1. LTC/315 Living Environment Comparisons

2. Active Adult Community BenefitsDrawbacks Age Limitations Homes are purchased Secured Community Leisure and Sports Activities Age Limitations Homes are purchased Activities offered to residents

3. Independent Living BenefitsDrawbacks Living area is small Maintenance is simple Lively social environment Mental pressure. People can feel pressure when they decide to move from their homes into a smaller residence

4. Assisted Living State Regulation Resident Assessment ArizonaCalifornia An evaluation of the resident and the service plan has to implemented once the resident enters the facility. It is expected to be finalized within fourteen days after acceptance. The service plan for direct care is updated quarter. Updates for personal care plans are done biannually, while supervisory care service plans are update annually. Any changes in the condition of the residents will require the service plans to be updated. The functional capacity, social situation, and psychological condition of the residents are evaluated before they enter the facility. Assessment forms can be downloaded from www.ccld.ca.gov even if no institutional forms are required. An annual appraisal is conducted on the resident or when any noticeable changes are observed. The assessment tool of the resident will require a complete report from a doctor, which must be updated when noticeable changes are observed on the resident

5. Assisted Living State Regulation Medication Management ArizonaCalifornia Licensed nurses are the only ones allowed to administer medication. Residents may be assisted in taking medication by trained caregivers and certified assisted living managers, who may also administer medication upon orders by the doctor and appropriate training. Employees of the facility are not permitted to dispense medication to residents. However, they can provide assistance to residents in taking medication. They should have the appropriate skills and training before they can administer medication.

6. Assisted Living Services Assistance in activities for daily living Breakfast, lunch and dinner Beauty salon and barber shop Leisure activities Rooms to meet with resident counsel Medical administration Transit services Washing and drying of clothes Household management Medical personnel in the facility

7. Reimbursement Sources For Assisted Living Facilities Insurance for long-term care Private medical insurance policies Individual cash payments

8. Reimbursement Sources for Skilled Nursing Facilities Latest Payment System against Traditional Long Term Care Companies Per Day Payment Scheme For Nursing Services BM or Before Medicare

9. Resources Utilized In Choosing A Suitable Facility Get referrals from relatives Research about the topic Available supporters and ombudsmen Distance from the house to the facility

10. Things To Check When Visiting The Facility Prepare to visit the Nursing Facility Evaluate with the Staff members Evaluate with the Residents and Their Families

11. Things To Check In A Nursing Facility Cleanliness of the facility Diet and nutrition Centralized design Social Activities Experience of Loved Ones

12. Government Agencies Supervising Skille d Nursing Facilities Office of Inspector General Health and Human Services Department US Department of Justice

13. Government Agencies Supervising Skilled Nursing Facilities Health and Human Services Department Medicare and Medicaid Centers

14. Advances in Tech-Based Living in the last decade Webcam Video Game Console (Nintendo Wii) Instant Messaging

15. Advancements in Tech-Based Living In The Next Decade Robotic Assistants Social Assistive Robots Medicine Distribution Robots

16. Conclusion

17. References ALFA - Assisted Living Federation of America. (2009). Assisted Living Regulations and Licensing. Retrieved from http://www.alfa.org/State_Regulations_and_Licensing_Informat.asp http://www.alfa.org/State_Regulations_and_Licensing_Informat.asp National Caregivers Library. (2012). Independent Living Facilities. Retrieved from http://www.caregiverslibrary.orghttp://www.caregiverslibrary.org www.AAHSA.gov www.aging.maryland.gov/housing.html www.caregiver.org/caregiver/jsp/content www.medpac.gov/documents/Mar11_ EntireReport.pdf Office of Inspector General.(2010). Retrieved on from http://oig.hhs.govhttp://oig.hhs.gov Wii by Nintendo: An Effective Way for Elders to Exercise and Have Fun. (2011). Retrieved from internet http://myelderadvocate.typepad.com http://myelderadvocate.typepad.com