10. Ways to pay for a Nursing Home in New York

Ways to pay for a Nursing Home in New York City.

There are many various ways to pay for a Nursing Home.

Paying for Nursing Homes:

Paying for nursing home care is a major concern for most individuals. If persons enter a nursing home directly from a hospital, Medicare will often pay, but only for a limited time, and this can be a major hurdle..

The financial toll of a nursing home stay can affect the entire family, and sometimes in various circumstances everyone needs to chip in.
Medicaid is regulated by both federal and state laws and provides funding that will pay most nursing home costs for people with limited income and assets. Eligibility for Medicaid varies by state and is provided only to persons in Medicaid-certified facilities.

A Medicaid-certified nursing home must continue to provide care for a resident whose personal funds are spent while residing there.

A nursing home that does not participate in the Medicaid program can discharge the resident. Some nursing homes try to avoid admitting residents who are currently or will soon become Medicaid recipients as they can charge private paying residents a higher fee than they would receive under the Medicaid program. They will only do things that are usually benificial to their facility.

Things can sometimes get a little complicated.

And it can get a little tricky. It’s important to always make sure that you always do a diligent research to get as much information as you can get.

If you will be relying on Medicaid from the beginning, find out if the nursing homes you are considering accept Medicaid residents.

Medicare, which pays for a number of health care services including hospitalization and limited nursing home stays for episodic illness, will not pay for long-term care in a nursing home.

If the older person has long-term care insurance, this can, under certain circumstances, be used to pay nursing homes expenses.
If you are considering purchasing long-term care insurance for possible future use, be sure to check the costs carefully, read the small print, and review the background and track record of the company involved.  All aways make sure to do  a diligent research before signing anything. 

It is currently recommended that people consider purchasing long-term care insurance as they approach the age of fifty. Premiums for long-term care insurance increase as one ages and vary in cost with the number of chronic conditions present and type of coverage desired.

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7. Alternatives to Nursing Home Care in New York

What are some of the alternatives for a Nursing Home in New York City

There are various alternatives to going into a Nursing Home

Among These alternatives includes:

Adult Day Care is used commonly for patients with dementia who need supervision and assistance with their activities of daily living (ADLs) such as toileting, bathing, eating etc., while primary caregivers work.
Assisted living facilities are residential facilities that provide individual rooms, two to three daily meals, and activities for senior citizens who can no longer live alone but do not require 24-hour nursing supervision.

These facilities are sometimes referred to as congregate care or congregate living facilities and have grown in number recently. Assisted living facilities provide 24-hour on-site support and assistance including help with medicines and personal hygiene. Many assisted living facilities offer a secured Alzheimer’s unit..

These facilities are prohibited from providing skilled nursing services and are regulated under a different set of state regulations than those governing a nursing home. If skilled nursing services are required, these services can be provided by a separate home health agency as directed by a doctor or his or her designee.

There is no doctor involvement in the plan of care for an individual residing in an assisted living facility nor are doctors required to visit, either by state or federal law. An older adult still should receive primary care from their community physician or from a physician who may have an office practice on site at an AL facility.

Board and care homes are generally smaller, more home-like residences for individuals who can no longer live independently. These facilities provide room, board, and assistance with some activities including managing medicines and help with personal hygiene.

Fees and services vary from one site to another. The size of the residence determines whether or not it is regulated by a state agency and this varies from state to state.  Again make sure to do your diligent research before signing up for anything.

Sheltered Housing is subsidized through Housing and Urban Development. Programs may be supplemented by social work services and activities coordinators. Personal care assistance, housekeeping services and meals are sometimes offered.  The rules and regulations for these housings can vary from shelter to shelter.

Continuing care retirement communities (CCRCs) usually have all levels of living arrangements, ranging from independent living to nursing home care. The financial requirements for a person to enter a CCRC will vary according to whether health care is included in the total cost or charged only if used. In general, CCRCs are reluctant to accept people directly into the assisted living or nursing home facilities.

These are just some of the few alternatives that your loved one can do instead of being in a nursing home, it is your job to do more research to find the perfect place for your loved ones.  Make sure to visit seniorhug.com often to find the right Nursing Homes in New York City for your loved ones.

5. Finding Nursing Homes can be complicated

Finding the right Nursing Homes in New York City can be tough.

Many Nursing Home communities charge a basic rate that covers all services, with an additional fee for special services. Most assisted living communities charge a month-to-month rate, but there are also long-term options available.

Typically, base rates only cover room and board and a service of daily meals, determined by the assisted living community. Sometimes there are entrance fees, deposits and laundry and housekeeping fees. But because these all vary by community, it’s important to ask each community about their individual costs and services.

According to Genworth.com, the average cost for a one-bedroom assisted living apartment in the U.S. in 2014 was $3,500 per month; an increase of 1.19% over 2013 with a five-year annual growth of 5.71%. Studio and two-bedroom assisted living apartments varied, accordingly.

Some of the things to consider when looking for the right Nursing Home would include:

Understanding the Problem

A nursing home becomes a valuable option when the amount of medical care and nursing attention the older person needs annot be provided at home. Problems such as frequent incontinence, dangerous wandering, inability to sleep at night (a disrupted sleep – awake cycle), or agitation that is harmful can be very difficult to manage. If so, it may be time to consider placement in a nursing home so that the older person can have the care he or she needs.

It is very important to include the older person as much as possible in deciding whether to go to a nursing home or other care setting. If the older person is mentally alert, he or she should be involved in the process every step of the way.

Moving from one’s home to a nursing home is a big life change. Adjusting to the move and becoming comfortable will take time. Both the family care giver and the older person will need patience during the adjustment period. 

Consider the first month in the nursing home as a trial period when you can help ease the transition for the older person. Visiting frequently for short time periods can be more helpful during the adjustment phase than staying for hours at a time.

You can play an important role in assuring that the older person receives good care by being involved during this transition by visiting often, speaking with the staff, and participating in both the care planning sessions and nursing home’s family council. If there is no family council, consider starting one. Talk with the activities director and see if you can help in some of the activities and outings for the residents.

Finding suitable alternative living arrangements is becoming more complex since there are a number of community resources that provide various levels of care. The resources vary from community to community and, with the exception of nursing homes, standard definitions based on services provided are generally lacking. Moreover, terminology and regulation varies from state to state. Funding sources for the different care facilities vary also.

Nursing homes are residential care facilities that provide a range of services. Both federal and state regulations require that a doctor or his or her designee will routinely visit an individual living in a nursing home, assess the resident’s health status, and monitor the plan of care. 

Licensed nursing staff are in the facility 24 hours a day. Some nursing homes provide secure units specifically for persons with dementia. There are several types of nursing home care that you might want to consider, depending on the person’s needs.

Skilled nursing care provides 24-hour licensed nurse coverage and rehabilitation services. These facilities provide care for both short term and long-term stays. An example of a short-term stay would be one following hospitalization to repair a fractured hip which would require a stay of two to four weeks for physical therapy. 

An example of a long-term stay would be care for someone for whom care could no longer be safely provided in the home or for someone who is not expected to recover the ability to care for himself or herself.

 

Alternatives to Nursing Home Care:

Adult Day Care is used commonly for patients with dementia who need supervision and assistance with their activities of daily living (ADLs) such as toileting, bathing, eating etc., while primary caregivers work.

Assisted living facilities are residential facilities that provide individual rooms, two to three daily meals, and activities for senior citizens who can no longer live alone but do not require 24-hour nursing supervision. These facilities are sometimes referred to as congregate care or congregate living facilities and have grown in number recently. 

Assisted living facilities provide 24-hour on-site support and assistance including help with medicines and personal hygiene. Many assisted living facilities offer a secured Alzheimer’s unit. These facilities are prohibited from providing skilled nursing services and are regulated under a different set of state regulations than those governing a nursing home. If skilled nursing services are required, these services can be provided by a separate home health agency as directed by a doctor or his or her designee. 

There is no doctor involvement in the plan of care for an individual residing in an assisted living facility nor are doctors required to visit, either by state or federal law. An older adult still should receive primary care from their community physician or from a physician who may have an office practice on site at an AL facility.

Board and care homes are generally smaller, more home-like residences for individuals who can no longer live independently. These facilities provide room, board, and assistance with some activities including managing medicines and help with personal hygiene. Fees and services vary from one site to another. The size of the residence determines whether or not it is regulated by a state agency and this varies from state to state.

Sheltered Housing is subsidized through Housing and Urban Development. Programs may be supplemented by social work services and activities coordinators. Personal care assistance, housekeeping services and meals are sometimes offered.

Continuing care retirement communities (CCRCs) usually have all levels of living arrangements, ranging from independent living to nursing home care. The financial requirements for a person to enter a CCRC will vary according to whether health care is included in the total cost or charged only if used. In general, CCRCs are reluctant to accept people directly into the assisted living or nursing home facilities.

 

Paying for Nursing Homes:

Paying for nursing home care is a major concern for most individuals. If persons enter a nursing home directly from a hospital, Medicare will often pay, but only for a limited time. When persons enter from their own home, they usually pay for the nursing home stay. When personal financial resources are spent, many nursing home residents become eligible for Medicaid. 

Medicaid is regulated by both federal and state laws and provides funding that will pay most nursing home costs for people with limited income and assets. Eligibility for Medicaid varies by state and is provided only to persons in Medicaid-certified facilities. A Medicaid-certified nursing home must continue to provide care for a resident whose personal funds are spent while residing there. 

A nursing home that does not participate in the Medicaid program can discharge the resident. Some nursing homes try to avoid admitting residents who are currently or will soon become Medicaid recipients as they can charge private paying residents a higher fee than they would receive under the Medicaid program.

Medicare, which pays for a number of health care services including hospitalization and limited nursing home stays for episodic illness, will not pay for long-term care in a nursing home. If the older person has long-term care insurance, this can, under certain circumstances, be used to pay nursing homes expenses. 

If you are considering purchasing long-term care insurance for possible future use, be sure to check the costs carefully, read the small print, and review the background and track record of the company involved. It is currently recommended that people consider purchasing long-term care insurance as they approach the age of fifty. Premiums for long-term care insurance increase as one ages and vary in cost with the number of chronic conditions present and type of coverage desired.

 

Best Nursing Homes in New York City

Best Nursing Homes

List of the Best Nursing Homes in New York City

Looking for the best Nursing Homes for you loved ones In New York City can be tedious and very difficult.

Here are some of the living costs that is involved in seniors staying in Nursing Homes in New York City, and within the five boroughs of New York.

  • Type of residence
  • Size of apartment (studio, one or two-bedroom apartment)
  • Types of services needed
  • Geographical location of the community

Typically, base rates only cover room and board and a service of daily meals, determined by the assisted living community. Sometimes there are entrance fees, deposits and laundry and housekeeping fees. But because these all vary by community, it’s important to ask each community about their individual costs and services.

According to Genworth.com, the average cost for a one-bedroom assisted living apartment in the U.S. in 2014 was $3,500 per month; an increase of 1.19% over 2013 with a five-year annual growth of 5.71%. Studio and two-bedroom assisted living apartments varied, accordingly.   And these Nursing Home Statistics can only increase year after year.

Caregiving How Tos

Understanding the Problem

A nursing home becomes a valuable option when the amount of medical care and nursing attention the older person needs cannot be provided at home. Problems such as frequent incontinence, dangerous wandering, inability to sleep at night (a disrupted sleep – awake cycle), or agitation that is harmful can be very difficult to manage. If so, it may be time to consider placement in a nursing home so that the older person can have the care he or she needs.  This blog is meant to help seniors and their family find the Best Nursing Homes in New York City for their loved ones.

It is very important to include the older person as much as possible in deciding whether to go to a nursing home or other care setting. If the older person is mentally alert, he or she should be involved in the process every step of the way.

Moving from one’s home to a nursing home is a big life change. Adjusting to the move and becoming comfortable will take time. Both the family care giver and the older person will need patience during the adjustment period.

This post will also mention some of the Best Nursing Homes in New York City.

Consider the first month in the nursing home as a trial period when you can help ease the transition for the older person. Visiting frequently for short time periods can be more helpful during the adjustment phase than staying for hours at a time.

You can play an important role in assuring that the older person receives good care by being involved during this transition by visiting often, speaking with the staff, and participating in both the care planning sessions and nursing home’s family council. If there is no family council, consider starting one. Talk with the activities director and see if you can help in some of the activities and outings for the residents.

Finding suitable alternative living arrangements is becoming more complex since there are a number of community resources that provide various levels of care. The resources vary from community to community and, with the exception of nursing homes, standard definitions based on services provided are generally lacking. Moreover, terminology and regulation varies from state to state. Funding sources for the different care facilities vary also.

Nursing homes are residential care facilities that provide a range of services. Both federal and state regulations require that a doctor or his or her designee will routinely visit an individual living in a nursing home, assess the resident’s health status, and monitor the plan of care.

Licensed nursing staff are in the facility 24 hours a day. Some nursing homes provide secure units specifically for persons with dementia. There are several types of nursing home care that you might want to consider, depending on the person’s needs.

Skilled nursing care provides 24-hour licensed nurse coverage and rehabilitation services. These facilities provide care for both short term and long-term stays. An example of a short-term stay would be one following hospitalization to repair a fractured hip which would require a stay of two to four weeks for physical therapy. An example of a long-term stay would be care for someone for whom care could no longer be safely provided in the home or for someone who is not expected to recover the ability to care for himself or herself.

Subacute nursing units provide services that require more intense therapy or monitoring than is normally provided in a nursing home. An example would be intense rehabilitation services and/or 24-hour licensed registered nurse coverage capable of managing more acute problems such as complex intravenous therapy or ventilator-dependent persons. These services are generally provided within a skilled nursing facility and are considered short-term needs.

In summary, your goals are to:

  • Understand the different kinds of nursing home care that are available.
  • Review the older person’s needs, your ability to provide care, and your own health care needs and stamina.
  • Learn about the nursing homes in your area and the services they provide.
  • Discuss the situation with the older person, family, friends, and health professionals.
  • Choose the nursing home that best meets the older person’s needs, realizing that no place, even one’s own home, is perfect.

Best Nursing Homes in New York City

  • Bronx
  • Queens
  • Brooklyn
  • Manhattan

1. What is an Assisted Living Home

We all know how hard it can be to look for the perfect Nursing Home for our loved ones especially in a big and densely populated area like the New York City area.

Having your parents or significant other and sending them into a Nursing Home is a big endeavor for anyone, and cause plenty of anxiety and overwhelm.

This can be really hard and scary for plenty of people and their families,

Here are a few facts in regard with Nursing Homes in America:

  • Number of U.S. assisted living communities: 31,100

That seems like a big number but considering the number of seniors in our country that needed good care, that is quite understandable.

Here are some more statistics:

  • Number of apartments: 475,500
  • Number of residents: 735,000
  • Average length of stay: 36 months
  • Percentage of residents that receive help with three or more ADLs: 40%

 

Nursing Homes in New York City

Some useful statistics:

There are plenty of Nursing Homes that are great for your loved ones but it is important to really do research.  The main purpose of this website is to help you find the right Nursing Home for your loved ones.

Here are some of the living costs that is involved in seniors staying in Nursing Homes in New York City:

  • Type of residence
  • Size of apartment (studio, one or two-bedroom apartment)
  • Types of services needed
  • Geographical location of the community

Many communities charge a basic rate that covers all services, with an additional fee for special services. Most assisted living communities charge a month-to-month rate, but there are also long-term options available.

Typically, base rates only cover room and board and a service of daily meals, determined by the assisted living community. Sometimes there are entrance fees, deposits and laundry and housekeeping fees. But because these all vary by community, it’s important to ask each community about their individual costs and services.

According to Genworth.com, the average cost for a one-bedroom assisted living apartment in the U.S. in 2014 was $3,500 per month; an increase of 1.19% over 2013 with a five-year annual growth of 5.71%. Studio and two-bedroom assisted living apartments varied, accordingly.

Like racism and sexism, Ageism is based on stereotyping. It is simply the discrimination of individuals or groups, based on their age. However, unlike racism and sexism, Ageist comments are not yet off-limits or taboo. In fact, in most cases, age is used to crack jokes for comic relief.

Have you been bombarded by cosmetic sales-reps at your local retail store? Is the cosmetic department relatively larger than all the others? In our current youth-focused society, the anti-aging movement has a strong foothold.

From reversing aging to reducing its effects through facial creams, cosmetic surgery, and Botox injections, there are constantly new products for consumers. But why does our society see aging so negatively? Is wisdom and life experience still treasured?

Finding the right Nursing Home within New York City for your loved ones can become a tedious and hard process.  With all the Nursing Homes around, it can be quite difficult to really find the right for your loved ones.  It can be time consuming, but we all know that we will do no matter what for somone that we love.

If you need to go to a nursing home after a hospital stay, the hospital staff can help you find one that will provide the kind of care that’s best for you. Most hospitals have social workers who can help you with these decisions.

 

Things to Keep in mind:

Consider. What is important to you—nursing care, meals, physical therapy, a religious connection, hospice care, patients? Do you want a place close to family and friends so they can easily visit?

Ask. Talk with friends, relatives, social workers, and religious groups to find out what places they suggest. Check with healthcare providers about which nursing homes they feel provide good care. Use their suggestions to make a list of homes that offer the types of services you want.

your cherished one is no longer ready to securely live on his or her own — whether it’s your mom, your dad or your companion — believing his care to outsiders isn’t simple. How might you make certain that his needs are being met and that he is protected?

It is imperative for relatives to remain required to guarantee their adored one gets the best nursing home care.

The appropriate response, says specialists, is basic: You should remain cautious to ensure that he is getting the sort of care you need him to get.

“Each individual in a nursing home needs a supporter,” says Maryglenn Boals, a previous nursing home director in Arizona. “When you are serving that many individuals, there will be oversights. There is continually going to be seemingly insignificant details that happen. So every occupant needs his own ‘squeaky wheel.’ ”

These are a few things to ask to recognize indications of dishonorable care.

How does the nourishment look and taste?

Feasting with your parent in the nursing home cafeteria is an extraordinary way to reinforce your parent’s spirits, as well as to give you a thought of how well he or she is eating. “At the point when individuals are maturing and losing a considerable measure of tangible affectability, nourishment is a colossal issue,” says Boals. “The supper may meet the dietary necessities, yet is it tasteful? Is it outwardly promising, particularly to somebody who doesn’t have much enthusiasm for eating?”

Standard convention is to record how much nourishment an occupant eats at every dinner, Boals says. In the event that you see that your parent is not eating a significant part of the home’s nourishment but rather will generously eat sustenance you get for him or her, say that to the staff.

Remember that if your parent is on an extraordinary eating regimen, for example, low-salt or pureed nourishments just, you won’t not have much say over taste and appearance. Be that as it may, on the off chance that somebody can’t eat in light of the fact that the nourishment is unpalatable, it’s not really worth keeping up an extraordinary eating regimen.

 

What sounds do you listen?

Inhabitants groaning or hollering “help” may unsettle, however they are once in a while indications of poor treatment, says Boals. More probable it’s a piece of the dementia winding. Rather, tune in for how staff individuals address their occupants.

Staff ought to address inhabitants by their names, rather than “Mom” or “Grandpa,” says Marion Somers, a senior care supporter and previous nursing home chairman. “You’re discussing an era that is accustomed to being called Mrs. So-thus,” Somers says. “Staff ought to ask an inhabitant how they need to be tended to. In the event that they’re not mulling over what the inhabitant needs to feel regarded, then they are reducing that customer and they will have issues with that customer.”

 

What does it possess an aroma similar to?

Nursing homes can encourage some crazy scents, says Boals. There are unavoidable purposes behind this: specific drugs and weight control plans make occupants more gassy. Furthermore, as individuals age, will probably lose control of their bladder and insides. So a black out whiff of something disagreeable isn’t something to grumble about.

 

Is the staff exhausted?

Ask the nursing colleagues and other staff in the event that they work a considerable measure of additional time and twofold moves. Assuming this is the case, that is an indication of short staffing that can influence not so good care.

“On the off chance that the staff are exhausted, then they are overemphasized,” says Boals. “It’s a great deal of giving, and they’re working in a troublesome circumstance.”

Approach the executive of nursing for the home’s staffing proportions or check their staff proportion rating on the Nursing Home Compare device at Medicare.gov. In the event that you trust your adored one is being dismissed as a result of poor staffing proportions, record a grievance with your state organization that manages nursing homes.