Hillcrest Nursing Center

The terms “assisted living” and “nursing home” have different definitions, even though they are sometimes used interchangeably. An assisted living facility helps residents with their daily tasks, such as preparing meals, taking medications, and cleaning their spaces, but it does not provide ongoing medical care. The staff at an assisted living facility can take residents to their doctor’s appointments and provide help with common wellness issues, but they are not physicians and cannot provide the same level of care as a nursing home.

Nursing homes provide medical care around the clock, as well as help with everything from eating to bathing to dressing, depending on the patient’s needs. Nursing home patients are supervised by licensed physicians. Many patients move from assisted living to a nursing home after an injury or if a chronic condition gets too difficult to manage without daily care.

Medicaid has spousal protection rules in place, which vary from state to state. These rules are in place to ensure that the spouse can keep the assets and income they need to live comfortably. In most cases, spouses can continue to use the entirety of their own income. They may be able to access a portion of their spouse’s income, depending on the situation. The spouse will also be able to keep 50 percent of the couple’s total joint assets.

There are a few different things you can do with your property to avoid having it seized by Medicaid. One option is to put your home into an irrevocable trust, which legally protects your property from Medicaid. You may also be able to protect your property by forming a life estate or gifting it to someone. However, there can be complicated tax ramifications to these actions, so it’s best to talk to a lawyer before doing so.

If you encounter a problem at a nursing home, the first step is to talk to the staff about reporting procedures. Many facilities have social workers or other professionals on hand specifically to deal with problems that may arise. The facility should also have a procedure in place to report problems internally. If the problem isn’t solved, you can report the nursing home to a state office or advocacy group. Your state’s department of health should have information available about how to report a nursing home.

Caring for someone who has dementia or Alzheimer’s can be very challenging. While every situation is different, there are some key signs that a dementia patient should be moved into a facility with care available around the clock. Some of these signs include:

• Frequent wandering
• Difficulty moving around
• No caregiver available locally
• Family caregivers are stressed and unable to maintain a balanced life