Senior Living Tips: The Ultimate Guide

We know that finding a housing and care solution for your aging loved one is at the top of your priority list.

But where do you start?

There is an overabundance of information available online these days making it an overwhelming task to find the answers you desperately need. There are numerous pamphlets, downloads, and libraries of terms available, but they might as well be in textbook form for all the work it takes to read through them.

We want to make it easy for you.

Here’s a concise and helpful guide of senior living tips without all the excess jargon and explanations you don’t have time for. We hope this will kickstart the journey of finding comfort and relief for both you and your loved one.

Let’s get started!

TIP #1 –  DECIDE WHO HAS A SAY

First of all, ask yourself who needs to be involved in the decision-making process. You’ll save yourself a ton of time, turmoil and arguments right from the get-go if you keep the conversation whittled down to only the people who must have a say in the matter.

To avoid including people who will only clog up the process with opinions and emotions, try using these questions as filters:

  • Is this person directly related?
  • Have they been – or will they be – investing time or money into the care of your aging loved one?
  • Have they been actively participating in the workload of caring for your loved one thus far?
  • Are they committed to visiting your loved one or will they most likely be too busy?

These questions will help you clarify which friends or family members will either be helpful or harmful to the decision-making process.

Remember, it is best to draw the line over who has a say from the start so that when it comes to making the best decision for your elderly parent or grandparent, unnecessary voices are not clouding the decision.

TIP#2 – ACKNOWLEDGE YOUR LOVED ONE’S FEELINGS

There’s no way around it: this is an emotional process. There are going to be feelings involved. Whether it is you or your loved one, this transition is often difficult and emotions are to be expected – rather than ignored.

Think about it. Your elderly sibling, parent or grandparent will be experiencing several types of loss:

  • Loss of a home.
  • Loss of proximity to where all their memories were made.
  • Loss of daily interaction with family members.
  • Loss of their familiar schedule of activities.
  • Loss of a neighborhood and faces they are used to seeing every day or week.

Even if change is for the good, change always includes some sort of loss, and loss brings along the conflicting emotions of grief.

Here’s a key to navigating your loved one’s intense emotions: validate them.

This doesn’t mean that you are swayed from making your decisions when you’re dealing with feelings of loss and grief. That will most likely be unavoidable. But your loved one will be more willing to move forward with necessary changes if they feel validated.

This means you need to do 2 things:

  1. Take the time to listen to your elderly loved one express how they are feeling without interruption or justification.
  2. Once they have shared, reassure them that their feelings have been heard and are valid by nodding, verbally validating them, and/or offering a warm embrace.

Things to avoid while they are expressing their feelings about a difficult transition:

  • Interrupting them
  • Explaining why things need to change
  • Telling them that other people have it worse
  • Asking them to just be strong and ignore their grief

Whether or not these things are true, they will prevent your loved one from feeling heard and validated. There will be a time to discuss with them why things need to change or other factors, but doing so while they are sharing how they feel is not the time.

The likely result of validating your loved one’s feelings:

  • They’ll be much more compliant in the discussion and process of transitioning to senior living. Once they see that their thoughts and feelings are not being overlooked, they’ll be more likely to hear and work with what you have to say.
  • This will not only help care for your loved one’s heart during this difficult time, it will also make the hard decision-making discussions much easier for everyone.

TIP#3 – WEIGH THE FINANCIAL COST vs THE TIME/ENERGY COST

One of the biggest issues when it comes to assisted living is the price tag. Most people simply look at the numbers and forget to weigh in the amount of time or energy an assisted living establishment may save them.

Some questions to help you determine whether home care or assisted living is the best option for your situation are:

  • Is there someone in our circle who has the necessary skills, time, energy, and willingness to care for our loved one?
  • Will an assisted living arrangement free me up to earn more money which can help ensure a better life for my loved one?
  • Will I be more valuable and enjoyable to my loved one as a their care-taker or as caring visitor?
  • Do all the costs of keeping my loved one at home truly add up to less than an assisted living option?

Working through these questions will help you decide whether it would be more beneficial to care for your loved one at home or to transition them to an assisted living home.

Sometimes what seems like the cheaper option will actually cost you more in time, physical exertion, emotional strain, and even finances.

TIP#4 – CLARIFY NEEDS vs WANTS

Finding the ideal living situation for your elderly parent or grandparent will be much easier if you write out a list of things that your loved one absolutely needs, versus the things that they would prefer.

That isn’t to say they won’t find things that they desire in their new living situation, it simply means that you will check off the items on your “needs” list first before you start looking at the “wants” list.

Here’s some things you probably want on your “needs” list:

  • Care services specific to your loved one: daily assistance, memory care, physical therapy, etc.
  • Specific dietary needs can be accommodated
  • Specific cost that you can’t go above
  • Quality of care

On your loved one’s “wants” list you may add things such as:

  • Activities: group outings, exercise classes, clubs, etc.
  • Amenities: pool, sauna, hair salon, etc.
  • Apartment size: studio, one bedroom, two bedroom, etc.
  • Location: climate, proximity to loved ones, outdoor atmosphere, etc.

elderly woman doing tai chi

Depending  on your situation, some of the items on the “wants” list may actually be a “need” and vice versa. This is just a basic format to get you thinking about what would be “deal breakers” for a facility, and what you might be able to adapt to if necessary.

TIP#5 – LOOK INTO ALL FUNDING OPTIONS

Most people will fund their loved one’s assisted living through personal funds or savings, but for many this simply isn’t an option. Before you start touring facilities, it is helpful to already have a good idea of all the funding options available, and have plan in place for how you will pay for the care.

Here are some funding options for senior living:

  • Family Funds: Many seniors have savings or retirement funds for assisted living costs, but if this isn’t enough, family members often pool resources to pay for their loved one’s care.
  • Selling Assets: Moving into assisted living may mean that your elderly parent’s home or property is being vacated. This property, as well as other major assets such as vehicles, boats, and stocks, can all be sold to help fund senior living care.
  • Long-Term Care Insurance: Unfortunately very few people think about this option in time. According to the American Association for Long Term Insurance, the prices of these policies are directly related to a person’s health and age when they apply. In order to receive a policy that will actually be cost-effective, it is important to find a care plan as early one’s 50s.
  • Veteran Benefits: The U.S. Department of Veterans Affairs offers some benefits for those who have served, and sometimes even for widowed wartime spouses. If your loved one served their country it is worth looking into whether any of these Aid and Attendance benefits apply to them.
  • Reverse Mortgage: This option allows you to get a loan based on your home equity, and is paid back once you sell the property. However a reverse mortgage requires that you live in the home while the loan is in effect, so this option is primarily useful for aging couples where one spouse needs to live in assisted living and the other is able to remain at home.
  • Selling a Life-Insurance Policy: A little known option is selling a life-insurance policy, also known as “life settlement.” This basically means that another person or company buys your policy from you and continues to pay the premiums, then receives the benefit when you pass away. Be sure to clarify the effect this will have on your family before choosing this route.

TIP#6 – USE A CHECKLIST WHEN TOURING FACILITIES

This tip is often overlooked but can save you a lot of frustration and confusion when trying to choose an assisted living facility. The last thing you want is to go through the whole process of paying, moving and adjusting, only to discover something about the facility that could cause real issues for your loved one.

Using a helpful checklist can guide you through every tour and assure you and your loved one that the facility you choose has the quality and services necessary.

checklist

Here’s some tips before you even schedule the tour:

  • Map out the facilities to visit: You can save yourself a lot of time and mileage by doing some research online before ever venturing out to tour a facility. Spend some time researching the facilities in your preferred area, then look for reviews of these facilities. You should be able to narrow down your list to 3-5 facilities to visit just by looking over the reviews and comments of residents and their family members.
  • Schedule the visit during a community event: This gives you the advantage of seeing for yourself what the community and social interaction is like at each facility. Many of the residents will be around for your loved one to meet, and they’ll get an idea of the new friends they could make, as well as how well events and activities are organized.
  • Make a surprise visit: During the initial visit the facility will be on their best behavior and ready for people from the outside to see their mode of operation. But if you’ve already had one tour and think this might be the right facility, find at least one other time to stop in unannounced. This will only confirm whether the facility is at their best 24 hours a day, or whether they simply up their game for tours in order to book new residents.

Once you’ve done the research and made a list of senior living communities to visit, here are some items to add to your checklist so that you can compare your top facilities:

  • Are you greeted by the staff?
  • Are the interactions between the staff and residents kind and courteous?
  • Does the staff address residents by name?
  • Are the meals healthy, appetizing and accommodated to seniors’ eating challenges (such as dentures)?
  • Are staff and residents tidy and well-kept?
  • Are residents engaged and interested in activities and interactions?
  • Is the facility clean and free of stains and odors?

Once you’ve worked through the questions that you can answer for yourself, here are some to pose to the staff member helping you along your tour:

  • What type of activities are offered, and how frequently?
  • Do residents have individual care plans established and tended to?
  • Are there resident or frequently visiting physicians?
  • How are medical emergencies handled?
  • Is there an appeals process for resident concerns?
  • How are outside care provider appointments handled?
  • Is there a waiting list?
  • Does the facility require renter’s insurance?
  • Are there any move-in specials or other financial incentives?
  • What exactly is included in the monthly fee?
  • Are there any services or utilities not included in the monthly fee?

Aside from observation and asking the staff valuable questions, it may be worth the time to strike up a conversation with some of the residents.

For instance:

Ask about their experience with the facility and the staff. It’ll be easy to tell whether they are truly enjoying their stay, or whether they are less than enthused with their experience. This may just be the best indicator of the facility’s quality and effectiveness.

Remember, the more research you do, questions you ask, and observations you make beforehand, the less unhappy surprises you’ll find once you’ve already signed an agreement or gone through a laborious moving process. Taking care of the details and your loved one’s feelings up front will help smooth the process, and set you up to sustain a healthy and enjoyable plan for everyone involved.

Use these tips to find a senior living option that both you and your loved one are confident in and happy with, and that protect the health, finances, and relationships that matter most.

6 Warning Signs Your Aging Loved Ones Need Help

“Everything is fine,” said Cassandra’s mom.

But as she looked around her mother’s home, it became clear that things might not be as good as she was letting on. Bills were piling up, food was molding in the refrigerator and there seemed to be a distinct ‘smell’ in the house.

Upon inspecting the fridge further, Cassandra found multiple jars of the same item in different states of decomposition.

That’s when she knew that living alone had become challenging for her mother.

Much like anyone else, aging loved ones value their freedom. Asking for help inherently means that they would lose part of this freedom.

Here are 6 telltale signs that your aging loved ones might need help:

  • Forgetting to take medication and forgetting to pay bills – This can be dangerous because missing too many doses can lead to a host of other problems for your loved one. Forgetting to pay bills can be a compounding liability that ultimately might fall on your shoulders.
  • Poor hygiene – If your loved one is continually wearing the same outfit while developing a distinct smell, it’s a sign that they might need help. Other signs can include a strong smell of urine in the house and an overall increase in clutter (especially a dangerous sign if they are typically neat and clean).
  • Poor diet – if you see unexplained weight loss and a lack of a balanced diet in their home, it’s a sign that taking care of themselves might be getting more difficult.
  • Unexplained bruising – Although elders tend to bruise easier, it could be a sign that they have fallen and haven’t told you about it. Keep an eye out for this one.
  • Phone calls at odd hours – When a loved one calls friends or family during weird times, it can be a sign of memory loss or a clear call for help. One solution to this might be scheduling a daily phone call and frequent visits to ‘check-in’
  • Lost of interest in hobbies – This can be a sign of depression. Isolation and depression can cause drastic changes in an individual.

It’s not so black and white

Chances are it’s not as simple as moving your loved one into a senior home. There are likely a few factors at play here:

  • Not sure what to do – Most people don’t think about senior homes until the last minute. And by that time, it’s extra stressful because all the problems have ballooned up into an overwhelming monster to tackle. When you have to think about costs, logistics, finding the right place, insurance and more, it can be easy to fall into analysis paralysis.
  • Not enough time to research – Your own life is likely swamped: your significant other, kids (perhaps even grandkids), your job and a whole host of other responsibilities. And now you’ve been tasked with the not so simple task of learning all about the nuances of senior living.
  • No money – Caregivers typically cost $19/hr or more. Multiply that by a 24 hour period and that’s $456 a day. Over a 30 day period, that’s over $13,680! Assisted living typically averages $3,000/mo depending on the state that you’re in. Most people can’t afford that kind of money. Often times, the money issue can be a non-starter. But there are ways around this (such as veterans benefits; feel free to ask us for more information).
  • Unsure of living situations – Who the heck wants to move away from their own beloved home? Nobody. And you can bet that nobody wants to live in a senior home. It makes perfect sense to be skeptical of the standard of living at senior homes. But in today’s day and age where reviews can make or break a business, there IS quality living out there (believe it or not).

What to do next

With so many options stacking on top of your already busy life, the question is ‘what are the best next steps?’.

Great question.

There are many options that will make a significant impact on older adults. It’s just a matter of figuring out what makes the most sense for your loved one based on their specific needs. Remember, everyone is different and it’s a good idea to gain an understanding of the pros and cons of each solution.

Senior Living – According to the Administration for Community Living, there were 44.7 million people over the age of 65 in the United States in 2013. This is a number projected to double to 98 million in 2060.

When it comes to senior living, there are many options including (but not limited to):

  • Independent living communities
  • Assisted living
  • Nursing homes
  • Alzheimer’s care
  • Residential care homes
  • Respite care

Caregivers – In many cases, aging loved ones may only need a little extra help from loved ones in areas such as meal preparation, housekeeping, transportation and personal care. In-home caregivers are a great solution to this. Just make sure you have a thorough interview and background check procedure.

Move closer to your loved ones – If budgets are tight or there isn’t a need to take a look at the above options yet, moving closer will allow you easier access to care for them.

Conclusion

If any of the signs above have started to manifest, it may be time to start looking at care options. This doesn’t necessarily mean they need to move out or do anything drastic. It all depends on what the current situation looks like. Remember, this is a very emotional, delicate situation that needs to be approached with care.

We get it. It can be stressful. Feel free to talk to our advisors if you need some guidance. There’s no charge.

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Assisted Living 101 [Infographic]

If you’re searching for an Assisted Living facility for yourself or your aging parents, then you know how overwhelming and confusing it can be.

Finding senior care for your loved ones is hard.

That’s why we designed an infographic to make it easy for you to understand one form of senior living called assisted living.

In this infographic, you’ll get the answers to questions like:

  • What exactly is an assisted living facility?
  • What does it cost?
  • Who is it for?
  • How is it different from other senior living options?

More importantly, does Assisted Living offer the services that are necessary for your or your loved one’s specific condition or needs?

This infographic takes all the confusion out of your decision-making process. You’ll find answers to all your inquiries and it provides the most important questions to ask at the facilities that you’re considering.

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Senior Housing Options: Everything You Need To Know

What You Need to Know

Senior Housing Options 70Conversations surrounding senior housing options are rarely comfortable ones. All too often, the mere suggestion of leaving home seems to pit children against their parents – locking both in a struggle between the desire for independence and the choices that are in the best interests for all involved.

And while there’s no easy answer to major life decisions such as these, education can help. By understanding the serious issues faced by seniors in isolation, as well as familiarizing yourself with the numerous – and always-expanding – housing options that are available for those 55 years and older, you’ll be able to approach this delicate conversation from an informed, thoughtful place.

The Growing Problem of Senior Isolation

The question of senior housing is often posed as a pragmatic one. What level of care do seniors require, and who is available to provide it? Is there a child or family member nearby who can assist with care? If not, what financial resources are available to support aging parents?

All too often, seniors’ well-being is left out of the equation. While it’s common for aging adults to want to remain independent in their homes for as long as possible, emerging research described below suggests that they may pay a price due to the isolation inherent in this arrangement. And given that the U.S. Census Bureau estimates that 28% of people aged 65 and older lived alone (as of 2010), these are critically important concerns all families with aging relatives must consider.

Social isolation and loneliness in adults aged 52 and older are associated with a higher risk of mortality.

According to a 2012 study published in the Proceedings of the National Academy of Sciences, living alone puts senior citizens at a higher overall risk of dying from all causes. While there are many possible explanations for this effect, the absence of another housemate who would notice acute health symptoms at their onset is one likely factor.

Loneliness in seniors is correlated with long-term illness.

The same study cited above also associates the following conditions with loneliness and social isolation in seniors: arthritis, impaired mobility, depression and chronic lung disease. A further study published in Psychology and Aging in 2010 identified a direct link between elder isolation and unsafe increases in blood pressure.

Seniors who feel lonely have a higher risk of dementia.

Research conducted by Dr. John Cacioppo of the University of Chicago has found that feelings of loneliness are correlated with poorer cognitive performance and declines in cognitive function.

Seniors who experience loneliness are more likely to need long-term care.

Interestingly, a 2004 report published by the British Columbia Ministry of Health found that social isolation is one of the top predictors of seniors using home care or entering nursing homes.  

Socially isolated seniors are more vulnerable to elder abuse.

The National Center on Elder Abuse cites a number of studies that demonstrate a link between senior isolation and higher incidences of elder abuse, potentially due to the fact that abusers are able to minimize their risk of discovery while working with isolated patients.

While living independently as a senior isn’t guaranteed to lead to these results, it’s important for families caring for aging elders to be aware of potential health and safety risk factors and to make decisions for their loved ones’ care with a full understanding of the options available.

Senior housing is no longer the institutional monolith it once was: a number of alternatives exist to suit residents at all ends of the care spectrum.

Senior Housing Options

Assisted Living

Senior Housing Options Facilities

What Is It? Assisted living communities represent the next level of care beyond independent senior apartments. Residents of assisted living facilities generally do not require the type of skilled nursing care offered at traditional nursing homes, but do need daily assistance with daily activities such as taking medication, preparing meals and maintaining hygiene. Assisted living facilities typically offer private apartments with kitchenettes, along with a staff that’s available 24 hours a day to support residents social programs, activities and exercises.

What Does It Cost? As in the case of independent senior living, the cost assisted living facilities varies with the amenities provided. Genworth lists the average cost of a one-bedroom assisted living apartment as $3,500 per month. Prices are also determined by whether the community charges a flat fee or “a la carte” prices based on the specific services required (state licensing and regulation requirements often dictate which services and care types can be offered).

Who Is It For? There are typically two groups of seniors that opt for assisted living: those who require the level of care they provide, and those who anticipate needing it in the near future. Because wait lists can be long, many prospective residents apply to their preferred facilities in advance of needing their services to increase their odds of securing a spot in the future.

How Do You Get Started? Any of the strategies described above for home care and independent living communities can be used to identify assisted living options in your area, including referrals from local resources and traditional ads. Due diligence is important here, as it is in all cases of senior care.

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Senior Housing Options Assisted Living Costs

Residential Care Homes

What Is It? Residential care homes offer a similar level of support as assisted living facilities, but to a smaller number of seniors (typically fewer than 10) and often in a more home-like setting. Though they may offer fewer activities and amenities than traditional assisted living homes, they still retain 24-hour care and provide a more intimate, family-like experience.

What Does It Cost? As of 2014, Genworth reports that average costs run from $2,200 per month for a shared bedroom to $3,400 per month for a private bedroom. As with many of the other estimates found in this report, prices vary based on geographic region, the level of amenities offered and the amount of care required by the resident.

Who Is It For? Residential care homes are one possible alternative for older adults who feel overwhelmed by the thought of living in assisted living communities with dozens or hundreds of other residents. Those with social anxiety, agoraphobia or other mental health conditions, as well as those who simply prefer a smaller community, may do better in these more close-knit environments.

How Do You Get Started? Because residential care homes are not as widely available as traditional assisted living facilities, locating one may require some extra due diligence. As your current care team, state or local agencies, your caseworker or any other friends or relatives with older adults in your area. If you believe your loved one may benefit from a residential care home placement, begin asking around early; given their more limited nature, wait lists can be long.

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Nursing Homes

 

Senior Housing Options Nursing Home Costs

What Is It? Nursing homes represent the most advanced level of care for senior citizens, apart from end-of-life hospice. In addition to supporting residents in their ADLs, including bathing, dressing, eating and housekeeping, nursing homes provide long-term medical care to seniors who are bedridden, wheelchair-bound or who require 24-hour monitoring and medical assistance for severe physical or mental health conditions.

What Does It Cost? Nursing home costs often depend on the length of the resident’s stay. Many residents remain in nursing homes for only short periods of time following hospitalization for an illness or injury (Medicare often covers these short-term stays for those who are eligible). The cost of longer-term stays are, on average, $212 per day for a semi-private room and $240 per day for a private room, according to Genworth. These averages may vary based on the size of the room offered and the geographic location of the facility.

Who Is It For? As described above, nursing home residents are those who either require short periods of rehabilitation following injury or illness, or those who need longer-duration, round-the-clock care for the management of severe, debilitating mental and/or physical health issues.

How Do You Get Started? The decision to move to a nursing home is often made in consultation with the senior’s medical team, as well as representatives from the senior’s assisted living community or home health care aid (as applicable). Nursing homes can be found through the same channels as assisted living facilities and should be evaluated just as thoroughly.

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 Senior Housing Options Nursing Home Private Costs

Memory Care

What Is It? Many assisted living facilities and nursing homes now offer separate memory care communities, which are secured by alarmed exit doors to prevent residents from wandering off and becoming disoriented. Though not available in all areas, most memory care programs include structured activities designed by those who have been specially trained to care for dementia patients.

What Does It Cost? Genworth estimates put the national average cost at $5,000 per month, with prices fluctuating by community from $2,000 per month up to $7,000 per month. These significant price variations can be attributed to the scope of services offered by the programs, their geographic locations and their reputability within the community.

Who Is It For? Patients experiencing Alzheimer’s and other forms of memory loss or dementia may benefit from placement within an embedded memory care community. Often, these facilities offer specialized programming – such as art and music therapy – in order to meet the unique needs of those suffering from memory issues.

How Do You Get Started? Memory care is often introduced as a “next step” in accordance with the progression of memory and thought disorders among patients in assisted living or nursing facilities; therefore, placement may be as simple as speaking to program management about the transition. Those seeking memory care for older adults who have been cared for at home can contact local and state agencies, their caregivers or caseworkers, or the directors of nearby assisted living or nursing home programs.

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Respite Care

Senior Housing Options Family Caregivers Speak Up

 

What Is It? An estimated 65 million Americans provide some level of care for aging or disabled loved ones. Respite care programs allow for short-term stays (typically, no longer than one month) at existing assisted living facilities to permit caregivers to travel or recharge, as well as to ease seniors requiring higher levels of support into residential communities.

What Does It Cost? Average costs range from $75 to $200 per day, though long-term care insurance policies may pick up some of the costs. Costs vary based on the length of the stay, the type of room supplied, the geographic location of the facility and the level of services provided.

Who Is It For? Respite care serves an important function for seniors who remain at home under the care of either family or professional caregivers by providing support in the event caregivers are taken away from their duties, due to vacations, business travel or the need for personal rest and relaxation. Caregiving is a demanding undertaking, and respite care can provide the temporary relief needed for caregivers to avoid the negative consequences associated with caregiver burnout.

How Do You Get Started? Respite care is typically offered at assisted living facilities, though independent programs may be operated by local elder care agencies or caregiving programs. Enrolling a resident in a temporary respite stay can be initiated by reaching out to the program’s  intake line for more information.

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In-Home Care

Senior Housing Options In Home Care

What Is It? Surprisingly, this senior housing option described here isn’t a residence-based alternative at all. Indeed, many seniors are able to remain in their homes with the support of qualified nursing staff who may assist with such activities as bathing, dressing, preparing meals, providing transportation assistance or offering emotional and social support. Some home care providers may also support elders in paying bills and making appointments, though these tasks are typically handled at the family’s discretion.

What Does It Cost? According to Genworth.com, the median cost of home care in 2013 was $20 per hour. Medicare may cover part of the cost of home care, but typically only if it’s provided in conjunction with nursing care or other skilled care, such as physical therapy, occupational therapy or speech-language pathology services.

Who Is It For? Home care schedules may range from a few hours a week to 24-hour care, though most families that require such intensive care will likely find a residential program to be a more cost-effective alternative. Ideal candidates for home care include those seniors that are still able to live relatively independently, but need some level of assistance with activities of daily life (ADLs).

How Do You Get Started? You may be able to obtain referrals for home care through the senior’s doctor, through other families, through local community organizations dealing with elder issues, or through nursing homes in your area. As with any professional who would be working alone in a loved one’s home, be sure to carefully check references and background checks before hiring a home health care aid.

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Senior Housing Options Home Care Costs

Adult Day Services

What Is It? Essentially “daycare for adults,” these programs offer half-day or full-day activity programs outside of the home for senior citizens, which may be particularly beneficial in mitigating social isolation and in providing a much-needed break for full-time familial caregivers.

What Does It Cost? The average cost, according to Genworth, is $65 per day. Prices vary based on whether half-day or full-day programs are elected, the activities involved and the level of participant care required.

Who Is It For? Adult day service programs are typically intended for older adults who remain in their homes, but who enjoy the social aspect of joining together with others on a temporary basis. They can be equally as beneficial for family caregivers in providing needed respite without compromising the loved one’s care.

How Do You Get Started? Local or state elder care resources can refer you to adult day service programs, as can your doctor’s office and internet search engines. Vet adult day services as thoroughly as you would infant and child day care programs for your children. Pay particular attention to negative reviews or any state regulatory violations to ensure safe care for your loved one.

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Senior Housing Options Community Care Costs

Independent Senior Living Communities

What Is It? Independent senior living communities – also referred to as retirement communities, senior apartments and active senior living – resemble traditional apartments, townhomes or condo communities, with the simple restriction that all residents be above a certain age (typically either 55 or 62). Apart from the housing itself, amenities offer typically include meals prepared in a common dining room, periodic housekeeping, maintenance and repairs, utilities, and activities and entertainment.

What Does It Cost? Prices for independent senior living communities vary based on the type of property. Some are quite spartan, while others are luxurious in styling. The size of the unit being rented also impacts its price, though Genworth put the average cost of a one-bedroom senior apartment at $2,750 per month in 2014. Many such facilities rent for significantly less when fewer amenities are offered, and some subsidize rent based on the senior’s income.

Who Is It For? Independent senior living communities are best suited to older adults who are generally self-sufficient, but who prefer the companionship of living with others their own age. Active retirees and those who seek a simplified style of living where all cooking, cleaning and maintenance needs are handled are ideal candidates.

How Do You Get Started? Many independent senior living communities advertise through traditional means, such as newspaper ads, TV ads, radio ads, local magazine ads and billboards. You may also be able to locate programs in your area using the state-specific agency contact list at the end of this guide.

As with any major life decision, careful consideration and proper planning are of the utmost importance. Rather than acting rashly, take the time to gather recommendations and research existing options. If possible, carry out your planning well in advance of your loved one’s anticipated need for housing options in order to secure necessary waitlist placements and/or to prepare thoroughly for a smooth transition.

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Helpful Resources

As you prepare to transition an aging loved one into a senior housing program, you may find any or all of the following resources helpful:

Senior Living Resources:

Senior Services:

Caregiver Resources:

Financial Information:

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State-Specific Resource Listing

Compiled by the Assisted Living Foundation of America (ALFA), the following list of state level chapters and affiliates provide local sources of information regarding state-specific licenses, regulations and available programs:

Assisted Living Association of Alabama (ALAA)

President: Frank D. Holden

Email: fholden@alaaweb.org

5921 Carmichael Rd

Montgomery, AL 36117-2518

Mailing Address:

PO Box 230968

Montgomery, AL 36123-0968

Phone: (334) 262-5523

FAX: (334) 262-4603

 

Arizona Assisted Living Federation of America (AZ-ALFA)

President: Karen Barno

Email: ksbarno@azalfa.org

2345 E. Thomas Road, Suite 290,

Phoenix, AZ 85016

Phone: (602) 322-0100

FAX: (602) 322-0118

 

Arkansas Residential Assisted Living Association (ARALA)

Executive Director: Kent Schroeder

Email: Kentschroeder@Classicnet.net

692 Honeysuckle Ln

Cabot, AR 72023-8276

Phone: (501) 941-2075

FAX: (501) 941-2075

 

California Assisted Living Association (CALA)

President: Sally Michael

Email: sgm@caassistedliving.org

455 Capitol Mall Ste 222

Sacramento, CA 95814-4439

Phone: (916) 448-1900

FAX: (916) 448-1659

 

LeadingAge Colorado

President & CEO: Laura Landwirth

Email: Laura@LeadingAgeColorado.org

303 E. 17th Avenue, Suite 880

Denver, CO 80203

Phone: (303) 837-8834

FAX: (303) 837-8836

 

Connecticut Assisted Living Association (CALA)

President: Christopher Carter

Email: cpcarter@ctassistedliving.com

100 Halls Road

PO Box 483

Old Lyme, CT 06371

Phone: (860) 434 5760

FAX: (860) 434 5790

 

Florida ALFA

Contact: Gail G. Matillo

Email: gmatillo@flalfa.org

9445 Buck Haven Trail

Tallahassee, FL 32312

Phone: (850) 296-ALFA (2532)

 

GSLA-Georgia Senior Living Association

President/CEO: Genia Ryan, CAE

Email: genia@gasla.org

2023 Grayson Highway, Suite 202-A

Grayson, GA 30017-4139

Phone: (678) 407-2060

FAX: (678) 407-2002

 

LeadingAge Illinois

Interim President: Karen Messer, MS

Email: Kmesser@leadingageil.org

1001 Warrenville Rd., Suite 150

Lisle, IL 60532

Phone: (630) 325-6170

FAX: (630) 325-0749

 

Indiana Assisted Living Association

Executive Director: Liz Carroll

Email: exdir@inassistedliving.org

5460 Bearberry Lane

Indianapolis, IN 46268

Mailing Address

P.O Box 68829

Indianapolis, IN 46268

Phone: (317) 733-2390

FAX: (317) 733-2385

 

Iowa Assisted Living Association

Executive Administrator: Shellie Petek

Email: info@ialaonline.net

9001 Hickman Rd, Ste 220

Des Moines, IA 50322

Phone: (515) 278-8700

FAX: (317) 733-2385

 

Kentucky Assisted Living Facilities Association (KALFA)

Executive Director: Robert White

Email: kalfa@kentuckyassistedliving.org

133 Evergreen Road, Suite 212

Louisville, KY 40243

Phone: (502) 225-5201

FAX: (502) 225-5206

 

Louisiana Assisted Living Association

Executive Director: Sharla Aloisio

Email: sharla@lalaonline.org

PO Box 10258

New Iberia, LA 70562

Phone: (337)577-2024

 

LifeSpan Network (Maryland/DC)

President: Isabella Firth

Email: ifirth@lifespan-network.org

10280 Old Columbia Rd Ste 220

Columbia, MD 21046-2382

Phone: (410) 381-1176

FAX: (410) 381-0240

 

Massachusetts Assisted Living Facilities Association (MASS-ALFA)

President: Michael Banville

Email: massalfa@massalfa.org

135 Beaver Street, Suite 202

Waltham, MA 02452

Phone: (781) 622-5999

FAX: (781) 622-5979

 

Michigan Assisted Living Association (MALA)

General Counsel: Kathleen Murphy, Esq

Email: kmurphy@miassistedliving.org

15441 Middlebelt Rd

Livonia, MI 48154-3805

Phone: (734) 525-0831

FAX: (734) 525-2453

Toll Free: (800) 482-0118

 

Aging Services of Minnesota

President/CEO: Gayle Kvenvold

Email: gkvenvold@agingservicesmn.org

2550 University Ave W Ste 350South

Saint Paul, MN 55114-1907

Phone: (800) 462-5368 or (651) 645-4545

FAX: (651) 645-0002

 

Missouri Assisted Living Association (MALA)

Executive Director: Keith Sappington

Email: keith@malarcf.org

2407 B Hyde Park Road

Jefferson City, MO 65109

Phone: (573) 635-8750

FAX: (573) 634-7344

 

Montana Health Care Association (MHCA)

Executive Director: Rose Hughes

Email: rosehughes@rmsmanagement.com

36 S Last Chance Gulch St Ste A

Helena, MT 59601-4126

Phone: (406) 443-2876

FAX: (406) 443-4614

 

New Hampshire Association of Residential Care Homes (NHARCH)

Executive Director: Walter Perry

Email: wperry@cornerstoneam.com

53 Regional Dr., Suite 1

Concord, NH 03301-3520

Phone: (603) 228-1231

FAX: (603) 228-2118

Toll Free: (800) 544-0906

 

Health Care Association of New Jersey (HCANJ)

Director-Division of Assisted Living/Alternative Care: Kathy Fiery

Email: kathy@hcanj.org

4 Aaa Dr Ste 203

Hamilton, NJ 08691-1803

Phone: (609) 890-8700

FAX: (609) 584-1047

 

New York-ALFA

Directors: Nancy Hodes and Ginger Landy

Email: nhodes@hodeslandy.com

Email: glandy@hodeslandy.com

284 State St

Albany, NY 12210-2194

Phone: (518) 465-8303

FAX: (518) 465-8320

 

North Carolina Assisted Living Association (NCALA)

Executive Director: Frances Messer

Email: Frances@ncala.org

3392 Six Forks Rd

Raleigh, NC 27609

Phone: (919) 467-2486

FAX: (919) 467-5132

 

Ohio Assisted Living Association (OALA)

Executive Director: Jean Thompson

Email: jthompson@ohioassistedliving.org

1335 Dublin Rd Ste 221B

Columbus, OH 43215-7013

Phone: (614) 481-1950

FAX: (614) 481-1954

 

Oklahoma Assisted Living Association (OKALA)

Executive Director: Melissa Holland

Email: okala.ed@att.net

P.O. Box 18576

Oklahoma City, OK 73154

Phone: (405) 235-5000

FAX: (800) 375-6788

 

Oregon Health Care Association (OHCA)

Director of ALF/RCF & Quality: Linda Kirschbaum

Email: lindak@ohca.com

11740 SW 68th Pkwy Ste 250

Portland, OR 97223

Phone: (503) 726-5260

FAX: (503) 726-5259

 

Pennsylvania Assisted Living Association (PALA)

Executive Director: Jeremy Adlon

Email: jadlon@pala.org

105 North Front Street, Suite 106

Harrisburg, PA 17101

Phone: (717) 695-9734

Fax: (717) 695-9735

 

The Rhode Island Assisted Living Association (RIALA)

Executive Director: Kathleen Kelly, MA Gerontology

Email: kkelly@riala.org

2224 Pawtucket Ave

East Providence, RI 02914-1716

Phone: (401) 435-8888

FAX: (401) 435-8881

 

South Carolina ALFA (SCALFA)

Executive Director: Nina Buckelew

Email: nbuckelew@capconsc.com

PO Box 1763

Columbia, SC 29202

Phone: 803-252-1087

 

Assisted Living Association of South Dakota (ALASD)

Administrative Director: Lethia Marienau

Email: info@alasd.org

PO Box 818

Yankton, SD 57078

Phone: (605) 679-4606

FAX: (605) 679-4605

 

Tennessee ALFA

Executive Director: Martha M. Gentry

Email: tennalfa@gmail.com

611 Commerce Street, Suite 2702

Nashville, TN 37203

Phone: (615) 256-2376

 

Texas Assisted Living Association (TALA)

Executive Director: Gail Harmon

Email: Gail.harmon@tala.org

Physical Address:

4505 Spicewood Springs Rd., Suite 250

Austin, TX 78759

Mailing Address:

P.O. Box 684642

Austin, Texas 78768

Phone: (512) 653-6604

FAX: (512) 342-2858

 

Utah Assisted Living Association (UALA)

Executive Director: Corey Fairholm

Email: coreyfairholm@comcast.net

3042 Wilkins Peak Ct

South Jordan, UT 84095-8473

Phone: (801) 569-2240

FAX: (801) 569-2256

 

Virginia Assisted Living Association (VALA)

Executive Director: Judy Hackler

Email: jhackler@valainfo.org

Mailing Address:

PO Box 71266,

Henrico, VA 23255

Physical Address:

1403 Pemberton Road, Suite 304,

Richmond, VA 23238

Phone: (804) 332-2111

Fax:(888) 611-8252

 

West Virginia Assisted Living Association Inc (WVALA)

Executive Director: Nancy Cartmill

Email: wvala@aol.com

1704 Central Ave

Barboursville, WV 25504-2116

Phone: (304) 736-9594

FAX: (304) 736-7040

 

Wisconsin Assisted Living Association (WALA)

Executive Director: Jim Murphy

Email: jmurphy@ewala.org

Mailing address:

PO Box 7730,

Madison, WI 53707-7730

Physical address:

1414 MacArthur Rd,

Madison, WI 53717

Phone: (608) 288-0246

FAX: (608) 288-0734

 

Have another resource that you’d like to see included on this list? Leave a comment below so that all who are seeking information about senior housing options can benefit: