Across the Denver metro area there are a variety of senior living care options. Each provides a range of options all providing varying levels of support- independent living, assisted, memory care, or skilled nursing. A simple google search of “assisted living communities in Denver” can bring a range of results. A Senior Care Advisor can assist you in untangling the results and understanding what each option entails.
For many, a trigger to senior living comes from difficulty living at home independently. Because of this, when families are exploring senior care, they are often looking at either assisted living or memory care neighborhoods.
ADLS & IADLS: Understanding Your Loved One’s Needs
First, it’s helpful to understand the terms Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). These terms are generally used to describe the care that can be provided within senior care residences, and the criteria to help gauge where a resident would receive the most appropriate support. When it comes to ADLs and IADLs for individuals with memory loss, it may not be that they can’t do these tasks, but rather they don’t remember to do them without prompting.
Activities of Daily Living include basic self-care activities, shown below:
Instrumental Activities of Daily Living are tasks that require more advanced planning but help to manage the home and personal needs.
Assisted Living Facilities: What They Do and Don’t Do
Assisted living facilities are large residences with around 100+ residents. Assisted living residences offer assistance with all the ADLs and IADLs listed above. They have resident aides who can provide light assistance with these tasks. Resident aides are often referred to as caregivers or care partners. They may have experience as home health aides or certified nursing assistants. The ratio of residents to staff is usually low, with around 1 staff member to 8 residents (on average).
Assisted living residences generally offer medication assistance, laundry services and transportation to local appointments. The assisted living also offers engaging activities throughout the day; including local excursions at times. These programs are encouraged, but optional. It is generally up to the resident to determine how many activities they attend, and which ones. Residents also have the independence to come and go as they please, as long as they are signing out of the building.
Generally, residents in assisted living may have physical challenges, or mild cognitive impairments. Despite their memory loss, they are likely able to navigate their daily activities with minimal cueing and support. Assisted living residences are great for offering support for your loved one, while retaining independence.
Assisted Living Homes
Assisted living homes are a unique care option to Colorado. This type of residence is usually licensed to have 8-12 residents- significantly smaller than the larger assisted living facilities described above.
Since it is a home setting there are naturally more eyes on, individuals with higher physical needs or cognitive impairments may receive the support they need without the dementia specific care found in a memory care neighborhood. Staff can provide more attention to and likely develop a closer relationship with your loved one, helping them to know best ways to support them. In many cases, a person living with a cognitive impairment may avoid a memory care unit due to the benefits of more eyes on.
Due to their smaller size, they often have a more “homey” atmosphere. Engagement can be tailored to the unique interests of the current residents. Assisted living homes can be a great fit for someone who needs a higher level of supervision and support.
Memory Care Communities: A Special Approach
In addition to assisted living residences, the Denver area has a variety of memory care neighborhoods. These neighborhoods average 25 residents. Memory care communities may be neighborhoods within an assisted living, or a stand-alone community. Memory care communities provide a higher level of support for their residents with cognitive impairments. They also offer the same assistance with ADLs and IADLs. However, their support is often in the form of cueing and reminders, rather than the physical assistance that residents in assisted living may require. The staff is required to have more intense training in supporting people with memory loss in order to learn best approaches to care for this population. For example, staff should be well versed in providing support for someone who may not be aware that they need any assistance.
The activities in memory care communities are geared towards people living with cognitive impairments. There is more encouragement for residents to participate in programming as it allows for residents to have increased structure- something that is critical for people living with a cognitive impairment. While there may be scheduled excursions and family members can take their loved one’s out, memory care neighborhoods are secured in order to decrease the chance of wandering and becoming lost.
The goal of a memory care neighborhood is to provide each resident with the support they need to perform at their best and emphasize their strengths to increase independence. If your loved one is experiencing memory loss and benefits from significant encouragement, a memory care neighborhood within assisted living may be the best fit.
Finding the Appropriate Residence
It’s not always clear cut which is the appropriate level of care for your loved one– assisted living or memory care. Some individual residences may have their own criteria to determine which level of care an individual is best fit for. Senior care advisors are the key to finding the best fit and being your advocate throughout the searching process. Let Stacy’s Helping Hands help you to find the best fit. From Castle Rock to Aurora, all across Denver, we can help you navigate your choices and support you in making a decision.
Providing care for a loved one is a profound commitment, and in Pennsylvania, various programs exist to support family caregivers in this vital role. While Personal Care Assistance (PCA) broadly refers to services that help individuals with daily living activities, its important to understand that paid family caregiving in Pennsylvania primarily operates through specific Medicaid waivers. These initiatives aim to support the invaluable work of caregivers while allowing loved ones to remain in the comfort and familiarity of their own homes or the homes of family members.Understanding Personal Care Assistance (PCA) in PennsylvaniaIn Pennsylvania, Personal Care Assistance (PCA) refers to the services that help individuals with daily living activities and household tasks, enabling them to live independently. Its crucial to differentiate this from Personal Care Homes (PCH), which are residential facilities that provide housing, meals, supervision, and assistance, but typically do not offer third-party reimbursement for family caregivers providing care within them.Instead, paid family caregiving for PCA services in Pennsylvania primarily operates through various Medicaid waivers, also known as Home and Community-Based Services (HCBS) waivers. These waivers are designed to provide direct assistance with Activities of Daily Living (ADLs) and household services for older adults or individuals with disabilities who live in their own homes or the homes of loved ones. The services provided under these waivers are what constitute Personal Care Assistance in the context of paid family caregiving.Key Pennsylvania Medicaid Waivers for PCAPennsylvania offers several Medicaid waivers that facilitate paid family caregiving for Personal Care Assistance, each with specific eligibility criteria and rules regarding family members.1. Community HealthChoices (CHC) Waiver: Getting Paid to Care for Loved OnesThe Community HealthChoices (CHC) waiver is Pennsylvanias most common Medicaid managed care program that facilitates paid family caregiving for PCA. It is designed for individuals aged 21 or older who are eligible for both Medicaid and Medicare and require a nursing facility level of care. This program consolidates several former waivers into a single, comprehensive system and is administered by private healthcare insurance companies contracted by the state.Recipient Eligibility for CHC: To qualify for the CHC program, the individual needing care must meet several criteria: Age: The recipient must be 21 years of age or older. Dual Eligibility: They must be eligible for both Medicaid and Medicare. Functional Eligibility: A physician must certify that the individual has a condition requiring long-term services and supports, specifically an inability to perform essential Activities of Daily Living (ADLs) such as bathing, toileting, or transferring. A trained assessor will also conduct a functional eligibility determination to confirm the level of care needed. Financial Eligibility: The individual must meet specific income and/or asset requirements, determined by the local County Assistance Office (CAO). For example, in 2023, the income limit to qualify for the Pennsylvania Medicaid waiver program under CHC was $2,742 per month. Caregiver Eligibility (Who Can Be Paid, Spousal/Guardian Restrictions): Pennsylvanias Medicaid waivers generally permit family members, such as adult children, siblings, and even friends, to be compensated for providing care. However, under the CHC waiver, spouses (husband or wife) are typically not eligible to be paid caregivers. Similarly, individuals holding Power of Attorney (POA) for the care recipient or legally responsible guardians (such as parents caring for children under 18) are also generally excluded from paid caregiver roles under this program.Application Process: The process involves contacting the Pennsylvania Independent Enrollment Broker (IEB) at 1-877-550-4227, applying on the COMPASS website, and submitting necessary documentation, including physician certification and financial information. Once approved, the care recipient can select a state-licensed home care agency that employs family members, such as Avondale Care Group.Services Covered & How Agencies Facilitate Payments: The CHC waiver covers a range of personal care and home care services. This includes direct assistance with Activities of Daily Living (ADLs) like bathing, dressing, meal preparation, and medication management, as well as various household services. Family caregivers are hired as regular employees of the licensed home care agency, which handles all administrative tasks, including payroll and compliance.Payment Rates & Benefits for Family Caregivers: The compensation for family caregivers through Medicaid waiver programs in Pennsylvania typically ranges between $10 and $15 per hour. The number of hours approved depends on the care recipients health and needs, with a maximum of 35 hours of care per week often allowed. The maximum weekly pay rate for Pennsylvania is up to $700 per week, which aligns with or exceeds these hourly rates, potentially including overtime or other factors. Many agencies also offer additional benefits that significantly enhance the overall compensation package for family caregivers. These can include overtime pay, weekly pay, free Certified Nurse Aide (CNA) training for eligible caregivers, holiday pay (often 1.5 times the regular rate for specified holidays), 401k plans with company matching, company-sponsored healthcare insurance (with substantial premium coverage), flexible schedules, and paid time off.2. OBRA WaiverThe OBRA Waiver is designed to support individuals aged 18-59 who have a severe developmental physical disability and require an Intermediate Care Facility/Other Related Conditions (ICF/ORC) level of care. This program helps these individuals live as independently as possible within their communities by providing assistance with activities of daily living (PCA services).Family Member/Spouse Eligibility: Similar to the CHC waiver, the OBRA waiver excludes spouses or legal guardians from being paid caregivers.Payment Rates: Compensation for caregivers under the OBRA waiver varies by geographic area, typically ranging from $13 to $15 per hour. The maximum weekly pay rate for Pennsylvania is up to $700 per week.Application: The application process also begins by contacting the Independent Enrollment Broker (IEB) at 1-877-550-4227. 3. Consolidated WaiverThe Consolidated Waiver provides support and services to a broader population, including individuals of all ages with an intellectual disability (ID) or autism, as well as children under 22 with a developmental disability due to a medically complex condition. Recipients must be recommended for an intermediate care facility (ICF) level of care based on a medical evaluation.Family Member/Spouse Eligibility: A significant difference with the Consolidated Waiver is that it explicitly allows a friend or family member, including a spouse or legal guardian, to receive payment for care provided.Payment Rates: The average pay for Pennsylvania caregivers under the Consolidated Waiver typically falls between $11 and $14.50 per hour. The maximum weekly pay rate for Pennsylvania is up to $700 per week.Application: To apply for the Consolidated Waiver, individuals should contact the Office of Developmental Programs (ODP) customer line at 1-888-565-9435. Important Considerations: Medicaid Estate Recovery Program (MERP)While Pennsylvanias Medicaid programs offer crucial financial relief for family caregivers, it is essential for families to understand the long-term financial implications. The Medicaid Estate Recovery Program (MERP) is a federal requirement for all state Medicaid programs to seek repayment for long-term care costs after a recipient passes away. This recovery typically applies to individuals aged 55 and older who received Medicaid long-term care services, including those provided through Home and Community-Based Services (HCBS) waivers. Assets subject to recovery can include the deceased recipients primary home, even if it was exempt during their lifetime while receiving benefits. The states claim is generally delayed if there is a surviving spouse, a child under 21, or a child of any age who is blind or permanently disabled. Families may also be able to apply for undue hardship waivers in certain circumstances. Given these potential impacts on family inheritance and assets, it is highly advisable for families to consult with an elder law attorney or financial advisor for personalized guidance on MERP and comprehensive estate planning.
Choosing the right senior living community is one of the most important decisions families and older adults can make. Whether you're exploring options for yourself or helping a loved one, visiting a community in person provides insight far beyond what a website or brochure can offer.A thoughtful, well-prepared tour helps you evaluate if a community truly feels like homeand whether it meets your physical, emotional, and social needs. At Seniors Blue Book, were here to make that process easier, more transparent, and more empowering.Heres what to know before you tourand the key questions to ask while you're there. Before the Tour: Do Your HomeworkStart by identifying the level of care that may be needed:Independent Living for active seniors seeking a maintenance-free lifestyle and social engagementAssisted Living for those who need help with daily tasks like bathing or medication managementMemory Care for individuals with Alzheimers or other forms of dementiaSkilled Nursing for seniors requiring 24/7 medical support or short-term rehabilitationUse Seniors Blue Book to search communities in your area, compare services, and read reviews before scheduling your visits. During the Tour: What to Look ForObserve:Cleanliness and overall condition of the communityHow staff interact with residents (Are they friendly and respectful?)Residents' mood and engagement in activitiesSafety features: handrails, lighting, emergency call systemsAccessibility: elevators, ramps, transportation services Top Questions to Ask During Your VisitCare & ServicesWhat types of care are available on-site if needs change?How are care plans created and updated?Is staff available 24/7? What is the nurse-to-resident ratio?Do you offer memory care or skilled nursing if it becomes necessary?Costs & ContractsWhats included in the monthly fee?Are there additional charges for medication management or assistance with daily living?What is the policy on deposits, refunds, or move-outs?Lifestyle & CommunityWhat kinds of activities are offered daily or weekly?Are meals included? Can dietary needs be accommodated?Can residents bring their own furniture or pets?Are there religious services, wellness programs, or group outings?Communication & Family InvolvementHow is information communicated to family members?Can families be involved in care planning?Are there visiting hours or family events? Downloadable Checklist: Take Notes & CompareBring a notebook or use our free Senior Living Tour Comparison Checklist to rate each community on care, amenities, location, staff friendliness, and overall feel. This helps make an objective decision later. Bonus Tip: Ask to Talk to a Current Resident or Family MemberHearing first-hand experiences from someone living in the community can provide valuable perspectiveand peace of mind. How Seniors Blue Book Can HelpAt Seniors Blue Book, we connect families with trusted, local senior living options, home health providers, elder care services, and moreall in one place. With our free directory and personalized guidance, you can save time, reduce stress, and feel confident every step of the way.Search listings online: seniorsbluebook.comGet a free book: Available at libraries, hospitals, senior centers, and more Tour with ConfidenceTouring a senior living community shouldnt be overwhelmingit should be empowering. With the right questions, a clear plan, and help from trusted resources like Seniors Blue Book, you can make a decision that supports health, happiness, and peace of mind for years to come.Know someone beginning the search for senior care? Share this guide to help them start with clarity and confidence.
Trust administration is a critical process that involves managing assets, overseeing distributions, and handling legal obligations within a trust. While it can seem intricate and time-consuming, seeking legal assistance for trust administration offers numerous benefits. In this article, we will delve into the key components of trust administration, including paying off obligations, gathering assets, and ensuring smooth distribution, while highlighting the advantages of enlisting professional help.1. Paying Off Obligations: Ensuring Financial ResponsibilitiesOne of the essential tasks in trust administration is settling the financial obligations of the trust. This involves identifying any outstanding debts, taxes, and other financial commitments left behind by the Grantor. Ensuring that these obligations are promptly addressed is crucial to maintain the integrity of the trust and uphold the wishes of the Grantor. Legal experts specializing in trust administration can navigate the complex landscape of financial obligations, ensuring compliance with legal requirements and preventing any potential disputes.2. Gathering Assets: Streamlining the ProcessCollecting and managing the assets held within a trust is a multifaceted task. Trust administrators need to locate, evaluate, and categorize the assets, which can range from real estate properties to investment portfolios. Enlisting legal assistance streamlines this process, as professionals can employ their knowledge and resources to efficiently identify all assets, assess their value, and handle the necessary documentation. This proactive approach minimizes the risk of oversight and ensures that the trusts assets are properly accounted for and managed.3. Distributing Assets: Fulfilling Beneficiary WishesThe distribution of assets to beneficiaries is a significant aspect of trust administration. Depending on the terms outlined in the trust document, assets may be distributed to beneficiaries immediately after the Grantors passing or at specific intervals over time. Legal experts play a crucial role in ensuring that these distributions adhere to legal requirements and the Grantors wishes. They help navigate potential conflicts among beneficiaries, interpret complex trust provisions, and implement fair and equitable distribution strategies.Benefits of Seeking Legal Assistance for Trust Administration:a) Expertise in Complex Legal Procedures:Trust administration involves intricate legal procedures and compliance requirements. Legal professionals specializing in trust law possess the knowledge and experience to navigate these complexities, minimizing the risk of errors and legal disputes.b) Mitigating Disputes:The presence of a legal expert can help prevent disputes among beneficiaries or other interested parties. Their objective guidance and adherence to legal protocols can mitigate conflicts that may arise during the administration process.c) Efficient Document Preparation:The documentation involved in trust administration is extensive. Legal professionals are adept at preparing and managing the required paperwork, ensuring accuracy and compliance with legal standards.d) Maximizing Tax Efficiency:Tax implications are a significant concern in trust administration. A knowledgeable legal expert can help devise strategies to minimize tax liabilities, preserving more of the trusts assets for distribution to beneficiaries.e) Focusing on Executor Duties:By outsourcing the legal aspects of trust administration, trustees can focus on their primary duties, such as overseeing investments and ensuring beneficiaries well-being.End NoteIn conclusion, trust administration involves multifaceted responsibilities, including settling financial obligations, managing assets, and distributing them to beneficiaries. Seeking legal assistance for trust administration provides numerous benefits, from navigating complex legal procedures to mitigating disputes and ensuring efficient document management. By enlisting the expertise of legal professionals, such as those at Burr Law, trustees can fulfill their fiduciary duties while upholding the intentions of the trustor and ensuring a smooth and seamless administration process. Contact Burr Law today to access their specialized trust administration services and navigate the complexities of trust management with confidence. Call us today with any questions 720-500-2076.
Let us help you find the best care and housing option for your loved one - Assisted Living, Independent Living, Memory Care or Skilled Nursing. As Senior Care Advisors with over 12 years experience, we know the level of care each community or small home provides, their reputation and cost. We will help determine your loved ones physical care needs and what will be the best fit for them socially. As a neutral party, we tour the communities/homes with you and help you ask the right questions. We stay with you as your liaison, sounding board, and advocate for 3 months after you move in. Read our 5 Star reviews on Google and Yelp!
Let us help you find the best care and housing option for your loved one - Assisted Living, Independent Living, Memory Care or Skilled Nursing. As Senior Care Advisors with over 12 years experience, we know the level of care each community or small home provides, their reputation and cost. We will help determine your loved ones physical care needs and what will be the best fit for them socially. As a neutral party, we tour the communities/homes with you and help you ask the right questions. We stay with you as your liaison, sounding board, and advocate for 3 months after you move in. Read our 5 Star reviews on Google and Yelp!
Let us help you find the best care and housing option for your loved one - Assisted Living, Independent Living, Memory Care or Skilled Nursing. As Senior Care Advisors with over 12 years experience, we know the level of care each community or small home provides, their reputation and cost. We will help determine your loved ones physical care needs and what will be the best fit for them socially. As a neutral party, we tour the communities/homes with you and help you ask the right questions. We stay with you as your liaison, sounding board, and advocate for 3 months after you move in. Read our 5 Star reviews on Google and Yelp!