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Of the 32 counties we support in Colorado, 13 are located west of the Continental Divide and served by our phenomenal team in Grand Junction. Through mobile pantries and partnerships with more than 110 Hunger Relief Partners in this region, our team is able to meet the specific needs of these communities and bring food where it is needed most. We know that budgets can be stretched thin these days, so by leveraging the power of community and through programs like Everyday Eats for Older Adults, Food for Kids, mobile pantries, and more, Food Bank of the Rockies provides food to 1 in 9 people facing hunger in Colorado.Need a referral to your local food pantry? Do you want to apply for SNAP benefits? Want to learn more about our programs? Interested in volunteering or making a donation? We would love to hear from you!  To contact us, please call 970-464-1138 or 877-953-3937 (toll-free) or visit foodbankrockies.org.  Editors Note: This article was submitted by Food Bank of the Rockies. For more information, please call 303-371-9250.

June is Safety Month, a timely opportunity to improve home safety for older family members. For first-time caregivers, addressing trip hazards can help reduce the risk of falls. A few focused changes can create a safer and more comfortable space.Common Trip HazardsCreating a safer home begins with recognizing the common trip hazards. Clutter and loose items can quickly turn a home into a dangerous space for anyone, especially seniors with mobility concerns. Clear pathways are necessary for safe navigation. Start by organizing and decluttering areas like hallways and living rooms. Regularly check these areas for loose items, such as shoes and bags, and find a designated spot for them.While rugs and carpets add comfort to a home, unsecured rugs can lead to trips and falls. To minimize risks, consider removing rugs from high-traffic areas altogether. Flooring that isn't level can easily lead to falls. Check your flooring for uneven surfaces. If you find them, consider using affordable solutions like threshold ramps to even out these potentially hazardous areas.Addressing Specific Areas in the HomeDifferent areas in the home require tailored attention. Stairs and hallways are often involved in falls due to limited space and low lighting. Install sturdy handrails on both sides of staircases, and check that lighting fixtures provide enough illumination. Upgrading to brighter bulbs or adding supplemental lighting can help reveal any obstacles and reduce shadows that might cause confusion or missteps.Bathrooms are especially hazardous because of moisture and slippery surfaces. To create a safer space, install grab bars near the shower, toilet, and bathtub. Use non-slip mats both inside and outside the shower area. These simple additions can help prevent accidents and offer support where it's needed most. Keep daily-use items, such as toiletries and towels, within easy reach to minimize unnecessary stretching or bending.Even kitchens present their own challenges. Avoid placing frequently used items in overhead cabinets or on low shelves that require crouching. Keeping everyday items at a comfortable height encourages safer movement. Appliance cords should be positioned away from walkways to prevent accidental tripping. Regularly check for new risks that may arise from changes in layout or equipment.Additional Safety TipsBeyond removing physical trip hazards, certain measures can help enhance overall safety in the home. Adequate lighting is critical in every room. Night lights in bedrooms, hallways, and bathrooms can support safer navigation after dark. Motion sensor lighting is another helpful addition, especially in transitional spaces like stairwells and entryways.Proper footwear also contributes to safety. Encourage the use of sturdy, closed-toe shoes with non-slip soles rather than slippers or socks, which may slide on smooth floors. If needed, explore mobility aids such as walkers or canes to provide greater stability. These tools can help prevent falls and allow seniors to move with greater confidence.Helping Loved Ones Stay Secure at HomeAddressing trip hazards is a practical way to support safer daily routines. Each changewhether it's better lighting, cleared pathways, or rearranged storagecontributes to a more secure space. Remember, you don't have to do it alone. For those in Loveland, Estes Park, Greeley, Windsor, and Wellington, Senior Helpers Greeley offers personalized guidance for caregivers seeking to improve home safety. Whether you're just getting started or need support with ongoing care, Senior Helpers Greeley is available to assist. Contact us today and make your home a safe haven for your loved ones, 970-344-9489.

Pennsylvania offers Medicaid waiver programs under the Community HealthChoices (CHC) umbrella and the Pennsylvania Department of Aging (PDA) Waiver (often referred to as the PA Council on Aging Waiver). These programs help older adults and individuals with physical disabilities remain in their homes or community settings instead of entering nursing facilities. CHC and the PDA Waiver provide long-term services and supports (LTSS) based on assessed functional needs, emphasizing assistance with ADLs and IADLs. Covered services may include personal care assistance, adult day services, home-delivered meals, transportation, home modifications, assistive technology, and respite care for family caregivers. In addition, Pennsylvanias CHC Waiver offers Participant-Directed Services that allow participants to hire and manage their own caregivers, including family members. To qualify, applicants must be Medicaid-eligible, at least 60 years old (for PDA Waiver) or 21+ (for CHC), and require a nursing facility level of care as determined through a standardized functional assessment of ADLs/IADLs. In this article, we explain what Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) are and how needing help with these tasks is central to qualifying for Pennsylvanias Medicaid waivers like CHC and the PDA Waiver.What Are ADLs (Activities of Daily Living)?Activities of Daily Living (ADLs) are fundamental self-care tasks that a person must perform daily to maintain independence. Difficulty with ADLs often signals a need for supportive services. Core ADLs include: Mobility (Ambulating/Transferring): Safely walking, getting up from a chair, or transferring from a bed to a wheelchair. Dressing: Selecting and putting on appropriate clothing (including handling fasteners) without assistance. Eating: Feeding oneselfusing utensils to get food from a plate to the mouth and consuming it. Personal Hygiene: Bathing or showering and performing grooming activities like shaving, brushing teeth, and combing hair on ones own. Toileting (Continence): Independently using the toiletgetting to the toilet, transferring on and off, and cleaning oneself afterward. When someone can no longer perform several ADLs without help, it indicates that ongoing care or support is likely needed.What Are IADLs (Instrumental Activities of Daily Living)?Instrumental Activities of Daily Living (IADLs) are more complex tasks that allow a person to live independently in the community. While not necessarily performed daily, they are essential for managing ones household and life. Key IADLs include: Shopping for Essentials: The ability to shop for groceries, pick up prescriptions, or purchase clothing and other necessities. Meal Preparation: Planning and cooking mealsgathering ingredients and safely using kitchen appliances. Housekeeping: Keeping the home clean and livable tasks like cleaning, laundry, and taking out the trash. Money Management: Handling finances, such as paying bills on time, managing bank accounts, and budgeting. Transportation: Getting around or arranging transportationdriving oneself or using public transit or rides to run errands and attend appointments. Medication Management: Managing and taking medications properly remembering to take the correct medicines at scheduled times and refilling prescriptions. Communication: Using the phone or computer to communicatelooking up phone numbers, making calls, sending emails, and staying in touch with others. Trouble with IADLs is often one of the first signs that someone needs more support, even if basic ADLs are unaffected.Why ADLs and IADLs Matter for Medicaid Waiver EligibilityIn Pennsylvania, needing help with ADLs and IADLs is a central eligibility criterion for the CHC and PDA Waiver programs. These waivers serve individuals who would otherwise qualify for nursing facility care but prefer to remain in their own homes or community settings. Eligibility is determined through both financial and functional assessments. The functional assessment evaluates whether an individual requires hands-on assistance with ADLs and/or significant help with IADLs, thereby meeting a nursing facility level of care. Pennsylvania uses standardized toolsoften the Pennsylvania LongTerm Care Assessment System (PaLTAS) or the Minimum Data SetHome Care (MDSHC)to score independence in ADLs and IADLs.During the functional evaluation, an assessor reviews abilities such as transferring from bed to chair, walking safely, eating, toileting, meal preparation, housekeeping, medication management, and managing money. Cognitive issuessuch as memory problems due to dementiaare also considered since they impact daily functioning. If an individual cannot perform multiple ADLs without assistance or has significant deficits in IADLs, they are likely to meet the level-of-care requirement and become eligible for waiver services.Community HealthChoices (CHC) WaiverCommunity HealthChoices (CHC) is Pennsylvanias comprehensive HCBS waiver program for individuals aged 21 and older who require a nursing facility level of care. Administered by the Office of Long-Term Living (OLTL), CHC is a managed care program that combines physical health, long-term services and supports, and pharmacy benefits under a single plan (with behavioral health carved out). To qualify for CHC: Be age 21 or older. Meet Medicaid financial eligibility guidelines. Require a nursing facility level of care (confirmed through functional assessment). Live in a setting that meets HCBS requirements (e.g., home, apartment, assisted living). Be a Pennsylvania resident. Once enrolled, participants receive a comprehensive package of services tailored to their needs. Covered services may include personal assistance, home-delivered meals, adult day services, behavioral support, professional nursing, home modifications, assistive technology, transportation, and respite care. CHC also offers Participant-Directed Services, allowing participants to recruit, hire, train, and supervise their own caregiversoften family membersto assist with ADLs (bathing, dressing, toileting) and IADLs (meal preparation, medication reminders).PDA Waiver (Council on Aging Waiver)The Pennsylvania Department of Aging (PDA) Waiver, also called the Council on Aging Waiver, serves seniors aged 60 and over who require nursing facility level of care but choose to remain at home or in other community-based settings like domiciliary care homes. To qualify: Be age 60 or older. Meet Medicaid financial eligibility requirements. Be assessed as requiring nursing facility level of care (through the functional assessment). Live in a qualifying community setting. Covered services under the PDA Waiver may include personal care assistance, home-delivered meals, homemaker services, personal emergency response systems, respite care, adult day services, minor home modifications, and transportation. Like CHC, the PDA Waiver emphasizes managing ADL and IADL needs to keep participants safely in their homes.Participant-Directed ServicesBoth CHC and the PDA Waiver offer Participant-Directed Services, which empower participants to choose and manage their own caregivers, including family members, friends, or neighbors. Under this model, participants develop a service plan with guidance from a care coordinator, set schedules, and handle payroll tasks. This flexibility helps ensure that personal care and IADL support align with participants preferences and routines.Signs That Your Loved One May QualifyBelow are practical indicators that someone may be eligible for Pennsylvanias CHC or PDA Waiver due to difficulty with ADLs and IADLs: Trouble with Personal Care: Skipping showers, unkempt hair, or wearing dirty clothes may indicate difficulties with bathing and dressing (ADLs). Malnutrition or Weight Loss: An empty fridge or significant weight loss suggests issues with meal prep or feeding oneself (ADLs/IADLs). Mobility Decline and Falls: Struggling to walk without assistance, needing help to stand, or experiencing frequent falls signals reduced mobility (ADL: transferring/ambulating). Medication Errors and Memory Problems: Missing doses, mixing up pills, or forgetting appointments point to challenges with medication management and scheduling (IADLs). Household Neglect: Piles of mail, unpaid bills, or a cluttered home reflect trouble with housekeeping and money management (IADLs). A combination of needing help with several ADLslike bathing and toiletingand difficulties with IADLssuch as meal prep and housekeepingstrongly indicates a nursing facility level of care. Document these challenges for the functional assessment to demonstrate eligibility.Were Here to Help: Next Steps and Contact InformationNavigating Pennsylvanias Medicaid waiver programs can be complex, but you dont have to go it alone. At Passion to Care, we specialize in guiding Pennsylvania families through the CHC and PDA Waiver application processesfrom the initial functional assessment of ADLs and IADLs to completing paperwork and coordinating services once approved. If you notice your loved one struggling with daily tasks or if a professional has recommended nursing facility care, it may be time to explore CHC or the PDA Waiver. Our compassionate, family-first team ensures your loved ones needs are met with dignity and respect. Call us or contact us today to learn how to get started with Pennsylvanias Medicaid waivers for home and community-based services.