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Ways Assisted Living Facilities are NOT Like Condominiums:


1. Privacy: People walk into your room in an assisted living facility at all hours of the day without even knocking.
2. Price: They almost all find excuses to raise the rent catastrophically shortly after seniors move in.
3. Most residents are dead or in a nursing home within two years.
4. Abusive behavior toward residents is common place. Example: Forcing residents to accept help they do not need to make more money off them.

RobinL1, in my area, the Assisted Living facilities that I have toured are like studio apartments, which in the real estate world if one was buying would be considered a condo.

Rents can go up but only a certain percentage, no different then rental apartments. And rents can go up mid-lease if a resident needs an extra level of care.

I know my Dad was paying close to $1k a month extra for Medtech service, where twice a day a certified aid would bring Dad his medicine, as he kept forgetting to take it. I know that sounds high but it runs around $30 a day for twice a day service. It would cost me more if I had to run over to the facility to give Dad his pills.

When Dad moved to Assisted Living, he called his room "his college dorm room". Most of the people on his floor kept their studio apartment door opened during the day. Dad enjoyed people walking by and say hello to them.

And not once was Dad ever abused by the Staff. And neither was my Mom who was living in long-term-care in a different facility because she needed a village to help her. Even though Mom was in final stage of dementia, she never reacted afraid of anyone on the Staff. Cost of long-term care was a set cost no matter if Mom's needed more attention.
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Because some assisted livings ARE like condiminiums. The way an AL is set up varies from facility to facility, they are not all the same. Some assisted living facilities look like nursing homes and the residents only have a small room and sometimes a room mate. Others, each resident has their own apartment, and no one can just enter the apartment (unless the door is unlocked). There are several in my city that are like condos/apartments and there are a few that are like a long term care facility.
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No one on this forum ever said they are like Condominiums. Maybe independent living but not ALs.

ALs are just that, a place for people who need some kind of assistance.

Answer by number

1. Does the resident need meds, shower or just a "check" in. Are u the resident or a family member. I would make the administrator aware that this is being done. That a knock would be appreciated before any staff enter. This is just common decency. Put a sign on the door. "Please lock loudly before entering"

2. Your room and board is usually a set price and that is set for a year, just like a lease. Its the care that may change. That is usually reevaluated ever 3 months.

3. ALs are limited on the care they can give. For some people they decline rapidly and need more care. Going into a nursing home in two years, money may have run out. Medicaid does not always pick up the costs of ALs or ALs are Medicaid approved so the person needs to go to LTC. Even if Medicare approved, they have only a % of medicaid rooms. A quota.

4. By law, they cannot FORCE a resident to do anything they don't want to. But, really, you really have no idea what this persons care plan is. Maybe they have Dementia and can no longer walk without assistance. But the resident feels they can walk. It really is up to the staff to keep this person safe by not allowing them to fall.
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I'm sure some of the posh ones 'are' like condominiums, unfortunately there doesn't seem to be any standard so the term Assisted Living is applied to all kinds of facilities, from luxury apartments with added amenities to basic old fashioned retirement homes where your get a combination bed/sitting room. Another alarming trend is for AL's to actively sell their rooms to people whose need are greater than the facility was designed to handle, this is a real tragedy for those who aren't receiving adequate care.
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