Adult Care Facilities and Nursing Homes

1
Adult Care Facilities and Nursing Homes

• Definitions and Comparison

2
Introduction

• The purpose of this presentation is to help you
  understand the differences between adult care
  facilities and nursing homes.

3
Activities of Daily Living-(ADL)

• Eating can feed themselves
• Bathing and hygiene
• Dressing
• Toileting
• Ambulating

4
Goals of ACF

• To offer cueing and assistance for the resident
  to remain independent and on their own.
• ACF offers meals, medication management,
  socialization, assistance with personal grooming
  and housekeeping.

5
Types of Adult Care Facilities

• Adult Homes
• Assisted Living Programs
• Enriched Housing
• Family Type Homes

6
Adult Homes

• Provide residential care, room, board,
  housekeeping, personal care and supervision to
  five or more adults unrelated to operator.
• Also provides three meals daily, 24/7 staffing
  and custodial care.
• For-profit, public or not-for-profit.
• Residents should be able (with direction) to
  evacuate the facility in case of an emergency.

7
Enriched Housing

• Settings are more like an independent housing
  unit.
• Provides room, board, housekeeping, personal
  care, and supervision.
• Does not require 24 hour staffing (some
  exceptions dementia units.)
• Provides minimum of one hot meal daily.
• Provides case management, housekeeping, food
  service and staffing.

8
Family Type Home

• Provides long-term residential care, room, board,
  housekeeping, personal care and/or supervision
  for four or fewer adults unrelated to operator.

9
Assisted Living Program (ALP)

• Facility located within an adult home or enriched
  housing facility that combines residential and
  home care services. Designed as an alternative to
  nursing home placement for individuals with
  stable medical conditions who are nursing home
  eligible. An ALP will contract with a Certified
  Home Health Care Agency (CHHA) for skilled
  nursing home services. Must provide 24 hour, 7
  day/week supervision.

10
Continuing Care Retirement Communities

• Campus Style
• Offer continuum of services, for independent
  apartments with home care services, enriched
  housing, and a nursing home.
• Often requires substantial residency fees.

11
Skilled Nursing Facility

• Provides 24 hour a day skilled nursing care and
  related services, or rehabilitative services for
  the injured or disabled.
• NH require the completion of a Patient Review
  Instrument (PRI) prior to placement.

12
Nursing Home - ACF

• Medical Facility
• Needs RN- 24 hours care
• Skilled nursing
• Emphasis on rehab maintenance restorative
• Social Worker
• DOH Regulates Office of Continuing Care
• Cannot evict if money runs out

• Non- Medical
• LPN- 8 hours
• Frequently mental health/dementia
• Emphasis on supervision/personal care
• Case Manager
• DOH Regulates- Office of Elder Care
• Can discharge if money runs out

13
Nursing Home - ACF

• Residents Rights- more
• Higher patient staff ratio
• Average private pay is 6000-8000/monthly
• Medicaid
• Residents need medical assistance

• Residents Rights- fewer
• Less patient staff ratio
• Average monthly private pay rate is 2000-4800
• SSI
• Residents need assistance/cueing for personal
  care.