If you are searching for information about moving a loved one out of a Dallas TX – Fort Worth TX area assisted living, nursing home, rehabilitation hospital or senior living community, then this article will provide important information to consider. The Dallas – Fort Worth Metroplex has some of the best aforementioned facilities in the United States, so this article is certainly not meant to be a criticism of any them. The reality of the current COVID -19 pandemic has though, made them a higher risk for this infection and significantly limited needed healthy socialization among elderly/seniors from within and outside of these facilities. For these reasons, many families have, or are considering moving their loved one out and back into a residential home setting with in-home care and/or home health care.
As Director of Care Mountain, a licensed 24/7 in-home care home health agency, I have never in my 34+ years in this line of work seen anything like this pandemic and its effect on our senior and elderly population. We are getting constant calls from families who have not been able to have an in-person visit with their loved one in a congregate facility for months. Some of these loved ones are at end of life and likely to pass without any family presence. Families are also very concerned about their loved ones higher risk of COVID-19 exposure and resultant death due to living in these higher risk congregate types of settings.
The main considerations facing families in their decision to move their loved one are available destination options, ability to get adequate care in the new setting and cost. The two main destination options considered are moving into a residential setting and using in-home care and/or home health care, or moving into a small congregate setting such as residential group home providing assisted living services. Some residential group homes have visitation restrictions similar to larger congregate facilities, so be sure to understand these rules along with the COVID-19 risk exposure assessment in that congregate setting.
Determining if your loved one will get adequate care in their new setting is an obvious concern and will depend on factors specific to each case. From my 34+ years of experience, if a person’s heath condition is not very unstable and they have adequate financial means to pay for care, then they are likely to get adequate care at home. I have more often than not, seen elderly loved one health improvements upon moving back home/out and getting customized one-on-one in-home care and/or home health care. Ability to get adequate care outside of one of the congregate facilities, is often just limited by availability of funds to pay for adequate care.
Cost ends up being the determinant factor for most families considering moving a loved one out of one of the congregate settings. If you are paying out of pocket (private pay) for your care in one of the congregate facilities, then you can expect to pay a comparable amount, or often times less, for in-home care in a residential home. Many though, have their stays in one of the congregate facilities covered by Medicare or Medicaid, which will only pay out a tiny fraction, if any, of that amount in a residential home setting.
Costs are often much lower for private pay loved ones moving back into a residential setting, because they are often moving back in with family and avoid the costs of home ownership. Their main costs are for the in-home care caregiver, meals, supplies and medical bills. In the Dallas TX – Fort Worth TX area, Care Mountain home health agency provides a 24/7 in-home care caregiver for $10.25 to $12 hourly as a bases for comparison. If a loved one’s health improves as a result of moving into a single family residential home with adequate care, then costs may be even less as you calculate the cost of future medical expense savings. And then of course, how do you put a price on improved quality of life coming from such things as improved socialization and family interaction?
Here are some other helpful articles when it comes to moving someone out of nursing home, assisted living, rehabilitation hospital or senior living community: Moving Out of the Nursing Home, Moving From a Nursing Home Back Into The Community, Should You Take A Loved One Out of a Nursing Home During a Pandemic, Should You Consider Taking a Loved One Out of a Long Term Care Facility Now?, Worried About Covid-19 For a Loved One in Long Term Care? Here’s What to Consider, Residential Care Options – Alzheimer’s Association, Assisted Living Homes vs. Home Care. How to Decide and Should You Bring Mom Home From Assisted Living During the Pandemic?