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Nursing Home Placement Assistance: Compare Care Options With Confidence

Choosing a nursing home, assisted living community, or memory care setting can be an emotional and complicated decision. Families must consider the individual’s medical needs, mobility, memory, personal-care requirements, preferred location, budget, and long-term goals.

Horizon Care Services helps families understand their options and coordinate the search for appropriate senior living and long-term care resources throughout Palm Beach, Martin, and St. Lucie Counties.

What Is the Difference Between a Nursing Home and Assisted Living?

The primary difference is the level of care residents require.

Assisted Living

Assisted living is generally intended for adults who want to maintain a degree of independence but need help with certain everyday activities. Depending on the community and its license, services may include:

  • Assistance with bathing, dressing, and grooming
  • Medication assistance
  • Meals and snacks
  • Housekeeping and laundry
  • Transportation
  • Social and recreational activities
  • Wellness monitoring
  • Emergency response systems
  • Coordination with outside healthcare providers

Assisted living communities vary considerably. Some provide limited assistance, while others hold additional licenses that allow them to serve residents with more complex needs.

Nursing Homes

Nursing homes provide 24-hour nursing care and supervision for individuals who require a higher level of medical and personal assistance. Residents may be recovering from an illness or injury, living with significant physical limitations, or managing a condition that requires ongoing skilled care.

Depending on the facility and the resident’s care plan, services may include:

  • 24-hour nursing services
  • Personal-care assistance
  • Medication administration
  • Health monitoring
  • Case management
  • Meals and specialized diets
  • Physical, occupational, or speech therapy
  • Social and recreational activities
  • Housekeeping and laundry
  • Short-term rehabilitation
  • Long-term residential care

Florida’s Agency for Health Care Administration provides additional information about nursing-home services and regulation.

What About Memory Care?

Memory care may be provided within an assisted living community, a dedicated memory care community, or a nursing home. The appropriate setting depends on the individual’s cognitive condition, mobility, behavior, medical requirements, safety risks, and need for nursing supervision.

A diagnosis of dementia or Alzheimer’s disease does not automatically mean that someone requires a nursing home. The individual’s complete care needs should be evaluated by appropriate healthcare professionals.

Learn more about Horizon’s dementia and Alzheimer’s care program.

Does Medicare Pay for Nursing-Home Care?

Medicare generally does not pay for long-term nursing-home residence or custodial care when assistance with everyday activities is the only care required.

Medicare Part A may cover short-term care in a Medicare-certified skilled nursing facility when the individual meets Medicare’s eligibility and medical-necessity requirements. Coverage may include a limited period of skilled nursing or rehabilitation following hospitalization.

Medicare Part B may continue covering eligible physician visits and certain therapy services received while someone is living in a nursing home. Coverage, eligibility, deductibles, and copayments depend on the individual’s circumstances and insurance plan.

Long-term care may instead be paid through:

  • Private funds
  • Long-term care insurance
  • Medicaid for eligible individuals
  • Veterans’ benefits when applicable
  • Other qualified assistance programs

Families should confirm coverage directly with Medicare, Medicaid, the insurance carrier, and the facility before making a financial commitment. Visit Medicare’s nursing-home coverage page for current information.

This information concerns coverage for facility-based services and does not imply that Horizon Care Services is Medicare-certified.

What Should I Look for When Visiting a Facility?

Whenever possible, tour several communities and visit promising facilities more than once. Visiting at different times can provide a clearer picture of staffing, activities, meals, cleanliness, and resident interaction.

Questions to ask include:

  • Is the facility properly licensed?
  • What levels of care can the facility provide?
  • How are residents’ needs assessed?
  • How frequently are care plans reviewed?
  • Is nursing staff available around the clock?
  • Who administers medications?
  • How are changes in a resident’s health communicated?
  • Are dementia or memory care services available?
  • What training does the staff receive?
  • How are emergencies handled?
  • What is the staff-to-resident ratio during the day and overnight?
  • Are rehabilitation services available on-site?
  • What activities are offered?
  • Can residents spend time outdoors?
  • Is transportation available?
  • Which services are included in the monthly fee?
  • Which services carry additional charges?
  • Under what circumstances could a resident be transferred or discharged?
  • What happens if the resident’s care needs increase?
  • Are Medicare, Medicaid, long-term care insurance, or veterans’ benefits accepted?

Pay attention to how staff members speak to residents, whether residents appear comfortable and engaged, and whether the environment looks and smells clean.

Families can use Medicare Care Compare to review participating nursing homes. Florida’s Facility Locator can also be used to review facility licenses and other available information.

How Nursing Home Placement Assistance Works

The placement process should begin with the individual’s needs—not with a facility list.

Depending on the circumstances, placement assistance may involve:

  • Discussing the individual’s care and support needs
  • Reviewing preferred locations
  • Considering budget and possible payment resources
  • Identifying appropriate types of care settings
  • Locating licensed facilities that may meet those requirements
  • Coordinating facility tours or conversations
  • Helping families organize questions
  • Comparing services, costs, policies, and amenities
  • Assisting with communication during the transition

Admission, medical eligibility, room availability, pricing, and final acceptance are determined by each facility. The client and authorized family members remain responsible for making the final decision.

Questions to Ask a Placement or Referral Service

Some referral and placement services receive compensation from participating facilities when a client moves into a community. Before working with any service, ask:

  • How is the service compensated?
  • Does the service receive referral fees from facilities?
  • Are recommendations limited to contracted communities?
  • Does the advisor meet personally with families?
  • Will the advisor help arrange or attend tours?
  • How familiar is the advisor with local facilities?
  • Does the advisor review licensing and inspection information?
  • Will your personal information be shared with facilities?
  • Is there any cost or obligation for the family?
  • What assistance is available after placement?

A placement recommendation should be based on the individual’s care needs, preferences, location, and budget. No placement service can guarantee admission, availability, pricing, or future quality of care.

Is Facility Placement the Only Option?

Not everyone who needs help with daily activities requires assisted living or nursing-home placement. Depending on the individual’s health, safety, and support needs, private-duty home care may allow someone to remain in a familiar home environment.

Home care may include:

  • Companionship
  • Bathing and grooming assistance
  • Meal preparation
  • Medication reminders
  • Mobility and transfer assistance
  • Transportation
  • Light housekeeping
  • Respite care for family caregivers
  • Overnight, live-in, or 24-hour assistance

A healthcare professional should help determine whether remaining at home is appropriate when significant medical, cognitive, or safety concerns are present.

Start Your Search With Support

Horizon Care Services can help families explore home care, senior living, and long-term care resources based on their individual circumstances.

Call 561-776-7757 (toll-free 877-227-3890) or contact Horizon Care Services to discuss options for yourself or someone you love.

Horizon Care Services serves Palm Beach, Martin, and St. Lucie Counties.

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