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• W965542379 abstract "Assisted living communities (ALFs), which provide a community for residents who require assistance throughout their day, is an important part of the long-term care system in the US. Trained individuals assist residents with activities known as Activities of Daily Living (ADL). The costs of ALFs are paid either out of pocket, by Medicaid or by Long-Term Care Insurance (LTCI). Medicare does not pay for ALFs. Monthly costs of ALFs have increased over the past five years on an average of 4.1%. The major reason for this cost increase is probably the increased healthcare needs of the baby boomers generation, but an increase in Alzheimer’s disease may also be a factor. INTRODUCTION Assisted living, also known as residential care, has been one of the fastest growing portions of the longterm care system in the United States (US) over the past several decades. From 1990 to 2002 the number of Assisted Living Facilities (ALFs) has more than doubled in capacity and accommodated more than one million residents (Smith and Feng, 2012). Between 2010 and 2050 the US is projected to experience growth in the older population partly due to the baby boomers, a group which is expected to more than double in size during this time period (Vincent and Velkoff, 2010). According to the Assisted Living Federation of America (ALFA), assisted living is a long term care option that combines housing, support services and healthcare as needed (ALFA, 2013a), which notes that assisted living is designed for individuals who require assistance with everyday activities, also known as Activities of Daily Living (ADL). Examples of ADLs include dressing, eating, bathing and transferring (Bercovitz, et al, 2011). Approximately 38% of residents receive assistance with three or more ADLs (Caffrey et al, 2012). Residents living in ALFs are more independent in comparison to nursing home residents. ALFs provide apartment style living to their residents which gives them a sense of self-sufficiency and privacy. Also, individuals moving into an ALF usually come directly from their own homes, so a transition to an apartment is much easier for them. Assisted living has been designed to allow residents dignity, privacy, autonomy, independence, choice and safety (AHCA, 2008). ALFs can vary in size from smaller facilities with 4 to 10 beds to extra-large facilities with more than 100 beds (Park-Lee et al, 2011). The AHCA has pointed out that size of the facility is not as important as the services provided to the residents. About 82% of facilities are privately owned for profit and only 18% were private, nonprofit facilities (Park-Lee et al, 2011). In 2007, the US had 1,046,631 total beds available in ALFs; by 2010 the number of such beds had risen nearly 18% to 1,233,690 (Mollica, Houser and Ujavari, 2012). The market for ALFs has grown partly due to consumer needs people requiring assistance with ADL’s preferred to be cared for in ALF because it resembled a homelike setting (Stevenson and Grabowski, 2012). In 2010 the median Length of Stay (LOS) for residents in ALFs facilities was 671 days, with an estimated monthly cost of $3165 (Caffrey et al., 2012). Most residents have been diagnosed with a chronic condition; e.g., hypertension, osteoporosis, diabetes, depression, arthritis, Alzheimer’s and dementia (ALFA, 2013). The ALFA has classified resident characteristics in ALFs as 54% aged 85 or older, predominantly female, and 42% as having Alzheimer’s and dementia (ALFA, 2013b)." @default.
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• W965542379 date "2015-01-01" @default.
• W965542379 modified "2023-09-23" @default.
• W965542379 title "Assisted living: Trends in Cost and Staffing" @default.
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