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In the world of elderly care, there are so many types of living facilities that even professionals in the field do not always know the differences.

Let us help you understand what these facilities generally offer with a few brief descriptions.

The world of elder care and services can be very confusing with so many options yet none that quite fit what you have in mind.  Subtle differences between types of facilities can be very important but hard to understand or quantify.  There is no single source of reliable information to sort through some of this terminology. 

Many solutions exist to match each elder's needs and style.  To start, we will describe a broad range of options, then how Mount Pleasant fits into these categories.

Understanding appropriate elder care options is more art than science.  It requires combining factual information about health and clinical needs, financial data about costs and resources, as well as very personal considerations about an elder’s preferences and values.

Here is a simplified list of options available in Massachusetts:

In-Home Services

Moving to a new home is not fun, even when it is by choice.  Most older people prefer to remain where they are for as long as possible.  Whether living in the same place for many years or moving to a new setting, facing the changes that accompany aging is a challenge.  Beyond the help provided by family and friends, many elders manage their changing needs by having services brought in. 

Available services include meal delivery or preparation, shopping, bill-paying, cleaning services, personal care, and home health services.  These services are available for a few hours a month for cleaning to personal care or skilled nursing services for several hours a day.

There are many ways to remain in place, but multiple needs can become challenging.  Coordinating services, costs, and means of payment vary greatly.  Risks associated with living alone and the jeopardy created by social isolation can require consideration of other options.

Resource Referral and Care Management

Elder care specialists are consulted for possible solutions to match a senior's health, financial situation, and living options.  Professional care managers are geriatric specialists who obtain in-home care and provide coordination services.

Adult Day Programs

Elders in need of social, nutritional, and/or medical services may go out on a routine basis to receive services at a Social Day Care Program or an Adult Day Health Center.  Adult Day Health includes medical screening, monitoring, medications, and therapy services.  Transportation is often available.  Some programs are subsidized for low income elders.

Assisted Living

Massachusetts has had certified Assisted Living facilities (licensed by the state (Executive Office of Elder Affairs) for about a decade, which serve as a social model for providing services and housing as the market grows.  These new facilities provide apartments within multi-unit facilities that include a variety of support services such as meals, housekeeping, and limited amounts of personal care.  While the vast majority of units are paid for privately, there are also a limited number of low income units, which sometimes require two residents to share a single unit.

Residential Care Homes (traditionally called Rest Homes)

Licensed by the Massachusetts Department of Public Health as long-term care facilities, Residential Care provides housing, support services, and medical oversight in a residential setting.  These homes are capable of administering medications, scheduling medical appointments, serving three meals daily, 24-hour staff to respond to residents who are more capable of living on their own, but do need assistance in certain areas.

Mount Pleasant Home is licensed by the MA Department of Public Health as a Residential Care Facility, or Rest Home.  We emphasize a nurturing, safe, and supportive environment where elders can live as independently as possible.

Nursing Homes and Rehabilitation Centers

Licensed by Massachusetts Department of Public Health, these long-term care facilities provide a wide range of personal care, skilled nursing, and rehabilitation services in a medically supervised environment.

Nursing and Rehabilitation facilities also provide services for short term recovery from illness, injury, or medical procedures as well as nursing care for people who cannot be cared for in other settings.

Although these facilities tend to be less expensive than hospitals and 24-hour skilled at-home nursing care, they can still be costly because of the amount and degree of services included.  Nursing Homes and Rehab Centers can be paid for with private funds, public subsidies, Medicare, or private insurance programs.

Finding the right place for you or your loved one is a difficult process.  Remember to ask many questions, visit the facility, meet the staff, and do your research ahead of time.  For further information, do not hesitate to contact us.

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Any questions? Call 617-522-7600 or email info@MountPleasantHome.org