Assisted Living National Update - nehca.org

Assisted Living National Update - nehca.org

Understanding Assisted Living Key Facts & Tips On Choosing a Community www.ncal.org Evolution Of Long Term Care In America Poor houses (circa 1900) County homes (circa 1950) Rest homes & nursing homes (1950s 1960s) HUD apartments & luxury retirement communities

(1970s 1980s) Assisted living communities (1980s now) 2 The Long Term Care Spectrum nt e nd g e ep i vi n d In L

Assisted Living n o s r Pe Nursing Facility it y u c s A

Sub Acute What Is Assisted Living? Part of a spectrum of long term care services, assisted living provides a combination of: housing, health care, and personal care services. Assisted living is designed to help individuals who need assistance with normal daily activities in a way that promotes maximum

independence. 4 Why People Move to Assisted Living Individuals may move to assisted living following a significant health or memory- related concern. Individuals move into assisted living for more social interaction with people in their peer group, to reduce their responsibilities, for safety and security, for activities and physical fitness offerings. 5

The Typical Assisted Living Resident 86.9 years old Moved to assisted living at age 84.6 74% are women, 26% are men 62% live within 10 miles of previous home Source: 2009 Overview of Assisted Living 6 Where Residents Move From

70% were living in a private home or apartment 9% resided in a retirement community (also called independent living) 9% received care in a skilled nursing facility 7% were living in a family residence 5% moved from another assisted 7 Health Reasons For Moving Into

Assisted Living 80% need help with medications Assisted living residents, on average, take 7.6 prescription medications and 2.3 over-thecounter medications per day. Source: 2009 Overview of Assisted Living 8 Health Conditions 56.7% Hypertension/ 14.4% Other Heart High blood pressure

41.8% Alzheimers/ Dementia 27.4% Depression Condition 13.2% Coronary Heart Disease 13.2% Congestive Heart Failure

25.1% Arthritis 10.9% Stroke 20.4% Osteoporosis 4.2% COPD 17.2% Diabetes Source: 2010 National Survey of Residential Care Facilities, National Center for Health Statistics. 9 What Are ADLs? (Activities of Daily Living) ADLs are things we normally do in our daily lives, including daily self- care

activities such as: bathing eating dressing toileting transferring 1 0 Percentages Of Residents ADL Dependence ADLs Bathing Dressing Toileting Transfer Eating

Percentage 72% 52% 35% 13% 22% Source: 2012 National Survey of Residential Care Facilities, NCHS 1 1 Instrumental Activities of Daily Living (IADLs) Housework

Telephone Laundry Managing Meal Preparation Medications Transportation 12 Services And Activities Typical services and activities provided, or arranged for assisted living residents, include: 24 hour supervision 3 meals each dayserved in a dining room alongside other residents

Personal care services (e.g., help with bathing and dressing) Assistance or management of medication, including self- 1 3 Services And Activities (continued) Supervision and assistance for

individuals with Alzheimers disease or other forms of dementia or disabilities Recreation and spiritual activities Exercise and wellness programs Linen and laundry service Housekeeping and maintenance Arrangements for transportation 1 4 1 5

What Does An Assisted Living Community Look Like? A freestanding building Attached to a nursing facility or hospital Shares a campus with independent living Part of a Continuing Care Retirement Community (CCRC) 1 6 Choosing An Assisted Living Community

Obtain recommendations from your physician or from friends, social workers, financial planners, or your local long term care ombudsmans office Make sure the community is licensed or registered if required by state law Visit communities more than once and at different times of the day 1 7 Choosing An Assisted Living

Community Obtain NCALs: Choosing An Assisted Living Residence: A Consumers Guide Talk with directors and tour the residences Observe the interaction and relationships of staff to residents Ask the community to see the last inspection or survey results Involve the family member

1 8 Who Pays For Assisted Living? Private resources Long term care insurance Social Security income Medicaid (However, MEDICARE does NOT cover assisted

living) 1 9 How Much Does It Cost? 36% of assisted living residents stay for years. 1 to 2 years; 16% 3 to 5 According to a 2012 Genworth Cost of Care Survey, the national median cost for an assisted living unit costs $3,300 per month, or $39,600

per year. Rates depend on geographic location; rates range from $29,025 per year in Missouri to $68,556 per year in New Jersey. 2 0 Typical Income And Assets $18,972 is the median income of the average assisted living resident

In terms of assets, the average assisted living residents assets (including his/her home) is $205,000 Source: 2009 Overview of Assisted Living 2 1 Key Resources for Consumers Choosing An Assisted Living Residence: A Consumers Guide Moving Into An Assisted Living

Residence: Making A Successful Transition 2 2 Get Your Free Copy Today! www.ncal.org (202) 842-4444 NCAL 1201 L Street, NW Washington, DC 20005 2 3 www.NCAL.org

Assisted living facts State-by-state regulatory summary Consumer information 2 4

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