✨ Assisted Living & Skilled Nursing

I am wondering what CCRCs have their Assisted Living quarters available as a resident-requested "Sick Bay," versus having the same "entry ONLY under doctor's orders," requirements that their SNF requires.

For example, a couple lives in IL and one has to help the other with taking medications, dressing, etc. on an on-going basis .... but needs to travel for a short time due to a family situation (maybe attend a wedding, or "say goodbye to a sibling in Hospice). The "well" resident would like to check their partner into their CCRC's AL unit during that absence, as a safe place that would see to their partner's needs for meals, dressing, etc.

Or, a resident who lives alone in her IL unit has an arm in a cast and needs help dressing, toileting, etc., since they were discharged back to their home and can't begin PT until the cast comes off.

In both cases described above, the residents would be willing to pay out of pocket for this short-term, extra residency while still paying their IL rent because it was not vacated.

Could you let me know if your CCRC allows the above -- maybe permitting the temporary stays under certain conditions, or USED to have this "service" but it went away in favor of more restrictive admittance like their SNF requires.

Thanks.

Jennifer Young

Jennifer - our CCRC has a social worker (one in each community) who manages transitions. We work through them given the regulations and such around healthcare facilities. A choice could be hiring a private nurse to visit the residence.

Our life-care Type A contract covers us for such challenges as being released from the hospital to the CCRC's healthcare when the person did not have first the Medicare required 3-day hospital admittance. Think about how today even hip replacement is a "same-day" procedure and you are released to go home. Single people especially may feel vulnerable. We can go to healthcare for a while for rehab / PT and OT and be covered.

Linda Kilcrease

Resident of a CCRC

Jennifer,

Pennswood Village's Barclay area is licensed as a Personal Care Home by the PA Department of Human Services, so all residents, whether short term or long term, fall under the same regulations.

If a Pennswood resident has a need for a short term stay in a higher level of care, our clinical team meets with the resident and reviews their clinical file to determine which level of care is appropriate. Both Woolman (SNF) and Barclay periodically have short term residents, often after a hospitalization. Short term residents go through the same admission process and follow the same procedures as long term residents, as dictated by regulation.

Payment for a short term stay would be dependent upon whether the resident has a Life Care Agreement or an Agreement Without Life Care.

Richmond Shreve

NaCCRA Board Member & VP

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