Facility With 1:1 Care Ratio - Does Such a Place Exist?

[Anonymous]

Anonymous wrote:24 seven care one on one for one person at home cost around 130 K a year if you go through an agency

I don’t think so. Under $15 an hour. Not in this economy.

[Anonymous]

A friend had her parents in assisted living and also rented (is that the right term?) the room next door for an additional caregiver to live on site. It was in the Boston area.

[Anonymous]

Anonymous wrote:OP, I've looked at a lot on the eastern shore of Maryland and in lower Delaware.

The newest facility is not necessarily the best. You are really looking at staffing.

Talk to workers in the parking lot as you are walking in. Talk to workers throughout the facility. Ask how long they have been there etc.

Also ask about latex glove availability. I've had a couple of private duty CNA's work for us in the home who prior to Covid worked facilities and were limited to either one pair of gloves per week or one pair of gloves per day. These were at privately owned facilities (owned by one person.)

OP here. Yup. Completely agree. It’s all about staffing. Staffing quality, staff-to-patient ratio, number of daytime vs. overnight staff, etc.

[Anonymous]

Anonymous wrote:Sounds like they need a nursing home at this stage and not assisted living. Focus on finding the best nursing home. Majority of assisted living require a certain level of health/mobility before they allow them to move in. Your elderly loved one is past that unfortunately.

My mother is in a skilled nursing center but also requires a minder in addition. It is so expensive but I am not sure there are any options for people with dimentia and mobility issues,

[Anonymous]

There are memory care units but often the residents get ignored. If you can pay for extra help, do.

[Anonymous]

Check with the State's ombudsman program. They have a wealth of information and resources. Many can also tell you about complaints or licensing issues with facilities.

Under Federal law, all states are required to have an elder care ombudsman program.

Maryland
https://aging.maryland.gov/Pages/state-long-term-care-ombudsman.aspx

Virginia
https://seniorconnections-va.org/services/advocacy-support/long-term-care-ombudsman/

D.C.
https://www.aarp.org/legal-counsel-for-elderly/what-we-do/info-2017/dc-long-term-care-ombudsman.html

[Anonymous]

Anonymous wrote:24 seven care one on one for one person at home cost around 130 K a year if you go through an agency

Not in my family's experience. A couple years ago my dad inquired about this for my mom and was quoted roughly $30k/month--so about triple what you said.

[Anonymous]

I’m doing this for my dad right now. It’s $2100/week for 1 12 hour shift a day.

[Anonymous]

Anonymous wrote:

Anonymous wrote:24 seven care one on one for one person at home cost around 130 K a year if you go through an agency

Not in my family's experience. A couple years ago my dad inquired about this for my mom and was quoted roughly $30k/month--so about triple what you said.

OP here. This ^^^^ is correct.

[Anonymous]

I just did this with my parents. It was $27/hour. 24/7 (extra on holidays). That’s $648/day, $4,536/week, almost $236,000 (not calculating holidays)

If I were you, this is what I’d do:
1) if you have the funds for 24/7, put him in an IL facility that can move him up to higher levels of care if necessary. Find one with a Health Center on-site to minimize trips off site. You can put him in a studio or 1bd, as long as you have a place for the CNA to rest (like a recliner).
We kept my parents in their IL apartment and for awhile we paid for daytime care while I came over at night and slept there. Until I hurt my back trying to get my Mom off the floor.

2) if you don’t have funds for that, find an AL place try to pay for the lowest support level. Then hire someone for only certain hours. But that will still be expensive. Where my parents were it was $6,000-$11,000 per month for AL depending on level of care needed. Over $11,000 per month for MC.

That being said, sometimes no matter what you do, your loved one can hurt themselves. We had 24/7 care, but my Mom would wait until the CNA would go to the kitchen or go to the bathroom or go help my Dad, then get up. She took lots of falls. Her last one was in a bathtub, that had a seat she refused to use. And would not bathe with the CNA in the room. She hit her head and died 2 weeks later.

Do the best that you can, with the money time and energy you have. You cannot stop them from dying. Don’t kill yourself, bankrupt yourself or damage your family trying to help.

[Anonymous]

Anonymous wrote:I just did this with my parents. It was $27/hour. 24/7 (extra on holidays). That’s $648/day, $4,536/week, almost $236,000 (not calculating holidays)

If I were you, this is what I’d do:
1) if you have the funds for 24/7, put him in an IL facility that can move him up to higher levels of care if necessary. Find one with a Health Center on-site to minimize trips off site. You can put him in a studio or 1bd, as long as you have a place for the CNA to rest (like a recliner).
We kept my parents in their IL apartment and for awhile we paid for daytime care while I came over at night and slept there. Until I hurt my back trying to get my Mom off the floor.

2) if you don’t have funds for that, find an AL place try to pay for the lowest support level. Then hire someone for only certain hours. But that will still be expensive. Where my parents were it was $6,000-$11,000 per month for AL depending on level of care needed. Over $11,000 per month for MC.

That being said, sometimes no matter what you do, your loved one can hurt themselves. We had 24/7 care, but my Mom would wait until the CNA would go to the kitchen or go to the bathroom or go help my Dad, then get up. She took lots of falls. Her last one was in a bathtub, that had a seat she refused to use. And would not bathe with the CNA in the room. She hit her head and died 2 weeks later.

Do the best that you can, with the money time and energy you have. You cannot stop them from dying. Don’t kill yourself, bankrupt yourself or damage your family trying to help.

Forgot to mention they were at Greenspring Village in Springfield. I’m very happy with the facility. And having a medical center and pharmacy on site was a blessing!!

[Anonymous]

Anonymous wrote:24 seven care one on one for one person at home cost around 130 K a year if you go through an agency

I don't recommend this route. You either have a live in trade off with another staffer rotating staff throughout. We found many issues from no-shows, to stealing to sending someone who spoke limited English. It was very difficult to investigate when parent complained about a caregiver being abusive so in order to avoid false accusations (parent was already losing it and had made accusations about family too) we had to find other reasons to get someone else. There were good ones, but they didn't stay and you are so isolated at home as opposed to being in a situation where there could be a witness at any time. We only found places where you hire your own aide if you want 1:1.

[Anonymous]

My Dad is in skilled nursing at $500 a day and still requires an aide due to both dementia and mobility issues. It is not sustainable but I am not sure what else we can do. If we move him to another possibly cheaper or more capable location my mom will not see him regularly because she does not drive. She is used to being with him most of the day.