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Exploring Long Term Care Options In Michigan
- 1. Exploring the Maze of Long Term Care By Sandy Mabery Pine Tree Place - Assisted Living, Clarkston, MI www.pinetreeplacellc.com Long term care is a very confusing world for most families. It is not an exact science and each type of long term care and each facility in each category has their own admission and discharge policies. So the best thing to do is narrow your search using the web, then make calls and talk to each facility about what type of resident they can care for and then personally visit the facilities and meet the managers, see and smell the place and try and get a generally feel of the place by watching how staff interact with residents. Check out what type of residents already live there and decide if that is a good fit for your family member. My general rule of thumb is you get more personalized care in a smaller facility and the more care you need the smaller the facility should be. If your family member is more independent then the larger facilities are OK too. Obviously, if they have serious medical needs, that require 24 hr medical supervision by doctors and nurses, then you are definitely looking at skilled nursing facilities (SNF) or Sniffs for short. Skilled Care Facility, Convalescent Homes, Nursing Homes Large institutional facilities that provide room, meals and 24 hour medical care for elderly residents. Licensed by the State of Michigan and funded by Medicaid and Medicare. Assisted Living Facility Large facilities that provide room, meals, activities and 24 hour non-medical personal care for elderly residents. Generally, these facilities house 21 or more residents on two or more floors and are licensed by the Michigan Department of Human Services as “Home for Aged" (HFA). Some facilities are unlicensed and therefore must contract all personal care services through a Home Health Care Agency. These facilities only provide room and meals and have additional charges for personal care and medication management. Generally new construction. Private Pay Assisted Living Home, Large Adult Foster Care Group Home, Personal Care Home Small residential facilities housing approximately 13-20 residents that provide room, meals, activities and 24 hour non-medical personal care for elderly residents. Licensed by the Michigan Department of Human Services as “Large Adult Foster Care Group Home” (AFC) with a 13-20 bed requirement. Generally remodeled homes but larger ones sometimes are new construction. All personal care and medication management is included in the monthly fee. Private Pay Assisted Living Home, Personal Care Homes, Small Adult Foster Care Group Home Small residential facilities that provide room, meals, activities and 24 hour non-medical care for elderly residents. Licensed by the Michigan Department of Human Services “Small Adult Foster Care Group Home” (AFC) with a 7-12 bed requirement. Almost exclusively remodeled homes. All personal care and medication management is included in the monthly fee. Private Pay
- 2. Assisted Living Home, Personal Care Homes, Adult Foster Care Family Home, Group Home Small residential facilities that provide room, meals, activities and 24 hour non-medical care for elderly residents. Licensed by the Michigan Department of Human Services as “Adult Foster Care Family Home” (AFC) with 6 or less beds and requirement that owner/operator live in home. Exclusively remodeled or existing homes. All personal care and medication management is included in the monthly fee. Private Pay Continuing Care Retirement Communities (CCRC) Large institutional facilities that offer independent living apartments, assisted living, and skilled nursing care at one site. (i.e. Mercy Bellbrook in Rochester Hills and Canterbury- on-the-Lake in Waterford). These are exclusively new construction. Private Pay Senior Housing, Independent Living Apartments, Retirement Villages Generally large apartment complexes catering to the elderly that do not offer any care but will at times offer limited meals and some activities. Some have been remodeled to provide an attached community room for the limited meals and activities. These will sometimes also advertise themselves as Assisted Living. Private Pay -------------------------------------- Here are a couple of good web sites to use for searching. For all Home for the Aged and Adult Foster Care homes you can go to the following site and search by county city, zip and check to see if they have had any licensing issues or violations. It will tell you what type of clients they take (you will be looking for those that say AGED or ALZ for Alzheimer's Disease) Some small group homes will mix ALZ with mentally handicapped or physically handicapped individuals. Others will be specific to the elderly and some are specific to just females or males, so you need to ask about these issues. http://www.dleg.state.mi.us/brs_afc/sr_afc.asp Here are some other good sites: http://www.assistedlivinginfo.com/Michigan/ http://www.chooseassistedliving.org/ http://www.miassistedliving.org/consider.html http://michcal.com/ These sites are good for all types of long term care and hospice care
- 3. www.alternativesforseniors.com http://www.servingseniors.net/ www.aplaceformom.com MI Choice Medicaid Waiver Program http://www.michigan.gov/documents/dhs/MI_Choice_Services_flyer_297394_7.pdf http://www.michigan.gov/mdch/0,1607,7-132-2943_4857_5045-16263--,00.html Area Agency on Aging (Agent for MI Choice and a good overall resource) http://www.aaa1b.com/ Tina Abbate Marzolf, CEO Kathleen Kueppers, Program Director 29100 Northwestern Highway, Suite 400 Southfield, Michigan 48034 Tele: 248-357-2255 Fax: 248-648-9691