Looking for the best Nursing Homes in Union County that offer the best services there is might be a hard task to do especially if you do not have a criteria to follow on how to look for one. There are already a lot of Retirement homes that offer quality services out there, but what you really need to find is a Retirement home that is just right for your needs. Using a Retirement homes Evaluation Checklist is a great way for you to find the best nursing homes suitable for you. The following are some of the most common criteria that you should use when choosing for the right nursing home.Lastly, you should look at the recreational activities being offered in the nursing homes. These should promote the health and wellness of the residents in the nursing home, and help develop friendship and camaraderie among residents.
Are Nursing Homes Safe?
One of the greatest fears of elderly Americans is that they may require nursing home care. This not only means a great loss of personal autonomy, but also a tremendous financial price. Depending on location and level of care, nursing homes cost between $35,000 and $150,000 per year. Most people end up paying for nursing home care out of their savings until they run out. Then they can qualify for Medi-Cal to pick up the cost. However, with careful planning, whether in advance or in response to an unanticipated need for care, you can protect your estate for your spouse or children. Unfortunately, many people are misinformed about the eligibility criteria Medi-Cal uses to determine eligibility. Such misinformation is likely due to the ever changing and complicated Medi-Cal regulations. Despite what you might have heard, you do not have to be destitute in order to qualify for Medi-Cal benefits. With the guidance of a knowledgeable elder law attorney it is possible to implement various planning techniques in order to qualify for Medi-Cal benefits.The country's LTC fund may also make pension contributions if an informal caregiver works more than 14 hours per week.
In Canada, facility-based long-term care is not publicly insured under the Canada Health Act in the same way as hospital and physician services. Funding for LTC facilities is governed by the provinces and territories, which varies across the country in terms of the range of services offered and the cost coverage. In Canada, from April 1, 2013 to March 31, 2014, there were 1,519 long-term care facilities housing 149,488 residents.
Long-term care is typically funded using a combination of sources including but not limited to family members, Medicaid, long-term care insurance and Medicare. One of these includes out-of-pocket spending, which often becomes exhausted once an individual requires more medical attention throughout the aging process and might need in-home care or be admitted into a nursing home. For many people, out-of-pocket spending for long-term care is a transitional state before eventually needing Medicaid coverage. Personal savings can be difficult to manage and budget and often deplete rapidly. In addition to personal savings, individuals can also rely on an Individual retirement account, Roth IRA, Pension, Severance package or the funds of family members. These are essentially retirement packages that become available to the individual once certain requirements have been met.
In 2008, Medicaid and Medicare accounted for approximately 71% of national long-term care spending in the United States. Out-of-pocket spending accounted for 18% of national long-term care spending, private long-term care insurance accounted for 7%, and other organizations and agencies accounted for the remaining expenses. Moreover, 67% of all nursing home residents used Medicaid as their primary source of payment.
Medicaid is one of the dominant players in the nation’s long-term care market because there is a failure of private insurance and Medicare to pay for expensive long-term care services, such as nursing homes. For instance, 34% of Medicaid was spent on long-term care services in 2002.
Medicaid operates as distinct programs which involve home and community-based (Medicaid) waivers designed for special population groups during deinstitutionalization then to community, direct medical services for individuals who meet low income guidelines (held stable with the new Affordable Care Act Health Care Exchanges), facility development programs (e.g., intermediate care facilities for intellectual and developmental disabilities populations), and additional reimbursements for specified services or beds in facilities (e.g., over 63% beds in nursing facilities). Medicaid also fund traditional home health services and is payor of adult day care services. Currently, the US Centers for Medicaid and Medicare also have a user-directed option of services previously part of grey market industry.
In the US, Medicaid is a government program that will pay for certain health services and nursing home care for older people (once their assets are depleted). In most states, Medicaid also pays for some long-term care services at home and in the community. Eligibility and covered services vary from state to state. Most often, eligibility is based on income and personal resources. Individuals eligible for Medicaid are eligible for community services, such as home health, but governments have not adequately funded this option for elders who wish to remain in their homes after extended illness aging in place, and Medicaid's expenses are primarily concentrated on nursing home care operated by the hospital-nursing industry in the US.
Generally, Medicare does not pay for long-term care. Medicare pays only for medically necessary skilled nursing facility or home health care. However, certain conditions must be met for Medicare to pay for even those types of care. The services must be ordered by a doctor and tend to be rehabilitative in nature. Medicare specifically will not pay for custodial and non-skilled care. Medicare will typically cover only 100 skilled nursing days following a 3-day admission to a hospital.
A 2006 study conducted by AARP found that most Americans are unaware of the costs associated with long-term care and overestimate the amount that government programs such as Medicare will pay. The US government plans for individuals to have care from family, similar to Depression days; however, AARP reports annually on the Long-term services and supports (LTSS) for aging in the US including home-delivered meals (from senior center sites) and its advocacy for care giving payments to family caregivers.
Long-term care insurance protects individuals from asset depletion and includes a range of benefits with varying lengths of time. This type of insurance is designed to protect policyholders from the costs of long-term care services, and policies are determined using an "experience rating" and charge higher premiums for higher-risk individuals who have a greater chance of becoming ill.
There are now a number of different types of long term care insurance plans including traditional tax-qualified, partnership plans (providing additional dollar-for-dollar asset protect offered by most states), short-term extended care policies and hybrid plans (life or annuity policies with riders to pay for long term care).
Residents of LTC facilities may have certain legal rights, including a Red Cross ombudsperson, depending on the location of the facility.
Unfortunately, government funded aid meant for long-term care recipients are sometimes misused. The New York Times explains how some of the businesses offering long-term care are misusing the loopholes in the newly redesigned New York Medicaid program. Government resists progressive oversight which involves continuing education requirements, community services administration with quality of life indicators, evidence-based services, and leadership in use of federal and state funds for the benefit of individual and their family.
For those that are poor and elderly, long term care becomes even more challenging. Often, these individuals are categorized as "dual eligibles" and they qualify for both Medicare and Medicaid.
What Do Nursing Homes Do?
Care options are definitely moving from a strictly medical model to a social model
Consumers are increasingly demanding and expecting more choices in care options
The aging of baby boomers will probably increase the demand for a broad array of long-term care services and options (maybe including alternative medicines, etc.)
Services will become integrated: long-term care and acute care will be integrated rather than separated (i.e. nursing home care versus home care)
"aging-in-place" will direct the structure and architecture of living options
nursing home beds will decline significantly in number
increasing "consumer-directed care" means that individuals will assume a more proactive role in the choice of service modalities and delivery of care. There may be increased direct payments to beneficiaries that allow them to choose their own services.
Long-term care staffing shortages need to be addressed and the workforce developed to meet the anticipated growing need
Many states (particularly Oregon and Washington) have explicitly recognized nursing homes as the setting of last resort, and have intentionally reduced the number of nursing home beds, or (as in Minnesota) placed a moratorium on new nursing home beds.
As baby boomers age, housing developers are going to be paying more attention to the physical design of homes and there may be more pressure to build homes in which people can age in place.