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Elderly care

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Elderly care or elder care is a broad term encompassing such services as assisted living, adult day care, long term care, nursing homes, hospice care, and Alzheimer's care.

The majority of elderly care facilities are freestanding, but they may also be part of a continuing-care retirement community, seniors apartment complex, or wing or floor of a nursing home. Ownership and operations vary, too. Most of the largest multi-facility providers are publicly held and managed as for-profit businesses. There are exceptions; the largest operator in the US is the Evangelical Lutheran Good Samaritan Society, a not-for-profit organization that manages 6,531 beds in 22 states, according to a 1995 study by the American Health Care Association.

Elderly care emphasizes the social and personal requirements of senior citizens who need some assistance with daily activities and health care, but who desire and deserve to age with dignity. It’s an important distinction, in that the design of housing, services, activities, employee training and such is truly customer-centered. Elderly Care is focused on satisfying the expectations of two tiers of customers: the resident customer and the purchasing customer.

Eighty-six percent of the one million or so residents (US) in assisted living facilities pay for care out of their own funds. The rest get help from family and friends and from state agencies. Medicare does not pay unless skilled-nursing care is needed and given in certified skilled nursing facilities. Assisted living facilities usually do not meet Medicare's requirements. However, Medicare does pay for some skilled care if your relative meets the requirements for the Medicare home health benefit. Thirty-two states pay for care in assisted living facilities through their Medicaid wavier programs.

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