"Aging out" of assisted living?

[Anonymous]

Op, is your parent currently on hospice?

[Anonymous]

Anonymous wrote:

Anonymous wrote:Some will do something called a "hospice overlay". Work with the Admissions Director of where your loved one currently is. Or call a center that you're interested in and see what they offer.

I think where it would get difficult is at the end, when basically the person needs 24/7 care. For my dad, we had 24 hour care + the hospice team.

What type of facility were they in?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Some will do something called a "hospice overlay". Work with the Admissions Director of where your loved one currently is. Or call a center that you're interested in and see what they offer.

I think where it would get difficult is at the end, when basically the person needs 24/7 care. For my dad, we had 24 hour care + the hospice team.

What type of facility were they in?

We had him at home. This was during Covid and there weren't any good options.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Are there any laws regarding what services MUST be given to a resident of an assisted living facility? As they decline, can their needs become so great that they may be asked to move to a nursing home?

On the other hand, can someone already on hospice care move into an assisted living facility rather than a nursing home/skilled care facility if they have their own private hospice care team already in place?

Trying to think a few steps ahead. Thanks.

You can get kicked out of an assisted living facility and often you aren't given much time.

How about if we move a parent into assisted living already on hospice and with our own private hospice care team (that we pay for)?

Doubtful, assisted living centers are only allowed to accept certain types of residents and that doesn’t include people who need assistance with daily life skills. Since hospice nurses aren’t under their suoerviisio or employment, that doesn’t change what the calculus.

There are some really nice hospice centers. I’d look into those

This is what I'm tryin to find out. Is this covered by law or just the regulations of the facility? Parent DOES NOT want to go into a nursing home but will consider assisted living environment. We want to figure out timing on the move if any. So is there a law governing what kind of needs are too much for the facility to accept, or do we just find one willing to let them in? And when?

There are licensing requirements, but there are facilities licensed for multiple care levels.

Though generally they are not housed in the same area. Independent, Assisted and Skilled (and Memory) are separate as each of those groups don't want to have to see all that the more advanced group is going through.

Depends on the facility. Larger places, certainly. My aunt and uncle were in a smaller place in West Virginia that did assisted living through hospice in the same location. My uncle lived with my aunt in the same unit until the end of his life. He passed away in a home-like environment surrounded by his family. It was really as good a set-up as they could have wanted.

[Anonymous]

You can keep them in their own home (assuming they are currently living in an independent setting), but hospice team will not be there 24/7, and you likely will need to bring in additional help.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Are there any laws regarding what services MUST be given to a resident of an assisted living facility? As they decline, can their needs become so great that they may be asked to move to a nursing home?

On the other hand, can someone already on hospice care move into an assisted living facility rather than a nursing home/skilled care facility if they have their own private hospice care team already in place?

Trying to think a few steps ahead. Thanks.

You can get kicked out of an assisted living facility and often you aren't given much time.

How about if we move a parent into assisted living already on hospice and with our own private hospice care team (that we pay for)?

Doubtful, assisted living centers are only allowed to accept certain types of residents and that doesn’t include people who need assistance with daily life skills. Since hospice nurses aren’t under their suoerviisio or employment, that doesn’t change what the calculus.

There are some really nice hospice centers. I’d look into those

This is what I'm tryin to find out. Is this covered by law or just the regulations of the facility? Parent DOES NOT want to go into a nursing home but will consider assisted living environment. We want to figure out timing on the move if any. So is there a law governing what kind of needs are too much for the facility to accept, or do we just find one willing to let them in? And when?

There are licensing requirements, but there are facilities licensed for multiple care levels.

Though generally they are not housed in the same area. Independent, Assisted and Skilled (and Memory) are separate as each of those groups don't want to have to see all that the more advanced group is going through.

Depends on the facility. Larger places, certainly. My aunt and uncle were in a smaller place in West Virginia that did assisted living through hospice in the same location. My uncle lived with my aunt in the same unit until the end of his life. He passed away in a home-like environment surrounded by his family. It was really as good a set-up as they could have wanted.

Assisted living through hospice is not a thing. It’s a question of state licensing regulations, not size of the facility. Perhaps your uncle was in an independent living faculty or a facility with continuing care.

[Anonymous]

If they entered the assisted living at the accepted level of care, then got worse, they are likely allowed to stay if family organizes the additional care. Not always, but sometimes.
If they are trying to enter and exceed accepted level of care- mostly no.
You can ask- but be prepared, it will be very expensive.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Are there any laws regarding what services MUST be given to a resident of an assisted living facility? As they decline, can their needs become so great that they may be asked to move to a nursing home?

On the other hand, can someone already on hospice care move into an assisted living facility rather than a nursing home/skilled care facility if they have their own private hospice care team already in place?

Trying to think a few steps ahead. Thanks.

You can get kicked out of an assisted living facility and often you aren't given much time.

How about if we move a parent into assisted living already on hospice and with our own private hospice care team (that we pay for)?

Doubtful, assisted living centers are only allowed to accept certain types of residents and that doesn’t include people who need assistance with daily life skills. Since hospice nurses aren’t under their suoerviisio or employment, that doesn’t change what the calculus.

There are some really nice hospice centers. I’d look into those

This is what I'm tryin to find out. Is this covered by law or just the regulations of the facility? Parent DOES NOT want to go into a nursing home but will consider assisted living environment. We want to figure out timing on the move if any. So is there a law governing what kind of needs are too much for the facility to accept, or do we just find one willing to let them in? And when?

There are licensing requirements, but there are facilities licensed for multiple care levels.

Though generally they are not housed in the same area. Independent, Assisted and Skilled (and Memory) are separate as each of those groups don't want to have to see all that the more advanced group is going through.

Depends on the facility. Larger places, certainly. My aunt and uncle were in a smaller place in West Virginia that did assisted living through hospice in the same location. My uncle lived with my aunt in the same unit until the end of his life. He passed away in a home-like environment surrounded by his family. It was really as good a set-up as they could have wanted.

This is what we're looking for. Did the place have multiple licenses or like one umbrella license? How do we find a list of facilities with the appropriate license(s) to contact?

[Anonymous]

Anonymous wrote:Are there any laws regarding what services MUST be given to a resident of an assisted living facility? As they decline, can their needs become so great that they may be asked to move to a nursing home?

On the other hand, can someone already on hospice care move into an assisted living facility rather than a nursing home/skilled care facility if they have their own private hospice care team already in place?

Trying to think a few steps ahead. Thanks.

You don't age out but as your needs change and your level of care changes, you will not longer be eligible for assisted living. You'll need nursing home care.

Hospice is not 24-7 care except if its at their facility. Its check in so you still need nursing care.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Are there any laws regarding what services MUST be given to a resident of an assisted living facility? As they decline, can their needs become so great that they may be asked to move to a nursing home?

On the other hand, can someone already on hospice care move into an assisted living facility rather than a nursing home/skilled care facility if they have their own private hospice care team already in place?

Trying to think a few steps ahead. Thanks.

You can get kicked out of an assisted living facility and often you aren't given much time.

How about if we move a parent into assisted living already on hospice and with our own private hospice care team (that we pay for)?

Doubtful, assisted living centers are only allowed to accept certain types of residents and that doesn’t include people who need assistance with daily life skills. Since hospice nurses aren’t under their suoerviisio or employment, that doesn’t change what the calculus.

There are some really nice hospice centers. I’d look into those

This is what I'm tryin to find out. Is this covered by law or just the regulations of the facility? Parent DOES NOT want to go into a nursing home but will consider assisted living environment. We want to figure out timing on the move if any. So is there a law governing what kind of needs are too much for the facility to accept, or do we just find one willing to let them in? And when?

There are licensing requirements, but there are facilities licensed for multiple care levels.

Though generally they are not housed in the same area. Independent, Assisted and Skilled (and Memory) are separate as each of those groups don't want to have to see all that the more advanced group is going through.

Depends on the facility. Larger places, certainly. My aunt and uncle were in a smaller place in West Virginia that did assisted living through hospice in the same location. My uncle lived with my aunt in the same unit until the end of his life. He passed away in a home-like environment surrounded by his family. It was really as good a set-up as they could have wanted.

This is what we're looking for. Did the place have multiple licenses or like one umbrella license? How do we find a list of facilities with the appropriate license(s) to contact?

What state are you in?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Are there any laws regarding what services MUST be given to a resident of an assisted living facility? As they decline, can their needs become so great that they may be asked to move to a nursing home?

On the other hand, can someone already on hospice care move into an assisted living facility rather than a nursing home/skilled care facility if they have their own private hospice care team already in place?

Trying to think a few steps ahead. Thanks.

You can get kicked out of an assisted living facility and often you aren't given much time.

How about if we move a parent into assisted living already on hospice and with our own private hospice care team (that we pay for)?

Doubtful, assisted living centers are only allowed to accept certain types of residents and that doesn’t include people who need assistance with daily life skills. Since hospice nurses aren’t under their suoerviisio or employment, that doesn’t change what the calculus.

There are some really nice hospice centers. I’d look into those

This is what I'm tryin to find out. Is this covered by law or just the regulations of the facility? Parent DOES NOT want to go into a nursing home but will consider assisted living environment. We want to figure out timing on the move if any. So is there a law governing what kind of needs are too much for the facility to accept, or do we just find one willing to let them in? And when?

There are licensing requirements, but there are facilities licensed for multiple care levels.

Though generally they are not housed in the same area. Independent, Assisted and Skilled (and Memory) are separate as each of those groups don't want to have to see all that the more advanced group is going through.

Depends on the facility. Larger places, certainly. My aunt and uncle were in a smaller place in West Virginia that did assisted living through hospice in the same location. My uncle lived with my aunt in the same unit until the end of his life. He passed away in a home-like environment surrounded by his family. It was really as good a set-up as they could have wanted.

Was this one of those independent homes that legally can have just a few people?

[Anonymous]

Op, how far away is your parent from needing hospice care? Is it a several years away or several weeks away situation? Continuing care facilities often only accept new patients who currently only need whatever is their lowest level of service. Also good facilities at any level often have waitlists.

If you want meaningful answers, you need to indicate the state and what your mom’s current needs are.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Are there any laws regarding what services MUST be given to a resident of an assisted living facility? As they decline, can their needs become so great that they may be asked to move to a nursing home?

On the other hand, can someone already on hospice care move into an assisted living facility rather than a nursing home/skilled care facility if they have their own private hospice care team already in place?

Trying to think a few steps ahead. Thanks.

You can get kicked out of an assisted living facility and often you aren't given much time.

How about if we move a parent into assisted living already on hospice and with our own private hospice care team (that we pay for)?

Doubtful, assisted living centers are only allowed to accept certain types of residents and that doesn’t include people who need assistance with daily life skills. Since hospice nurses aren’t under their suoerviisio or employment, that doesn’t change what the calculus.

There are some really nice hospice centers. I’d look into those

This is what I'm tryin to find out. Is this covered by law or just the regulations of the facility? Parent DOES NOT want to go into a nursing home but will consider assisted living environment. We want to figure out timing on the move if any. So is there a law governing what kind of needs are too much for the facility to accept, or do we just find one willing to let them in? And when?

There are licensing requirements, but there are facilities licensed for multiple care levels.

Though generally they are not housed in the same area. Independent, Assisted and Skilled (and Memory) are separate as each of those groups don't want to have to see all that the more advanced group is going through.

Depends on the facility. Larger places, certainly. My aunt and uncle were in a smaller place in West Virginia that did assisted living through hospice in the same location. My uncle lived with my aunt in the same unit until the end of his life. He passed away in a home-like environment surrounded by his family. It was really as good a set-up as they could have wanted.

This is what we're looking for. Did the place have multiple licenses or like one umbrella license? How do we find a list of facilities with the appropriate license(s) to contact?

What state are you in?

Maryland.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Are there any laws regarding what services MUST be given to a resident of an assisted living facility? As they decline, can their needs become so great that they may be asked to move to a nursing home?

On the other hand, can someone already on hospice care move into an assisted living facility rather than a nursing home/skilled care facility if they have their own private hospice care team already in place?

Trying to think a few steps ahead. Thanks.

You can get kicked out of an assisted living facility and often you aren't given much time.

How about if we move a parent into assisted living already on hospice and with our own private hospice care team (that we pay for)?

Doubtful, assisted living centers are only allowed to accept certain types of residents and that doesn’t include people who need assistance with daily life skills. Since hospice nurses aren’t under their suoerviisio or employment, that doesn’t change what the calculus.

There are some really nice hospice centers. I’d look into those

This is what I'm tryin to find out. Is this covered by law or just the regulations of the facility? Parent DOES NOT want to go into a nursing home but will consider assisted living environment. We want to figure out timing on the move if any. So is there a law governing what kind of needs are too much for the facility to accept, or do we just find one willing to let them in? And when?

There are licensing requirements, but there are facilities licensed for multiple care levels.

Though generally they are not housed in the same area. Independent, Assisted and Skilled (and Memory) are separate as each of those groups don't want to have to see all that the more advanced group is going through.

Depends on the facility. Larger places, certainly. My aunt and uncle were in a smaller place in West Virginia that did assisted living through hospice in the same location. My uncle lived with my aunt in the same unit until the end of his life. He passed away in a home-like environment surrounded by his family. It was really as good a set-up as they could have wanted.

Was this one of those independent homes that legally can have just a few people?

No. It was a full-fledged facility. I’m the one who did the research for the family. They told us they could handle assisted living through end of life, and that’s what they delivered.

[Anonymous]

Anonymous wrote:If they entered the assisted living at the accepted level of care, then got worse, they are likely allowed to stay if family organizes the additional care. Not always, but sometimes.
If they are trying to enter and exceed accepted level of care- mostly no.
You can ask- but be prepared, it will be very expensive.

This. You would be expected to pay the assisted living price. Then you'd have to pay for the 24/7 care that would be required. Hospice (in my experience) is paid for by Medicare if one qualifies.