Friday, April 17, 2009

Senior Housing, Nursing care or assisted living?

So it looks like we are finally going to have to make a decision between some kind of senior housing and assisted living or a real nursing care facility. Just one of the joys of caring for a senior. My uncle fell getting out of bed recently which resulted in me getting a call from the emergency room very early on a Sunday morning. Fortunately he didn't break anything, but it did lead to a hospital stay which transitioned to a nursing home for rehab which lead to another short hospital stay and then back to the nursing home in the assisted living section. However, we really need to find him a permanent housing option as even he now realizes that he can no longer live alone. The costs of nursing care and assisted living are pretty steep. For that kind of money per day we could put him in a nice hotel.

So the question we are asking ourselves is what is the best housing option for him. Senior housing or assisted living? It really feels to me like he is not quite stable enough to be in senior housing so I think the assisted living section of the local nursing home is probably the right answer. But then we have to worry about the cost, and how much money the nursing home has to drain out of him before medicare kicks in. I really hate all of this!

He can't care for himself but I do not want to care for him 24x7. The staff at the nursing home seems pretty good. He was there a few years back and had a pretty bad experience with the care, though he was in the rehabilitation section of the nursing home them. Since then they seem to have upgraded their staff and the assisted living section seems to be nicer overall.

He want to move to a senior housing community that we looked at but I just don't think that he will be able to be independent enough. He likes it because of the people that live there, but senior housing communities are really not set up to provide constant or even daily care. He would rely on his neighbors which both isn't fair or safe. they didn't move to a senior housing community to help out the guy next door, they moved there so they would have lees to take care of them when they were living in a private home. I also think that even if we moved him into the senior housing that he likes, we would just have to move him to a nursing home within a year anyway, and I don't have the energy to move a picky senior twice.

One final note, it is getting to be geese season again and at least we won't have to deal with that problem of how to get rid of geese at his old house.