TERMS TO GET ARMS AROUND SO WE ALL ARE TALKING ABOUT THE SAME THING:
ASSISTED LIVING FACILITY - Identified as such based on a business model and defined by the State. Basically, if Mom has any of a list of specific conditions that would require special nursing/medical attention, she would not be able to be in an Assisted Living Facility. The list is short but includes: bedsores, diabetes, if daily injections are required, colostomy bags, ventilator or oxygen requirements, etc. Conditions such as incontinence and immobility would NOT disqualify her. Impact would be higher cost based on higher required level of attendance by facility caregivers. Private Pay Only. No Medicare or Medicaid.
SKILLED NURSING FACILITY - Typically attached to an Assisted Living Facility but can be a stand-alone facility. It is where someone in an Assisted Living Facility would be moved to if conditions arose that would disqualify them (state mandate) for the Assisted Living facility. If attached to AL Facility, there would be Medicare coverage for the condition that arose to require a move to the facility. This is a HOSPITAL setting - just like the rehab that Mom was in earlier.
SKILLED NURSING FACILITY (as stand alone) - I am attempting to visit at least one of these that is listed with Medicare/Medicaid allowances. May require physician care plan for entry/eligibility.
MONDAY, October 8, 2007
Visited two sites.
THE HAVEN: Assisted Living Facility - Private Pay - Current Unit avaibility
- Specializes in dementia and Alzheimer's care
- Very clean, peaceful, active and professional
- Near to Westminster where Morris is off of W. Faris Road which is on the other side of Augusta Road (to give you an idea of where it is in Greenville)
- 3 levels of care (from early onset to late onset Alzheimer's)
- Saw all 3 and patients as well - All patients were clean and groomed - everyone seemed content
- Rooms are private rooms (there is a $600 per month savings for a room share, but I don't think there were many of those)
- Included: armoir, private toilet and sink - bathing done in common bath area that is equipped for every patient need, i.e., seats, bars, etc.
- Common eating area in center with bedroom units encircling - patients can wander in area without getting "lost" - each unit is security locked - no access to outside without code
- No Skilled Nursing Facility attachment
- COST: Approx. $5,950 per month - this assumes highest level of care - BREAKDOWN is $4,700 base payment with Level 6 care of $1,250 (Small additional per month fee for medication management)
- Nurse would conduct an assessment to determine care level and eligibility based on state mandates noted above
- No requirement for financial disclosure from us or spouse - invoicing is in name of financial POA
- Provides Respite Care to support in-home caregivers (give them some time off) for $180 a day - some people use this as a trial period - facility will allow, but advises that adjustment can not typically be accomplished in a two week time period
BRIGHTON GARDENS: Assisted Living with attached Skilled Nursing Facility - Private Pay - UNCERTAIN as to availability - am expecting a call from sales organization
- Operates separate unit for Alzheimer's/dementia care - for some reason, I was shown where the door was, but was not taken in to view
- Seemed more active (not as peaceful), not as clean, areas requiring paint touch-ups, dogs visiting, resident dog in attendance
- Down Pelham Road - very near to 14 Ivanhoe
- Assisted Living eligibility much like The Haven, but most patients seemed much more independent that Mom is - many not ambulatory, but did not observe very many patients with constant attendant
- Skilled Nursing Facility attachment (private and semi-private hospital like rooms)
- Choice of room configeration - studio, two room, two bedroom (higher cost for larger rooms) with rooms on 1st, 2nd or 3rd floor - hallways, not encircling as noted above
- Private bathroom including toilet, sink and shower
- Self-furnished - studio large enough for a full size bed, bureau, side tables and probably two chairs, TV stand
- Common eating area
COST: was a daily cost - was shown the cost sheet, but the cost sheet was not placed in the packet I walked off with - accidentally, I think - as I recall the highest level of per day cost was $165.00 (again based on level of care needs) - Medicare processing available for doctor portion of needs if patient moves to Skilled Nursing Facility
- No Medicaid beds
No comments:
Post a Comment