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marydys Asked March 2021

What is the difference between LTC and NH?

I understand AL (assisted living), and NH (nursing home=skilled care) and MC (memory care/board and care)... but someone recently responded to a post saying Dad needed LTC.. I'm not sure what that is exactly. I know they say nursing home is skilled care meaning he needs things like maybe IVs or whatever? I'm asking because I'm not sure where dad goes beyond assisted living. Thank You

sjplegacy Mar 2021
LTC , long term care, is an umbrella term for individual services offered to those needing extended medical care or help with daily living. It can be provided at home or a facility and includes AL, MC, and nursing home care. LTC can also be provided at home.

If your dad is in an ALF now, he may stay there his entire life unless he would require a higher level of care. Your profile says he has dementia, so the next logical step would be a MC facility. Either a self pay facility or a nursing home with MC, depending on his needs and ability to pay.

geddyupgo Mar 2021
In NJ and many surrounding states, the term "nursing home" while still used, is somewhat archaic. Many facilities that we used to think of as nursing homes are now a combination of skilled nursing facilities (snf) usually for short term rehabilitation (str) and also have sections that provide long term care (ltc) for people who may or may not need continuing skilled nursing but who definitely need help with at least two of five activities of daily living (adls) which are bathing, dressing, eating, toileting and transferring. Many long term care facilities also have memory care units.
In the US a little bit of funding comes into play also. If there is a medical need for anything you mentioned, you can also private pay for it all. However, if a person is on Medicare, which is a health insurance, be advised that it will never pay for long term care; Medicare pays only for skilled nursing and short term rehab up to 100 days in a benefit period.

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Babs75 Mar 2021
My dads skilled nursing center said they are also LTC. I think it might have had to do with the fact that after the rehab was done, he ended up staying for 6 more months so I think at that point, it was LTC.

Tothill Mar 2021
Different jurisdictions use different terminology.

Here in BC Extended care, Long Term Care, Gentle Care (like memory care, locked ward), assisted living and independent living are common terms.

Long Term Care describes a level of care, but not the location.

gladimhere Mar 2021
Look around and search this site. They are the same thing.

JoAnn29 Mar 2021
IMO they are the same thing. Both you need to be 24/7 care to get in. LTC just sounds better

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