Category Archives: Assisted Living

2012 Genworth Cost of Care Survey

Source: Genworth Financial, 2012

From the summary:
For the ninth consecutive year, Genworth has surveyed long term care service providers across the country. Genworth’s survey includes 437 regions that cover all Metropolitan Statistical Areas defined for the 2010 U.S. census.

Looking back at the past five years of survey results, Genworth recognizes emerging trends across the long term care services landscape. Overall, the cost of care among facility-based providers has steadily increased. For example, in 2007 the median annual rate for a private nursing home room was $65,700, compared with the 2012 median annual rate of $81,030. This means that Americans can expect to pay approximately $15,330 more per year today for a nursing home than they had to pay in 2007. This increase represents a 4.28 percent compound annual growth rate over that period.
In contrast to facility-based care, rates charged by home care providers for “non-skilled” services have remained relatively flat over the past five years. For example, whereas the national hourly private pay median rate charged by a licensed home health agency for a home health aide was $18 in 2007, the 2012 hourly rate has only slowly crept up to $19. The historical compound annual growth rate for this type of care service has been only 1.09 percent over a five-year period. Home care rates have remained flat in part because of increased competition among agencies and the availability of unskilled labor, and because the companies that provide these types of services do not incur the costs associated with maintaining stand-alone health care facilities.
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2011 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services, and Home Care Costs

Source: MetLife Mature Market Institute, October 2011

From the summary:
The national average daily rate for a private room in a nursing home rose 4.4% from $229 in 2010 to $239 in 2011.

The national average monthly base rate in an assisted living community rose 5.6% from $3,293 in 2010 to $3,477 in 2011.

The national average daily rate for adult day services rose 4.5% from $67 in 2010 to $70 in 2011.

The national average hourly rates for home health aides ($21) and homemakers ($19) were unchanged from 2010.

The 2010 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services, and Home Care Costs

Source: MetLife, October 2010

From the summary:
This survey provides national, statewide, and, in certain states (based on population), area-specific costs, average private-pay, daily rates for private and semi-private rooms in a nursing home, monthly base rates in assisted living communities, hourly rates for home health aide and homemaker services, and daily rates for adult day services.

2010 Genworth Cost of Care Survey

Source: Genworth Financial, April 2010

From the summary:
Nearly two-thirds of people over age 65 will need long term care at home or through adult day health care, or care in an assisted living facility or nursing home. And while most people think of long term care as impacting only those in senior years, 40 percent of people currently receiving long term care services are ages 18 to 64.*

The 2010 Genworth Cost of Care Survey can help families evaluate options and cover the growing cost of long term care. For the seventh year, Genworth Financial has surveyed the cost of long term care across the U.S. to help Americans prudently plan for the potential cost of this type of care in their preferred location and setting. The most comprehensive study of its kind, Genworth’s 2010 Cost of Care Survey, conducted by CareScout®, covers nearly 13,000 long term care providers in 436 regions nationwide.
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Methodology
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2009 Genworth Cost of Care Survey

Source: Genworth Financial, April 2009

The Genworth Cost of Care Survey was the first to publish cost of care results across 90 regions, touching every state. This year, Genworth expands the scope of the survey to help families, public policy representatives, financial planners and advisors, and others answer the question “What is the cost of long term care in my area?” This year’s expanded cost of care survey will cover 331 regions across America, including research within most Metropolitan Statistical Areas (“MSAs”). See full explanation and results starting on page 165 of the 2009 Genworth Cost of Care Survey.
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The Economic Crisis and Its Impact on State Aging Programs

Source: National Association of State Units on Aging, December 8, 2008

The current economic crisis has many state aging directors grappling with difficult decisions on budget cuts and reductions in services. Not since the late eighties has the economy looked as sluggish. The most challenging times in the economy increase demand for state planning, budgeting, and monitoring for services that are delivered at the community level on everything from providing assistance with heating bills to providing home delivered meals as well as all types of home health supports.

The National Association of State Units on Aging (NASUA) surveyed its members to gauge the impact of the economic downturn on aging services. The members of NASUA are the nation’s 56 officially designated state and territorial agencies on aging, often referred to as State Units on Aging (SUAs). This is the second survey on the economy that NASUA completed in 2008. The first survey was conducted in June 2008. The most recent and more extensive survey was conducted in November. Forty-four states and the District of Columbia responded to the survey.

Nursing Home Compare

Source: Centers for Medicare & Medicaid Services, December 2008

From the press release:
For the first time in history, the Centers for Medicare & Medicaid Services (CMS) today released quality ratings for each of the nation’s 15,800 nursing homes that participate in Medicare or Medicaid.

Consulting with a panel of experts from academia, patient advocacy and nursing home provider groups, CMS developed the rating system based on each nursing home’s performance in three critical areas:

* Health inspection surveys. Each year state and federal surveyors conduct about 15,800 on-site, comprehensive assessments of each nursing home’s health care services and compliance with federal/state rules. These surveys are designed to help protect the health and safety of residents, including resident’s rights and general quality of life. Surveyors also conduct about 50,000 complaint investigations each year. Information from the most recent three years of survey findings were used to develop the ratings.
* Quality measures. The quality rating system uses 10 key quality measures out of the 19 that can be found on the Nursing Home Compare Web site. Areas examined include the percent of at-risk residents who have pressure ulcers (bed sores) after their first 90 days in the nursing home, the number of residents whose mobility worsened after admission, and whether residents received the proper medical care.
* Staffing information. There is strong evidence that low staffing levels can comprise the level of patient care in a nursing home and is considered an important indicator of quality. This measure reports the number of hours of nursing and other staff care per patient per day. This measure is adjusted to account for the level of illness and services required by each facility’s residents.

A Parity Plan For Dual Eligibles: The Home and Community Services Copayment Equity Act of 2007

Source: Maribeth Bersani, Nursing Homes: Long Term Care Management, Vol. 56 no. 6, June 2007

Before January 2006 and the implementation of Medicare Part D, dual-eligible assisted living residents (those who receive Medicaid and Medicare benefits) were exempted from remitting co-payments for their prescription drugs. The exemption from co-payments was also applicable to individuals residing in skilled nursing homes, as well.

Under the new Medicare Part D program, however, dual-eligible residents in assisted living communities are not exempt from prescription drug co-payments. This has created a severe financial hardship for these residents who are already living on very low incomes. The only discretionary income most of these residents have is a Personal Needs Allowance (PNA)—frequently less than $60 per month. Residents use the PNA to pay for clothing, personal hygiene items, over-the-counter medications, and any other necessary items they need. To have to use this meager allowance to cover prescription drug co-pays is a true hardship.

In Brief: Assisted Living In Unlicensed Housing: The Regulatory Experience Of Four States

Source: Bernadette Wright, AARP Public Policy Institute, Research Report, April 2007

Assisted living is regulated differently in each state. In most states, assisted living is licensed as a single entity that provides housing and services to residents. However, in a growing number of states a new model of assisted living has emerged, in which the housing and services are separate. In this model, the building is not licensed, but instead makes arrangements with licensed service agencies to provide services to residents. Findings are based on a review of the laws and regulations and interviews with key informants in four states.