000 a month. Costs are often keyed to your level of impairment and service need.

In some states, rent or service subsidies are available. However, the typical reimbursement rate provided by Supplemental Security Income (SSI) is often too low to assist those with higher levels of impairment and service needs. Your local social security office and Medicaid Office can determine this.

WHERE TO GET HELP

There are several ways to locate an assisted living facility in your area. Contact these organizations to find out if there are facilities in your area:

Eldercare Locator Service
Directs you to the nearest agency on aging. No charge.
(800) 677-1116

Assisted Living Facilities Association of America
9401 Lee Highway, Suite 402
Fairfax, Virginia 22031
(703) 691-8100

AN EYE TO THE FUTURE:

Four factors are affecting the emergence of assisted living as an important long term care alternative for the mentally and physically frail:

  1. Major increases in long term care costs projected into the next century are staggering;
  2. Demographically, the number of people over the age of 85 is expected to double in the next 20 years, followed by a doubling again in the next thirty years;
  3. Most older people are seeking more appealing alternatives to live out the last years of their life; and
  4. Government agencies are recognizing these trends and are likely to introduce entitlement programs that allow older people to choose an assisted living setting instead of a nursing home.

CONSUMER INFORMATION:

American Association of Retired Persons
Attn: Fulfillment Department
601 E Street, NW
Washington, DC 20049

A Home Away From Home (D12446)
Price: Free

Staying at Home (D14986)
Price: Free

American Association of Homes and Services for the Aging
901 E Street, N.W., Suite 500
Washington, DC 20004-2037

Assisted Living. offering Supportive Care for the Older Adult (brochure)
Price:1 copy free; $15.00/100 copies

Non-Profit Housing and Care Options for Older People (brochure)
Price: 1 copy free; $15.00/100 copies

National Consumer League
815 15th Street, NW, Suite 516
Washington, DC 20005

Primer on Long-Term Care
Price: $4.00

Assisted Living Facilities Association of America
9401 Lee Highway, Suite 402
Fairfax, Virginia 22031

Consumer Guide and National Directory of Assisted Living Residences
Availability: late 1993

The Assisted Living Alternative
A 6-minute video
Price: $20.95

For more information, write to the National Resource and Policy Center on Housing and Long Term Care, USC, Andrus Gerontology Center, Los Angeles, CA 90089-0191.

 

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