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WHAT IS ASSISTED LIVING?

Assisted living facilities are for people needing assistance with Activities of Daily Living (ADLs) but wishing to live as independently as possible for as long as possible. Assisted living exists to bridge the gap between independent living and nursing homes. Residents in assisted living centers are not able to live by themselves but do not require constant care either. Assisted living facilities offer help with ADLs such as eating, bathing, dressing, laundry, housekeeping, and assistance with medications.

Assisted living facilities offer a housing alternatives for older adults who may need help with dressing, bathing, eating, and toileting, but do not require the intensive medical and nursing care provided in nursing homes.

Assisted living facilities may be part of a retirement community, nursing home, senior housing complex, or may stand-alone. Licensing requirements for assisted living facilities vary by state

Many facilities also have centers for medical care; however, the care offered may not be as intensive or available to residents as the care offered at a nursing home. Assisted living is not an alternative to a nursing home, but an intermediate level of long-term care appropriate for many seniors.

Most assisted living facilities create a service plan for each individual resident upon admission. The service plan details the personalized services required by the resident and guaranteed by the facility. The plan is updated regularly to assure that the resident receives the appropriate care as his or her condition changes.

The term used for assisted living facilities differs across the country. Other common terms for these facilities include:

· Residential care
· Personal care
· Adult congregate living care
· Board and care
· Domiciliary care
· Adult living facilities
· Supported care
· Enhanced care
· Community based retirement facilities
· Adult foster care
· Adult homes
· Sheltered housing
· Retirement residences

Assisted living is the generic term used across the country. To find out what the terms are used in your area for assisted living, click your state on the left.

WHAT IS THE COST FOR ASSISTED LIVING?
Although assisted living costs less than nursing home care, it is still fairly expensive. Depending on the kind of assisted living facility and type of services an older person chooses, the price costs can range from less than $10,000 a year to more than $50,000 a year. Across the U.S., monthly rates average $1,800 per month.

Because there can be extra fees for additional services, it is very important for older persons to find out what is included in the basic rate and how much other services will cost.

Primarily, older persons or their families pay the cost of assisted living. Some health and long term care insurance policies may cover some of the costs associated with assisted living. In addition, some residences have their own financial assistance programs.

The federal Medicare program does not cover the costs of assisted living facilities or the care they provide. In some states, Medicaid may pay for the service component of assisted living. Medicaid is the joint federal and state program that helps older people and those with disabilities pay for health care when they are not able to afford the expenses themselves.

AGING IN PLACE

Not moving, or successfully(or Staying at Home) takes a lot of planning.

Reasons to move are varied and sometimes hard to identify:

·The neighborhood has deteriorated and safety is a concern.

·To be near children (70% of those 65+ live within 1 hour of a child).

·To match home's facilities to senior's faculties.

·Avoid stairs in a home.

·Home is too large or costly to maintain.

·Home may not meet present needs, physical or otherwise.

·Assets are tied up in the home and cash is needed.

·Don't drive and available transportation is not adequate.

·Retired and looking for new lifestyle.

Active seniors, seen as move-down buyers may be moving down, not in size, but in their home maintenance. Since 1960 the trend has been to move from cities to rural or suburban settings with warmer climate and recreational opportunities (Fuguitt and Beale, 11/93, Journal of Gerontology).

Recently we see more active senior communities, apartments and complexes for the elderly, offering medical care components, "infilling" in older neighborhoods. Opportunities to move to nearby metro or suburban located senior communities offers the chance to right-size lifestyle without giving up proximity to friends and the familiar.

As seniors remain in their homes until they are in their late 70's or 80's, when they do relocate, they want to stay close to their home of many years. Long distance moves occur when seniors want to be

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closer to adult children, siblings, or other close relatives, or go back to where they grew up or once lived.

Relocating seniors find satisfaction in their new location if they have common interests with other residents or neighbors and can have friendly, helpful people around them.

Types Of Assisted Living

As varied as the state licensing and definitions are, so are the types of physical layouts of buildings that provide assisted living services. ALFs can be anywhere from a small residential house for 3 residents up to very large facilities providing services to hundreds of residents.

People who live in newer model assisted living facilities usually have their own private apartment. There is usually no special medical monitoring equipment, nor 24-hour nursing staff, that you would find in a nursing home. However, trained staff are usually on-site around the clock to provide other needed services. Where provided, private apartments generally are self contained; i.e. they have their own small kitchen, bathroom, living area, and bedroom.

Alternatively, individual living spaces may resemble a dormitory or hotel room consisting of a private or semi-private sleeping area and a shared bathroom. There are usually common areas for socializing, as well as a central kitchen and dining room for preparing and eating meals.

Typical Assisted Living Resident

Statistically, an assisted living resident needs assistance with an average of three ADLs.

A typical assisted living facility resident would be a woman in her mid to late 80's who does not need the intensive care of a nursing home but prefers more companionship and needs some assistance in day to day living.

Someone who lives at an assisted living facility would not have to be concerned with having to prepare meals every day because there is a central kitchen and dining facility that they can take advantage of. The central dining facility also allows for visiting with others without having to leave home. This greatly reduces the isolation that elderly,

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