What are your options? The Senior Care Arena Eurith “Chucki” Long-Emerson Personal Care Home Administrator

Objectives Identify the different levels of long term care in Pennsylvania To have a more in depth knowledge of the levels of care Understanding of admission criteria for the levels of care Statistics – pertinent to Pennsylvania Brief overview of Memory Care in Pennsylvania To have time for Questions and Answers

Pennsylvania Statistics Over 2 million PA Citizens are age 65 and older Pennsylvania is the 4th state in the United States by percentage of population age 65 and older, behind Florida, West Virginia and Maine. 1 in 5 Pennsylvanian’s are 60 or older

Pennsylvania Statistics Number of Nursing Homes in PA- 710 -89,000 NH beds Number of Personal Care Homes in PA –1200 serving 47,000 residents Assisted Living Facilities in PA – 22 in 12 counties Number of HUD Senior Housing in PA – 761 Home Health Care Agencies in PA – 175

Annual Cost of Care in Pennsylvania 2013 Study Long Term Care.gov US Dept. of Health and Human Services Nursing Homes Private Room - $102,049.00 - $255,091.00 Nursing Home Semi Private Room - $91,250.00 - $270,845.00 (Higher – Dementia Care) Assisted Living/Personal Care- $36,000.00 & up Adult Day Health - $15, 205.00 Home Health Aide - $34,000.00 - $42,000.00 Homemaker Services - $43, 472.00 - $46,120.00

Nursing Homes Admission Criteria Straight Admission from your home Hospital Admission to a Nursing Home Admission from a Personal Care Home Medicare Admission Medicaid Admission

How to Pay / Nursing Homes Pay with Your Own Funds Long-Term Care Insurance Veterans Benefits Medicare Medical Assistance

Personal Care Homes Admission Criteria Private Pay Long Term Care Insurance Veterans Benefits (Vet and Spouse) Benevolent Care OPTION- Respite Care

Assisted Living Facilities Admission Criteria – similar to PCH Private Pay Long Term Care Insurance State Reimbursement ??? Veterans Benefits Respite Care

HUD Funded Housing Admission Criteria Income vs Assets Independent Supported Care Fixed rent

3 differences between PC & AL PCH –vs- AL 3 differences between PC & AL Concept, Construction & Level of Care Age in Place AL – Living Units with Kitchens, locked and private rooms. Housing model, Resident can cook and maximize independence. PC – Some have shared Living Space

Specialized Dementia Care There are approximately 107 Memory Care Facilities in PA 2014 – 270,000 diagnosed with Alzheimer’s Disease in PA 2025 – 320,000 are estimated to have Alzheimer’s Disease in PA Increase of 18.5% from 2014 – 2025

Resources PHCA –Pennsylvania Healthcare Association CALM -Center for Assisted Living Management The Pennsylvania Nursing Home Guide: The Law Firm of Marshall, Parker & Associates, 303 Allegany Street Jersey Shore, PA 17740 www.paelderlaw.com SF Gate Home Guides http://homeguides.sfgate.com PA Department of Aging PA Long Term Living www.aginginplace.org www.alz.org