nursing homes, assisted living & scams
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Nursing Homes, Assisted Living & Scams. Sandra Covin / King Beahan Fall Conference 2009. Nursing Homes, Assisted Living & Scams. Definitions Type of Homes Scams. Nursing Homes/Skilled Nursing Facility. Definition Admission’s criteria Factors when selecting a facility - PowerPoint PPT PresentationTRANSCRIPT
Nursing Homes, Assisted Living & Scams
Sandra Covin / King BeahanFall Conference 2009
Nursing Homes, Assisted Living & Scams
• Definitions• Type of Homes• Scams
Nursing Homes/Skilled Nursing Facility
• Definition• Admission’s criteria• Factors when selecting a facility• Cost of living in a facility• Veterans Community Living Center• Texas State Veterans Homes
Definition
• A residential facility that provides skilled 24-hour care
• A licensed physician supervises each patient’s care and a nurse or other medical professional is almost always on the premises.
Definition
• Most nursing homes have two basic types of services:
• Skilled medical care • Custodial care• May be integrated into a continuing-
care retirement community or a hospital.
Admission’s Criteria
• Each person’s needs are unique• Some may require short term care
due to rehabilitation• Some may require long term care as
recommended by a physician• Each case is independently evaluated
Factors to When Selecting a Facility
• Facility Certification and Financial Matters
• Specialty Care available• Location• Physical consideration • Staffing
Factors When Selecting a Facility
• Mental and Emotional Well being of Patients
• Room sharing an Furnishings• Residents Care Plan• Employees• Physician• Meals
Factors When Selecting a Facility
• Admissions Requirement• Cost of Care• Transportation Services
Cost of Nursing Home
• Cost for care is expensive• Average daily cost $192.00 a day for
a private room.• Average daily cost $169.00 a day for
a shared room.• Where you live also affects the
amount spent on care.
Cost of Nursing Home
• Payment options• Private Pay• Long-Term Care Insurance• Medicare• Medicaid
Veterans Community Living Center
• Mission• Goals of Care• Locations• Admission Criteria• Community Residential Care
Texas State Nursing Homes
• Seven Homes located in Texas• Designed to serve Texas Veterans
and spouses• Follow State and Federal guidelines• Resident qualifications• Admission Criteria
Texas State Nursing Homes
• Effective May 29, 2009• Change to 38 CFR Part 51 and 58• Per diem for Nursing Home Care of
Veterans in State Homes• Veterans rated less than 70 percent
or higher• Veterans rated 50 or 60 percent
Assisted Living
• Definition• Cost of Residing in a facility• Factors to consider when
selecting a facility
Definition
• Individuals needing assistance with ADL
• Care not as intensive as nursing home
• Provides intermediate care for seniors
Cost of Assisted Living
• Price differs depending on the type of quarters the individual prefers
• Most facilities are private pay• Medicare does not cover the cost• Medicaid may assist with the cost• Long-term insurance may cover the
cost
Cost of Assisted Living
• Fees may start at $1000 a month • The average daily cost is between
$60-$70 a day• May include room and board and
meals• Other care may be offered at an
additional charge
Factors When Selecting a Facility
• Atmosphere/Comfort Level• Services and Activities• Equipment /Amenities• Financial Considerations• Safety Considerations
Scams
• Definition• Elder Law• Financial Service Organizations• Benefits Counselor
Definition
• Financial exploitation is the illegal or improper use of another person’s money or property for personal profit or gain.
Elder Law
• Law that impacts the lives of older Americans
• Fastest growing area of the law• One person attains the age of 50
every seven seconds
Financial Service Organization
• Advertise to provide assistance with claims for A&A
• Promote placing funds in an annuity• Money is made from selling the
annuity
Benefits Consultants
• Provide veterans with information on long-term care
• Do not participate in the application process
• Most work for a Financial Service Organization
Questions??????
Thank You