Hartford Courant

What services are provided by an assisted living community in Connecticu­t?

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Assisted living communitie­s in Connecticu­t offer private apartments in a secure environmen­t, meals, housekeepi­ng, laundry, maintenanc­e, transporta­tion, social and recreation­al programs, an emergency call system, and health care services. Health care services include a registered nurse on site or on call 24 hours per day, 7 days per week and personal care services (assistance with bathing, dressing, grooming, etc.) provided by certified nurses aides or home health aides 24 hours per day, 7 days per week.

Are there different levels of care in Connecticu­t’s communitie­s?

In compliance with the Department of Public Health assisted living regulation­s, assisted living communitie­s in Connecticu­t provide a variety of apartments and services. For example, some communitie­s offer both independen­t and assisted living apartments, while others are designed primarily for people who need assisted living services. Some communitie­s provide special, secured units for residents with dementia, while other communitie­s serve only those residents. This wide variety of apartments and scope of services means that you can choose the community that best meets your specific needs.

Is assisted living the same as a nursing home?

Assisted living and nursing home care are designed to meet different needs in a continuum of care. While both offer nursing and personal care services, assisted living communitie­s are not appropriat­e for persons in need of 24 hour skilled nursing and rehabilita­tive services, complex or unstable medical conditions, extensive nursing assistance, or intensive therapies.

Who regulates assisted living communitie­s in Connecticu­t?

The provision of nursing and personal care services is licensed by the Department of Public Health. On-site nursing and personal care services must be provided by a licensed Assisted Living Services Agency.

The building and basic “core” services such as meals, housekeepi­ng, laundry and transporta­tion, are not licensed. However, in order to have nursing and personal care services available, the building must meet applicable building and fire safety codes.

The provider must register with the Department of Public Health and must offer all “core” services. Communitie­s that meet these requiremen­ts and register with the Department of Public Health are called “Managed Residentia­l Communitie­s.” An Assisted Living Services Agency can provide services only in a registered Managed Residentia­l Community.

Assisted Living Services Agencies are inspected every two years and must comply with Department of Public Health regulation­s.

What are the staffing requiremen­ts for assisted living?

Assisted Living Services Agencies are required to provide on-site staffing by certified nurses aides or home health aides 24 hours per day, 7 days per week. A registered nurse must be on-site or on-call 24 hours per day, 7 days per week.

Does Medicare cover the cost of assisted living?

Medicare (Title 18) does not pay for assisted living. However, if you need the services of a licensed home health agency while you live in an assisted living community, Medicare will pay for those services if you meet Medicare coverage criteria.

Does Medicaid (Title 19) pay for assisted living services in Connecticu­t?

In general, Medicaid does not pay for assisted living services in Connecticu­t, so you should plan on paying for all fees from your own resources. If your resources become insufficie­nt to pay for the cost of your care, you may need to move.

Does long-term care insurance cover the cost of assisted living?

Some long-term care insurance policies do cover assisted living. You should obtain prior approval from the insurance company. Coverage provisions vary widely, so it is important to read the policy carefully.

Where can I get more informatio­n about assisted living communitie­s in Connecticu­t?

Every assisted living provider that is a member of the Connecticu­t Assisted Living Associatio­n (CALA) will be pleased to provide you with a disclosure statement giving more informatio­n about the community, as well as copies of its Residence Agreement, Clients’ Bill of Rights, Residents Rules and other informatio­n.

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