The independence a resident enjoys at this type facility is a plus. There may be a variation of independence between facilities, however, so check carefully that the amount of care and supervision required is actually possible, with independence preserved as possible. This should be based on physical and mental abilities. If higher levels of care are required, sometimes they are available for an additional fee.
This is not a nursing facility, where medical care on an enhanced level is available. These facilities do not have the staff or expertise to handle medical issues. For an elderly person who needs hospice care of who has severe medical conditions that require ongoing medical attention, this is just not the solution.
The decision to place your relative in a facility of any kind is very difficult. It is easier if the decision is made at the appropriate time. If mobility issues arise, or memory loss, with the possibility of wandering and getting lost, then that is the appropriate time. If a nurse or caretaker is not available, the facility may be the only way to keep them safe.
If at all possible, make the decision when the elderly person is still mentally sharp. They can then decide whether to bring an allowed pet, or decide on the things they want to keep with them. Most facilities will allow just about anything in the way of furniture, pictures, and keepsakes that are so important to the elderly to make their surroundings as much like what they are used to as possible.
The cost may be more than you expect. Having Medicaid and other government aid doesn't help because they don't pay for it. The individual has to use their own finances such as savings accounts and home equity. Some have long-term insurance. Rental rates range from $3000 to just over $4000 per month. This varies with the amount of care needed.
In a nursing facility, there is usually not the danger of being discharged for lack of funds. In this facility, however, it is a very real danger. They usually have to give a 30 day notice first, which may give you a chance to work out some kind of arrangement. There are low-income subsidies that can be used to help in certain circumstances. This allows a longer stay. Search thoroughly for any options that may be available to keep your relative in their placement.
To get the best choice of facility and to get on the waiting list early, it is important to begin your search for a Central Iowa assisted living home as soon as you anticipate the need. You will thus be able to make a more informed decision. Additionally, if you struggle with the guilt that many do in making the decision, you will have time to deal with it prior to the placement.
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