Angie's LIST Guide to
Nursing homes

Placing a loved one in a nursing home can prove a difficult task for any family. Facilities provide a higher level of skilled care than what’s available at home or in assisted living facilities.
 
 
 
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Elder care options

When exploring care options for your loved one, you’re bound to run across a dizzying array of terms. Because many seniors bristle at the mere mention of the words nursing home, facilities and staff often resort to euphemisms in an effort to put families more at ease. In her book, Eldercare for Dummies, Dr. Rachelle Zukerman lists several of these synonyms: “old folks home, rest home, convalescent home, health center, rehabilitation center, home for the aged, living center, nursing center, care center.”

More directly, types of elder care generally fall into these categories:

  • Nursing Home. These facilities have with live-in residents who require constant care by licensed health care professionals.
  • Assisted LivingUsually apartment- or condo-type settings, seniors can live more independently than at a nursing home but still have access to care. They’re still seen on an as-needed basis by a network of providers and receive help managing medications and grooming. Many nursing homes also have independent living residences.
  • Independent LivingMore like a retirement community, these facilities are for seniors who don’t need special care, just opportunities to socialize. Some also offer meals and transportation.
  • In-Home Elder Care ServicesServices can consist of assistance at a senior’s own home with health care, meals preparation and transportation from a network of doctors or nurses. Care can range from round-the-clock in shifts to periodic checkups.
  • Adult day carePrograms provide supervision and activities during daytime hours to give the caregiver a break and peace of mind while at work or running errands.

The first three types follow a scale from a low to high level of independence for the senior. Nursing homes and assisted living facilities aren’t exclusive to the elderly, but often include younger people with other disabilities.

 

Transition to nursing home care

Nearly 70 percent of people 65 and older will require long-term care in the United States, the Department of Health and Human Servicesreports. At nursing facilities, physicians make rounds several times every week to address any medical issues that arise. Nurses and aides are available 24 hours a day and administer medications as directed by physicians, assist with bathing and dressing and provide balanced meals and snacks. Residents are encouraged to rise each morning, get dressed and dine with other residents. Activities are planned for residents every day, as is appropriate for their abilities. Groups and civic organizations sometimes pay visits to interact with residents.

Placing your loved one in a nursing home can be a heart-wrenching experience. Some people misguidedly think that this process is as easy as pulling up to the front door, walking in with a suitcase and checking in like at a hotel. The process is more involved that this. Significant financial considerations are necessary both for you and your loved one. If you think that nursing homes may be a good solution, you shouldn't wait until small problems become larger issues.

The average stay at a nursing home can range from $4,500 to $8,000 per month, and most people do not have the financial resources to pay for these expenses. Most nursing facilities are subsidized with government funds provided by Medicare and Medicaid, but you need to account for several factors, most importantly the assets available to your elderly relative. For some, their home constitutes their largest asset, and Medicare will conduct research to make sure that everything is in order. To help ease the transition of your loved one to a new home, consider soliciting the expertise of a social worker or attorney who specializes in elder law.

Researching nursing homes

Once you have met with an elder law specialist and understand the next steps to take regarding assets, begin researching homes in your area. You can start with Angie's List to research member reviews and ratings of various facilities in your area. Investigate your options in person during normal business hours, and ask to speak with the facility administrator. Reputable, well-run nursing facilities will be more than happy to provide tours of their common areas and give you an opportunity to interact with other residents. Once you have narrowed your choices down to five to ten facilities, contact your state's long-term care ombudsman or local nonprofit groups for their recommendations. Every state maintains statistics and scores for each facility.

Having narrowed your selections using your personal input and having weighed the information you researched, you should include your loved one in the decision-making process to help ease the transition. 

Staying connected to your elderly loved one

Most importantly, after your placing loved ones in a facility, do not lose touch with them. Visit them often to remind them that they have not been forgotten and are still loved. Providing regular support for your elderly loved ones while they adjust to life in a nursing facility makes the transition much easier.

The consistent involvement of family members is necessary for keeping abreast of any medical or behavioral issues taking place. Encourage them to interact with other residents and participate in planned activities, which will make their stay more pleasant and keep them healthier in the long run.

Planning for long-term care

Because no one can accurately predict just how well their body will weather the effects of age or what medical challenges they may face, it’s next to impossible to know exactly what to expect in terms of long-term care cost.

You can look at the general cost of care, however. Genworth Financial provides a handy Cost of Care calculator, where you can see the current and projected costs of care across the country and compare them with other cities and states. For instance, the current annual cost of care for an Indianapolis nursing home is more than $71,000, while similar care for an Houston nursing home runs just shy of $53,000 and a Boston-area nursing home will set you back more than $124,000.

Knowing general regional costs can help you decide if relocation might be a good part of your long-term care plan. If average care costs are lower near a family member than where you currently live, perhaps moving is worth discussing.

 

 

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