1) What is a senior residential care home?Senior residential care homes (or group homes), are care homes that provide assistance with daily living. Most homes have a maximum of 10 residents. They are residential homes, typically in residential neighborhoods, & do not have the facility or “institutionalized” feel. Residential care homes provide a higher level of care than assisted living facilities, but less care than skilled nursing facilities (rehab/nursing homes). Residents in care homes receive much more personalized care from staff because there is a smaller caregiver to patient ratio. Since they are homes, they provide a comfortable “home-like” feel that many residents and families prefer. Licensed care homes are highly regulated by the state and must abide by specific regulations.
2) How much do you charge for rooms? Rent prices depend on whether the room is private or shared, level of care, and location. Prices vary typically ranging from $2,500-$4,500 per month. Unlike assisted living facilities, our rent cost is all-inclusive. We do not have "A La Carte" add-on services for additional assistance. The rent price comes with all care, including bathing assistance & help with all activities of daily living.
3) Do you take Medicaid? Yes! Both of our homes (8280 Hickam Ave 89129 & 3212 El Camino Rd 89146) are Medicaid approved providers. We can take residents who are approved for group home waivers (Home and Community Based Waivers-HCBW). If approved, they can assist with group home service costs. This has been extremely helpful for families & residents. Individuals interested in the group home waiver must contact the Aging and Disability Services Division (ADSD) for further questions. Please see link for more information. adsd.nv.gov/Programs/Seniors/HCBW/HCBW_Prog/
4) Do you have nurses and doctors who work at your facility 24/7?No, residential care homes are not medical facilities. We do not have 24/7 medical professionals such as doctors and RNs on duty. Normally, residents are assigned to home health, in-home providers and hospices based on the insurance. These providers come to the homes & do what is medically necessary for residents. Our caregivers & medication technicians are specifically trained on how to care for your loved ones, but they are not trained to “medically” treat patients (start/hang I.V.’s, draw blood, do injections, clean wounds, prescribe medications, etc.) See below for a more in-depth explanation on group home vs. medical providers.
5) My loved one is too sick to go back home and I am completely new to elderly group homes...what do I need to do for my loved one to be a part of one of your care homes? First of all, try not to worry, this is why we are here! We know how it is to suddenly have to find a new place for a loved one and how stressful it can be. Once we are contacted, we let you know what openings we have & our price range. We then typically schedule a tour of the home(s) you are interested in. If you decide to choose us (yay!), one or both of the managers (Heather & Cecile) go to see your loved one wherever they are (home, rehab, hospital, etc). We speak to their current providers and meet the potential resident to see what activities of daily living (ADLs) they need assistance with. Final rent prices are then discussed. From there, we coordinate with you, providers, or the rehab/hospital to get needed health documents. This is typically a physical exam, TB test, Negative COVID-19 test, medication list, etc. We also coordinate the transport of the patient to the group home. Upon arrival, required group home paperwork is filled out and we focus on making our new resident (and their loved ones) comfortable!
6) I am confused with what the difference is between group homes and my family member's medical needs. Please clarify! This is a very common question. Silver Horizon and European Home Care are the patient's place of residence (living quarters). We have trained caregivers working 24/7 to assist residents with daily living. Click here for a list of things we provide. Rent for the room/assistance is paid to us. Medical care is separate and insurance typically covers it.
Here is a common example (completely made up scenerio);Ernie is a resident at European Home Care. His primary diagnoses are dementia and stroke. He does not remember how to take care of himself anymore, and his wife cannot be his full-time caregiver any longer. The staff at European Home Care cooks his meals, feeds him, closely manages and gives him his medications based on medication orders, bathes him, changes him, does his laundry, cleans his room and beddings, and helps with anything else he needs. This is the "group home" part. Ernie is also under a hospice program that his Medicare insurance covers. This is the "medical" part of his care. Hospice providers visit our group home often to see/evaluate Ernie's condition and check/prescribe medications. The hospice is the group home's medical contact when there is a change in Ernie's condition or for any medical needs. They are in charge of providing medical visits, prescribing medications, and taking care of Ernie's medical needs. The hospice program also sends out Certified Nursing Assistants (CNAs) 5 days a week to give Ernie extra care such as bathing. Supplies such as diapers are typically covered by hospice programs.
Some people choose "home health" programs that their insurance covers. Home health typically provides physical and occupational therapy, nurse visits, and even occasional CNAs (based on Home Health). Nurse Practitioners that work with the home health, or other outside providers occasionally come to the group home to see the resident and are called if needed.
Another option is seeing a provider outside of the group home at an outpatient clinic. Loved ones usually bring them to their appointments and staff contacts the doctors office for any needed medications. Due to transportation issues and doctors offices not being on-call 24/7, this is frequently the most difficult option. We unfortunately do not provide transportation to and from appointments.
Regardless of what you choose, every resident must have a medical provider/contact. If you don't know what to choose, we can help in choosing a hospice or home health program that is covered by the resident's insurance. Group home staff and medical providers work together closely to provide the best possible care to your loved ones.
Feel free to contact us if you have any other questions!