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Health & Wellness > More Health & Wellness > HW 10

 Choosing The Best Care Options


Explore the different types of health care services offered by Massachusetts providers and learn which care option best fits your needs:

Skilled Nursing & Rehabilitation Facility

Short term care options are available at skilled nursing facilities for individuals who have been hospitalized and need a period of medical monitoring and/or rehabilitation before returning home. Nursing facilities also provide long term care options for people who are unable to live safely and comfortably at home and require 24-hour nursing care and support.

Assisted Living Residence

Assisted living residences are for older people who no longer feel comfortable or safe living alone, but do not need 24-hour nursing and medical care.

Continuing Care Retirement Community (CCRC)

CCRCs combine independent retirement housing, assisted living services and nursing facility care, usually on the same campus, to allow elders to have their current and future care needs met at one location. As a senior’s needs change, he or she can choose from among the services and care settings available.

Other Care Options

Adult Day Health Programs, Adult Foster Care, Congregate Housing, Home-Based Services, Hospice, Residential Care Facilities/Rest Homes, Respite Care, and Senior Housing/Independent Living

SKILLED NURSING AND REHABILITATION FACILITIES

Nursing facilities provide both short and long term care services for older adults and people with disabilities or chronic illnesses. Among the services provided are:

• 24-hour nursing care.

• Rehabilitative care such as physical, occupational, speech, and respiratory therapy.

• Help with personal care such as eating, dressing, toileting, and bathing.

In addition, a growing number of nursing facilities provide:

• Post Operative Rehabilitative Care.

• Inpatient and Outpatient Rehabilitation.

• Alzheimer’s Specialty Care.

• Respite Care.

• Restorative and Residential Care for People with Multiple Sclerosis and Other Neurological Disorders.

• Pediatric Specialty Care.

• Acquired Brain Injury Specialty Care.

• Short Term Care is available for individuals who have been hospitalized and need a period of medical monitoring and/or rehabilitation before returning home. Often referred to as subacute or transitional care, this kind of care can be provided in a freestanding nursing facility or in one of a few hospital-based skilled nursing units. Most stays are for fewer than 30 days, after which the patient usually returns home. This kind of care can be beneficial after a surgery or a prolonged hospitalization, or for rehabilitation following a stroke or other serious medical event.

• Long Term Care is available for people who are unable to live safely and comfortably at home, require 24-hour nursing care and support, and need help with many of the activities of daily living, such as eating, dressing, toileting and bathing. When considering long term nursing facility care, it is important to discuss the issue thoroughly with the person involved and his or her personal physician before the situation becomes an emergency. Finding the right facility can take time, and since some facilities have waiting lists, it helps to plan ahead so space will be available when it is needed.

Medicare/Medicaid paid services

Private pay services

Sources:

• Massachusetts Senior Care Association- If you have more questions about the best care options for you or your loved one, please contact Mass Senior Care directly at info@maseniorcare.org or 1-800-CARE-FOR.