A Place Called Home: Where Elders Live in Burlington

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A Place Called HomeWhere Elders Live in
Burlington

• Prepared for the AARP Livable Communities
  Committee

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Outline

• Where elders live by housing category
• Housing categories defined
• Where elders receive NHLOC is changing
• Hypotheses and actions

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Six Housing Types
Licensed
Unlicensed
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Where Seniors Live(total 55 7,128 in 2005)
assumes 100 occupancy assumes 10 double
occupancy assumes 20 double occupancy
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Ownership

• 66 of all elders are homeowners (4,704)
• 42 of all homeowners are elders
• Focus on 3 census tracts with high percentage 65
  and high percentage owner occupants
• Services may be obtained from
• Unpaid caregivers
• Home health
• Private
• Medicaid
• Adult Day
• PACE

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Burlingtons New North End
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Condos at Battery and College Streets in
Burlington
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Unsubsidized Rentals

• Includes
• 766 seniors or 10.7 of all seniors
• Services may be obtained from
• Unpaid caregivers (limited in rental arrangement)
• Home health
• Medicaid (if eligible likely to live in
  subsidized housing)
• Private
• Adult Day
• PACE (must be Medicaid eligible)

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Home providers reported that because of their
match

• 84 feel less lonely
• 74 feel safer in their home
• 74 feel happier
• 73 reported household chores get done more
  easily
• 58 enjoy their home more
• 47 feel healthier
• 47 sleep better
• 47 eat better than before
• 32 have more energy
• 26 get out into the community more often
• 26 call their family for help less often

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Subsidized Rentals

• Includes 726 seniors or 10.2 of all seniors
• Public housing (Decker Towers)
• LIHTC (McAuley Square)
• Other (Heineberg)

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Subsidized Rentals

• Services may be obtained from
• Housing provider (HASS, RSCs, Nursing hours)
• Home health
• Medicaid waiver
• Home health
• PACE
• Adult Day
• Unpaid Caregivers (limited)

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Subsidized Rentals

• Number by Income for households of one
• lt 30 at median income 50
• lt 50 at median income 30
• lt 60 at median income 10
• Waiting list 526 seniors

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Decker Towers
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McAuley Square Senior LivingIndependent Living,
Burlington

• 55 One or Two bedroom apartments
• Excellent Location
• Resident Garden Space
• Covered Parking
• Discounted Cable Rates

• Beauty Salon
• Secured Entry
• Nurses Office
• On CCTA bus line
• 24-Hour Emergency System
• Social Activities available

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Heineberg Senior HousingIndependent Living,
Burlington

• 82 One and Two bedroom apartments
• Resident Garden Space
• On-Site Parking
• Security Door System
• Screened in Porch
• New North End Neighborhood

• Laundry Facilities Beauty Salon
• On Site VNA Nurse Visits
• Senior Center Next Door
• Patio Off Common Space
• 24-Hour Emergency System
• CCTA Bus Stop at Front Door

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Shared Housing
Shared housing includes both congregate housing
settings (apartments with shared common areas
such as a dining room and living room) and
home-sharing arrangements where elderly
homeowners share their house with a younger
person in exchange for chores, companionship and
security.
Shared Housing
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Ruggles HouseShared Housing, Burlington

• 15 Single Rooms
• Private Bath Kitchenette with Each Apartment
• Historic Mansion
• 3 Meals Served Daily

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Residential Care Homes (RCH)
RCHs provide 24 hour awake personal care. Three
meals daily. Medication Management. Housekeeping
and transportation. Laundry and activities.
RCHs must discharge at nursing home level of
care or obtain a waiver from the state.
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Converse Home and Ethan Allen Residential Care
Home
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Assisted Living

Vermonts licensed Assisted Living provides
personal care and supportive services to
residents with an ADL score of 10 or below,
moderate cognitive impairment, and/or behavioral
symptoms that consistently respond to appropriate
intervention. Assisted living promotes self
direction and active participation in decision
making while emphasizing individuality, privacy
and dignity.
Assisted Living
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Cathedral Square Senior LivingIndependent and
Assisted Living, Burlington VT

• 80 Independent Living apartments
• 28 Assisted Living apartments
• Project is 26 years old
• Modest capital improvement needs
• Significant service needs

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Skilled Nursing Facilities
24 hour around the clock personal care services
and skilled nursing care.
Skilled Nursing Facilities
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Birchwood Terrace and Starr Farm Nursing Center
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Vermont

• 2 Medicaid Waivers
• Choices For Care
• Global Commitment
• Budget Neutrality
• Federal Share is Capped
• 100 of any additional Medicaid expenses paid for
  by the general fund

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Number of People by Setting(FY 2005 Medicaid
Only)
Primary Source Exhibit 5-B VT LTC Plan October
1, 2003
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Medicaid Long Term Care(pre October 1, 2005)
Nursing Home Level of Care (NHLOC)
Pre NHLOC
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Choices For Care(October 1, 2005)
HIGHEST (Nursing Home Level of Care)
High (Nursing Home Level of Care)
Moderate (PRE-Nursing Home Level of Care)
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Individuals who have a severe impairment with
decision-making skills OR a moderate impairment
with decision-making skills AND one of the
following behavioral symptoms/conditions, which
occurs frequently and is not easily altered
wandering, verbally aggressive behavior, resists
care, physically aggressive behavior,
inappropriate behavior.
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Individuals who exhibit at least one of the
following behaviors requiring a controlled
environment to maintain safety for self Constant
or frequent wandering, Inappropriate behavior,
Persistent physically or verbally aggressive
behavior
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PACE

• Program for the All Inclusive Care of the Elderly
  (PACE)
• Must be Nursing Home Level of Care
• Most participants are Medicaid and Medicare
  eligible
• Must pay Medicaid share if not Medicaid eligible
• Switch to PACE Physician
• Case Managed Care through PACE Clinic and/or
  Adult Day Programs

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Preferred Living Arrangement, If Not In Own Home
Mathematica Data Notation
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Hypotheses and Actions?