How Home Care Can Help You in a Care Facility

Home care aides offer a wide range of personal caregiving services which we discussed in our previous blog post “What Can a Home Care Aide Do for You?” Also known as companion caregivers, they support people with chronic illness or disability, patients recovering from illness or injury, and the elderly in home care. Did you know that home care aides can provide a wide array of non-medical caregiving outside the home in other care facilities? There are five kinds of facility-based long-term care locations where an in home care agency can arrange for a home care aide to provide personal caregiving to your loved one.

There are several kinds of residential long-term care facilities available for people who can’t live at home independently for various reasons. These facilities offer different levels of medical and non-medical care. Patients and their families have the right to supplement the care and personal attention they receive in the facility by hiring a home care aide on their own. According to California law, “Residents may hire private paid personal assistants or caregivers only to provide services other than those the licensee is required to provide. Examples of private pay services include: companionship and additional baths beyond what the licensee is required to provide.”

Residents can engage a personal home care companion for seniors in these long-term care facilities:

Board and Care Homes

National Institutes of Health’s National Institute on Aging (NIH/NIA) website says “Board and care homes, also called residential care facilities or group homes, are small private facilities, usually with 20 or fewer residents. Rooms may be private or shared. Residents receive personal care and meals and have staff available around the clock. Nursing and medical care usually are not provided on site.”

Assisted Living Facilities

WebMD describes assisted living facilities as “a type of housing designed for people who need various levels of medical and personal care. Living spaces can be individual rooms, apartments, or shared quarters. The facilities generally provide a home-like setting and are physically designed to promote the resident’s independence. Services are offered to assist residents with daily living. The services offered by assisted living communities vary from facility to facility.” In addition to meals, housekeeping, laundry and emergency medical staff, services can, but don’t always, include traditional home care aide support like medication reminders, personal and grooming care, and companionship.

Nursing Homes

Per the NIH/NIA website, “Nursing homes, also called skilled nursing facilities, provide a wide range of health and personal care services. Their services focus on medical care more than most assisted living facilities. These services typically include nursing care, 24-hour supervision, three meals a day, and assistance with everyday activities. Rehabilitation services, such as physical, occupational, and speech therapy, are also available. Some people stay at a nursing home for a short time after being in the hospital. After they recover, they go home. However, most nursing home residents live there permanently because they have ongoing physical or mental conditions that require constant care and supervision.”

Memory Care

An American Association of Retired Persons resource page says “Memory care is a form of residential long-term care that provides intensive, specialized care for people with memory issues. Many assisted living facilities, continuing care retirement communities and nursing homes have special memory care “neighborhoods” for dementia patients. There are also stand-alone memory care facilities. … Memory care is designed to provide a safe, structured environment with set routines to lower stress for people with Alzheimer’s or dementia. Employees provide meals and help residents with personal care tasks, just like the staff at an assisted living facility, but they are also specially trained to deal with the unique issues that often arise as a result of dementia or Alzheimer’s. They check in with residents more frequently and provide extra structure and support to help them navigate their day.” Long-term care facilities were particularly hard-hit by the pandemic, and

Continuing Care Retirement Communities

The NIH/NIA website describes continuing care retirement communities (CCRCs) (also called life care communities) as “offer[ing] different levels of service in one location. Many of them offer independent housing (houses or apartments), assisted living, and skilled nursing care all on one campus. Healthcare services and recreation programs are also provided.”

Long-term care facilities were particularly hard-hit by the COVID-19 pandemic, and the industry is suffering a record staffing shortage. As you consider home care solutions, remember that private home care aides can deliver home care in San Diego even if your loved one is making their home in a facility.