* Are you / this person currently in an assisted living facility?
* You need to contact the social worker or intake coordinator at facilities that offer assisted living and ask them what they offer.
* Often there is a waiting list.
* Ask about move-in expenses.
* Everything is different depending on state and likely county. Most senior communities (not nursing homes) are independently operated (vs state). Although do ask as this affects costs and rules/regulations.
Question is from April 17; It was mentioned by needhelpwithmom that the person who asked it has already apparently left the site (no profile page). For some reason a lot of our questions are going into repeat, almost as though they are getting reshuffled. Yesterday one popped up from Janurary 2022. I've taken, as need says, to checking profiles and dates on some questions. That's not to say, however, that answering an old question isn't useful to those who never saw it before. And people are coming and going from the site all the time.
I think we need more information before you can get helpful guidance and resources. Why is the doctor suggesting more care? Physical issues? Deteriorating mental capacity? Answers to those questions will point your in the correct direction to answer your question of "what comes next".
I have just gone through this with my father. Memory care or adult family home are higher levels of care than assisted living. You can consult with a senior living specialist and they can help you find the right placement.
Higher levels of care are going to be more expensive. If you can’t afford the higher rents, then you can apply for Medicaid if your Kim has no assets or high income . Beware that most memory care homes require that you have lived there at full price for two years before they will allow Medicaid subsidy. So if this is your situation, hopefully there is memory care within the same facility as her assisted living and she could be grandmothered we in.
The third option is in home care where your mom would live with you and have in home care givers. Medicaid can also subsidize. This is what I had to do because there are no adult family homes near me and my dad didn’t have the two year spend down option. Our system is broken for the elderly who are not well to do.
My mom’s ALF told me she needed more care than they could provide. In another words, they were kicking her out. But nicely. They suggested a smaller facility where staff could better watch her. I visited one—10 residents. But the facility had shared bathrooms—2 in the hall for the residents to share. Plus, quite depressing to me. Too small. I visited another—maybe it can hold 50 if full? ALF and a memory care wing. Private room and bath. Activity room. Nice outdoor covered sitting area. And they have their own doctor on call and are capable of doing many medical care services—like monitoring blood sugar. They have been a great fit. My point—all ALF’s are not the same. Get clarity on what care your mom needs and you may find someplace short of a nursing home or memory care facility that provides it. My mom’s place is 1/3 the cost of a nursing home. She has been there 4 months and it is working pretty well. Good luck!
Kitty comes up when clicking on her profile page. This site is going to lose posters if the tech issues aren’t addressed. So many people have not been able to login or post.
Please don’t accuse anyone of not responding to a post. Occasionally, people do post and don’t respond back because of various reasons. They are busy or they don’t know how to search for their post.
Someone accused me of not responding recently. They said, “You posted this question and haven’t responded.” Well, I couldn’t respond because the site didn’t allow me to post on the forum!
I am at the point where I click on profile before I even attempt to answer questions.
A medical assessment for " level of care needs". Usually next levels of care after ALF include perhaps " skilled care", " memory care", "hospice" ?? ...... The PCP and the ALF where she is now should have the skills to provide the " level of care needs" assessment. There are many many factors to include. Usually as each level of care increases so does the cost.
Depends on what her issues are. My mom has dementia and is in AL. So, if her mind deteriorates more quickly, she will end up in memory care. If her body fails first, she'll end up in a skilled nursing home.
What does her assisted living facility suggest? Do they offer more levels of care in AL? If not, you can get aids to come to her in AL. That way she can stay in her familiar setting. Depends on what she is capable of.
Is he suggesting that the person in ALF needs medical treatment daily ongoing? So is he suggesting an SNF? Or does he feel that his patient is in need of more safety and staffing such as a memory care?
In any case, do ask the doctor what he means by that. Do arrange a conference with you ALF administration to discuss what the daily care plan is and whether or not it is working well for the one you love.
* Are you / this person currently in an assisted living facility?
* You need to contact the social worker or intake coordinator at facilities that offer assisted living and ask them what they offer.
* Often there is a waiting list.
* Ask about move-in expenses.
* Everything is different depending on state and likely county. Most senior communities (not nursing homes) are independently operated (vs state). Although do ask as this affects costs and rules/regulations.
Gena / Touch
It was mentioned by needhelpwithmom that the person who asked it has already apparently left the site (no profile page).
For some reason a lot of our questions are going into repeat, almost as though they are getting reshuffled. Yesterday one popped up from Janurary 2022.
I've taken, as need says, to checking profiles and dates on some questions. That's not to say, however, that answering an old question isn't useful to those who never saw it before. And people are coming and going from the site all the time.
Good luck!
Higher levels of care are going to be more expensive. If you can’t afford the higher rents, then you can apply for Medicaid if your Kim has no assets or high income . Beware that most memory care homes require that you have lived there at full price for two years before they will allow Medicaid subsidy. So if this is your situation, hopefully there is memory care within the same facility as her assisted living and she could be grandmothered we in.
The third option is in home care where your mom would live with you and have in home care givers. Medicaid can also subsidize. This is what I had to do because there are no adult family homes near me and my dad didn’t have the two year spend down option. Our system is broken for the elderly who are not well to do.
All the best to you and your mom!
I visited one—10 residents. But the facility had shared bathrooms—2 in the hall for the residents to share. Plus, quite depressing to me. Too small.
I visited another—maybe it can hold 50 if full? ALF and a memory care wing. Private room and bath. Activity room. Nice outdoor covered sitting area.
And they have their own doctor on call and are capable of doing many medical care services—like monitoring blood sugar. They have been a great fit.
My point—all ALF’s are not the same. Get clarity on what care your mom needs and you may find someplace short of a nursing home or memory care facility that provides it. My mom’s place is 1/3 the cost of a nursing home. She has been there 4 months and it is working pretty well.
Good luck!
Please don’t accuse anyone of not responding to a post. Occasionally, people do post and don’t respond back because of various reasons. They are busy or they don’t know how to search for their post.
Someone accused me of not responding recently. They said, “You posted this question and haven’t responded.” Well, I couldn’t respond because the site didn’t allow me to post on the forum!
I am at the point where I click on profile before I even attempt to answer questions.
" skilled care", " memory care", "hospice" ?? ...... The PCP and the ALF where she is now should have the skills to provide the " level of care needs" assessment. There are many many factors to include.
Usually as each level of care increases so does the cost.
What does her assisted living facility suggest? Do they offer more levels of care in AL? If not, you can get aids to come to her in AL. That way she can stay in her familiar setting. Depends on what she is capable of.
Good luck.
Is he suggesting that the person in ALF needs medical treatment daily ongoing? So is he suggesting an SNF?
Or does he feel that his patient is in need of more safety and staffing such as a memory care?
In any case, do ask the doctor what he means by that. Do arrange a conference with you ALF administration to discuss what the daily care plan is and whether or not it is working well for the one you love.
Did the doc suggest what areas you mom needs more care in?
More medical care, more supervision, more socialization?