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What are the common settings for long-term care?

2 min read

According to the National Institute on Aging, long-term care services can be provided in many different settings, from facilities offering 24-hour medical care to supportive services in an individual's own home. Understanding the options is the first step when asking, what are the common settings for long-term care?

Quick Summary

Common settings for long-term care include in-home care, assisted living facilities, skilled nursing facilities, residential care homes, and continuing care retirement communities, each offering varying levels of medical support and daily assistance to meet specific needs.

Key Points

  • Home-Based Care: Provides personalized assistance in an individual's home.

  • Assisted Living: Offers support with daily tasks in a community setting.

  • Skilled Nursing Facilities: Deliver 24/7 medical care for complex needs.

  • Continuing Care Retirement Communities (CCRCs): Offer a range of care levels on a single campus.

  • Residential Care Homes: Provide care in a small, home-like environment.

  • Choosing the Right Fit: Depends on needs, finances, location, and independence preferences.

In This Article

Common settings for long-term care

Individuals and families exploring long-term care options have several settings to consider, each designed to meet varying levels of need and preferences. These options generally fall into either home-based or facility-based care.

In-home care

For many, remaining in their own home, or "aging in place," is the preferred option. In-home care brings professional support directly to the individual's residence. This can include:

  • Personal Care Aides: Providing assistance with daily non-medical tasks like bathing, dressing, and meal preparation.
  • Home Health Services: Offering skilled medical care such as nursing, physical, occupational, or speech therapy at home.

Facility-based care options

Several facility-based settings offer different levels of care:

  • Assisted living facilities: Provide support with daily activities in a community environment where residents have their own living spaces. Services typically include meals, housekeeping, laundry, medication management, and staff support.
  • Skilled nursing facilities (Nursing homes): Offer constant medical supervision and care for individuals with needs beyond home or assisted living. They focus on medical care by licensed professionals, rehabilitation services, and managing complex medical conditions.
  • Residential care and group homes: Offer a more intimate setting, often in private homes with a small group of residents, providing meals, housekeeping, and personal care.
  • Continuing care retirement communities (CCRCs): Provide a range of care levels on one campus, including independent living, assisted living, and skilled nursing. This allows residents to move between care levels as their needs change. CCRCs typically involve an entrance fee and monthly fees.

Comparing common long-term care settings

A comparison of these settings highlights their differences in environment, level of care, independence, services, cost, and suitability for various needs. For a detailed table comparing these features, refer to {Link: PALTmed https://paltmed.org/care-settings}.

Making the right decision

Selecting a long-term care setting involves carefully considering various factors. Key considerations include assessing current and future health needs, financial planning to understand costs and resources, and location relative to family. If considering a facility, visiting to observe the environment and staff interaction is important. For further guidance on choosing a facility, consult resources like the National Institute on Aging: How To Choose a Nursing Home or Other Long-Term Care Facility.

Conclusion

Understanding the distinct options available is key when navigating long-term care. By evaluating individual needs and preferences, families can make an informed choice to support healthy aging.

Frequently Asked Questions

Assisted living provides assistance with daily living activities in a community environment, while a nursing home offers 24/7 skilled medical care for those with more complex health needs.

Yes, in-home care can include skilled medical services such as nursing care, physical therapy, and medication management, in addition to non-medical personal care and companionship.

CCRCs are retirement communities that provide different levels of care—independent living, assisted living, and skilled nursing—on a single campus, allowing residents to move between care levels as their health needs change.

The cost of care depends on the type and amount of services needed. While home care can be less expensive for moderate needs, extensive in-home care may be comparable to or even more expensive than facility-based options.

Consider the individual's current and future care needs, financial situation, preferred level of independence, and location. Visiting potential facilities and involving the individual in the decision-making process are also key steps.

A residential care home is a small, private home that provides care for a limited number of residents. It offers a more intimate, family-like setting compared to larger assisted living or nursing facilities.

Medicare provides limited coverage for short-term skilled nursing care but does not cover most long-term custodial care. Medicaid may cover long-term care for individuals who meet specific income and asset requirements, though rules vary by state.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.