When is it Time for Assisted Living?

It isn’t always easy to pinpoint when staying at home is no longer the best option. Here are a few factors to consider that it’s time for a more supportive environment for yourself or a loved one:

  • Social Isolation – Withdrawing from friends and regular activities because of declining health, embarrassment over memory or personal care issues, or lack of mobility can lead to isolation, loneliness, and even depression in seniors.
  • Physical Limitations – Problems with movement and balance can lead to a fall, which can have additional health consequences. If your loved one expresses a fear of falling or has a history of physical issues, you may want to begin exploring assisted living options.
  • Personal Care – Difficulty or lack of interest in bathing, grooming, or dressing can signal the need for personal care assistance. Seniors often have difficulty admitting this or asking for help, so talk to your loved one and watch out for any visible changes.
  • Health Risks – Difficulty caring for medical conditions and maintaining overall wellness—including poor nutrition, taking the wrong dose of medications, or improper wound care—can turn a manageable condition into a critical one. Health risks can also arise when a loved one has recently suffered a crisis, such as a heart attack or stroke. Keep an eye out for signs of a gradual decline and talk to a health professional about risks of leaving your loved one at home alone.
  • Memory Loss – Leaving a burner on after cooking, not taking necessary medication, or getting lost on a trip to the store can indicate cognitive decline. When a loved one’s memory is affecting the ability to perform daily tasks, you may want to explore memory care at an assisted living community.
  • Caregiving Issues – Being the primary caregiver for a loved one can take its toll physically, psychologically, and financially. Taking time away from work, hiring an elder-care sitter, and transportation costs all add up. They can also create an unhealthy amount of stress. In the end, assisted living may not only be more cost effective but also healthier for everyone.

If you see any of these warning signs, it may be time to start the conversation. Assisted living can provide a robust social life and activity calendar, increased physical activity, improved nutrition, and daily living assistance like housekeeping, laundry, medication management, and more, resulting in less stress and more peace of mind.

Article Provided by:
Rogue River Place


“In teamwork, silence isn’t golden. It’s deadly.” — Mark Sanborn

Teamwork isn’t just part of a business, it also exists in families and friendships as well. When we don’t communicate our concerns, feelings, or hopes we leave a void for others to fill in the gaps. Unfortunately, what they create to fill in the gaps, may not be what we intended. Use your words!

Barbara Glenn-Williams, AAS, Information & Referral Specialist Certified Peer Counselor, TACID (Tacoma Area Coalition of Individuals with Disabilities)

Believe me more thanks on my part for the guides. As a senior myself, staying independent is important to me. I know when I have the tools, my self esteem is much higher than having to depend on others to do for me. Wish you could see the faces of the participants who receive the guide. There’s a glow that comes over them that is indescribable, so THANK YOU!!

Schedule Your Priorities

“Don’t prioritize what’s on your schedule, schedule your priorities.” – Stephen Covey

Time management is a myth; we don’t actually manage time and we all have the same hours in the day. I can, however, adjust my priorities to focus on what matters most. The gift of knowing you have limited time with someone or something is learning how you wish to spend that time.

The Easy Way to Find Care Near You

What is CareAvailability.com?

CareAvailability is quickly becoming the most comprehensive directory available for care and senior housing. Families can access resources from any smart phone, tablet or computer without sharing their contact details.

We created a comprehensive list and a fair playing field for families to see ALL options, and filter those options to specific needs and timelines. The search feature allows families to self-advocate and choose providers they want to contact. Many sites request an email or phone number to view results, and then “sell or share” your contact information. On CareAvailability.com, no personal information is required, collected, or shared to search available care providers-unless the family reaches out directly to the community or agency to give it.

How does it work?

Providers along the continuum of senior care are listed for free and can manage and report their availability/vacancies for families, discharge planners, and community partners to find REAL TIME availability. Providers can log in from any device, and when they make an update, you see that change in real time.

How are the search results displayed in “real-time” and then filtered?

Providers on our platform can edit their services, availability, room and care types, payment options, and advanced search options. This helps both families and health teams find your care more efficiently. There is a map feature to show which providers have current availability. You can also sort by distance, medicare rating, or alphabetically. You can select other advanced filters such as payment type, and care needs, including: diabetic care, bariatric care, ventilator care, two person transfers, and more.

Who can report senior care vacancies and availability, and is there a fee to report?

Any provider can get started and begin reporting availability today. It is free to manage and report availability information. Providers can also have multiple users update their profiles and ensure listing information will be current. All providers are included for FREE and each can report their availability in real time at NO CHARGE.

Who do we include in our provider network and why?

We include 10 different levels of care focused around senior housing, care and hospice, and include services that require staff and “availability”. We do not include professional services such as attorneys, realtor, financial planners, or referral agencies. Although the other professional services are critical when planning care for a loved one- it is usually not limited by “availability”.

We are continuing to grow the database and are adding new states every month, in an effort to cover the full United States by the end of the year. Please let providers know if you found their information on CareAvailability.com.

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Types of Senior Housing, Care Facilities & Licensing

Educating yourself on the types of options for yourself or a loved one starts with knowing what each setting provides. Also, using a local Senior Living Advisor will be most helpful in navigating which options are the best fit.

Independent Senior Living Communities: 1-3 Meals/day, housekeeping, transportation, activities

Assisted Living Communities (ALF): 3 Meals/day, housekeeping, transportation and activities. 24/7 Care staff available to assist with Activities of Daily Living (ADL’s) such as Bathing, Dressing, Toileting, Transferring, Grooming, Medication Administration, Escorts to and from meals and/or activities.

Residential Care Facilities (RCF): Provide similar services as ALF in smaller setting. Typically accommodate 2 person transfers, hoyer lifts, catheters and tube feeding.

Memory Care Communities: Licensed as RCF and provide the same basic services listed under ALFs. Staff is trained and experienced in working with those diagnosed with Dementia, Alzheimer’s and other cognitive impairments. Activities are focused on improving cognition & memory.

Adult Foster Care Homes (AFH): Provides assistance with ADL’s in a home like setting with up to 5 Residents maximum. Typically 1 staff member providing care, cooking meals and cleaning. Minimal to zero activities facilitated in an AFH although there are some that do provide routine activities.

Night-time care is not available in most AFHs unless they have an additional staff member on duty at night.

Respite Care: Short Term stay of 30 days or less in an ALF, RCF, MCC in a furnished apartment or room.

Home Care: Caregiver assistance with ADL’s, grocery shopping, transportation, companionship in a private home or on-site in most Independent Living Communities. Paid out of pocket or through a Long Term Care Insurance Policy.

Home Health: Provides services at home or in an ALF, RCF or AFH. Assistance with bathing a few days a week, Physical, Occupational and Speech Therapy, Wound Care, IV Therapy, Injections, Catheter Changes, Tube Feedings, and more. Services ordered by a physician, covered by Medical Insurance and typically provided following a hospital or skilled rehab stay.

Intermediate Care Facility (ICF): An ICF is a facility that provides, on a regular basis, health-related care and services to individuals who do not require the degree of care and treatment that a hospital or SNF is designed to provide, but require more assistance than an AFH, ALF or RCF can provide.

Skilled Nursing Facility (SNF): A nursing facility providing 24-hour non-acute nursing, medical, and rehabilitative care.

Article Provided by:
Senior One Source

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Programs of All-Inclusive Care for The Elderly

The Programs of All-Inclusive Care for the Elderly (PACE) is an innovative model that provides a range of integrated preventative, acute care, and long-term care services to manage the often complex medical, functional, and social needs of the frail elderly. PACE was created as a way to provide clients, family, caregivers and professional health care providers the flexibility to meet a person’s health care needs while continuing to live safely in the community.

The purpose of a PACE program is to provide pre-paid, capitated, comprehensive health care services that are designed to: Enhance the quality of life and autonomy for frail, older adults;

  •  Maximize dignity of and respect for older adults;
  • Enable frail, older adults to live in their homes and in the community as long as medically and socially feasible; and
  • Preserve and support the older adult’s family unit.

The Programs of All-Inclusive Care for the Elderly (PACE) provides comprehensive medical and social services to certain frail, community-dwelling elderly individuals, most of whom are dually eligible for Medicare and Medicaid benefits. An interdisciplinary team of health professionals provides PACE participants with coordinated care. For most participants, the comprehensive service package enables them to remain in the community rather than receive care in a nursing home. Financing for the program is capped, which allows providers to deliver all services participants need rather than only those reimbursable under Medicare and Medicaid fee-for-service plans. PACE is a program under Medicare, and states can elect to provide PACE services to Medicaid beneficiaries as an optional Medicaid benefit. The PACE program becomes the sole source of Medicaid and Medicare benefits for PACE participants. PACE Eligibility Individuals can join PACE if they meet certain conditions:

  • Age 55 or older
  • Live in the service area of a PACE organization
  • Eligible for nursing home care
  • Be able to live safely in the community

The PACE program becomes the sole source of services for Medicare and Medicaid eligible enrollees. Individuals can leave the program at any time. Source: https://www.medicaid.gov/ medicaid/long-term-services-supports/ program-all-inclusive-care-elderly/index.html

Article Provided By:
AllCare PACE

Who are the Kidney Heroes?

In the U.S., chronic kidney disease (CKD) affects more than 1 in 7 adults and 1 in 3 adults is at risk for developing it, according to the National Kidney Foundation. Treating CKD focuses on slowing the progression of kidney damage — and that’s not a linear journey. People with CKD often have comorbidities, such as diabetes, hypertension and high cholesterol, as well as other conditions, including obesity, anemia, bone disease, high potassium, high calcium and fluid build-up. Managing these conditions requires an interdisciplinary team that is committed to whole-person care. We call this team the Kidney Heroes™.

The Kidney Heroes™ focus on the right intervention at the right time. If a patient isn’t progressing in a positive direction, the team tries to change that. Each person is trained to provide highly specialized care and understands the intricacies of kidney disease. Roles and staffing ratios are customizable based on individual market needs. The Kidney Heroes™ are:

Nurse Practitioners: The lead NP manages the clinical team, provides coaching, education and support, and works with partner providers.

Registered Nurse Care Manager: The RN helps patients navigate the complexities of the health system and coordinate patient care.

Care Coordinator: Scheduling appointments, supporting the RN care manager and nurse practitioners and communicating patient (and family) medical and non-medical concerns to the appropriate team members.

Medical Assistant: The MA supports the nurse practitioner in patient management, takes vital signs and obtains medical history and lab work.

Registered Dietitian: People with kidney disease require highly specialized diets and needs often change over time. RDs at Strive focus on medical nutrition therapy, which combines prevention, diagnosis and ongoing management.

Licensed Clinical Social Worker: A social worker helps manage psychosocial needs, provides behavioral and mental health counseling and crisis management, and refers patients to external providers and resources, as needed.

Clinical Pharmacist: The pharmacist is responsible for medication reconciliation and prescriptions. Day to day, this person reviews patient medication lists and helps patients understand the what, when and why behind their specific prescription.

Office Manager: The office manager ensures the clinic runs smoothly. This team member handles billing and insurance, supervises the medical assistant and manages clinic supplies.

The entire Kidney Heroes™ team acts as an extension of the nephrologist, who drives the overall management of a patient’s care. The team also includes a medical director, who is accountable for outcomes of the overall care model.

Article Provided by:
Strive Health Dialysis