6 Most Common Senior Living Arrangements

1. Senior In-Home Care

Avg. $21.00 per hour for non-medical home care

In-home health care is offered as a service with daily check-ups or phone calls, and emergency services on-call.

In-home care is provided by a caregiving professional – this person is hired to assist the senior with the daily activities. Depending on a person’s mobility they may need direct or in-direct care.

Direct In-Home Care

  • Dressing
  • Bathing
  • Toileting
  • Transportation

In-Direct Assistance

  • Grocery shopping
  • Cooking meals
  • Picking up prescriptions
  • Home cleaning

The ultimate goal is to provide basic assistance for daily tasks while letting seniors maintain their independence. It’s a lesser alternative to assisted living or a nursing home.

2. Assisted Living

Senior Woman and Nurse

Avg. $4,000/mo. for assisted living
Avg. $5,000/mo. for Alzheimer’s care

Assisted living is a senior community with readily-available services – this includes laundry, cooking, cleaning, and specialties such as memory care or physical therapy.

It’s designed for seniors who need help with daily activities while preserving as much independence as possible. Most assisted living facilities are offer personalized services to meet a seniors’ needs (i.e. memory care or therapy).

  • Private or shared apartments w/ private bathroom
  • Assistance with the activities of daily living (personal care)
  • Medication management
  • Non-medical transportation
  • Daily meals and dining, on-site laundry
  • Regular housekeeping, possibly pets
  • Paid for out-of-pocket, but financial assistance is available
  • Avg. assisted living accommodates 50+ residents

3. Nursing Homes

Avg. $7,441 per month for a private or shared room

Nursing homes are facilities for people who need 24-hour care. Most nursing homes provide short-term and long-term care, and most include physical rehabilitation and memory care.

The biggest difference between a nursing home and assisted living is that a nursing home give you full medical and personal care in a clinical setting.

  • Offered as short-term or long-term care
  • On-site skilled nursing care
  • On-site doctor visits available to residents
  • Medication supervision
  • Managed toileting program
  • Bathing, dressing, and grooming assistance
  • Room checks and daily trash pick up
  • Avg. nursing home accommodates 100+ residents

Some nursing homes offer specialized care for people with Alzheimer’s disease and other types of dementia. The nursing homes here are certified by Medicare and/or Medicaid.

4. Inpatient Rehabilitation

Elderly Senior Citizen and Nurse

Inpatient rehabilitation facilities are a typically an area within a hospital. It’s designed to offer intensive rehabilitation care to patients, and specifically seniors who have suffered strokes, a brain injury, or were transferred for other health issues.

The ultimate goal of an inpatient rehab facility is patient discharge for in-home care or long-term senior living facility.

5. Long-Term Care Hospital

Long-term care hospitals (LTCHs) provide extended medical and rehab care to seniors that stay longer than 25-days. For most cases the patient has multiple acute or chronic conditions that require daily monitoring.

The majority of patients are transferred to long-term care hospitals after they’ve been treated in an intensive or critical care unit.

  • Multiple organ failure & dialysis treatment
  • Sepsis/septicemia treatment
  • Ventilator weaning (common among smokers)

6. Hospice Care

According to Medicare.gov hospice care is not ideal, but very affordable senior housing. The only expenses are $5 per prescription, and possibly 5% of living costs.

Hospices care is focused on offering loved ones quality of life instead of sustainable treatment. It can be provided to patients who live in an assisted living facility, nursing home, or hospital. In fact nearly one-third of nursing homes offer hospice care for their residents.

In order to qualify for hospice care, a doctor must verify that a person is terminally ill and has a life expectancy of 6-months or less. Nearly one third of nursing homes in the U.S. offer hospice care on-site, and a Medicare-certified hospice is almost paid for by Medicare.

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