Deciding where to live as we age can feel overwhelming, but when you choose a senior living option, VOYCE is here to help. Understanding the differences between independent living, assisted living, memory care, and skilled nursing can help you make the best choice for yourself or a loved one. Let’s break it down together, so you can feel confident in your decision.
What is Independent Living?
Independent living is perfect for those who can manage their daily activities but want convenience and community. You get your own private space, with the added benefits of social activities, dining options, and amenities like housekeeping and transportation.
When to Consider Independent Living:
- You’re mostly self-sufficient but want to downsize.
- You enjoy socializing and want a sense of community with an active lifestyle.
- You want fewer home maintenance responsibilities.
Downsides of Independent Living:
- Limited medical care: No on-site medical staff for emergencies or ongoing health issues.
- Potential for isolation: You might feel lonely if you don’t actively participate in activities.
- Higher costs: Depending on the amenities and location, some independent living communities can be pricey and require a large upfront buy-in.
- No state oversight. Independent living communities are more like apartment buildings, so there is no licensing body like other senior living options
What is Assisted Living?
Assisted living bridges the gap between independent living and more intensive care. It offers help with daily tasks such as bathing, dressing, and medication management while providing a social environment and various activities.
When to Consider Assisted Living:
- You need help with daily activities.
- Safety is a concern (e.g., risk of falls).
- You want to stay active and engaged but need some support.
Downsides of Assisted Living:
- Cost: Assisted living can be expensive, and few insurance plans cover it. In Missouri, finding an assisted living community covered by Medicaid can be extremely challenging.
- Limited medical care: While there is some medical oversight, it is not as comprehensive as skilled nursing.
- Adjustment period: Moving from home to an assisted living facility can be challenging emotionally and mentally.
What is Memory Care?
Memory care is a specialized type of assisted living designed for individuals with Alzheimer’s or other forms of dementia. Most memory care facilities are licensed as assisted living or skilled nursing facilities. These communities provide a secure environment with trained staff to support cognitive challenges.
When to Consider Memory Care:
- A loved one has been diagnosed with Alzheimer’s or dementia.
- They require specialized care and a secure environment.
- They benefit from structured activities designed for cognitive support.
Downsides of Memory Care:
- Higher costs: Memory care tends to be more expensive due to specialized services and staff training.
- Emotional impact: It can be hard for families to see a loved one in a memory care facility.
- Limited freedom: Residents often have less independence due to safety concerns.
What is Skilled Nursing?
Skilled nursing facilities, or nursing homes, provide 24/7 medical care and support from licensed professionals. This option is for those who need extensive medical attention and ongoing care.
When to Consider Skilled Nursing:
- You or a loved one need constant medical care.
- There are significant health issues requiring professional supervision.
- Rehabilitation services are needed post-hospitalization.
Downsides of Skilled Nursing:
- Institutional feel: Some skilled nursing facilities may feel more clinical and less home-like.
- Higher costs: The comprehensive care provided in skilled nursing facilities can be very costly.
- Limited social interaction: Due to medical needs, social activities might be less frequent or varied.
How to Choose a Senior Living Option
Assess Your Needs
- Evaluate physical health, cognitive function, and daily living capabilities.
- Consider current and future health needs.
Visit Facilities
- Tour multiple options to get a feel for the environment.
- Visit your favorites more than once and vary the times of day and days of the week you visit. Ask yourself if the weekend and evening staffing is as sufficient as during the days.
- Talk to residents and staff, including those the marketing team does not introduce you to.
Consider Location
- Proximity to family and friends can be crucial as it is important to have visitors for social health and advocates as you need more support.
- Think about the convenience of medical services and other amenities.
Budget
- Compare costs and what is included in the fees.
- Many places allow you to buy additional services. Consider not only what you will need immediately but also what you might need in the future.
- Understand your financial situation and explore potential funding options.
Access to Advocates
- Residents of Assisted Living, Memory Care, and Skilled Nursing facilities all have access to the Long-Term Care Ombudsman Program, offering free advocacy services if something goes wrong.
Trust Your Instincts
- Choose a senior living option where you feel comfortable and at ease.
- Ensure it aligns with your personal and medical needs.
You Can Choose a Senior Living Option that’s Right for You
Deciding between independent living, assisted living, memory care, and skilled nursing is a significant step, but with the right information, you can make the best choice for yourself or a loved one. Remember to consider your needs, visit facilities, and trust your instincts.
Making the right choice can greatly enhance your quality of life and provide peace of mind for you and your family.
A friend told us that you have a booklet for $15.00 that evaluates assisted living facilities in St Louis/St Louis County.
Could you tell me how I might get that?
That can be purchased here: https://www.voycestl.org/how-help/voyce-connect-helpline/consumer-resource-directory/ We currently only have an online version. However, if you reach out to 314-919-2403, we can provide you personalized assistance over the phone.