Differences between Nursing Homes, Assisted Living & continuing Care relinquishment Communities

Obama Health Care Plan Pros Cons - Differences between Nursing Homes, Assisted Living & continuing Care relinquishment Communities

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Benjamin Franklin said it best - “nothing in life is distinct except death and taxes” but with daily advancements in science, technology and health care, Americans are living longer than ever before*. This blessing however, has created a unique dilemma for contemporary American families: How to plan for and get ready for one's relinquishment years.

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Obama Health Care Plan Pros Cons

Have you taken a road-trip lately? roughly every highway is graced with large bill-boards providing the locations of new planned communities where couples can spend their relinquishment years dedicated to recreational pursuits. I doubt you will find a local newspaper that doesn’t have at least one ad promoting the amenities found at a local assisted living facility. Try to crusade for “nursing homes in Virginia” on the Internet and thousands of web pages will appear. Each and every day new facilities offering distinct programs are being built and marketed over the state.

Is such a premise right for you and your family? If so, which facility? We often hear the terms “retirement community,” “nursing home,” and “assisted living facility” but rarely reconsider what these terms genuinely mean. The differences however, are stunning and it is imperative to understand these differences when production choices for yourself or your loved ones.

Nursing Homes

In Virginia, a nursing home means any premise with the primary function of providing long-term nursing care, nursing services and health-related services on a chronic basis, for the rehabilitation and sick person care of two or more non-related individuals**. Put simply, a nursing home is a premise designed for someone who needs less care than a hospital, but requires daily health care assistance.

The Virginia department of health licenses such facilities and has established guidelines regulating various aspects of their operations, programs, and staffing needs, etc***. For example, a nursing home must: (a) have written policies and procedures concerning the rehabilitation of residents and the management of resident care which are ready to residents and their families (12Vac5-360-20); (b) furnish crisis curative services within 15 minutes, under normal conditions (12Vac5-360-50); (c) be field to unannounced on-site inspections of the nursing premise by State employees (12Vac5-371-60); (d) have a written business agreement with one or more physicians licensed by the Virginia Board of rehabilitation to serve as curative director (12Vac5-371-230); and (e) each resident shall be under the care of a physician licensed by the Virginia Board of rehabilitation (12Vac5-371-240).

In addition, residents of nursing homes are also given distinct possession as defined by Virginia Code §32.1-138. See http://leg1.state.va.us/cgi-bin/legp504.exe?000+cod+32.1-138. Nursing homes are the most regulated and structured residential options for our Seniors requiring some level of daily health care. If the premise provides care straight through Medicare and Medicaid programs, it is deemed a "Certified nursing facility" (Virginia Code §32.1-123; Virginia Code §32.1-127) and must be in compliancy with both federal and state laws.

Of course, the more rules and regulations that define and operate the daily operations of a nursing home, the greater the accountability of the staff. These are the habitancy who will be expensed with the daily task of caring for your loved one, and production sure they are in compliancy with state and federal laws. No matter how nice and or bright the premise might be, the staff will make the divergence in the middle of your loved one being cared for and encouraged, or not.

A nursing home is best great for someone:

Who requires daily health care – such as assistance getting in and out of bed; taking medicine; or using the restroom. Who may have dementia or Alzheimer’s and as a result, is unable to eat and or bathe daily without reminder or assistance; Who is recovering from a fall or crisis and is therefore unable to walk, dress and or eat without assistance
Assisted Living Facility

“Assisted living facility” means an adult care residence which has been licensed by the Virginia department of collective Services to furnish a level of aid for adults who may have corporal or reasoning impairments and require at least moderate assistance with the activities of daily living. Within assisted living, there are two types: quarterly assisted living for those seniors (typically) who need assistance with one or more daily activity; and laberious assisted living for someone who may be incapable of performing activities due to reasoning and/or severe corporal impairment (12Vac30-120-450).

The Virginia department of collective Services licenses assisted living facilities but does not regulate in the way the department of health regulates nursing homes. While there are Virginia guidelines regulating aspects of assisted living facilities, they are limited: An assisted living premise must: (a) furnish or coordinate personal and health care services; and (b) furnish 24-hour supervision.

As reflected in the table below, assisted living facilities have no compulsion to furnish health care and/or have health care staff ready to help your loved one. In addition, with no compulsion to furnish such services, there is the interrogate as to either or not they owe a duty to warn or treat residents with illnesses or diseases that could be transmitted from other residents.

While a nursing home will have many nurses on staff and doctors hired to monitor the residents, assisted living is more analogous to an apartment building or college dorm where laundry and food services are in case,granted and residents are on their own for the rest of the day.

An assisted living premise is best great for someone:

Who is basically independent but may not be able or willing to get ready their own food or drive to doctors’ appointments; Someone who wants to scale back and anticipates needing assistance with laundry, cooking, etc. In the near future. A join where one spouse is independent but may need assistance in feeding and or providing for needs of other spouse.
Continuing Care relinquishment Community

In Virginia you may also see advertisements for a relinquishment community. They are popping up all nearby our beloved College Towns and tourist destinations.

A chronic Care relinquishment community provides care depending on your current needs. Like an insurance policy, the resident pays an entry fee and periodic adjustable payments, which in turn gives the resident a holder of residential and healthcare services that the Ccrc is obligated to furnish at the time these residential and health care services are required. For example, if upon entering, all you want is help with your meals, that is the only aid which will be provided. If you require laberious corporal therapy or God forbid, daily assistance for a Dementia patient, the Ccrc has assisted living services or nursing home services ready under your contract. chronic care contracts are regulated by the Virginia Bureau of insurance of the Virginia State Corporation Commission.

Many Ccrcs can have nursing home services ready either on-site, or at licensed facilities off-site (12Vac5-360-10). While you may be entering the relinquishment community as a very salutary independent and capable resident, as your needs change, so will your compact with the community and in turn, the facility’s obligations to you.

A chronic Care relinquishment community premise is best great for someone:

Who is basically independent but anticipates the need for daily health care for themselves or a spouse in the near future; Someone who is physically disabled and would be unable to care for themselves or a spouse if the disability grew worse. With at least three very distinct choices, it is very prominent to do your research:

To explore assisted living facilities in Virginia, go to department of collective Services website: http://www.dss.state.va.us/facility/search/alf.cgi.

To explore nursing homes, go to Medicare’s website: http://www.medicare.gov

And Last But Not Least

It is all the time best to speak to a family member of a current resident and spend time getting to know the staff, no matter what type of premise you are finding into. If finding and researching is not enough, then reconsider the chart below – a comparison of the legal duties of a nursing home compared to the legal duties of an assisted living premise in Virginia.

Duty or Requirement

Nursing Home

Assisted Living

Duty to furnish nursing care and or monitor resident’s health?

Yes

No

Doctor required to supervise residents?

Yes

No

Each resident shall be under the care of a physician licensed by the Virginia Board of Medicine?

Yes

No

Must have nurses on staff?

Yes

No

Must offer rehabilitative services?

Yes

No

Must have ongoing consultation from a registered dietitian or dietitian on staff?

Yes

No

24 Hour management required?

Yes

Yes

Must manufacture a written plan upon admission of resident?

Yes

Yes

Staff must endure criminal background check?

Yes

Yes

Monitored by Virginia town for quality health Care Services and buyer Protection

Yes

No

Monitored by department of collective Services

No

Yes

*Life expectancy increased dramatically during the past century, from 47 years for Americans born in 1900 to 77 years for those born in 2001. These same factors—improved curative care and arresting efforts— that are partly responsible for the dramatic increases in life expectancy have also produced a major shift in the prominent causes of death in the United States in the past century, from infectious diseases and acute illnesses to chronic diseases and degenerative illnesses.” The State of Aging and health in America 2004, published by the town for Disease Control, ready at http://www.cdc.gov/aging/pdf/State_of_Aging_and_Health_in_America_2004.pdf.

**See generally, Virginia Code §32.1-123, as amended and Virginia executive Code § 12Vac5-360-10.

***It is a Felony under Virginia law to operate a nursing premise without a license. See generally, 12Vac5-371-30.

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