| Living Solutions for Seniors |
| Geriatric Case Management Senior Service Referrals |
DEFINING SENIOR SERVICES
INDEPENDENT/RETIREMENT LIVING
Living independently within your own apartment. Amenities often include meals, housekeeping,
transportation, and activities. These are usually included in the cost of the month to month rent.
Additional fees are added for an increase in personal care needs.
ASSISTED LIVING FACILITIES
These homes are licensed by the Department of Aging and Disability to provide twenty-four hour
supervision for the senior resident. Independence is encouraged while maintaining a safe living environment
for the senior. Assistance if given by providing meals, housekeeping, assistance with medications, and
support with many other needs. Other services such as transportation may be offered though these may
not be included in the monthly fee. Care is individualized for each resident and changes with their needs.
Seniors often live in these homes until their end of life. Additional services by home health and hospice
organizations are welcome in these homes.
There are two common classifications of assisted living homes.
Type A: For residents who can evacuate the building within 13 minutes with only minimal assist.
They may use walkers, wheelchairs, canes, or walk themselves. Cognitive guidance may
also be needed.
Type B: For residents who require assistance to be available 24 hours a day. Assistance with
transfer, hygiene, eating, and medications are some of the more common service
provided. The staff to client ratio is higher in these facilities. Individual homes have
different requirements.
PERSONAL CARE HOMES
Homes with 3 beds or less. Not required to be licensed by the State of Texas. This does not diminish the
care provided. There is no limitation on the needs of the resident; each home sets it's own criteria.
ALZHEIMER/DEMENTIA UNITS
Licensed by the State of Texas to care for those suffering from the numerous forms of dementia. Special
programs and activities are offered. The units are usually a secured home for such clients. Higher
staff-client ratio is found here.
PERSONAL ASSISTANCE SERVICE
Numerous non-medical services offered. Companion aide, personal care such as grooming, meal
preparation, shopping, medication supervision, light housekeeping, even lawn care.
HOME HEALTH AGENCY
Nursing care and Physical therapies administered under a physician's order. Other services from nursing
assistants, social workers, occupational and speech therapists are available when nursing and physical
therapy is ordered. Covered by Medicare and most private insurances.
HOSPICE
Care for the terminally ill patient and their family. Pain management, spiritual counseling, emotional support
are among the many services available.
RESPITE CARE
Over night or just a few hours, this service is utilized by family caregivers who need someone to "fill-in" for
them when they go out of town or are in need of taking care of themselves.
DAY CARE
Programs located in the community offering socialization, nutrition, and supervision during daytime hours.
There are two programs in which Medicaid will assist in payment. Many churches also offer day care.
Most Senior Services are paid for by the client. Except for Home Health and Hopsice, Medicare does not
fund any of these services. Medicare will pay for a rehabilitation stay in a Skilled Nursing Facility (SNF),
lasting 60-90 days. Long term care insurance covers seniors services as defined in each policy. There is
limited Medicaid funding available for home services or assisted living facilities.
INDEPENDENT/RETIREMENT LIVING
Living independently within your own apartment. Amenities often include meals, housekeeping,
transportation, and activities. These are usually included in the cost of the month to month rent.
Additional fees are added for an increase in personal care needs.
ASSISTED LIVING FACILITIES
These homes are licensed by the Department of Aging and Disability to provide twenty-four hour
supervision for the senior resident. Independence is encouraged while maintaining a safe living environment
for the senior. Assistance if given by providing meals, housekeeping, assistance with medications, and
support with many other needs. Other services such as transportation may be offered though these may
not be included in the monthly fee. Care is individualized for each resident and changes with their needs.
Seniors often live in these homes until their end of life. Additional services by home health and hospice
organizations are welcome in these homes.
There are two common classifications of assisted living homes.
Type A: For residents who can evacuate the building within 13 minutes with only minimal assist.
They may use walkers, wheelchairs, canes, or walk themselves. Cognitive guidance may
also be needed.
Type B: For residents who require assistance to be available 24 hours a day. Assistance with
transfer, hygiene, eating, and medications are some of the more common service
provided. The staff to client ratio is higher in these facilities. Individual homes have
different requirements.
PERSONAL CARE HOMES
Homes with 3 beds or less. Not required to be licensed by the State of Texas. This does not diminish the
care provided. There is no limitation on the needs of the resident; each home sets it's own criteria.
ALZHEIMER/DEMENTIA UNITS
Licensed by the State of Texas to care for those suffering from the numerous forms of dementia. Special
programs and activities are offered. The units are usually a secured home for such clients. Higher
staff-client ratio is found here.
PERSONAL ASSISTANCE SERVICE
Numerous non-medical services offered. Companion aide, personal care such as grooming, meal
preparation, shopping, medication supervision, light housekeeping, even lawn care.
HOME HEALTH AGENCY
Nursing care and Physical therapies administered under a physician's order. Other services from nursing
assistants, social workers, occupational and speech therapists are available when nursing and physical
therapy is ordered. Covered by Medicare and most private insurances.
HOSPICE
Care for the terminally ill patient and their family. Pain management, spiritual counseling, emotional support
are among the many services available.
RESPITE CARE
Over night or just a few hours, this service is utilized by family caregivers who need someone to "fill-in" for
them when they go out of town or are in need of taking care of themselves.
DAY CARE
Programs located in the community offering socialization, nutrition, and supervision during daytime hours.
There are two programs in which Medicaid will assist in payment. Many churches also offer day care.
Most Senior Services are paid for by the client. Except for Home Health and Hopsice, Medicare does not
fund any of these services. Medicare will pay for a rehabilitation stay in a Skilled Nursing Facility (SNF),
lasting 60-90 days. Long term care insurance covers seniors services as defined in each policy. There is
limited Medicaid funding available for home services or assisted living facilities.
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