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aPlace^)rMom«
SENIORLIVING
Planner&Guide
SeniorLivingGuide&Planner
SeniorLiving101
0Discoverthevariouslevelsofcareand
whattypeofseniorcommunitywould
bestsuityourlovedone.
PayingforSeniorCare
Learnaboutuncommonsourcesof
fundingthatfamiliescanusetohelp
payforseniorlivingandcareexpenses.
'―TipsforTouring
SeniorCommunities
Costs,services,amenities,character,
residentdemographicsandsocial
programsvarywidelyacrossseniorlivingDiscussingatransitiontoseniorliving
communities.Gettipsonwhattolookforandmakingadecisionwithyourloved
andhowtofindtherightfitforyourneeds.oneandotherfamilymembersisn't
alwayseasy.Learnhowtobestprepare
andhavethoseconversations.
©Copyright2015APlaceforMom,Inc.Allrightsreserved.2
StepsintheSeniorLivingJourney
Wehelpfamilieswithoneofthemostdifficultlifetransitionsthey911evermake一theprocessofleavingan
establishedhomeandmovingintoaseniorlivingcommunity.
Thegoodnewsisthatyou'vealreadymadethefirststepintheseniorlivingjourneybycontactingyourSenior
LivingAdvisor.YourAdvisorisdedicatedtounderstandingyourfamily'sneedsandhelpingyoufindarange
ofoptionstailoredtoyouruniquesituation.YoushouldviewyourAdvisorasyourpartnerthroughoutthis
process;theywillkeepintouchwithyouregularlyandyoushouldfeelfreetocallyourAdvisoranytime.
Selectingcareforanaginglovedoneisacomplexandpersonalchoice.Whiletherearemanyaspectsto
consider,we'veidentifiedfourprimarystepstoguideyouthroughtheprocess.
]GetEducatedAboutCareOptions
Overthepast30years,seniorlivinghasevolvedbeyond
retirementandnursinghomes.Today'sseniorliving
optionsnotonlymeetthecareneedsofolderadults,theyalso
complementpersonalities,interestsandhobbies.Examples
includecommunitiesdesignedforseniorswhoshareanaffinity
forgolforclassiccarsorRVs,tosociallyvibrantassistedliving
communitiesthatplaceaspecialemphasison
gourmetdiningexperiences,pettherapy,culturalartsBeckyW.
programmingandlife-longlearning.Additionally,thereare-FoundAssistedLivinginOlathe,KS
purpose-builtmemorycarecommunitiesthatallowmore
freedomandsafetyforpeoplewithdementia.Becoming
familiarwiththevarioustypesofseniorcareisimportantand
canhelpyouspeakconfidentlywithlovedonesaboutoptions
andnextsteps.
ConsiderYourBudget
knewitwasthebestthingand
knewitwasthebestthingandMy
momisdoinggreat!IMymomisInourexperience,mostfamiliesaren'tawareofthefull
doinggreat!Irangeofresourcesavailabletohelppayforcare.Beyond
IbelievedsheandeveryoneIwh#yourlovedonecanaffordonamonthlybasisfromsavings
andncome,youcanexploreoptionslikeVAbenefits,reverse
believedsheandeveryonewould
mortgages,orevenlifeinsurancepolicies.ThisGuide,alongwith
benefit,butevenIwaswouldbenefit,yourSeniorLivingAdvisorcanprovidemoredetailonwhat
butevenIwassurprisedsurprisedatfinancialoptionsmaybeavailableforyouandyourlovedone.
howwellshedidmovingathowwell
shedidmovingin.Shehasin.Shehas
someindependencebacksome
independencebackandIknowandI
Mygrandmotherisveryhappy
there,andevenhasa'boyfriend!'
3~Sheis98,heis81-andtheysit
Ifyourlovedonehasn'tyetbeenincludedinthetogetherandholdhands-verysweet!
seniorcarediscussion,wehighlyrecommendtouring
propertiesbeforedoingso.Noamountoftimeviewingphotos,Shesaid「Whydidn'tyousendmehere
brochures,floorplansorreviewscanprovidetheconfidenceandearlier?Thisisagreatplaceforpeoplelike
knowledgeyouneedtohaveapotentiallydifficultconversation.
me,wehavesomuchfunhere,we
Scheduleatourataminimumofthreecommunitiesonyour
playbingoandhaveartsandcrafts!9
shortlist.Weadvisevisitingduringlunchtogetagoodsenseof
thecommunity'scultureasmostoftheresidentswillbearound
duringmealtime.Ibelieveshehasforgottenthatshenever
wantedtoleaveherhome,andhow
muchofafightsheputupwhenwe
wantedhertomove.Again,weare
thankfulthatitallworkedoutand
Basedontheseinitialtours,narrowyoursearchtoafewsheisnowhappyandabletosocialize
favorites,thenmakefollow-upvisits,perhapsunannounced,toagain.
getagoodsenseforthecommunityyouareconsidering.Make
KristenW・-FoundAssistedLivinginAllentown,PA
suretosnapafewphotos,collectbrochuresandtakenotes
aboutyourimpressions.YourSeniorLivingAdvisorcanmakethis
processeasierforyoubyarrangingallofyourtoursinoneshort
call.Wealsoprovideonlinetoolsfororganizingandsharingyour
Whenmovingyourlovedonetotheirnewhome,establishinga
noteswithotherfamilymembers.
familiarenvironment,withthesameoldrecliner,TV,booksand
photos,ratherthanbuyingtheperfectnewcouchorcarpet,can
PlanForandMaketheMoveeasetheadjustment.Keepinmindthatonceyourlovedone
hasmadethetransition,itmaytakeafewweeksforthemto
getusedtolivinginanewenvironmentBepatient;we've
4Onceyou'veselectedoneortwopreferredoptionsforfoundthatmostseniorsaskthemselveswhytheydidn/tmove
yourlovedone,invitethemtovisitthecommunityforsooner!
lunchorduringanotheractivity.Yourlovedonewilllikelyfeel
moreconfidentandcomfortablewiththeideaofachangein
lifestyleifhisorherfamilyiswiththemandshowingsupport.
Whenpossible,involveyourfamilymembersindiscussionsabout
theprosandconsofeachoption.Trytofindconsensusforthe
bestchoiceandmakesurethateveryoneinyourfamilyfeels
includedinthefinaldecision.Youcanalwaysbounceideasoffof
yourSeniorLivingAdvisorduringyourdecision-makingprocess,
andreadconsumerreviewsinMySearch(linkprovidedinthe
emailyoureceivedfromyourAdvisor)toseeotherpeople's
impressionsofthecommunitiesonyourreferrallist.Inany
event,theultimatechoicewillneedtobemadebyyouoryour
lovedone.
SeniorLivingGuide&Planner
4
SeniorLiving101
'7don'tknowwhatIwouldhavedonewithoutyourguidance.
TheinformationmadeavailabletomewasexcellentwhenIbegan
mysearchforassistedliving.Iwasn'tawarethereweresomany
typesof
seniorcare,butwithyourhelpandcorrespondence,Iwasableto
makeadecisionwithmymotherwhereshewillbehappy.
CarolG.-FoundAssistedLivinginDallas,TX
«Place^'Mom
Whenyou'resuddenlyfacedwithfindingseniorcarefbralovedone,you'llencounteravastandunfamiliar
numberofcaretypesandoptions.Mostpeoplequicklylearnandunderstandthedifferencesbetweencare
types,butfindthecomplexityofselectingappropriatecareoverwhelming.
Howdoyouknowwhichlevelofcareyourlovedoneneeds?Theanswerdependsuponhowmuchassistance
with"ActivitiesofDailyLiving,“alsoknownasADLs,yourlovedonerequires.Thesearetheday-to-day
activitieswedotosustainourselves,suchaseating,bathing,toileting,dressingandgrooming.
We'vecompiledalistofcoiniTioncaretypesyoumayencounter:
ForActive,HealthySeniorsIndependentLiving/RetirementCommunities
Independentlivingcommunitiesarealsoknownas
SeniorApartments/55+ApartmentsAlsoreferredtoretirementhomesorseniorhousing.Theyusually
as55+apartments,agerestrictedapartments,seniorprovidediningservicesandlighthousekeeping,butdo
condos,55+condos,cottagesandadultcommunities.notofferpersonalcareservices.However,outsidehome
SeniorapartmentsarejustlikeapartmentsforpeopleofcareproviderscanbehiredtoassistwithADLs.
allages,buttheyhaveanagerestriction;typically
residentsmustbeolderthan55or62.Olderadultsoften
feelmoresecureinseniorapartments,andpreferliving
nearpeoplefromtheirowngeneration.
©Copyright2015APlaceforMom,Inc.Allrightsreserved.7
SeniorLivingGuide&Planner
ForSeniorsWhoNeedDailySupport
AssistedLivingMemoryCare/Alzheimer'sCare
Assistedlivinghousingisalong-termseniorcareoptionthatMemorycareisspecialized,securedcareforpeoplewhohave
providesservicessuchasmeals,medicationmanagement,Alzheimer'sdiseaseoranothertypeofdementia.Residents
bathing,dressingandtransportation,buttypicallynotthe24-liveinasafe,secureenvironmentdesignedtomaximizetheir
hourmedicalcarefoundatskillednursinghomes.Assistedlivingstrengthsandminimizetheirlimitations.Thestaffatmemory
communitiestendtoofferhighqualityrestaurantstyledining,carecommunitieshaveextratrainingindementiacaregiving
outings,andsocialactivitiessuchasgardening,cooking,writing
andartclasses,exerciseprograms,bookclubsandmore.
NursingHomes/SkilledNursingFacilities
Nursinghomes,alsocalledskillednursingfacilities,arefor
ResidentialCareHome/BoardandCareseniorswhorequirethehighestlevelof24-hourcare,
Carehomesareordinaryhomesinresidentialneighborhoodsincludingthosewhoarebedridden.Nursinghomesarealso
thathavebeenadaptedtocareforasmallgroupofresidents.usedbyseniorsforrehabilitationfollowingahospitalization.A
Offeringservicessimilartoassistedlivingcommunities,carePlaceforMomisprohibitedbyapplicablefederallawsfrom
homesspecializeinprovidingpersonalizedcareinahome-likereferringtothesecommunities,asmostareforMedicaidor
environment.publicpayrecipients.
Dementiavs.Alzheimer'sDisease
Dementiaischaracterizedbyadeclinein
brainfunctioningsevereenoughthatit
interfereswiththeabilitytofiinctionindaily
life.Dementiasymptomsincludememory
loss,andimpairedthinking,language,
judgment,andbehavior.Alzheimer'sdisease
isthemostcommontypeofdementia.75%
ofpeoplewithdementiasymptomsare
diagnosedwithAlzheimer'sdisease.
ForSeniorsWhoLiveatHomeandNeedSupport
RespiteCare/Short-TermStayHomecareservicesareprovidedbyavisitingaid.Homecare
Respitecaretypicallyreferstoashort-termstayatalongtermaidstypicallyprovidenon-medicalassistancewithADLs.
carecommunity.Respitecarecanalsorefertoin-homeAdultDayCare/AdultDayServices
caregivingservicesusedforonlyashortperiod.FamilyAdultdaycareisasafeplaceforseniorswhorequire
caregiversuserespiteserviceswhentheyneedabreakorassistancewithactivitiesofdailylivingduringthedayzand
haveotherobligations.returntotheirownhomeintheafternoonorevening.Adult
dayservicespreparemealsandsponsorvariousrecreational
HomeCareactivities.Manyadultdaycentersspecializeinprovidingcare
forseniorswithAlzheimer'sorothertypesofdementia.
«Place^'Mom
GlossaryofSeniorLivingTerms
ActivitiesofDailyLiving(ADL)
ActivitiesofDailyLiving,alsoknownas"ADLs,“aretheday-to-dayactivitieswedotosustainourselves,suchaseating,
drinking,bathing,toileting,dressing,andgrooming.Theappropriatecaretypeforaseniorseekingseniorlivingislargely
basedontheamountanddegreeofassistancewithADLsrequired.
Assessment/CarePlan
Shortlybeforeyoumoveintoaseniorlivingcommunity(assistedlivingormemorycare),thestaffwillconductanassessment.
Theassessmentisaprocesstogatherinformationaboutaperson/slife,functionalabilitiesandneeds,andisusedtodevelop
anindividualizedcareplan.Thecareplandescribestheactivitiesthatthestaffwillperformtoenhance,restoreormaintain
one/soptimalphysical,mentalandsocialwell-being.
DurablePowerofAttorney
Adurablepowerofattorneydesignateswhowilltakecareofyouraffairsifyouareunabletodecideforyourselfinthe
caseofmentalorphysicalincapacitation.Seniorscandesignateonepersontohandlehealthdecisions(thehealthcare
proxy)andanotherforfinancialdecisions(thefinancialproxy)ortheycandesignateonepersonforbothroles.
ExecutiveDirector/ActivitiesDirector
TheExecutiveDirectorrunsaseniorlivingcommunity.TheActivitiesDirectorrunsevents,parties,socialandrecreational
activitiesataseniorlivingcommunity.
InstrumentalActivitiesofDailyLiving(IADL)
InstrumentalActivitiesofDailyLivinglADLsarethesecondarylevelofdailyactivitieswedotosustainourselvessuchascooking,
writinganddriving.
LivingWillorAdvanceHealthCareDirective
Alivingwill,alsoknownasanadvancehealthcaredirective,isusedtoindicatechoicesaboutend-of-lifecare.Forexample:
Wouldyouwantaventilatorandfeedingtubeusedtokeepyoualiveinanirreversiblecoma?DoyouwantCPRinitiatedif
yourheartstops,evenifyouareterminallyill?Makesurethedesignatedhealthcareproxyisawareofthesedecisions.
VABenefits/AidandAttendance
TheVeteransBenefitsAdministrationprovidesfinancialassistancetothosewhorequiretheaidandattendanceofanother
person.Ifyouareaveteranorweremarriedtoaveteranwhohaspassedaway,andyouneedhelpwithADLs,youmaybe
eligibleforanadditionalamountinadditiontoyourVApension.
WillsandTrusts
Willsandlivingtrustsarethelegalmethodsusedtodesignatewhathappenstoyourpossessionsandmoneyafteryoudie.
Awillsimplyspecifies,inwriting,whogetswhat,andhowmuch.Alivingtrustisanalternativetoawill.Aseniorwho
prefersatrustputstheirassetsinthetrustandnamesapersontotakechargeincaseofdeathorincapacitation.
SeniorLivingGuide&Planner
©Copyright2015APlaceforMom,Inc.Allrightsreserved.9
ComparingYourSeniorCareOptions
WHOISITFOR?SERVICESMAYINCLUDETYPICALRANGE
SENIOR
APARTMENTS/Active,independentandhealthyseniorswho$400-$2,000per
None
55+areenjoyingtheirretirementyearsmonth
APARTMENTS
INDEPENDENT
Active,independentandhealthyseniorswhoGolfcourse,swimmingpool,socialactivities,
LIVING/$1,250-$4,000per
wishtolivewithotherseniorsinacommunitygourmetdiningservicesandlight
RETIREMENTmonth
settinghousekeeping
COMMUNITIES
Fitnessclasses,socialactivities,healthy
Seniorswhoareindependentandsocial,but$2,500-$6,000per
ASSISTEDLIVINGdining,transportation,assistancewithADLs,
needassistancewithADLshousekeepingmonth
RESIDENTIALSeniorswhoareindependentandsocial,but
CAREneedassistancewithADLsandpreferasmallerSocialactivities,meals,transportation,$1,750-$6,000per
HOME/BOARDhome-likeenvironmentassistancewithADLs,housekeepingmonth
ANDCARE
MEMORYCARE/SeniorswhohaveAlzheimer/sdiseaseorotherSpecialmealpreparation,secured$3,500-$8,000per
ALZHEIMER'Stypesofdementiaenvironment&specializedmemorysupportmonth
CARE
NURSING
HOMES/
Providesthehighestlevelofcaretopatients$180-$300per
SKILLEDSeniorswhorequire24-hourmedicalcare
whoneed24/7medicalattentionday
NURSING
FACILITIES
HOMESeniorswholiveathomeandneedhelpwithMeals,assistancewithADLs,andhousekeeping$15-$30per
CAREmealpreparation,ADLs,transportationhour
ADULTDAYCARE
/ADULTDAYSeniorswhoneedassistance,socializationandMeals,assistancewithADLs,andsocial$40-90per
mealsduringworkhoursactivitiesday
SERVICES
Costsmayvarywidelybasedontheneedsoftheresident,thelocationofthecommunity,thesizeofthecommunityandnumerousotherfactors.
QShouldIChooseAssistedLivingorMemoryCare?
«Place^'Mom
AIfyourlovedonehascomplexcareneedsassociatedwithmemoryimpairmentorhasbeendiagnosedby
aphysicianwithAlzheimer'sdiseaseoranothertypeofdementia,thenmemorycaremaybeyourbest
option.Ifyourlovedoneshowsearlysignsofmemoryloss,butisstillrelativelyindependent,then
assistedlivingmaybeamoreappropriateoption.OurSeniorLivingAdvisorscanhelpyouandyour
familyfigureoutaplantogether.
*7wantedtothankyouforyourhelpwithrespecttotheVeteranAffairs
informationyouprovided.IworkedthroughtheOaklandCountyofficeandmy
mothersAidand
©Copyright2015APlaceforMom,Inc.Allrightsreserved.11
AttendanceapplicationhasalreadybeenapprovedbytheVA.Thatcouldnot
haveoccurredwithoutyourhelpandconcern.Iwilltellallmyfriendsandfamily
whoareinsimilarsituationsaboutAPlaceforMom.”
ColleenK.-FoundAssistedLivinginAnnArbor,MI
«Place^'Mom
Payingforseniorcarecanbeachallengeformanyfamilies.Whilesomefamilieshavethemeanstopayfor
long-termcareforanextendedperiodwiththeirincomeorsavings,otherfamiliesmayneedtoconsider
leveragingassetsorpoolingtheircombinedresources.Manyfamilieswilluseahybridofthesemethods.
ncomeandSavingscovered,dependingonthepolicyprovision,itcangoalong
Usingpersonalincomeorsavingstopayforseniorlivingiswaytosupportcarecosts.
thesimplestroute.Ifaseniorisnotabletofullyeteran'sBenefits
Icoverexpenses,familymembersmaycontributepartofTheDepartmentofVeteransAffairs(VA)has
theirincomeorsavingstohelppayforcare.Vassistanceprograms,suchastheAidandAttendance
benefit,thatcanhelppayforcareforolderveterans
ong-TermCareInsurancewhoservedduringspecificperiodsofwartime.Assistanceis
Ifyourlovedonehaslong-termcareinsurance,itmayalsoavailabletoqualifyingwidowedspousesof
coverassistedliving,dependinguponthespecificsofwartimeveterans.omeEquity
Lthepolicy.Unfortunately,accordingtotheLong-Term
Manyseniorstransitionfromahouseorother
CareAssociation,lessthan3%ofAmericanshavelong-termresidencethattheyown.Thesaleoftheir
careinsurance.Themostcost-effectivetimetosecureHproperty
coverageisduringmiddle-ageoryounger,asitcanbe
holdingscanhelppayfortheircare.Forthosewhoneed
prohibitivelyexpensiveasanolderadult.Ifyourlovedoneis
assistedlivingimmediately,butaren'tabletoselltheirhome
«Place^'Mom
SeniorLivingGuide&Planner
rightaway,somecommunitiesofferdefermentsthatarepaid
backoncethepropertysells.
ellingaLifeInsurancePolicy
Thispractice,knownasa“lifesettlement''involves
sellingyourpolicytoanotherpersonoracompanyfor
Sacash
settlement.Theypaythepremiumsfromthenon,butcollect
thebenefitwhenyoupassaway.Thiscanbeacomplicated
processsomakesureyouunderstandtheimpactonyour
family.
oolingFamilySupport
Aseniorwhocannotaffordassistedlivingoftenrelies
onsomefinancialsupportfromgrownchildrenor
Potherfamilymembers.disease,thecouplecoulduseareversemortgagetopayfor
thewife'scareatanassistedlivingcommunitywithmemory
care,whilethehusbandremainsathome.
everseMortgageedicaid
AreversemortgageallowsyoutoborrowmoneyInsomestates,Medicaidcoverscare
basedontheequityinyourhome.Theloanispaidatskillednursingfacilitiesandassistedliving
Rbackwhenyousellthehome.AreversemortgageM
communities.ButMedicaid,whichisnottobe
stipulatesthatyoumustresideinyourhomeforthelengthofconfusedwithMedicare,isonlyavailabletoseniorswhohave
theloan.Areversemortgagecanbeusefulifacoupleneedslittleornoassets,soit'sgenerallyanoptionoflastresort.A
careandhasfullownershipofthehouse.Forexample,ifaPlaceforMomisprohibitedbyfederalstatutefromreferring
husbandishealthy,butthewifehasadvancedAlzheimer's
Momreallylikesitover
there.Sheisgoingtoan
Hexercise
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