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Types of Senior Housing and Care

For your benefit, we have listed the care options available to seniors. If home care is right for you, we certainly hope that you will consider us. However, our goal is helping you make the long term care service choices that are right for you and your family.

ACTIVE ADULT COMMUNITY Usually offer a choice of spacious homes rather than apartments, often with a clubhouse in which a variety of activities are planned for residents. Monthly fees may cover services such as housekeeping and maintenance, but meals are usually not included.
APARTMENTS Apartments for seniors who are totally independent. Meal service, activity, programs and services usually aren't included.
CCRC Continuing Care Retirement Community. Full service communities offering a long-term contract that provides for a continuum of care, including retirement, licensed assisted living and nursing services, all on one campus.
RETIREMENT Totally independent living with amenities such as meals, transportation and activities usually included in a monthly fee.
ASSISTED LIVING Multi-unit facilities licensed to provide assistance with medications and daily activities such as bathing and dressing.
RESIDENTIAL Usually single family homes licensed to provide assistance with medications, bathing and dressing.
GROUP HOME Serves the Elderly and Disabled who do not require constant medical supervision but cannot live independently. These persons may be on medication but must be self compliant and ambulatory (assistance such as wheelchair or walker allowed.
ALZHEIMER'S Facilities offering specialized programs for residents suffering from Alzheimer's Disease or other forms of memory loss. These programs can be offered by Residential, Assisted Living or Nursing facilities.
NURSING/REHAB Facilities licensed to provide skilled nursing services under the supervision of licensed nurses.
CONGREGATE CARE Usually single family homes licensed to provide assistance with medication, bathing and dressing. Also licensed to provide skilled nursing services under the supervision of licensed nurses.
SUB-ACUTE Facilities licensed to provide nursing services, but specializing in higher levels of care.
REHAB Comprehensive licensed rehabilitation services include inpatient and outpatient treatment designed to restore and strengthen abilities.
HOME CARE You specify what services you want and when you want them. You pay for the actual time spent by a person providing one-on-one individual attention to you, plus a mark-up for the agency's overhead and profit.

Services are oriented toward providing non-medical assistance with activities of daily living including: housekeeping, cooking, medication reminding, laundry, shopping, errands, MD appointments, transportation, home maintenance, reading, writing, bathing, dressing, mobility support, toileting, grooming and minor medical care. Certified or licensed nursing assistants (CNAs or LNAs) who are trained to assist nurses, provide the highest level of care. Experienced personal care providers (PCPs and PCSPs), companions, homemakers, and sitters also provide excellent care, but may have less formal training. Homecare agencies frequently coordinate with and support the services of home healthcare agencies to provide the most cost-effective and practical total care solution, but homecare agencies typically do not furnish registered nurses to provide care.

Medicare does not reimburse for homecare services. Services are provided on a private-pay, fee-for-service basis: out of pocket or commensurate with an individual's long term care insurance policy.

Agencies providing these services in Texas are required to be licensed by the Department of Aging and Disability Services in the 'Personal Assistance Service' category.
HOME HEALTH CARE Your doctor specifies medical services you need that can be safely delivered in your home. You coordinate with an agency's home health nurse to receive the medical services your doctor prescribes. You pay for the actual time spent by a licensed medical professional providing one-on-one attention to you, plus a mark-up for the agency's overhead and profit.

Services are oriented toward providing assistance with medical conditions. Care providers include nurses, physical, occupational, and speech therapists, social workers, and home health aides.

Medicare may reimburse for some or all of these services. Services not covered by Medicare are provided on a private-pay, fee-for-service basis.

Agencies providing these services in Texas are required to be licensed by the Department of Aging and Disability Services in the 'Home Health' category.
HOSPICE Hospice care may be provided in the home or a senior care facility. Services can include pain management and a variety of emotional, spiritual and physical support issues. Medicare, and Medicaid provide financial assistance, in some cases.

Agencies providing these services in Texas are required to be licensed by the Department of Aging and Disability Services in the 'Hospice' category.
ADULT DAY CARE Various programs provide a range of geriatric day services, including social, nutrition, nursing, and rehabilitation. Not all programs provide all services.

Agencies providing these services in Texas are required to be licensed by the Department of Aging and Disability Services.
SITTER SERVICE Services of sitters, aides or private duty nurses or therapists in the home, hospital or residential facility on a private pay basis. May include personal care assistance, grooming, medication supervision, light housekeeping, transportation, nursing care or therapy.
CARE MANAGEMENT Offer advisory services addressing a wide range of senior issues, such as selecting a senior residence, choosing in-home care providers, and various financial options. Typically care managers evaluate a senior's situation with regard to health needs, housing choices and financial needs and then provide a recommended care plan.
BEHAVIORAL HEALTH These are usually hospital-based programs that provide a range of geriatric psychiatric services in either an in-patient or outpatient basis. Medicare & Medicaid (or Medi-Cal) provide financial assistance in some cases.
PHYSICIAN CARE Medical professionals who offer health services or referrals to match the special needs of patients.