Long Term Care & Housing Options
Long term care encompasses a wide
array of topics from consumer protection to advance
directives, level of care needed and costs.
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Assisted Living residence means "Any
group housing and services program for two or more unrelated
adults, by whatever name it is called." N.C. Division of
Facility Services, 1998
The assisted living program makes available at a minimum
one meal a day, housekeeping services, and provides personal
care services directly or through a formal written agreement
with one or more licensed home health agencies. Nursing
services provided to an individual in an assisted living
residence may not exceed those allowed under Medicare home
health regulations.
There are two types of assisted living residences:
| Adult Care Home
is an
assisted living residence in which
the housing management provides 24-hour scheduled and
unscheduled personal care services to two or more residents,
either directly or through formal written agreements with
licensed home care or hospice agencies. Formerly called
Domiciliary Homes, adult care homes are commonly called
"Rest Homes" and are licensed by the North Carolina
Department of Health and Human Services to provide
assistance with activities of daily living and are monitored
by county Department of Social Services for compliance with
minimum regulatory standards. Family Care Home is a small adult care home that cares for two to six unrelated residents in a family-like setting. The homes are often found in residential communities and have around the clock or live-in staff that prepare meals, give medications and provide help with activities of daily living. They are licensed by the North Carolina Department of Health and Human Services for compliance with minimum regulatory standards. Multi Unit Assisted Housing with Services provides hands-on personal care services and nursing services, which are arranged by housing management and are provided by a licensed home care or hospice agency through an individualized care plan. The .C. Department of Health and Human services maintains a registry of these facilities. THEY ARE NOT LICENSED OR MONITORED BY ANY SOURCE. |
How will I
pay? Private Pay- cost of care is paid for with the resident's own money Medicare- ONLY available in skilled nursing facilities after 3-day hospital stay for people over 65 or disabled Long Term Care Insurance- policies are paid for by individual and offer a wide range of coverage options. Medicaid- programs are public benefit programs available to individuals of any age who meet specific income and resource limits. Applications are taken at county DSS offices. |
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| Nursing Facilities, often called Nursing Homes, provide extensive and professional medical care to people of all ages. For reimbursement purposes, residents in the nursing homes are classified as needing skilled nursing care or intermediate nursing care. Those receiving skilled care have acute medical needs that require constant (24 hour) professional nursing or licensed staff monitoring. Residents in intermediate care have needs that require the services of a professional nurse at least 8 hours a day. | ||
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 Nursing Home Compare website . |
Adult Care Home Rating System
The Star Rated Certificate Program for Adult Care Homes in NC began on January 1st. Facilities will not receive a rating until they have had their first annual inspection in 2009. After a survey team has completed the survey, ratings will be posted monthly. Click here to access to the NC State ACH ratings page.
Nursing Home Compare
The Nursing Home Compare Website features a
rating system that gives each nursing home a rating between 1 and 5.
Nursing Home Star Ratings compare nursing homes with
one another. The ratings are based on minimum standards.
Click here to access the Nursing Home Compare Website.
For additional resources on housing options, visit the All For Seniors Magazine website and scroll down to Housing and Care Community Choices.
Centralina Ombudsman work with consumers before, during and they consider placement. For more information on how the Ombudsman program can assist you, click here.