powerpoint for adult living solutions

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Rod Holst
541-685-1533
[email protected]

Your Independent and Assisted Living
Referral Placement Specialistsadultlivingsolutions.com

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FREE REFERRALS

adultlivingsolutionseugene.pngActive Retirement

Assisted Living

Residential Care

Alzheimers & Memory Care

Adult Foster Homes

Skilled Nursing Homes

I can save a person a lot of time and frustration by recommending and taking them to the communities that best meet their needs availability.

There is no charge to clients or families for my services.

REFERRAL PLACEMENT PROCESS

Meet and Gather Information

Search for Best Communities

Visit Selected Communities

Move In

Follow Up

I only work with people who are private pay and not on state paid Medicaid.

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RESIDENTS BILL OF RIGHTS

All facilities are licensed by the state.

Care communities and homes are
inspected on a regular basis by the state.

Skilled nursing homes are also inspected
by the federal government.

Caregivers must respect your privacy,
dignity, independence and your right to
make choices.

Each facility must post the Residents Bill of Rights in the home and discuss those rights with each resident at the time of admission.

RETIREMENT COMMUNITIES

retirementcommunity.pngPrivate Apartments (up to 3 bedroom)

Usually unfurnished

Kitchen and bath

Designed for those who are totally or nearly independent

Live in a community with other seniors

Secure

Amenities Include:

Organized social programs

1, 2, or 3 meals per day

Weekly housekeeping & linen laundry

Transportation

Recreational activities

Barber, beautician, social services

Access to health and shopping facilities

Disadvantages:

They usually do not provide nursing care services

Average Cost: $1100 to $4300 per month

Studio $1600, 1 Bdrm $2200, 2 Bdrm $2700, 2nd person $500

ALL ASSISTED CARE COMMUNITIES PROVIDE

Medication management (under lock & key)

3 meals a day

Weekly housekeeping and linen service

Laundry (most Assisted Living facilities charge
for personal laundry)

Activities

Transportation
(most facilities, some foster homes)

Assist with activities of daily living (ADL's)

Some charge for extra care using a point system based on
the kind of extra care, others use a combination of
points and level of services method.

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ALS-ElderlyCouple-framed.pngACTIVITIES OF DAILY LIVING (ADLs)

Eating/Nutrition: The ability to eat with or without
special equipment.

Dressing: The ability to dress and undress and to comb
one's hair, file nails, etc.

Personal Hygiene: The ability to bathe, wash hair,
shave, care for teeth.

Toileting: The ability to get to and from toilet, to
clean afterward and adjust clothing.

Mobility: The ability to get around, both inside and outside, using item like canes, walkers and
wheelchairs if necessary; ability to transfer from bed or wheelchair.

Behavior management: The ability to understand one's needs in areas such as health and safety.
Confusion, disorientation, forgetfulness or wandering may be related
to a behavior management need.

ASSISTED LIVING COMMUNITIES

Typical resident: Individuals not needing continuous supervision but needing some help with ADLs and want an apartment-like setting.

Private Apartments (up to 2 bedroom)

Unfurnished

Kitchen and bath

Staffed 24 hrs each day, secured at night

Amenities Include:

3 group meals per day

Weekly housekeeping & linen laundry

Social activities

Laundry Room

Access to health and shopping facilities

Some Facilities Provide:

Nursing Services

Transportation

Dementia Care

Physically connected to Retirement Community for ease of transition when needed.

Disadvantages:

Can have high staff turnover or understaffing

Some residents can become isolated

Average Cost: $2400 to $4600 per month base charge

Studio $2800, 1 Bdrm $3500, 2 Bdrm $4400, 2nd person $600

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Typical Resident: Older person that is dependent on someone else for care and safety. Wants more individual care than assisted living and more social interactions than foster care provides.

Group Home with 6-100 Residents or More:

Can be small and home-like or larger with individual rooms or apartments

Can be private or semi-private

Can be furnished or unfurnished


Assistance with ADLs

Amenities Include:

Medication management

Meals provided

Housekeeping

Social activities

Transportation

Nursing Services

Disadvantages:

Less individual care than foster homes


Semi-private: $2600, Private: $3000

RESIDENTIAL CARE COMMUNITIES

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ADULT FOSTER HOMES

Typical Resident: Needs assistance and wants a home-like setting. Residential care in a home-like environment for up to 5 or fewer senior or handicapped adults.

Homes are classified as level 1, 2 or 3, depending on the
qualifications of the provider and the type of care provided.

Private and Semi-Private Bedrooms



Furnished with bed, dresser, and night stand
(can be replaced with residents furniture)

Amenities Include:


Meals provided

Housekeeping & laundry

Nursing Services

Disadvantages:

Less interaction with fewer residents

Less amenities

Not appropriate for persons requiring heavy lifting, 2 person transfers or assistance at night.



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ALZHEIMERS & MEMORY CARE COMMUNITIES

Typical Resident: Usually a person with medium to advanced dementia or Alzheimers who is unable to get the care they need at their own home, in an adult foster home, or in a residential care community.

These facilities are sometimes located within a residential care facility. A doctors diagnosis is needed for admittance.

Private and Semi-Private Bedrooms with Private and Semi-Private Bathrooms


Furnished with bed, dresser, and night stand
(can be replaced with residents furniture)

Higher staffing ratio

Staffed and secured 24 hours a day with
keypad lock entry.

Amenities Include:


Meals provided

Housekeeping

Social activities

Transportation

Nursing Services

Average Cost: $2400 to $5300 per month. Many have a set price to include all
care needs and most if not all supplies. Others have a base price and add on
costs for care needs and supplies.


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nursinghome-eugene.pngSKILLED NURSING HOMES

Typical Resident: For patients who need 24-hour nursing supervision and/or rehabilitation services. Many patients are confined to bed for some portion or all of the day and many are incontinent. .

Communities offer medical treatment under the supervision of
licensed nurses and at least one registered nurse must be on duty.

Private and Semi-Private Rooms


Furnished

Amenities Include:


Meals provided

Housekeeping

Social activities

Full time nursing and medical supervision

Disadvantages:

Lack of individual attention

Highest cost

Average Cost: $7000 to $10,500 per month

MEDICAID

Medicaid is not the same as Medicare.

Many adult foster homes and facilities accept Medicaid residents.

They usually will only place a Medicaid resident in the
lowest priced private room, if that is all they offer, or in a
semi-private room.

Qualifications for Medicaid:Income

Assets

Apply only to Medicaid applicant, not spouse

Care needs

How Medicaid works:If a person qualifies for Medicaid and has income of at least $150 per month, they are allowed to keep that amount.

Anything over the $150 is used, plus whatever the state needs to add, in order to pay for the cost of the persons room, board and care needs.

All of the persons medical service, medical transportation and
approved equipment needs are paid for by Medicaid.

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PLANNING AHEAD

If a community has a Medicaid contract, they can take Medicaid residents, but not necessarily every one that applies.

If a community does not have a contract with the
state and therefore does not take Medicaid residents,
and a resident runs out of money and becomes
dependent on Medicaid, they can ask them to move.

Usually communities that have Medicaid contracts
will keep a resident if they run out of money and
need to go on Medicaid, and very few have dropped
their Medicaid contracts and asked their Medicaid
residents to move.

If running out of money is a possibility, a person should
choose a community that accepts Medicaid residents to lessen the chance that they would have to move again.

Rarely do facilities, except nursing homes and some foster homes, that have Medicaid contracts take Medicaid residents in directly, even if a person can pay privately for a few months. They usually like a person to be private pay for 1 to 2 years before going on Medicaid.
Therefore, it's generally recommended that a person consider moving before
they are almost out of money.

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SPENDING DOWN

Spending down is when a person starts giving money or assets away to get down to the maximum $2000 of assets to qualify for Medicaid.

Non-liquid assets are usually not counted.

Be careful about spending down.

Qualifying assets given away within 5 years
prior to applying for Medicaid will be counted in
disqualifying a person for that amount of money.

A person should be sure that their care needs
will qualify them in addition to meeting the income
and asset requirements.

A person spending down should consult Senior and Disabled Services and an elder law attorney for a 'resource analysis' and a care needs
review before starting to spend down countable resources.

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DAY AND RESPITE CARE

Day care is placing a person in a facility for just
daytime care and they go home at night. It can
be for a few hours or all day.

Respite care is placing a person in a facility
for a few days at a time. They stay overnight.

These are usually used to give caregivers
some relief, especially those caring for a
person with dementia.

Some residential care, assisted living,
and memory care facilities do both,
if space is available.

Most foster homes dont do either.

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CLOSING NOTES

For war-time veterans or spouses of war-time
veterans who need long term care, the veterans
department has an 'Aid and Attendance' program
which can help supplement a person's income to
help pay for the cost of their care.

There are some facilities and adult foster homes
that don't take people with pets, wheelchairs,
scooters, dementia, incontinence, etc. or that are
overweight, wander, fall frequently, are
on Medicaid.

Some are full and need to put people on waiting
lists which is not good if you have an immediate
need.

I know all of the facilities and can match
your needs with their criteria and availability.

Rod and Betty Holst

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