Crawford Care Management

Residential Options

Determining the appropriate level of care for an aging relative is very confusing. Identifying what services and products are necessary is just the beginning. Selecting the best facility, if a facility is necessary, based on the individuals interests, needs, history, and personality make this decision all the more confusing. Following are some tips that may make the process a little less stressful.

  • Many people can remain in their home if some modifications are made to reduce their risk of injury.
  • Coupling in-home assistance with adult day care can significantly delay the need for institutional placement.
  • Adult day care is not typically paid for by any entitlement program (Medicare / Medicaid). However, there are some pilot programs being considered in some states. Check with your state's Department of Senior Services to find out if your state offers such coverage and what the criteria for participation are.
  • Adult day care is paid for under some long term care insurance policies. Check with your carrier for further information.
  • Senior/retirement communities are typically just housing where the minimum age of residents is 55+. There are usually not any additional services providing health or support, except those that are social in nature.
  • Assisted Living Facilities are not regulated in every state.
  • Assisted living centers vary in terms of services as well as pricing.
  • The most appropriate assisted living center will have the services your loved one needs, but also have a resident population he/she would be interested in socializing with. The center also needs to be one with a location that is easily accessible by friends and family who will visit.
  • Always visit an assisted living center at least once during a mealtime so you can try the food and once during a social function so you can see the degree of participation and enjoyment of the residents.
  • Medicare does NOT pay for extended nursing home stays. Long term care policies and private funds must be depleted before Medicaid will pay for skilled nursing home stays.
  • It is a felony to transfer funds from an elders account in order to utilize Medicaid funds.
  • When evaluating a nursing home, be sure to get staff to resident ratios and turnover rate.
  • Ask to see the most recent state survey results of any nursing home under consideration. Documents should be less than one year old.
  • If your loved one has Alzheimer's, be sure there is a separate Alzheimer's unit and that those patients are not mixed with the general population.