It can be overwhelming to find a new living arrangement for an aging loved one, especially for those who are unfamiliar with the nuances of senior living options. In order to find the best fit, one must understand what types of housing and care are available and the key differences between them.
Senior care exists on a spectrum, and independent living (IL) is the least restrictive and assistive residential option. One step above IL is assisted living (AL). AL is also minimally restrictive, but as the name implies, this residential setting offers assistive services and supports. Lets take a closer look at the differences and similarities between these two senior living options.
Living Spaces
The independent living category encompasses a wide range of housing arrangements, from apartment-style communities to housing co-ops. Generally, though, residents live in their own private dwelling spaces and have access to common areas where they can gather with other members of the community. Independent living can also be referred to as an active adult community, senior apartments, a retirement community, a 55+ community, or a retirement home. Because this option is designed for seniors who can still live independently, the features and amenities in the individual dwelling areas are comparable to those in a typical small home, townhouse or apartment.
The typical assisted living arrangement is apartment-style. Individual units may or may not be equipped with full kitchens. Assisted living communities with specialized memory care units for seniors with cognitive impairment often feature increased security measures (e.g., locked doors and extra surveillance equipment) and may not allow residents to have kitchens in their apartments, due to safety concerns.
Some specialized communities, called Continuing Care Retirement Communities (CCRCs) offer independent living, assisted living and higher levels of senior care all on the same campus to allow residents to easily transition between these settings as their needs increase.
Amenities and Care Services
Independent living communities aim to make their residents day-to-day lives a bit easier, thus enabling them to live on their own for as long as possible. The services IL provides are aimed at minimizing senior's daily responsibilities, not assisting with activities of daily living (ADLs). Landscaping, laundry and housekeeping services, on-site dining facilities, security surveillance, and a variety of activities and events are the typical offerings in IL settings. However, they do not have full-time staff dedicated to providing custodial or medical care.
The main benefits of independent living communities are receiving help with meals and housekeeping/maintenance tasks, as well as having a centralized hospitality service building for socialization, says Regina Wallace, director of the independent senior apartments program for the Hebrew Home at Riverdale in Riverdale, New York. Its not really about hands-on care in these communities.
Assisted living, on the other hand, is geared more towards helping aging adults who need some assistance with activities of daily living (ADLs), such as bathing, dressing, doing laundry and taking medications. Staff members, including at least one medical professional (typically a certified nurse practitioner), are on call 24 hours a day in most AL residences. However, assisted living communities don't provide intensive hands-on care or skilled nursing care for older adults with serious mental or physical ailments.
Both independent living and assisted living communities have recreation schedules that are unique to each facility's residents and their abilities. Common activities include game nights, field trips, support and discussion groups, holiday celebrations, exercise classes and continuing education courses. They also provide transportation services for shuttling residents to and from doctor's appointments, the grocery store and other errands.
Comparing the Costs of Independent and Assisted Living
Rent and utilities represent the primary cost for independent living residents, according to Wallace. Aging adults who live in communities that offer specialized recreational opportunities (e.g., private golf courses) may incur additional expenses in the form of membership and/or joining fees. Different meal plans are usually available for on-site dining, and additional costs may be involved depending on the mix of services and add-ons a senior opts for.
Just like in IL communities, AL facilities often use a base rate system that includes rent, utilities and some level of basic services, such as meals and housekeeping. Again, additional services will come with additional costs. According to Genworths annual Cost of Care Survey, the average monthly cost of a private one-bedroom apartment in an assisted living facility is $3,750.
Seniors who need specialized or one-on-one care that isn't included in their rent contract can usually hire professional in-home care to supplement the services that the IL or AL community offers. Of course, this will increase costs, but the addition may enable a senior to remain in their home longer rather than move to a different setting with a higher level of care.
Ways to Pay for IL and AL
Besides differences in the levels of care these residential setting provides, the biggest disparity between independent living and assisted living is the financial resources that seniors and their families can use to cover the cost of living in these communities.
Since independent living communities don't provide residents with medical services, Medicare, Medicaid, long-term care insurance and other financial aid programs won't cover the cost. Instead, seniors must pay privately, using funds from Social Security benefits, pension income, retirement savings, life settlements, reverse mortgage funds, annuities and other personal funds.
Because AL communities provide a greater amount of assistance, there are more options available for helping cover costs. Residents can pay to live in AL by using savings and the personal funds listed above, as well as certain long-term care insurance policies and Aid and Attendance benefits from the U.S. Department of Veterans Affairs. Medicare does not cover assisted living, but Medicaid offers some financial assistance for low-income seniors. Keep in mind that Medicaid eligibility and coverage rules vary from state to state.
The U.S. Department of Housing and Urban Development (HUD) offers low-income seniors help with paying for both independent and assisted living through the Housing Choice Voucher (formerly Section 8) and Section 202 programs respectively. However, because of high demand for these programs, the waiting lists are often very long.
When searching for personal care homes, families often overlook the critical distinction between national chain organizations and local, family-owned and operated facilities. This difference can significantly affect the quality of life for residents. Family-owned personal care homes offer a unique, personalized experience that larger corporate entities often struggle to replicate. Let's explore the benefits of choosing a family-owned personal care home.The Personal Touch of Family-Owned Personal Care HomesFamily-owned personal care homes are typically founded with a mission that transcends profit. These homes are often established by families who have a personal investment in providing high-quality care, inspired by their own experiences with elder care. This personal touch translates into an environment that feels more like a home than an institution.Residents Come FirstIn family-owned personal care homes, the focus is on the residents rather than solely on business. These homes prioritize caring for both residents and staff, ensuring that the needs of individuals are met with compassion and understanding. By treating the business as an extension of their family, the quality of care reflects a genuine concern for residents, making them feel valued and respected.Hands-On LeadershipA standout feature of family-owned personal care homes is the active involvement of the owners in daily operations. This accessibility fosters open communication between residents, families, and staff. Owners who engage directly with the community help create a culture that feels like an extended family. This direct involvement not only motivates staff but also inspires a supportive and cohesive environment.Everyone Has a NameIn family-owned and operated personal care homes, every team member is empowered to make decisions and respond attentively to the needs of residents and their families. Unlike large corporations with multiple layers of management, family-owned homes maintain personal connections with both residents and staff. Employees are recognized as individuals with names and purposes, which is reflected in the quality of care provided.Benefits for Staff and ResidentsThe advantages of choosing a family-owned personal care home extend beyond the residents themselves. Staff members also experience a range of benefits that contribute to a positive work environment.Happy Staff, Happy ResidentsFamily-owned homes prioritize the well-being of their staff just as much as that of their residents. There is a clear correlation between satisfied staff and happy residents. In these homes, staff members are treated with respect and care, fostering a nurturing environment. When team members face personal challenges, the entire community comes together to provide support, leading to a harmonious atmosphere that benefits everyone involved.Fair PricingFamily-owned personal care homes often have the flexibility to offer more affordable pricing compared to national chains. Their business decisions are based on caring for residents and staff as part of their family, rather than solely on financial gain. While cost is a significant consideration in choosing a personal care home, family-owned facilities frequently provide a more cost-effective solution without compromising on quality.Enhanced Family RelationshipsFamily-owned homes not only benefit residents and staff but also enhance family relationships. By sharing caregiving responsibilities with professionals, families can focus on spending quality time with their loved ones rather than being overwhelmed by caregiving tasks. This shift allows for more meaningful interactions and the creation of lasting memories.Choosing a family-owned personal care home offers numerous benefits that can significantly enhance the quality of life for older adults and their families. The personalized care, hands-on leadership, and strong community ties inherent in these homes provide a nurturing setting that promotes well-being and peace of mind. For families seeking a compassionate and resident-centered approach to elder care, family-owned personal care homes represent an invaluable option.If you feel that a family-owned personal care home might make a great option for you, or your loved one - we would love to meet you! Contact Lindsey Jester today at 330-692-8628.
In the realm of senior care, the choice between a national chain and a family-owned personal care home can significantly impact the quality of life for residents and their families. Family-owned personal care homes offer a unique blend of personalized care, community integration, and emotional warmth that larger corporate facilities often struggle to replicate. Family-owned personal care homes are often established with a mission that transcends profit. These homes are typically founded by individuals or families who have a personal stake in providing high-quality care, often inspired by their own experiences with elder care. This personal investment translates into a care environment that feels more like a home than an institution.Personalized and Resident-Centered CareOne of the primary benefits of family-owned personal care homes is their ability to offer personalized, resident-centered care. Unlike larger facilities, where care can be standardized and impersonal, family-owned homes can tailor their services to meet the specific needs and preferences of each resident. This approach ensures that residents receive the attention and care they deserve, fostering a sense of dignity and respect.A Homelike EnvironmentFamily-owned personal care homes often provide a more homelike and comfortable environment compared to larger corporate facilities. The smaller scale of these homes allows for a more intimate setting where residents can form close relationships with staff and fellow residents. This sense of community can be incredibly beneficial for older adults, promoting social interaction and reducing feelings of isolation.Benefits for FamiliesThe advantages of choosing a family-owned personal care home extend beyond the residents themselves. Families also experience a range of benefits that can ease the transition and ongoing experience of having a loved one in care.Peace of MindKnowing that their loved ones are in a nurturing and attentive environment provides families with peace of mind. Family-owned homes often have a reputation for being more responsive and accessible, with owners and managers directly involved in day-to-day operations. This involvement ensures that any concerns or issues can be addressed promptly and personally.Enhanced Family RelationshipsWhen the burden of caregiving is shared with professionals in a family-owned personal care home, family relationships can improve. Families are free to focus on spending quality time with their loved ones rather than being overwhelmed by caregiving responsibilities. This shift can lead to more meaningful interactions and the creation of lasting memories.Cost-EffectivenessWhile cost is always a consideration, family-owned personal care homes can offer a more cost-effective solution compared to larger facilities or home modifications. These homes typically include a comprehensive package of services, which can be more economical than hiring private caregivers or adapting a home to meet an older adult's needs.The Impact on StaffA family-owned personal care home not only benefits residents and their families but also positively impacts the staff who work there.Empowered and Engaged StaffIn family-owned settings, staff members are often empowered to make decisions and respond to the needs of residents and their families. This empowerment leads to a more engaged and motivated workforce, which directly translates into better care for residents. Staff members in these environments are more likely to feel valued and respected, which enhances their job satisfaction and performance.A Sense of CommunityWorking in a family-owned personal care home often feels like being part of an extended family. The close-knit nature of these homes fosters a supportive work environment where staff members know each other and the residents personally. This familiarity and camaraderie can lead to a more harmonious and effective care environment.Choosing a family-owned personal care home offers numerous benefits that can significantly enhance the quality of life for older adults and their families. The personalized care, homelike environment, and strong community ties inherent in these homes provide a nurturing setting that promotes well-being and peace of mind. For families seeking a compassionate and resident-centered approach to elder care, family-owned personal care homes represent an invaluable option.Learn more about REWARD Senior Care and what makes our community unique as a family-owned and run personal care home in Turtle Creek. We would love to meet you! Contact us for a tour today.
As the summer heat intensifies across the country, dehydration becomes a common and potentially dangerous concern. This condition can have severe implications, particularly for seniors who are more vulnerable due to several physiological factors. Seniors face unique challenges, especially when it comes to the impact of their medication on hydration. Why Are Seniors More Prone to Dehydration?Seniors are at an increased risk for dehydration for several reasons: Reduced Thirst Signal: As people age, their bodies lose their ability to recognize thirst, making it harder to drink fluids. Lower Body Water Volume: Older adults generally have a lower total volume of body water, meaning they have less fluid to lose before dehydration sets in. Kidney Function Decline: Kidneys become less efficient at conserving water with age, further contributing to fluid loss. Chronic Illnesses: Conditions such as diabetes can worsen the risk of dehydration since they affect the body's ability to control water. In addition to these factors, medication plays a significant role in influencing fluid balance in seniors.The Impact of Medication on DehydrationAs a clinical pharmacist, I've seen firsthand how medications can contribute to dehydration, especially in older adults. One of my clients, an active senior, nearly passed out while cycling in the summer. As it turned out, he was on a diuretic medication, commonly referred to as a "water pill." Diuretics are a class of drugs that increase urination, leading to reduced fluid levels in the body. These medications, often prescribed for conditions like hypertension and heart failure, can inadvertently lead to dehydration if fluid intake isn't carefully managed. Some commonly used diuretics include bumetanide, chlorothiazide (Diuril), hydrochlorothiazide, and furosemide (Lasix). But diuretics aren't the only medications that can cause dehydration. Other drugs like these can also affect your body's water balance. Antihistamines: Often used for allergies, these can cause dry mouth and reduced fluid intake. Blood Pressure Medications: Certain blood pressure medications can increase urine output. Laxatives: They can cause fluid loss through increased bowel movements. Chemotherapies: These treatments often lead to side effects like vomiting and diarrhea, contributing to dehydration.Managing Dehydration RisksIt's important to be aware of dehydration risks, particularly for those taking medications that impact fluid balance. Regardless of whether one feels thirsty, its important to drink water throughout the day. Staying alert to the signs of dehydrationsuch as increased thirst, dry mouth, dark urine, fatigue, and dizzinesscan also help address the issue early. These symptoms are early warning signs that the body may need more fluids. Finally, anyone concerned about dehydration should consult a healthcare provider. They can adjust medication and advise seniors on managing fluid intake to prevent dehydration. At Deeper Dive Horizons, one of my priorities is to guide you and your loved ones through the complexities of medication management to improve your well-being. With over 22 years of experience, my goal is to dive deeply into your health and ensure you maintain a balanced and healthy life, even in challenging conditions like extreme heat. Schedule a consultation today to get started 888-984-8895.