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Descriptions of Alternatives

Adult Day Services

Adult day service centers provide a coordinated program of professional and compassionate services for adults in a community-based group setting. Services are designed to provide social and some health services to adults who need supervised care in a safe place outside the home during the day. They also afford caregivers respite from the demanding responsibilities of caregiving. Adult day centers generally operate during normal business hours five days a week. Some programs offer services in the evenings and on weekends. Although each facility may differ in terms of features, the general services offered by most adult day centers are social activities, transportation, meals and snacks, personal care and therapeutic activities.

Alzheimer's / Dementia

Many Assisted Living communities cater to individuals with Alzheimer's disease and other related memory disorders. There is a growing trend towards specialized communities that provide care and housing tailored to the special needs of individuals with this disease. What sets these facilities apart is the care provided that fosters residents individual skills and interests in an environment that helps to diminish confusion and agitation. Specialty services are provided in a secure environment by specially trained professional staff skilled in handling the behavior associated with memory impairments.

Senior Apartments

Senior apartments are independent apartments that are age restricted - starting at 55 or 62 years of age. Some senior apartment communities may have an on-site meal program (generally no more than one meal per day) and housekeeping services available at a separate cost. There are federal and state programs that help pay for this level of housing for seniors with low to moderate income. Rent payments are usually a percentage of income or a pre-adjusted low income rate for those that qualify. Many of these communities include amenities such as a club house/meeting room, library, laundry facilities, beauty/barber shop, transportation, fitness center, etc. Some may also offer a Service Coordinator to assist in procuring additional services. Other types of Active Senior Communities exist, including single family homes, condominiums or mobile homes.

Assisted Living
Residential Care

Assisted Living, the largest growing type of housing, provides a special combination of residential housing, personalized supportive services and health care designed for the individual needs of those requiring help with activities of daily living (dressing, bathing, grooming, etc.), and do not require skilled medical care provided in a nursing home. There are a variety of names and license designations in different parts of the country: Board and Care, Residential Care, Community Based Retirement Facilities, Personal Care, Adult Living, Adult Foster Care. However, the growing generic term throughout the country is "Assisted Living". Services and level of care will vary, however most Communities provide assistance with daily activities, meals, laundry, and housekeeping.

Assisted Living Communities offer a wide range of choices from the cozy familiarity of a single family home to the more extensive apartment style environment. These communities can be free standing or part of a Continuing Care Community that provides independent, assisted and nursing care, or specialized services may be brought into independent retirement communities.

Continuing Care Communities

Continuing Care Retirement Communities (CCRC), also known as Life Care Communities, are residential campuses that provide a continuum of care - from apartments/homes to assisted living and if needed, skilled nursing care, all in one location. CCRC communities range in entrance fees/rates and available services.

Home Care and Services

Home Care is a cost-effective alternative to hospital care or other institutional care. You can receive health care or personal care services within your own home with the assistance of a home care agency. Services are available to people of all ages on a basis of daily visits, monthly visits, or hourly care, up to 24-hours a day. Increasingly, older people are choosing to live independent lives and take advantage of home care services. Services can include medical and non-medical care such as assisting with shopping, laundry, meals and companionship.

Hospice

Hospice is special care designed to provide compassion and support for individuals in the final phase of a terminal illness. Hospice care seeks to enable patients to spend their last days with dignity in as comfortable and pain-free manner as possible. Hospice care can be in a number of settings: in the privacy of your home, in a hospice facility or a nursing home.

Independent Living

These communities, often referred to as Retirement or Congregate Living, are designed specifically for independent senior adults in an apartment like setting with 24-hour on-site supervision. Services usually include, but in some cases are optional: meals, laundry and housekeeping. Social Activities are usually entertaining and educational and help to foster a great sense of community among the residents. Only private pay is accepted in the rental communities.

Nursing / Rehab Centers

Provides room and board, personal care, protection supervision and medical care, licensed and regulated by the State Department of Public Health. Individually certified by the State for Medicare and Medicaid. Facilities accept a variety of payment options: Medicare/Medi-Cal, Medicaid, private insurance, and private funds. Three levels of care are provided:

• Basic Care – Required to maintain a resident's activity of daily living. Personal care, ambulation, supervision and safety.

• Skilled Care - Requires the services of a registered nurse, on a regular basis, for treatments and procedures.

• Sub-Acute - Comprehensive inpatient care designed for someone who has had an acute illness, injury, or exacerbation of a disease process.