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A FREE California State Licensed
Senior Living Referral
& Information Service

CA Dept. of Public Health, Lic # 960001349
CA Dept. of Social Services, Lic # 5542699740

Accent on Seniors
Placement with a personal touch
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senior living options

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arrowBoard & Care Homes
arrowDementia Care Facilities
arrowIndependent Living
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Glossary of Terms

Guide to Senior Living Options:
Guiding You Along the Journey


As a "FREE" service, ACCENT ON SENIORS will guide you through a very emotional process, easing the search, selection, placement & transition. In other words . . . we know what to look for!

The search for placement can be overwhelming when the time comes that it is no longer an option for the senior to reside at home. We understand how difficult the decision making process is.

Changing residences is hard to do at any stage in life. It takes patience, energy, legwork and knowledge to make the right choice ... to find a loving, safe environment that will best meet personal and health care needs.

ACCENT ON SENIORS is available to you when you need it, to take the hard work and stress out of the journey. We combine our intimate knowledge of the facilities with a personalized approach, making recommendations to help you choose the best option.
 

Choices for Senior Living

  • When’s the right time to seek senior living for my loved one or myself?

  • How do Retirement Living, Assisted Living, Board & Care, Alzheimer’s/Dementia and Skilled Nursing facilities differ?

  • How do I determine which option will be the most appropriate and provide the best environment and care?

 

Do you Have Concerns About Your Senior's...?

  • Management of health care needs

  • Emotional welfare

  • Safety

  • Caregivers or support help

  • Financial matters

  • Social interactions

  • Behavioral issues

  • Proper nutrition

  • Personal hygiene

 

IMPORTANT . . .

  • Plan ahead to prevent making decisions during a crisis

  • Reach out for help – it’s okay – you need support for your own emotional & physical well-being

  • Meet with family and/or friends and the senior, ideally, to discuss the situation

  • Remember –you are doing the best that you can


When’s the "Right" Time to Seek Senior Living?

It is difficult to determine the right time to look into facility care placement for a loved one, unless faced with an obvious crisis. However, if you are the caregiver, you have been asking this question for quite some time. Don’t wait until a crisis occurs to review your options. Plan ahead and start your search so that when the time comes you can make an educated decision. When safety, health care, hygiene, nutrition or isolation becomes a concern, it is time to seek assistance.

In-home care, although appropriate for some along the care continuum, may not be the answer for all. Instinctively, you may want to continue to care for your loved one at home as long as possible. However, there comes a time when the demands grow and the need for help increases. Do not think of it as giving up, but rather as seeking a way to maintain the relationship, as well as your health and well-being.

Services vary within each senior living place – all should be reviewed to ensure that the care needs of the individual will be met. Prices vary depending on the facility and the services offered.

 

Retirement/Independent Communities (approx.50-200 units)
are appropriate, if the senior ….

  • Is active and totally independent, desires apartment living in a protected environment

  • Chooses to lessen responsibilities of the daily routine of maintaining a residence

  • Wants socialization and no longer wants to live alone

  • Has health concerns & desires a sense of security for medical emergencies, through 24-hour on-call services

  • Enjoys activities, recreation and outings

  • Desires housekeeping, laundry and meals prepared

  • Needs transportation for medical or personal reasons

  • Anticipates needing future assistance with some personal care services, which may be offered

Cost: $1,000 - $6,000+/month

 

Assisted Living Communities (approx. 50-100+ residents)
are appropriate, if the senior ….

  • Is alert, but unable to live on their own safely

  • Is confused or forgetful, needing assistance. A separate Alzheimer’s unit may be on the premises

  • Needs some assistance with personal care (dressing, grooming, bathing, eating or toileting) in a hotel-like setting

  • May use a walker or cane, can get to the dining room and activities. Wheelchairs sometimes accepted

  • Requires medication monitoring

  • Has chronic medical conditions and physical challenges
    Needs incontinence care

  • Enjoys activities, recreation and outings

  • Requires meal preparation, laundry and/or housekeeping

  • Needs transportation for medical or personal reasons

Many Assisted Living Communities have Dementia approval and are qualified to care for Alzheimer’s/ Dementia residents. Some have Hospice Waivers and are approved to care for hospice residents. A limited number of facilities accept Supplemental Social Security Income (SSI), as long as the resident is alert requiring minimal assistance.

Cost: $1,200-$6,000+/month

 

Board & Care Homes (approx. 6-15 units)
are appropriate, if the senior ….

  • Needs a higher level of care with day & night caregivers

  • Desires a cozier, home-like setting for personalized care and social activities

  • Is medically frail or mentally declining. Can’t easily ambulate within a larger facility. Wheelchairs usually accepted

Many Board and Care Homes have Dementia approval and are qualified to care for Alzheimer’s/ Dementia residents. Some have Hospice Waivers and are approved to care for hospice residents. Some facilities accept Supplemental Social Security Income (SSI), as long as the resident is alert and requires minimal assistance. Few Board and Care Homes accept SSI and the resident must also be alert requiring minimal assistance.

Cost: $1,200-$6,000+/month

 

Alzheimer’s/Dementia Facilities (approx. 6-100+ residents)
are appropriate, if the senior ….

  • Requires complete personal care services for most activities of daily living

  • Exhibits challenging behaviors, confusion, forgetfulness

  • Has accidents in the home or forgets to use safety equipment (walkers, grab bars, etc.)

  • Is unable to use proper judgment in an emergency, due to unpredictable behavior

  • Has difficulty recognizing loved ones and familiar faces

  • Wanders away from home, requiring a secure facility

  • Is agitated, combative, refuses care, or abusive

  • Has a caregiver that can no longer manage daily care, themselves or overseeing others.

Dementia/Alzheimer’s sufferers require the expertise of specially trained staff who perform care in a dedicated Dementia/Alzheimer’s facility or in a separate wing of a Skilled Nursing or Assisted Living Facility. Some are locked; others have alarms or other wander deterrents. The disease stage and personal needs will determine the type of facility that will be most appropriate.

Cost: $3,000 - $8,000+ /month

 

Skilled Nursing Facilities
are appropriate, if the senior ….

  • Requires 24-hour skilled nursing care due to hospitalization, or complex physical or cognitive conditions for a temporary or a long-term stay

  • Needs full assistance with personal care services

  • Is unable to ambulate without the assistance of a wheelchair, walker or escort

  • Is bedridden or unable to reposition in bed

  • Suffers from an advanced stage of Alzheimer’s/Dementia, combative or severely confused

  • Needs intensive rehabilitative therapy (Physical, Occupational, Speech, and/or Respiratory Therapy)

  • Requires tube feeding or is on an IV

  • Has to be on a vent or needs tracheotomy care

  • Needs aggressive wound care management

  • Is terminally ill and requires Hospice (end of life) care

  • Needs custodial care and is on Medi-Cal for payment (must financially qualify)

Long-term Medi-Cal (California's Medicaid program) is for people 65+ or disabled with limited income and financial resources. Residents who are on Medi-cal must financially qualify. Medicare coverage pertains up to the first 100 days for a qualifying stay after an acute care hospitalization. Medicare HMO contracts vary by facility for acceptance.

Cost: $4,500 - $6,000+ per month

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