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The Base Cost of Assisted Living

The expensive of living in a particular location, facilities’ onsite amenities, and extent of services provided help dictate costs as you would expect. The cost of Assisted Living across the country ranges from $1500 to $5000 monthly with the average probably somewhere around $2500-$3500 per month. These statistics and following information are based on my personal findings as a Nursing Assistant researching various facilities for families in need of housing and or Nursing Assistants care for their aging loved ones. The minimum monthly rent also depends on whether the accommodations are semi-private or private rooms, suites sharing bathrooms, studios with or without kitchens and one, two, or three bedroom apartments. Actual square footage, room location i.e. distance from dining room, and desirable views may be cause for further price variation within a certain facility. The monthly rent is actually considered as room and board with daily meals provided, in addition to housekeeping, laundry and transportation services. Be sure to know whether 1, 2 or 3 meals are served, whether every day or just certain days of week and if snacks are offered.

Admitting, entry, community, endowment or buy-in fees all refer to the possible up-front money that may be required prior to moving in. Although many of the Continuing Care Retirement Communities (CCRCs) or Life Care Communities still usually require these fees, it seems to be getting less in recent years. Monthly rents in CCRCs are comparable to those in Assisted Living Facilities without the entry fee. The Assisted Living and in-home Nursing Assistant element of these communities offering the continuum of Nursing Assistants care is very attractive to many, but frequently less available then 55+ community accommodations.Assisted Living or in-home Nursing Assistants is very attractive to many but most of the time less available then 55+ community accomodations. Be sure to plan ahead if this type of community appeals to you because many times it’s difficult to enter in the Assisted Living Level. Due to nursing assistants giving priority to in-house 55+ community residents who are already waiting.

Once the base rent has been determined, don’t be fooled in to believing this is your total monthly expenditure. Most Assisted Living Facilities or in-home Nursing Assistants care have some structure for different levels of care setup with a set fee schedule. The levels of care might be described as minimal, moderate, and maximal or as care assist and care enhanced. A care center might use a numeric system from 1 to 3 or 1 to 5 based on a the number of Activities of Daily Living (ADLs) a person needs a Nursing Assistant with. Such as bathing, grooming, dressing, and medication monitoring.This might consist of a certain amount of care in this base rent limited to about 30 minutes daily. Others who ascribe to a point system where the Nursing Assistant assessing the resident subtracts points for his or her care deficiencies. Regardless of the facility’s practice, it’s important to understand this ala-carte method of assigning levels of care with fee increments of $300-$400 for each level can add up to $2000 additional monthly costs. Most facilities are very forthcoming in explaining their fee structures thoroughly so there will be no surprises later. It is in their best interest as well as the potential resident to understand what is included in the monthly rent and what is considered additional. Most facilities have additional charges for medications, personal hygiene and medical supplies.

Understand that the monthly rent for most facilities includes utilities except for phone and perhaps cable TV. Keep in mind that you will no longer have the financial burden of homeowner’s insurance, property taxes, home maintenance and repairs. But have the convenience of the care of a Nursing Assistant.


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