…promoting independence through advocacy, engagement and access to resources IN YOUR OLDER YEARS Choosing the Right Place to Receive Care Peter Hebertson, MS Salt Lake County Aging and Adult Services

Home The majority of seniors want to receive the care they need in their homes. Family Support  Majority of support provided by family caregivers Private Duty Service Faith Based Support Older American’s Act Services  Meals on Wheels  Transportation  Chore Services  Senior Centers  Caregiver Support continued

Government Supported Programs  Medicare  Hospice  Rehabilitative In-home Services  Medicaid  Home and Community Based Programs  Veterans Administration Long Term Care Insurance Policy Home

Assisted Living Facilities These facilities provide assistance for seniors who need help maintaining activities of daily living (ADL’s). Bathing Dressing Food Preparation Medication Assistance Transferring Memory Care Issues Long Term Care Insurance Policy

Assisted Living Facilities Studio or one bedroom apartments Common dining area Three meals a day Assistance with ADL’s Person needs to be able to leave the facility with one person assist Private pay New Choices Waiver Program

Skilled and Intermediate Care Facilities aka: Nursing Homes These facilities provide assistance for seniors who need help with all ADLS’s or have considerate cognitive issues. Based on medical model Usually semi-private rooms All meals prepared Recreational and social work activities provided All medication distributed by nursing staff Hands on assistance with bathing, dressing, eating, transferring Followed closely by the attending physician

Skilled and Intermediate Care Facilities aka: Nursing Homes Funding Private Pay Medicare  For rehabilitation only Medicaid  For custodial care for low-income medically qualifying people Veterans Administration Long Term Care Insurance Policy

What to Look For in a Long Term Care Facility Always visit the facility before admission Interview staff Talk to residents and families who live there Contact your local Ombudsman Program Check annual surveys and Medicare.gov Make basic observations  Is there any odor?  Are the residents clean?  Is the facility clean?  Are residents engaged in activities?  Are residents restrained or sedated?  Are call lights unanswered?  Can you observe adequate staff?  Does the physical environment look safe?

Useful Phone Numbers Salt Lake County Aging and Adult Services  Salt Lake County Aging and Adult Services Ombudsman Program  Bureau of Health Care Licensing  Eldercare Locator  