I now live across the street from a senior assisted living facility...
IdaClaire
6 years ago
last modified: 6 years ago
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tinam61
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Share your knowledge of Assisted Living Facilities
Comments (4)My mother is currently in an assisted living facilty in Sacramento, CA. We visited several places before the move, and the care she is receiving is pretty much standard in the area. She has her own apartment with a good sized bedroom, private bathroom, small living room, and kitchenette. Her bathroom is equipped with a no-barrier shower & a corded call button is next to the shower & toilet. The toilet is a handicapped toilet. The bathroom sink has no drawers underneath, so it is wheelchair accessible. Her kitchenette has an apartment size refrigerator, sink & microwave. (Most of the places we looked at only provided dorm size fridges.) All meals are provided in the dining area. There are usually two choices for lunch & dinner, plus an additional list of alternatives. The residents can go to the local grocery store once a week to stock up on snacks, etc. The facility has activity rooms and washer & dryers on each wing. The facility has an in-house hairdresser, manicurist, & podiatrist. All medications are kept in the locked nurses' station. The aides administer the meds to each resident. The staff communicates with doctors if necessary. Residents can use the facility's pharmacy for prescriptions. In addition, all residents wear a GPS device, so in an emergency, they can press the button & the staff knows exactly where they are. Transporatation to medical appointments is provided. Regular, weekly housekeeping is also provided -- dusting, vacuuming, etc. Trash is emptied daily. Laundry is also provided, depending on the resident's wishes. My mother washes her own clothes but has aides wash her bedding & put her bed back together. Residents can have assistance with dressing, toileting, & bathing if needed. They can also have aides wheel them to meals, activities, etc. Obviously, all their medical needs are taken care of by aides. For example, my mother wears compression socks. Aides help her get them on each morning & take them off each evening. Aides bandage wounds, etc. Residents have many activity choices, usually about five different ones daily. In addition, two or three "field trips" are scheduled monthly. This facility also allows hospice for end-of-life situations. It is not a skilled nursing facility, so the staff won't manage IVs, injections, etc. However, private health aides can be brought in to take care of those issues. My mother has fallen a few times and the staff has arranged for her to be taken to ER. They communicate with me regarding her medications, etc. I hope this is helpful. If you have any questions that I haven't addressed, please let me know. Sue...See MoreAssisted Living pushing us to Dementia wing?
Comments (12)Lenvt, I have to agree with the other posters. From your description, there doesn't seem to be any compelling reason for your mom to be moved into the memory care unit. If she's not incontinent and can do word puzzles and enjoys watching TV, why move her into a special care unit? You say that the facility is starting up a new memory care unit. My guess is that your mom will provide a guaranteed & immediate resident in the new unit, one they won't have to spend marketing time & money for. I do know that in my state (California) once a diagnoses of dementia has been made, AL residents must be moved to a memory care unit. So, if there is a diagnoses, you may not have a choice. However, before letting your mom move, you might want to take her to her primary care physician for an updated evaluation. Explain the situation to him. He might even be able to revise an earlier evaluation or explain that she has some diminished capabilities but is not fully incapacitated and needing memory care housing at this time. My experience was similar to what you're facing. My mom's AL felt she was ready for the special care unit, although she was doing OK in AL. He best friend from AL was moving there too. So I stupidly went ahead with their judgment. They assured me that she'd thrive in her new environment and there'd be a lot more hands on care. Long story short, my mother never adjusted. The change was too much and her capabilities declined even more quickly. Eventually she came to live with us for a while. That was a disaster too. I finally found another assisted living/memory care facility for her. She went through the evaluations and was placed in the AL unit. She's been there a year now. I know that she might eventually have to be placed in the memory care unit, but as long as she can function in AL, I want to leave her alone. I've spoken with the staff too and they feel the same way. As far as I'm concerned, moving to memory care should not be an option unless there are very real compelling reasons. Your mom just doesn't seem to fit the criteria at this time. Take your time, investigate, and don't let yourself be bullied. Tell the facility that you're making doctor appointments for re-evaluation. Ask to see any records they have of your mother's physical & mental state. Discuss with your sister your fears and concerns. And then be sure to let the doctor know about them too. Good luck. I know this is hard for you....See MoreCosts for assisted living, independent living and nursing home
Comments (8)Your costs are almost opposite here. With some differences. Independent living which depends on if you have a down payment or on a month to month with no down payment can range from $800, no meals, to $2,500, with two meals. No one seems to have three meals. Assisted living base cost is about $5,000 plus attendant care which can run from $800 up to about $4,000. Once a person needs the $4,000 range many Assisted living places will no longer care for them. Nursing homes seem to use the Medicare/Medicaid unwritten guidelines, means I have not found it in writing, of mid $5,000. Niece wanted us to move to Minneapolis and the range for assisted living there was between $8,000 to $11,000. If like my husband you need two attendants to care for family member or they are over 250 pounds you must use a nursing home as assisted living places will not accept. I was initially looking at assisted living places for him. He has some form of dementia then developed a UTI. Unexplained consequence he could not stand or walk for months afterward. Should have no connection but it happened. Since he was 318 at that time the hospital doctors would only release him to a nursing home. He is down to 246 in the nine months he has been there. After that explanation his nursing home costs $5,548.61 a month with extra charge for medicine. This is in the mid range of nursing home costs in this area. A suggestion for anyone looking for a nursing home is to look at ones that accept Medicaid patients. They are inspected at least once a year and are generally better at record keeping and seemed cleaner when I was looking. We are lucky??? that we will not have to worry about Medicaid for at least ten years or so....See MorePros and Cons of Assisted Living
Comments (8)I would suggest that if you pick one your selection should include looking at the skilled nursing area. My husband has some type of neurological problem originally diagnosed as Alzheimer's. Before I was told by one assisted living place that at over 250 he was not eligible for assisted living and most dementia units. I looked at many in this area to find one that had the atmosphere that I thought would be best for him. Although I was told that as a resident became worse they would stay in the unit I never saw through the open doors any that were bedfast. Then I found out the criteria here beyond the weight is that if a person would require more than one person to assist in things like transfer to and from a chair, bathing, and other types of care they are no longer eligible for assisted living. Some facilities have what I would call progressive living, independent, assisted, then skilled nursing. Perhaps not in the same building so you would need to look at both. Ask about the usage of the range in the room if they have one depending on how advanced in care you would need. I looked where my niece was in Minneapolis and was surprised that in a multistory building only three of the stoves were actually connected. They would connect with notice if family wanted to prepare a meal but expected resident to eat in the dining room. This particular one touted the convenience of a bistro that people could get food at all times. That food subsisted of sandwiches and fruit in a cooler. They only served two meals a day if you paid for the meal service. If you wanted an additional meal it was extra. So check out the meal plans. I too will be starting to look for assisted living places for myself although my husband is still in a nursing home doing well. Finance Some facilities have blanket rates for lodging and food with charges for additional care. Such as making certain you have proper meds etc. Others charge separately for lodging and food. These tend to have either prepaid meal plans or bill at the end of the month. Personally I would like to know how much I owe rather than having a surprise at the end of the month. Some centers have shuttles to take residents for things like groceries and activities. Find out if you must schedule in advance for a seat and what happens if the shuttle is full if you would like to shop for some of your food and extra treats. Good luck on your search....See MoreIdaClaire
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IdaClaireOriginal Author