Displaying items by tag: Adult Foster Care
There Are Many Kinds Of Senior Living To Consider For Your Loved One
You have probably heard the words Assisted Living. Perhaps you wondered “what is it”? “Are there different types?” The answer is that there is no commonly accepted definition of Assisted Living, and there are many types of Senior Living outside a seniors own home. The fact is most if not every state in the U.S. has its own definitions, descriptions and usually licensing requirements for senior living options. Assisted Living is generally like apartment living with the aid of services provided by staff if needed. Things like meals, personal care, cleaning and transportation may all be a part of what is offered by a business offering Assisted Living to seniors. Also there are Adult Foster Care Homes, Board and Care Homes, Residential Care Homes and Nursing Homes offering similar services to name just a few.
Signs That It May be Time for Your Loved One to Consider Senior Living Options
Deciding on whether it is the right time to move a loved one into assisted living or a senior care home can be one of the hardest and most heart-wrenching decisions you and your family may have to make. When we were deciding if it was time to move mom, it took us several weeks, maybe even a month to finally make the decision. But if the intent is to keep your senior parent happy, safe and healthy, then it is probably a decision you must undertake, because in truth it is the best for your loved one and for the family as a whole to know they are safe and well cared for.
At Senior Home Search, we have read hundreds of articles with titles stating 3 reasons, 5 reasons, 8 reasons, 11 reasons and more why it is time for your senior parent to move. However there is no form to fill out that says Yes/No it is time for Mom to move into a Senior Care Home. There are not 3, 4 or 11 checkboxes that will decide for you.
How Do We Decide it is Time For A Move Into a Senior Home?
Each person’s individual situation and circumstances alone will determine if a move to Assisted Living or to a Senior Care Home should be considered. Sometimes there may be only a few things to consider, sometimes many. So, what can help us to evaluate our loved ones circumstances? You will need answers to important questions to help you decide about senior home living.
Health And Memory Questions:
- Is your parent telling you that he is eating, but you're seeing food go bad in the refrigerator?
- If your loved one isn’t maintaining a healthy weight, it could be because they’re having a hard time cooking their meals or they have a loss of appetite symptomatic of some larger problem. Either way, if they need assistance with as basic a task as eating often enough, they should have regular care.
- Are there signs that your parent is not changing their clothes on a regular basis? Do they seem to always have the same thing on when you visit? Are there very few clothes in the laundry basket? What about their appearance, does it appear they have not been bathing and grooming themselves as before?
- Is your aging parent remembering to take medications correctly, with the right dosages and at the right time? Are medications expired? Take a look at the last refill date on prescriptions, are there more pills in the bottle than there should be given the last refill, this should be a big red flag.
- Are there stacks of papers and unpaid bills lying around? This may be a sign that they are not remembering to care for daily and monthly tasks and need assistance to keep up.
Are you noticing injuries? Minor injuries become a much bigger deal the older you get and if your loved one is suffering from them, then they likely need more day-to-day help than they’re willing to admit.
- Are they able to operate appliances safely? Do they remember to turn appliances off when they are finished cooking?
- Is the home your parent is currently living in equipped with safety features such as grab bars and perhaps an emergency response system with fall detection?
- Do they have a plan in place to contact help in case of an emergency?
- Seeming more frail. Do you feel anything "different" about the person's strength and stature when you hug? Can your loved one rise easily from a chair? Does she or he seem unsteady or unable to balance? Compare these observations to the last time you were together.
- Do you notice any bruising on their arms, legs or other parts of the body that would indicate they may be falling? Many times seniors will try and hide this from you.
- What about an emergency such as a fire, flood or other natural disaster? Would your loved one know how to be safe in those situations, if not they should not be alone.
- When you really look at your parent, do you see the bright and vibrant person from years ago, or do you see a more limited person who needs help one or more hours a day, or even around the clock?
Family Situation Questions:
- Do they have friends, or are they isolated from others most of the time?
- Is there someone who checks in on them on a regular basis? If not you or another family member, who does this? Is your loved one willing to consider a home safety system or a personal alarm system, or even a daily calling service?
- Are you able to change your schedule to spend more time helping your loved one? If not then it may be time to consider senior housing options
These are just a few things to help you begin to consider whether or not it is time for a change. Change is never easy and especially for seniors. So in the next article we will consider ways to approach the subject with your loved one.
Living As A Senior in Michigan
The State of Michigan is blessed with the riches of unspoiled nature: the nation's longest freshwater coastline, world class beaches and the abundance of fresh produce straight from the farm. Here you will find more than 100 public beaches, sand dunes, two National Lakeshores and the only national marine sanctuary in the Great Lakes - the Thunder Bay National Marine Sanctuary in Lake Huron. Along the shoreline there are 129 lighthouses, numerous maritime museums, ten shipwreck-diving preserves and historic military fortifications.
And Michigan is a state of industry. From the ‘Big Three’ auto plants to lumber, pharmaceutical and mining industries. These have contributed to comfortable retirement for Michigan seniors. There is the world famous Henry Ford Museum, America's "Greatest History Attraction" and a thriving arts and culinary scene. And don’t forget the Mighty Mackinaw Bridge and Mackinaw Island where folks can visit life as it was in bygone eras.
Michigan has 19 million acres of forests. Lakes, campgrounds, wildlife refuges and 103 Michigan state parks and recreation areas create a wide variety of recreational pursuits.
Assisted Living in Michigan
The state of Michigan does not license or regulate assisted living facilities.
In Michigan, assisted living community staff will create a service plan, or care plan, for each resident. This is done as part of an initial screening of each resident and before the person moves into the facility. These plans are based on information provided by the resident or his or her legal representative.
As part of the plan, the resident's primary care doctor conducts a physical and mental health screening to make sure assisted living is the appropriate level of care for their needs. If signs of Alzheimer's or dementia are found, then memory care may be recommended. Most Michigan assisted living facilities to not accept residents needing this level of care. If a physical ailment is present that requires regular therapy or medication, skilled nursing or rehabilitation care are usually the right choices. For seniors who are capable of taking care of themselves, Michigan assisted living may be a good choice.
Licensed and Regulated Senior Homes in Michigan
Michigan does have a number of types of senior living that is Licensed, Regulated and Regularly Inspected by the State. These include:
- Adult Foster Care Family Homes
- Adult Foster Care Large Group Homes
- Adult Foster Care Medium Group Homes
- Adult Foster Care Small Group Homes
- Homes for the Aged
- Nursing Homes
Responsible for licensing such homes is the Michigan State Adult Foster Care and Homes for the Aged Licensing Division. There are Staffing Requirements and Staff Training Requirements to obtain and maintain a license. Also background checks for each staff member.
High-functioning seniors who may need help with bathing, dressing, meal preparation and other activities of daily living (ADLs) most often find themselves living in privately overseen residential care communities.
The Cost of Senior Living in Michigan
There are over 4,000 senior care homes of all types in Michigan. Genworth lists the average cost of a private, one bedroom unit in an assisted living community in Michigan as $4,084. This places Michigan on the higher end of the scale at about $100 over the national average, and about $200 lower than the median cost of assisted living in nearby states.
The state Medicaid program is known as Healthy Michigan, and can provide residents of the state with financial assistance. Qualifications to enroll include:
- Permanent residents of the state of Michigan
- Between 18 and 64 years old
- Not pregnant at the time of application
- Not currently enrolled in other Medicaid programs
- Not eligible for Medicare
Also Michigan has several government agencies and various nonprofits that assist aging citizens who need help with their transition into assisted living, as well as for those who could use a helping hand before or after they have gotten settled in. These services are typically provide free of charge.
A Wide Variety of Michigan Senior Living Options
Yes Michigan many senior living possibilities, both licensed and unlicensed. From what some refer to as assisted living to state regulated homes such as Adult Foster Care, Group Homes and more providing home like settings with trained staff and the companionship of other seniors.
In April, 2020, Executive Order 2020-50 (EO 2020-50) established Regional Hubs to care for COVID-19 residents discharging from a hospital or transferring from a nursing facility (NF) if the originating facility was not equipped to care for the resident.
The bulletin is addressed to Medicaid-certified Nursing Facilities including: Assisted Living Facilities, Adult Foster Care Homes, Homes for the Aged. It identifies "Minimum Participation Criteria" for each type of facility. It also outlines standards that each seleced CRC must meet to participate.
In circumstances when an individual meets Medicaid NF level of care, MDHHS will consider CRC admissions from other long-term care facilities, assisted living facilities, homes for the aged, and adult foster care homes on a case-by-case basis.
You can read and print out the entire bulletin at Bulletin Number:MSA 20-72
The Cost Of Nursing Homes and At-Home Care Goes Up Nationwide
A survey released by Genworth Financial Inc., showed that the cost for senior care continues to rise across the country. Costs were up an average of 3 percent from 2017 to 2018, with some care categories exceeding the United States inflation rate by two to three times.
The company Genworth, which released the survey, sells long-term insurance and has been publishing its care related survey for 15 years. According to Gordon Saunders the senior brand marketing manager for Genworth ““It is a benchmark to understand, as I age or as a family member ages, wha I can expect the cost is going to be.”
The availability of the type of workers to work in these settings is making it challenging - Gordon Saunders, Genworth Financial Inc.
One example of the pressure on the affordability of senior care was in Virginia, where costs rose from 2017 to 2018 for homemaker services, home health aides, adult day care and nursing home care. The largest increase was for a private room in a nursing home facility, which rose nearly 7.7 percent in Virginia to a median annual cost of $102,200.
Nationally, costs for a private room in a nursing home rose 3 percent to $100,375.
Other Cost Increases For Long-Term Senior Care
- The cost of Assisted Living Facilities rose by almost 6.7 percent from 20117 to 2018, to a median cost of $48,000 per year.
- The costs for home health aides saw an increase of 2.3 percent to $50,336 annually nationwide.
- The cost of adult day care services rose 2.8 percent nationally to $18,720 per year on average.
According to Gordon Saunders, one of the many reasons for the increase in the cost of long-term senior care is the ability of businesses to obtain qualified staff. “The availability of the type of workers to work in these settings is making it challenging,” he said.
And as the demand for senior care services continues to increase in the U.S. and worldwide for that matter, it can be expected that the cost of such services will continue to increase as well.
Genworth reports that its data was obtained from surveying about 49,000 long-term care providers nationwide.
How Can We Afford Long-Term Senior Care?
One well reviewed and highly respected option for long-term senior care is becoming more and more available. That type of care is know, as Adult Foster Care, Senior Board and Care and other names depending upon what state you may reside in. With thousands of such homes now available throughout the U.S., many families are taking advantage of this type of senior long term care facility. Most states have licensing and staffing requirements, and these homes are an excellent alternative to nursing homes, often able to provide compatible care in a small homelike environment, and ad a much more affordable cost.
Please use our site to find such home near you and your family. And use our Help Sections to ask questions and get assistance. You will be glad you did.
A recent AP-NORC Poll shows an alarming trend among Americas caregivers and it’s not good.
According to the survey by The Associated Press-NORC Center for Public Affairs Research, up to a third of caregivers have put off their own physical and dental care, put off needed tests or treatment and even neglected needed prescriptions - for themselves! All because they were too busy taking care of their loved ones.
The poll states that ‘Four in 10 Americans have provided long-term care to an older relative or friend… and nearly a quarter of them, especially caregivers who are over 40, spend time on caregiving duties equivalent to a full-time job.’
Also noted in the poll:
- "Nearly 40 percent of caregivers have a health problem, physical disability or mental health condition that impacts their daily life or limits their activities."
- "44 percent sleep less [as a result of caregiving], and 17 percent increase alcohol or tobacco use."
- Less than a quarter of caregivers have talked to their personal doctors about their roles.
The caregiver health care crises
When caregivers go to medical appointments with the seniors they care for, the poll found much or most of the time they are not getting information about self-care, support programs or other services which could help them as caregivers during those visits. Why is this the case?
According to University of Pittsburgh aging specialist Richard Schulz ‘The health system marginalizes caregivers partly because there’s no way to bill for assessing caregivers during someone else’s visit, but also because doctors don’t always know what community resources are available to recommend’.
"Caregivers and their charges 'should be treated simultaneously,... 'They should be looked at as a unit,' because if the caregiver burns out, the patient may have no one left." - University of Pittsburgh aging specialist Richard Schulz
The Role of Adult Foster Care Homes To Assist Caregivers
Most states in the U.S. have Adult Foster Care homes or similar senior care homes regulated by the states which provide residential settings with 24-hour personal care, protection, and supervision for individual seniors. And many of those homes offer Adult Day Care for Seniors.
If a caregiver needs a few hours away from caregiving every week, seniors can spend time at an adult day care center. Some adult day care centers are more structured than others with specific times assigned for activities. Other adult day cares are less structured and give their members more time to socialize. This is one valuable option for a caregiver to get the time needed to care for themselves.
By searching our website, or taking advantage of your states government licensing website, you can find Adult Foster Care homes near you that offer day care as well.
The Law Will Require Development Of A Strategy To Recognize And Support Family Caregivers
In January, Congress passed and President Donald Trump signed the RAISE Family Caregivers Act. The law creates a strategy to support millions of people who help loved ones remain in their homes.
Here is what the new law will require.
- Require HHS to develop, maintain and update a National Family Caregiving Strategy, offering resources and education opportunities to family caregivers in the United States;
- Require HHS to convene a Family Caregiving Advisory Council to advise it on recognizing and support family caregivers;
- Promote greater adoption of person and family centered care in all health and long-term services and supports settings; and
- Ensure older adults with disabilities and illnesses receive high quality care in their homes.
Senators Susan Collins (R-Maine) and Tammy Baldwin (D-Wis.) and Representatives Greg Harper (R-Miss.) and Kathy Castor (D-Fla.) spearheaded the legislation.
The bill as it moved through congress was also backed by AARP. “Family caregivers are the backbone of our care system in America,” said Nancy A. LeaMond, AARP’s chief advocacy and engagement officer. “We need to make it easier for them to coordinate care for their loved ones, get information and resources and take a break so they can rest and recharge."
These family caregivers have a big job, but some basic support — and commonsense solutions — can help make their big responsibilities a little bit easier.
We are grateful to Congress and “This is forward progress, but it should not be the end of the journey. - Charles Fuschillo, Jr., President and CEO of the Alzheimer's Foundation of America
Across America, family caregivers help parents, spouses, children and adults with disabilities and other loved ones to live independently. They prepare meals, handle finances, manage medications, drive to doctors’ appointments, help with bathing and dressing, perform complex medical tasks and more — all so loved ones can live at home.
So What Will The RAISE Family Caregivers Act Really Do?
The RAISE Family Caregivers Act requires the U.S. Secretary of Health and Human Services (HHS) to develop, maintain and update an integrated national strategy to support family caregivers. According to the Act, HHS will create a national family caregiver strategy by bringing together federal agencies and representatives from the private and public sectors (like family caregivers, health care providers, employers and state and local officials) in public advisory council meetings designed to make recommendations. The agency will have 18 months to develop its initial strategy and then must provide annual updates.
So we can say that the aim of this new law is certainly needed, well intentioned and could be of great help to the 40 million family caregivers with an elder or disabled loved one at home. What could be wrong with that?
What We See Is Wrong With The RAISE Act
Funding, simply put. Implementing any national strategy will create a large cost that our polarized Congress is unlikely to fund. The RAISE Act is supposed to help family caregivers keep working outside the home. The question is: Who is going to pay for the replacement caregiver when the family caregiver goes back to work? Respite options are to be included as part of the Act. That means that the family caregiver gets time off to rest. And what happens to the elder or disabled person when the family caregiver is getting that break? Someone has to pay for the actual cost of placing the care recipient in a facility temporarily or paying someone by the hour to care for them temporarily. We have no such national programs now. Strategizing about programs is not the same as paying for programs.
Age Related Illness and Disease
Alzheimer’s disease and Dementia are affecting seniors in growing numbers. The result is literally millions of people become family caregivers and are quitting their jobs to care for their loved ones part time or full time. Passing a law requiring an integrated strategy is fine, however funding research to find a cure for the sixth leading cause of death in the U.S., Alzheimer’s disease, is hugely important. Caregiving for a loved one with Alzheimer's can last 20 years.
The RAISE Act is an important step toward more fully recognizing the impending crisis in caregiving as the aging population continues to grow. As improved guidelines and policies develop from the legislation, funding will be required to relieve the 2015 AARP estimate of $470 billion in unpaid care and the 2016 AARP estimate of $7,000 in out-of-pocket expenses provided annually by family caregivers. - Kathleen Kelly, Executive Director - Family Caregiver Alliance
We have not seen as part of this new law, any mechanism for Funding caregiver relief, disease research, housing assistance for seniors or any other important caregiver related need. Referring this lack of funding, Charles Fuschillo, Jr., President and CEO of the Alzheimer's Foundation of America is quoted in a press release from GlobeNewswire: “We are grateful to Congress and “This is forward progress, but it should not be the end of the journey.”...This encouraging development is only the tip of the iceberg. A dire need remains for the federal government to pass a Fiscal Year (FY) 2018 budget which includes $2 billion—up from the current amount of $1.4 billion—for Alzheimer’s disease research at the NIH." (National Institutes of Health).
Caregiver Training, Medical Assistance And Financial Relief
According to AARP, family caregivers “commonly experience emotional strain and mental health problems, especially depression, and have poorer physical health than non-caregivers.” And they rarely receive training in providing care.
And 78% of them incur out-of-pocket costs due to caregiving, spending $6,954 a year, on average, according to AARP. That’s estimate of $470 billion in unpaid care each year. Recognizing and strategizing about this with a new law is not the same as funding a solution.
What Concerns Me Is What’s Missing In This Law
To be effective and not just a list Advisory Councils, Strategies, and Unfunded Departments, I see several main things that could be put in place rather quickly and which would provide much needed help for families faced with a senior caregiving situation. Consider the following:
- Allow family caregivers an amount stipulated on their tax return that funds their lost wages in regards to social security. In other words fill those gap years in their ss earnings with a stipend so they do not lose benefits they will need when they themselves retire.
- Congress needs to pass a law allowing Medicaid funds to be used to pay for Adult Foster Care Homes and not just nursing homes. These homes cost on average ½ of the cost of a nursing home, which is the only option open to those whose funds have run out. The care in these homes as good and many times proven to be better than traditional nursing homes. The smaller environment can be a great benefit to patients with forms of dementia and Alzheimer’s disease and the staff to patient ratio usually much better. Just ask, me I am a huge advocate for these homes.
- Allow family caregivers who leave work to care for a loved one to draw a caregiver wage from the government if they meet certain income requirements. If a person cannot financially leave a job to care for someone, that person ends up in a nursing home and that cost the government and the economy on average 8-10,000 per month per resident! Again you could pay a family caregiver a fraction of that, save money and the patient gets better care! It’s a win win solution.
For Adult Foster Care, Assisted Living and all Senior Care Home owners and operators.
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Your Full Page Senior Home Listing can include a Detailed Description, up to 8 Photos, a Printable Brochure and even your own Video Tour.
When you list your home with Senior Home Search you will be helping families find the right senior housing option for their loved ones.
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The Cost Of Assisted Living And Senior Care
If you would like to know how much the different types of long term senior living costs you can be assured there is much information available.
According to one U.S. government source, the average cost of long term senior care and assisted living ranges from about $36,000 to around $72,000 per year. And in some cases the average can be over $250,000 per year. The average monthly cost of adult foster care and small senior homes in the U.S. is somewhat lower, roughly $2,500 a month to about $4,500 per month. If you think that is a wide difference you are correct. Why such a big difference?
That’s easy to answer. It is because there are 50 states in the U.S. and probably about 100 different Kinds of Long Term Care, or senior homes and senior living, depending on the state. Each of those different kinds of senior living has a different cost associated with it. That’s right, the kind of care and where it takes place makes a big difference in the yearly, and of course monthly cost.
'The national median monthly rate for a one-bedroom unit in an assisted living facility is $4,300 per month’ according to the latest Cost of Care Survey released by Genworth Financial Inc. of Richmond, Virginia. That's $51,600 per year, an increase of about 50 percent over the year 2013.
And so the key to finding out ‘What is the Cost of Senior Home Living’ to you and your loved one is to have a good resource to help you. You will want to do the following:
1. Identify the kind of Senior Home you are in need of.
2. Determine which of those homes can provide the kind of care required.
3. Locate homes that fit and are close and convenient to you and your family.
Once you have that information, you will have a good idea of the Cost of Senior Home Living for you and your loved one.
What Are The Best Sources To Find What Senior Living Costs?
Senior Home Search is one of the Best Sources for helping you get this information. We offer information on thousands of small to medium sized Senior Care Homes across the U.S. in an easy to use format. Homes that are many times family owned and operated, fully state licensed, professionally staffed and very importantly, offer a family like home atmosphere.
There are literally dozens and dozens of web sites with “calculators” to get costs – and your name and phone number. There are web sites that pressure you to call an “800” number to talk to a sales person. But really, the best way is to use Senior Home Search to help you collect the information you need without the hassle. Contact Senior Care Home owners directly to find out what the Cost of Senior Home Living and Assisted Living really is.
Forms To Help You Search For The Best Senior Living
Using a Checklist when looking online or when visiting a home in person is important. A Checklist will help you ask all the right questions and get all the answers you need to make an informed decision.
Senior Home Search has put together a checklist for you to use. Have it with you when calling and visiting each home you are considering. It is very comprehensive and we hope you find it helpful.
There may be things on the list you did not think of and this will help you in your search. You can print out as many copies as you need to take with you when visiting each home. Get your copy now.
Find Senior Homes and Assisted Living Near You. Contact Homes Direct, No Middle Man
We list only small to medium sized Senior Living Homes. Adult Foster Care Homes, Board and Care Homes in each state.
We charge nothing to use this site to search for a home for you or a loved one.
We provide you with each Home Owner’s full Phone Number and Address.
Each listing provides a convenient Contact Form you may fill out which is sent for a quick response to your questions.
Each listing can be printed out or shared by email to assist you in your search.
Overview of Small to Medium Sized Senior Homes as Licensed in the state of Ohio:
Information included from the Ohio Department of Ageing
Licensure of Adult Care Facilities and Adult Foster Homes - Also RCF Residential Care Facilities.
In Ohio, an “assisted living facility” and “residential care facility” are considered the same thing. The Ohio Department of Health defines residential care facilities as homes that provide accommodations for:
- “Seventeen or more unrelated individuals, and supervision and personal care services for at least three or more of those individuals who are dependent on the services of others by reason of age or physical or mental impairment,” or
- “Three or more unrelated individuals, supervision and personal care services for at least three of those individuals who are dependent on the services of others by reason of age or physical or mental impairment, and, to at least one of those individuals supervision of special diets or application of dressings, or provide for the administering medication to residents, to the extent authorized.”
Assisted living facilities in Ohio vary in design and style. The range of options is meant to meet the differing consumer preferences and needs.
Adult Care Facilities (ACFs) and Adult Foster Homes (AFoHs) are residential care homes licensed by OhioMHAS for the purpose of providing accommodations, supervision and personal care services to unrelated adults. Facilities receive a two-year license to operate after complying with the statutory requirements prescribed in the Ohio Revised Code and the rules set forth in the Ohio Administrative Code. Operators must undergo a comprehensive onsite inspection of the home in which inspectors verify the safe and sanitary condition of the facility, the capability of the operator and staff to meet their responsibilities in providing supervision and personal care services and the appropriateness of the placement of each resident in the adult care setting. ACFs and AFoHs that serve residents with serious mental illness have an additional obligation by rule to have staff and managers oriented to the care and supervision needs of these residents and to require specific training on an annual basis relevant to persons with a diagnosis of mental illness residing in the facility.
A residential care facility in Ohio is licensed to provide either of the following:
Accommodations for seventeen or more unrelated individuals and supervision and personal care services for three or more of those individuals who are dependent on the services of others by reason of age or physical or mental impairment;
Accommodations for three or more unrelated individuals, supervision and personal care services for at least three of those individuals who are dependent on the services of others by reason of age or physical or mental impairment, and provide to at least one of those individuals, any of the skilled nursing care authorized by law.
States Common Name for
Licensing or Legal Standards Required?
How many Residents Accommodated?
3 to 17 Depending on type of home
Typical Staff-to-Patient Ratio?
Depends on type of home. See links below
Average Per Month Home Rate?
$2,000 to $4,278
Is Nurse Staffing Typical?
Depends on type of home. See links below
How do Residents Typically Pay?
Private Pay, Medicaid, Long Term Care Insurance
Alternative Housing In Ohio
A variety of living options are available for older Ohioans. Alternatives include:
Senior Apartments - Private apartments restricted to seniors offer residents the independence they desire while providing a more controlled community environment, freedom from the responsibility of property maintenance and amenities designed for older aduls. Optional services may be available for an additional fee, such as housekeeping, dining and transportation. Some properties offer federal rent subsidies for eligible low income seniors, and may have a waiting list.
Congregate and retirement housing - Residents in these apartment facilities live independently but also receive some services such as a daily meal with other tenants. Some may be rent-subsidized (Section 8 housing).
Residential Care and Assisted Living Facilities - Private suites or apartments offer congregate services, personal care and limited skilled care.
Continuing Care Retirement Communities - These communities offer multiple levels of care (e.g., independent living, assisted living, skilled nursing care). Thus, residents can remain in the community, even if their needs change.
Adult Care Facilities and Group Homes - These licensed facilities provide housing and limited personal services for three to 16 adults who typically need a high level of care but retain some level of independence.
Nursing Homes - Licensed facilities offer residents personal care and skilled nursing care 24 hours a day. They may also provide room and board, supervision, medication, therapies, rehabilitation and other services.
Regulation of Ohio Assisted Living Facilities
Assisted living facilities in Ohio are licensed by the Ohio Department of Health. Each facility receives at least one unannounced inspection during a 9- to 15-month survey cycle. All aspects of care and services are evaluated during these inspections, based on state laws. Each residential care facility is required to display a copy of the most recent survey so that consumers may review it. Direct care staff at Ohio assisted living communities must undergo background checks, must be at least 16 years of age and have the proper training. Eight additional hours of training is mandatory each year. If therapeutic diets are offered at a facility, policies require that a dietician be on staff. At least two staff members trained in First Aid must be on call all night and an administrator must be in the building no fewer than 20 hours a week. If an assisted living home offers skilled nursing care, then it must be managed by an on-site Registered Nurse (RN).
Sources - Links:
Overview of Small to Medium Sized Senior Homes as Licensed in the state of Michigan:
Source(s): Michigan Department of Licensing and Regulatory Affairs
States Common Name for
• Adult Foster Care Family Homes
Licensing or Legal Standards Required?
How many Residents Accommodated?
Care for 2 – 20, more residents for Homes for the Aged
Typical Staff-to-Patient Ratio?
Varies according to home type
Average Per Month Home Rate?
$2000.00 - $3500.00 per month. Also, move in cost in many cases.
Is Nurse Staffing Typical?
How do Residents Typically Pay?
Private Pay, Medicaid, Long Term Care Insurance
Assisted Living in Michigan Defined
“Assisted living” is not a legally defined term in Michigan. As such, assisted living in Michigan is typically provided by one of two types of facilities:
Adult Foster Care Homes (AFCs)
Homes for the Aged (HFAs)
While not legally referred to as an assisted living facility, HFAs and AFCs are not nursing homes. Both types of facilities offer only daily assistance and supervision to residents, rather than extensive medical or skilled nursing care. Both HFAs and AFCs offer personal care services, which include assistance or supervision with activities of daily living, such as:
- Administration of medication
The main difference between the two facilities is that HFAs require residents to be at least 60 years of age or older, whereas AFCs provide personal care services to any adult. Another key difference is size. A Home for the Aged requires that there be 21 or more residents over 60 years of age, while AFCs house 20 or less residents. Adult Foster Care Homes are typically divided into:
Family Homes for 1-6 people
Small Group Homes for 1-12 people
Large Group Homes for 13-20 people
Regulation of Michigan Assisted Living Facilities
Senior Homes - What are the Options in Your State
In your search for a place for yourself or a place for mom or dad to live, you are seeing so many different names and terms for various types of senior homes and senior living. These terms and names have changed over the years and what we may have at one time called a 'Nursing Home' or 'Old Folks Home' are now called many other things. At one time thoughts of white-walled, institutional settings we we’re hesitant to visit are now independent and assisted living options offering a wide range of appealing amenities, features and socializations.
Assisted Living, Adult Foster Care, Nursing Home, Board and Care Homes.
The different levels of care available today will depend on you or your loved one's needs, and various options, depending on a senior's health, age and financial status.
What is very important however, is that most if not every state in the U.S. has it's own definitions - descriptions and usually licensing requirements for senior living options. This is where we provide you with an important and useful resource for finding what your states options are.
To discover what senior living options are offered in your state:
Information updated regularly.
What You Should Do When Searching For Senior Living
When it comes time to choose a home for you or your senior Loved One, you may discover it is a difficult task. Your goal is to find the best home possible yet you may be looking at many, even dozens of homes on a list. How will you make the right decision?
The best way can be to make sure you are informed about each home you are considering. First it is great to have access to the internet so you may gather details about homes in your area, their basic information, rates, amenities, history, even photos of the homes and their surroundings. Also you will want to make a list so that you can collect that information about each home you are looking at and have it available when finally making that important choice. You can fill out the list from the facts you gather on the web, but also take it along when you visit the homes in your search. Obviously it is very important to visit each home you are considering.
So here are some tips on conducting your search and suggestions for some of the information you will want to collect.
1. Determine The Needs Of You Or Your Loved One
What are the needs which must be provided by the home? This is a question that should be answered first. If a home does not meet those needs it will not be placed on a list of homes you will consider. Needs may depend on your loved ones level of independence, health care needs, even budget and payment option requirements. Many of these questions are answered on websites such as Senior Home Search. But do not neglect calling the homes as well.
To determine needs you may ask some questions: Does your loved one require help with Activities of Daily Living - ADLs? Do they need help with dressing themselves, taking a shower, and going to the bathroom, preparing meals, taking their medications, etc.? Are there memory issues – dementia or Alzheimers disease? Some homes will not accept someone with memory issues while others specialize in and/or are licensed for memory care.
2. Make a List of Homes
Once you have determined what needs must be provided by a prospective home, make a list of all of the homes that address those needs and are in a location that will be as convenient as possible to as many of those as will be regular visitors or responsible for monitoring your loved ones care. This will no doubt include family and also friends who are active in their care.
How many homes will be on this list depends on you, as you will be doing quite a bit of homework in order to find the best possible fit. Many people will work with a list of at least 3 or 4 homes that fill their needs. As discussed these needs will include 1) Location 2) Budget and 3) Required Care.
3. Visit Each Home / Facility on Your List
Most if not all of us would never consider buying a home or renting an apartment without first visiting. Likewise, each home on your list should be visited, allowing sufficient time to get a thorough understanding of the home, its staff and how it is operated. In many cases, especially with smaller homes, you will be meeting with the owner. Be sure to have your checklist and questions handy on your visits.
4. Ask the Right Questions
Whether during your visit or on the phone, you should be prepared with the right questions to ask about the home. This is important to ensure your search for the best possible home and environment for your loved one is a success. Your questions should be designed to help you understand clearly the services, programs and processes the care home has in place. Your questions may include:
What is the ratio of caregivers to residents on every shift?
Does the staff undergo a background check before employment?
How will you meet my loved ones needs?
How often are visitors allowed? Are visitors allowed anytime?
Is the staff provided with ongoing training? Is the staff monitored to assure proper behavior and job performance?
What are the state requirements and the homes requirements to be hired to provide care?
What safety guidelines are in place at the home?
These are just a few examples of questions that should be answered clearly and in a detailed manor by the home/facility operator. You will no doubt want to add others you feel are important. And do not be afraid to write down the answers provided while on your visit.
5. Be Thorough When Visiting Each Home
When you visit each care home, make sure you inspect the facility thoroughly noting things that are good about it, and also any red flags which may turn up. Does the home or facility make you feel welcomed? Does it smell good like it was just cleaned or does it smell like urine?
Do you see licensing certificates posted in plain view? Do they have photos of the residents’ celebrations? Do they visibly display their food menu or schedule of activities? Are the residents just sleeping in their room during the day or are they staying active? Are the bathrooms and inside the refrigerators clean? Does it look like they pay attention to detail at the facility?
You can see that a very thorough inspection will take some time, but is extremely important. Your loved one may be living there one day!
6. Talk to the Residents
Are the residents living in the home sociable? How do they interact with one another? Do they look well groomed? Are they happy? Are their alert levels similar to that of your Loved One? In case the residents are not alert, it does not mean the care facility is a bad home. It could mean that the particular home or community specializes in dementia residents. Make sure to find out from the staff and owner the condition of the residents before you visit to help save you time. And it is important to talk to the residents and try to determine if they would get along with your Loved One.
7. Talk to the Owner and the Caregivers
Does the Owner and each Caregiver at the home during your visit seem friendly and welcoming? Do they rush you off or do they take time to answer your questions. Do they seem to want to understand your Loved One’s needs? How do the staff and caregivers interact with the residents? Do they seem like they care? Observe them and do not hesitate to take notes.
8. Get All the Facts
Preferably before your visit, you should check on the Facility’s Licensing Records and get testimonials from the other residents’ families that are staying there now or that have stayed there in the past. Check with the neighbors to see if there have been any reported problems inside or outside of the home or facility.
If you want a thorough report, a great place to start checking on the care facility is with State Licensing board or department. Each care home and community is licensed by the State and they keep on file all of the write-ups or citations each facility has received since it opened.
Minor citations are common such as administration write-ups. However, major citations noted by the State inspector are something worth learning more about in detail. If a care facility has a major citation, it is worth getting more information from the State and even bringing it to the attention of the care homeowner or management staff for an explanation. It may turn out to be a reason to remove that home from your list.
You may also check to see if the home is rated online at sites other than the States website. Do your research and check online reviews and ratings for the facilities you are considering. Be sure to also check the Better Business Bureau rating and look for complaints and even compliments from the residents or their families.
9. Take All The Time You Need!
The more time you have to research each home on your list, the better it is for you and your Loved One. The home you and your family choose should be the best you can find. This is a most important decision and deserves as much time as needed.
Keep in mind that good, excelling care homes and communities will many times stay full with no vacancies. When a vacancy does become available, due to their popularity and reputation, they fill their opening up very quickly.
It can be difficult lining up a good care home just when it has an opening And it is the time when your Loved One is in need of care. If you already visited homes but your Loved One is not ready, it might be a good idea to see if you can go on the care facilities wait lists.
Summary and Conclusion:
Selecting the right senior care home for you or your Loved One is a very important task. A good – well thought out choice is important in order to avoid having to move your Loved One from one care facility to another due to unforeseen problems or issues. Such moves can be very difficult for your Loved One and place them under a lot of stress.
The initial move to an assisted living care home or community is already going to be a big adjustment so you want to make sure that you choose carefully. You can use these tips to help increase your chances of success in finding the right home.
Checklist for Assisted Living and Senior Homes
Choosing an Assisted Living or Senior Home for yourself or a loved one can prove to be challenging. Here at Senior Home Search we hope to help you by providing information and links to articles that will make your search better and easier.
Do You Have a Checklist?
Using a Checklist while searching online or when visiting a home in person can be very important. It will help you ask all the right questions and get all the answers you need to make an informed decision.
We have put together a checklist for you to use. Have it handy when calling and visiting each home you are considering. It is very comprehensive and we hope you find it helpful.
There may be things on the list you did not think of and this will help you in your search. You can print out as many copies as you need to take with you when visiting each home. Click on this link to get your copy:
Senior Home Search Printable Checklist
Thank you and check back often for updates on making your Senior Home Search the best it can be.
Find The Best Senior Care Homes And Assisted Living Homes Here
These Adult Family Care Homes are just that - homes that provide small intimate settings with consistent caregivers that foster a family like atmosphere.
When looking for a new home for our own mother we chose one of these, an AFC, and she couldn’t be happier. Around the country, access to these homes has been getting better, however with the large – hotel and apartment like facilities leading the markets for assisted living they sometimes get lost in the haze so to speak.
This is why our site is dedicated to these homes and only these homes, no big guys to muddy up the waters. Our site links you directly with the owners, no annoying care coordinators hounding you for your business and no large commission charged to the home owner. It’s a win, win for everyone.
Please feel free to use our Senior Home Search web site to find out what we did, that bigger isn’t always better and let us know what you think.
Thank you for visiting our website. Please browse as often as you wish. You may use our contact page to ask questions or even make recommendations. We would love to hear from you.
Use Senior Home Search to find Adult Foster Care, Assisted Living, Board and Care Homes and More
The purpose of this website is to provide information that will assist you in understanding your senior housing choices so you may make informed housing decisions.
One of the most important decisions older adults make is their choice of housing. There are a vast array of available options ranging from living independently in your own home without receiving any in-home support services to living in a nursing home and receiving total care.
Many seniors will want to stay in a cherished home for as long as possible but will make some changes to make it safer and more comfortable. Others will seek a group setting, where companionship and planned activities fill the day and where support services may be easier to obtain.
Housing appropriate for one older adult may be completely unacceptable for another. An older person who needs assistance may require a different type of housing than one who can live independently. What’s most important is matching, as closely as possible, housing and living arrangements with an older adult’s needs and desires.
If you are beginning to think about senior living options our website can help you
It helps to know beforehand that the terms for housing options for older adults can be very confusing. In some cases, no standard “vocabulary” clearly distinguishes one housing type from another.
An example is the term “Assisted Living.” There is not a standard definition for this term. In some states, where assisted living is not licensed or regulated, the term may be used very loosely. Facilities in these states may not provide the services usually associated with assisted living. In other states, the term is used to describe a specific type of housing option. Those investigating various housing options should make sure they have confirmed all the features and services offered by a provider.
It is similar with the terms "Senior Home", "Adult Foster Care" or "Adult Foster Care Home", "Board and Care Home" and the list goes on. It is important to understand the terms used commonly in your state before your search begins. We can help.
At Senior Home Search, we offer a convenient and free service for finding homes for seniors that are of a Small Setting - usually 6 residents and up to 20 residents. Most of these wonderful homes are owned and operated by individual family business and are regulated and overseen by state agencies. In short, homes that are an excellent option for Senior Care.
Finding the right senior care home, or senior housing can get overwhelming at first, but having a better understanding of all the options of an Adult Foster Care home in your area, will make it easier and less stressful.
Senior Home Search will help.