1. My Aging Loved One Needs Help. What Are My Options? Part II Understanding Senior Living Options

2. What we will cover What is a retirement community? What is a CCRC? Group Home? Assisted Living? Memory Care? Nursing Home? Home Care and Medicare Certified Care Provider? Hospice? 2

3. What is a… Retirement Community  Naturally Occurring Retirement Communities  Intentional Retirement Communities  Co-Ops/Rentals/Buy-ins  Refundable Amount versus Amortized Amount  Trend… Taking “Retirement” out of the picture 3

4. What about a CCRC? CCRC = Continuing Care Retirement Community (a.k.a. Continuing Lifestyle Community)  Type D = Rental  Type C = Pay as you go  Type B = Mix of C/A  Type A = Set monthly fee as you go 4

5. Group Homes/Adult Family Homes A residential home in which a person or an entity is licensed to provide personal care, special care, room, and board to more than one but not more than six adults who are not related by blood or marriage to a licensed operator, resident manager, or caregiver, who resides in the home Focused on Activities of Daily Living: Bathing, Toileting, Dressing, Transferring, and Eating 5

6. Assisted Living Dr. Keren Brown Wilson based on her mother’s experience in a nursing home (too institutionalized) opened Park Place in 1981 in Portland, Oregon In Washington State, any home or other institution, however named, which is advertised, announced, or maintained for the express or implied purpose of providing housing, basic services, and assuming general responsibility for the safety and well-being of the residents, and may also provide domiciliary care, consistent with this chapter to seven or more residents Add RN directed medication management and increased socialization. Often lots of amenities. 6

7. Memory Care Serves those with dementia: A chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning. “Secured” Environment Transitional 7

8. Nursing Home It is a place of residence for people who require continual nursing care and have significant difficulty coping with the required activities of daily living. Nursing aides and skilled nurses are usually available 24 hours a day. 8

9. Home Care and Medicare Certified Care Provider Home Health Aide Services/Home Care Homemaking services for the purpose of restoring health or minimizing the effects of illness and disability. Homemaking services include personal care, housekeeping, shopping, meal preparation, and laundry services Medicare Certified Care Provider 9

10. Hospice Care designed to give supportive care to people in the final phase of a terminal illness and focus on comfort and quality of life, rather than cure. The goal is to enable patients to be comfortable and free of pain, so that they live each day as fully as possible. 10

11. Questions? Next Discussion: February 11, 6:30-7:30 pm Affording Senior Living Options We will discuss: Private pay, long term care insurance, Veteran Benefits, and Medicaid www.aegisliving.com/aegis-on- madison/about-us/latest-news/ 11