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Boarding Home and Residential Care Home
When it comes to finding care options for loved ones or individuals needing assistance, navigating the various types of facilities available can be overwhelming. With the baby boomer population continuing to age, more seniors will be needing to seek out options that provide companion services and higher levels of care. One of the potential options includes group homes. Municipal regulation of Group homes states, “While there is no single definition of “group home” under state of federal law currently, under Texas law there are at least 24 types of homes, houses, centers, and other facilities, probably more that may qualify as a group home.” Confusing, right? There are many types of group homes that provide housing, counseling, and programs for teens, drug addiction, mental and physical disabilities, and conditions. For the purposes of this blog, we will focus on two types of group homes that cater to adults and seniors needing assistance: Boarding and Residential Care Homes. Boarding homes and residential care homes are often confused, both cater to specific needs and offer distinct levels of care. Understanding their differences is crucial in making an informed decision to individual requirements.
Boarding Home
According to the Texas Health and Safety Code Section 260.001 a boarding home is classified as:
· Serves elderly persons 65 and up or persons with disabilities (mental, physical, intellectual, or developmental) that impairs the person’s ability to provide for one’s care or protection
· Provides lodging to three or more persons with disabilities or elderly that are unrelated to the owner of the home
· Provides meals, housekeeping, transportation, grocery shopping, money management, laundry services, self-administration of medication assistance
· Does NOT provide assisted living facility (ALF) personal care services as defined in Section 247.002
· County or municipality may require a permit to operate
· May have coverage under certain government programs or a long-term care policy
These homes offer a smaller environment and up to 6 residents live in a home-like setting with trained staff and supervisors that often live in the home.
Residential Care Homes
Definition: A residential care home, also referred to as community, personal care home, or board and care home, is a private home that usually house 20 or fewer residents (some as few as 3 or 4) that are staffed 24/7, deliver non-medical assistance to seniors that do not need 24/7 nursing care. Services include meals, personal assistance with daily activities of living.
· Homelike environment with private or semi-private rooms
· Assistance with activities of daily living (ADLs) such as: bathing, dressing, and medication management
· Social activities, meals, and basic medical assistance provided
· Often more affordable than traditional and larger assisted living facilities
· Caregiver to patient ratio is typically better than in standard assisted living facilities
· Cost is private pay, long-term care insurance, or Veteran’s assistance programs
· Supportive care services such as home health, therapy, and hospice care can be provided by a licensed third-party service provider
· Unlicensed Residential Care Home is allowed up to 3 non-related residents (Legal & illegal)
· Licensed homes are certified by Texas Health and Human Services for compliance at the state and federal level.
· A very small number of care homes accept Medicaid
The Texas Health and Safety Code Section 123.005 notes that community homes can provide a wider array of services such as: food, shelter, personal guidance, care, habilitation services and supervision services to persons with disabilities compared to boarding homes. “These disabilities can include Alzheimer’s or other types of dementia; autism; mental illness; muscular dystrophy; multiple sclerosis, among others.” Section 123.002
Residential Care Homes can be Licensed as a Type A or B Assisted Living Facility (ALF):
Type A – Requires the resident to be physically and mentally capable of evacuating the facility unassisted in an emergency. They do not need regular assistance during sleeping hours.
Type B – Residents may require assistance to evacuate and may be incapable of following directions in an emergency. Often require attendance during nighttime hours.
When considering a Residential Care Home, it is important to find out if they are licensed or not and what level of services they provide. If not licensed, are they operating legally and following state and federal guidelines for operations? What levels of care can they provide? It is advisable to enlist the help of a Senior Living Advisor like Ruby Care Senior Living Advisors, as they can narrow down your search and ensure that you know what you are walking into versus wasting time on numerous homes that may not be a good fit or even worse operating illegally.
With many different care options to choose from, making the decision as to what is the right care setting involves considering the specific needs, level of independence, and medical requirements of the individual. A group home such as a residential care home may be just what you and your loved one are looking for to provide quality senior care when the time comes. Knowing one has options outside of a traditional assisted living facility or nursing home empowers individuals and families to make informed decisions based on the needs and preferences of their loved ones.
Author: Britt Hemsell | Senior Living Advisor & Blog Contributor
Lets talk PATHWAYS: Personalized Support for Those Experiencing Cognitive DeclineDecember 5, 2024 By CC Young StaffThis time of year is filled with gatherings, which means you may be spending more quality time with your family members, particularly your parents and older relatives. While time spent together is a blessing, it can also highlight changes brought on by aging. If you believe someone you love is experiencing mild cognitive decline, there are options for keeping them safe while maintaining their independence and quality of life.This year, CC Young Senior Living in Dallas launched the Personal Assistance Toward Health and Wellness As You Succeed (PATHWAYS) program. Designed to serve as a bridge between Assisted Living and Memory Support, PATHWAYS provides extra support and structure in an intimate, small-group setting.We sat down with Nena Paris, CC Youngs Administrator, Assisted Living and Memory Support, to better understand the PATHWAYS program and who can benefit from it. Here are seven takeaways.PATHWAYS was created to fill a need between Assisted Living and Memory Support. The program came about because, often, Memory Support units can have long waitlists and fill up quickly. Truthfully, sometimes people with cognitive impairment dont necessarily need full Memory Support, as theyre not at risk of eloping, or leaving the community without supervision. CC Young has recognized that theres this middle group people who need a little more guided assistance and structure with their daily activities but are not qualified for full-blown Memory Support.PATHWAYS can actually slow cognitive decline. Research has shown that a guided program like PATHWAYS can in fact slow cognitive decline and help people stay engaged. Our program does this by providing residents with personal interaction, along with physical and emotional support, as a way to enhance their overall wellness and quality of life in a positive environment.PATHWAYS promotes resident wellness. At CC Young, we focus on whole-person wellness, using the 7 Pillars of Wellness as defined by the International Council on Active Aging: physical, social, spiritual, intellectual, emotional, vocational, and environmental wellness. Thats also the backbone of the PATHWAYS program, which promotes active aging regardless of cognitive issues. From these pillars, we have designed a comprehensive therapeutic program to support the needs of those with mild cognitive impairment in a joyful, engaging environment.PATHWAYS offers an intimate caregiver-to-resident ratio. Part of what makes PATHWAYS so successful is that the CC Young staff works closely with residents, which means the staff will notice any cognitive changes. In fact, at 1 caregiver to 7 people, the caregiver-to-resident ratio in PATHWAYS is better than both Assisted Living and Memory Support, which are 1 to 25 and 1 to 10, respectively. That also results in PATHWAYS residents becoming like family, as the staff truly gets to know them.PATHWAYS is not just for CC Young residents. Its true anyone from the Dallas community who has a need for the program can become a PATHWAYS resident. Upon entering the PATHWAYS program, your family member would also become an Assisted Living resident in The Hillside at CC Young.PATHWAYS is a less stressful transition for both family members and residents. It can certainly be stressful for families to face the decision of whether or not their family member should enter Memory Support. PATHWAYS offers a comforting solution for both them and their loved ones, as it lessens the pressure of deciding whether full Memory Support is needed now. The PATHWAYS resident may be able to live out their days in the PATHWAYS program or eventually transition to Memory Support, if the need arises.PATHWAYS keeps residents engaged and prevents isolation. To keep PATHWAYS residents engaged, the program takes an active and intentional approach to life enrichment activities, which includes participating in activities on the Assisted Living calendar as well as a specialized PATHWAYS calendar. The biggest differentiator for PATHWAYS is that a dedicated support staff member helps residents plan their day and escorts them to the activities. Since we purposely guide residents to keep them engaged, they are able to remain active and enjoy a better quality of life, while also avoiding any isolation that can be a symptom of cognitive decline.PATHWAYS is just one more service that CC Young offers current and prospective residents and their families. When we noticed an increase of older adults experiencing various levels of cognitive decline but not necessarily to the level of needing Memory Support we wanted to do something about it. We put our heads together and created a solution: PATHWAYS.If you are noticing cognitive decline in someone you love, we encourage you to have a conversation to express what youre observing. Talking to your primary care physician is a good place to start. CC Young is also happy to provide information, so feel free to give us a call at 214-305-9662.
Aging in place is becoming increasingly important for many American families. According to an AARP survey, more than half of Americans aged 50 and older plan to remain in their homes throughout their aging journey. And its no surprise whyaging at home offers familiarity, comfort, and, with proper planning, can be a more economical option that promotes independence for longer.However, the decision to age in place comes with its own set of challenges, particularly financial ones. Rising healthcare and long-term care costs make early and open financial planning crucial for families.If your parent or loved one is considering aging at home, this guide offers practical tips to support their independence while avoiding unnecessary financial strain.1. Start the Money Conversation EarlyTalking about finances with aging parents can be uncomfortable, but its an essential step to ensure their comfort and security. Approach this discussion with empathy and openness, focusing on how you can work together to maintain their quality of life.Here are key topics to cover:Income Sources: Discuss pensions, Social Security benefits, and retirement savings like 401(k)s or investments.Monthly Expenses: Understand their current spending and where adjustments might be needed.Future Costs: Highlight potential costs like home modifications, in-home care, and medical expenses.Creating a clear picture of their financial standing helps families plan effectively and reduces future stress.(Need help starting this discussion? Check out our blog, Tips for Convincing Aging Parents to Accept Help.)2. Understand the Costs of Aging in PlaceWhile aging at home is often more affordable than senior living facilities, its not without significant costs. For context, senior facilities can cost $4,500 to $5,300 per month on average, according to the National Council on Aging.Aging at home avoids some of these expenses, but families should still anticipate:Home Maintenance and Modifications: An AARP study revealed that 52% of out-of-pocket costs for aging at home go toward maintenance and accessibility updates, such as grab bars, ramps, or stairlifts.In-Home Care: Costs for personal care or medical support staff vary depending on the level of assistance needed.Medical Emergencies: Unexpected healthcare needs, especially for conditions like dementia, can lead to surprise expenses.Understanding these costs early allows families to budget appropriately and avoid financial shocks.3. Explore Long-Term Care InsuranceGiven the high cost of long-term care, investing in a long-term care insurance policy may be worth considering. These policies can cover in-home care, nursing services, or assisted living facilities, reducing financial stress when care needs arise.Timing Matters: The earlier you purchase a policy, the more affordable it will be.Evaluate Carefully: Not all policies cover every type of care, and premiums can be expensive.If insurance isnt an option, families can explore alternative strategies, such as hybrid insurance plans that combine life insurance with long-term care benefits.4. Prioritize Home Safety ModificationsCreating a safe living environment is key to helping your parent stay independent at home. Start with basic home modifications:Install grab bars in bathrooms.Add ramps or stairlifts for improved mobility.Ensure good lighting throughout the home to reduce fall risks.These changes can cost anywhere from a few hundred to several thousand dollars but are crucial for safety and peace of mind.Beyond modifications, consider investing in medical alert systems or fall-detection technology to provide an added layer of security.5. Plan for In-Home Care NeedsAs your parent ages, their care needs may increase. Early planning ensures that youre ready for the transition:Start Small: Part-time help from a home health aide may suffice initially, covering tasks like meal preparation or light housekeeping.Scale Gradually: If full-time or overnight care becomes necessary, families should prepare for costs that can exceed $100,000 annually.For lighter support, consider intermediary services like Naborforce, which connects aging adults with Nabors who assist with everyday tasks, such as transportation and grocery shopping. These services can extend independence and delay the need for more intensive care.6. Understand Medicare, Medicaid, and Additional ResourcesNavigating government programs can be daunting but essential for offsetting care costs:Medicare: Covers limited short-term in-home care, typically after a hospital stay, but not long-term care.Medicaid: Offers comprehensive coverage for long-term care, though eligibility is income-based and requires a detailed financial review.Additionally, research state-level programs, veterans benefits, or caregiver compensation opportunities that may be available in your area.7. Stay Flexible and Plan for the UnexpectedEven with careful planning, caregiving can come with unexpected twists, from sudden health changes to financial surprises. Build a cushion into your budget to account for emergencies and remain flexible in your approach.Helping your loved one age comfortably at home requires careful planning, open communication, and the right resources. By addressing finances early, making necessary home modifications, and utilizing services like Naborforce, families can create a supportive environment that fosters independence and comfort.Aging at home is not just a choice; its a commitment to ensuring your parents dignity and quality of life. With a solid plan in place, you can navigate this journey together, providing your loved one with the care and security they deserve.And when you need a helping hand, remember that Naborforce is here to support you every step of the way.A Helping Hand for Older Adults - Naborforce 844-696-2267 Were Naborforce. We match older adults who need a little help and kindness with Nabors eager to provide it, strengthening the communities we serve. Everyone can use a little help. Help around the house. Help running errands. Help preparing a meal. Help by just being a friend! Our goal is to promote joyous and independent aging and living while providing peace of mind to families.
Finding the perfect balance between wellness and community is essential for a fulfilling senior living experience. At an assisted living facility in Burnsville, Minnesota, residents enjoy a supportive environment where their health and social needs are prioritized. These facilities are designed to offer more than just assistance with daily activitiesthey provide a vibrant community where seniors can thrive, stay active, and enjoy meaningful interactions.When it comes to senior care in Minnesota, choosing the right environment can make all the difference. Facilities in Minnesota focus on delivering personalized care plans that address both physical and emotional well-being. From tailored health services to engaging activities, these care facilities ensure that seniors receive the attention they need while also fostering a sense of belonging and community.For those needing specialized support, waivered care services are an integral part of senior care. These services offer customized assistance for individuals with specific needs, such as advanced medical conditions or unique personal preferences. By incorporating waivered care into their senior living options, facilities can provide more comprehensive care solutions that cater to each residents requirements, enhancing their overall quality of life.Ultimately, senior living is about creating a space where wellness and community come together harmoniously. By choosing a facility that prioritizes both, seniors can enjoy a rich, fulfilling lifestyle surrounded by supportive peers and compassionate caregivers. Its about more than just meeting basic needsits about nurturing a thriving, engaged community that supports each residents unique journey.If youre looking for a senior living community where wellness meets community, contact Cardenas Friendship Homes today to explore our comprehensive care options and discover how we can support your loved ones needs.
When Its Time for Senior Living, We Help You Find the Perfect Community for You! With over 900 senior living options in the DFW area, Ruby Care helps families make informed decisions. We provide complimentary assistance to find the most appropriate living community including Indepenent Living, Assisted Living, Residential Care Homes, Memory Care & Nursing Home. Our ExperienceIf you've been searching for senior housing for you or your loved one, you know there are hundreds of senior living communities in the Dallas/Fort Worth area. Let Ruby Care help you. We do the legwork at no cost to you and help you find the place that is perfect for you and your family.Our professionals are well-known in the communities they serve. In order to help you best, they network with health care providers, such as home health, hospice, rehabilitation facilities, hospitals, physicians and other senior service providers.Collectively, our team has over 50 years of experience in healthcare and we are trained to listen to your needs so that we can work to find the best options for you...at no cost! Why Us?We know this can be a stressful time for you as you choose your next home. When you work with us, you will be assigned a Senior Living Advisor (SLA) who knows the community and has first-hand knowledge of the communities you are considering. Your SLA will meet with you in person and will listen to your wishes, wants and needs in order to help guide your next steps. Your SLA will also help you with senior living community tours and preparation to help guide you through the selection process. We serve as your advocate and help make this a smooth, seamless transition. Once you have selected a community, we continue to follow up for at least the next thirty days to make sure things are going well and there are no outstanding concerns. possibilities. placement. peace of mind.