Senior Resource Guide

Senior Resource Guide

INSIDE • Valuable Hospital Resources • Senior Living Options • Community Resources • Much More!

About Us

Adventist HealthCare Washington Adventist Hospital is an acute-care facility located in Takoma Park, Maryland. Opened in 1907, the hospital is Montgomery County’s first cardiac center, performing hundreds of open-heart surgeries and thousands of heart catheterizations each year.

100 YEARS OF CARING FOR THE COMMUNITY...

AND COUNTING! In 2007, Adventist HealthCare Washington Adventist Hospital celebrated 100 years of providing care to the communities it serves. As the hospital did a hundred years ago, it continues to strive to remain ahead. For this reason, the hospital is in the process of seeking state approval to build a relocated hospital on a 48-acre parcel of land near White Oak, about six miles from our current location and within the hospital’s service area. The White Oak hospital, along with medical services retained in Takoma Park, will strengthen health care in our region and expand access to health care for the communities it serves in Montgomery and Prince George’s counties and our surrounding areas.

LEADING EDGE, STATE-OF-THE-ART PROCEDURES Adventist HealthCare Washington Adventist Hospital has provided the Washington D.C. region with the most advanced, least invasive cardiac and vascular procedures with skill, compassion and experience for more than 50 years. The hospital was the first in the D.C. area to perform open heart surgery, numerous

cardiac procedures, including mitral valvuloplasty, and the first in the mid-Atlantic to perform a revolutionary type of surgery called Mini-Maze that can correct atrial fibrillation (AF), a common form of heart rhythm abnormality and a major cause of stroke.

HOSPITAL-BASED RADIATION ONCOLOGY Adventist HealthCare Washington Adventist Hospital’s radiation oncology program is the first hospital-based facility in all of Montgomery and Prince Georges Counties, and the first facility in the Washington Metropolitan area to be accredited by the American College of Radiation Oncology (ACRO).

WHOLE PERSON HEALTH Adventist HealthCare Washington Adventist Hospital is part of Adventist HealthCare, an integrated health care delivery system that includes hospitals, home health agencies, nursing and rehabilitation centers, and other healthcare services. This full spectrum of services covers a wide range of health care needs, providing the best care for you and your family – mind, body, and spirit.

Table of Contents Planning for a hospital stay–or a hospital discharge–doesn’t need to be stressful or intimidating. Whether you are managing a long-term illness or recovering from surgery, there are dedicated professionals at Washington Adventist Hospital and in the community to help you every step of the way. Patients and families can use this guide to locate the resources they need to achieve their health and wellness goals.

Washington Adventist Hospital resources Visitor and Patient Information..................................... 2 Planning Your Stay ............................................................ 3 Preparing for Discharge................................................... 4 Volunteering Opportunities........................................... 5 Population Health Services Programs.................... 6-7 Special Programs and Services ...............................8-11 Emergency Care ...............................................................12

Directory of Resources Our comprehensive directory of community resources lists hundreds of housing, home care and professional resources.

Prepared by Guide to Retirement Living SourceBook in an easyto-read format.

Retirement Communities.......................................16 Independent Living Communities......................18 Assisted Living Communities................................21 Nursing & Rehabilitation Centers........................27 Alzheimer’s and Memory Care..............................31 Home Care Providers...............................................32 Hospice.........................................................................39 Senior Resources.......................................................41 Copyright© 2015 by Greater Washington Publishing, LLC (GWP) in partnership with Washington Adventist Hospital Center, 1800 Alexander Bell Dr., Suite 120, Washington Adventist, VA 20191. Phone 1-800-394-9990. The contents of this publication may not be copied or reproduced in any manner without express written permission of the publisher. Every effort has been made to assure the accuracy of all information published in the Virginia Hospital Center Senior Resource Guide. Greater Washington Publishing, LLC and Washington Adventist Hospital Center assumes no liability for damages arising from errors or omissions. For information about advertising, circulation, or editorial content, call toll-free: 1-800-394-9990.

All property advertisements in the Washington Adventist Hospital Center Community Resource Guide are subject to the federal Fair Housing Act, which makes it illegal to advertise any preference, limitation, or discrimination because of race, color, religion, sex, handicap, familial status or national origin, or intention to make any such preference, limitation, or discrimination.

State and local laws forbid discrimination based on factors in addition to those protected under federal law. The Washington Adventist Hospital Center Community Resource Guide will not knowingly accept any advertising for real estate which is in violation of the law. All persons are hereby informed that all dwellings advertised are available on an equal opportunity basis.

We are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, familial status or national origin.

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Visitor & Patient Information Our commitment to quality medical care is more than just words. We have implemented a formal quality and safety program throughout the hospital. These processes, which encourage employees to establish goals and continuously look for ways to improve service and patient safety, are designed to ensure that our patients receive the best available care.

Visiting Philosophy Adventist HealthCare Washington Adventist Hospital recognizes that visits from family members, close friends and clergy are an important part of your healing process. Our visitation policy provides a safe environment that promotes patients’ physical and emotional well-being, provides adequate patient rest and allows time for medical therapies and nursing care.

Visitors are encouraged to communicate with the patient’s nurse to discuss visiting arrangements.

Visitors are asked to respect the nurse’s direction in coordinating visiting times according to each patient’s care needs and the needs of the family. If you need to enter the hospital after 8 p.m., please use the entrance next to the Emergency Department.

Valet Parking In an effort to better meet our patient’s needs, we now offer valet parking service at Adventist HealthCare Washington Adventist Hospital. This service is intended to significantly alleviate the parking hassles that our patients and visitors face on a daily basis. Patient’s and other drivers will be able to access this service at the main entrance circle of the hospital, under the canopy area.

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Washington Adventist Hospital Senior Resource Guide

Planning Your Hospital Stay

What to Expect • Patients are encouraged to have laboratory tests completed 24 to 72 hours in advance of being admitted to the hospital for a surgical procedure.

• Bring your hospitalization insurance card, policy or certificate with you when you check in, as well as a list of medications you are currently taking.

•Y ou will be asked many questions to ensure that your medical record is complete. All information is kept strictly confidential.

• If you have Advance Directives, please bring an original copy to the hospital to be placed in your medical chart. If you need a copy of the form to fill out your Advance Directives, the Admitting Office, Patient and Guest Services or the nursing unit can provide you with a form.

•Y ou will be asked to sign several release and consent forms for medical and/or surgical treatment.

The law requires this for your protection as well as the hospital’s. Permits for treatment of children under 18 must be signed by parents or legal guardians.

•Y ou will be given an identification band to wear on your wrist. As a safeguard, you should keep the band on during your entire stay.

• If you have any questions regarding payment of your bill, you may call the financial counselor at 301-891-5351, Monday-Friday, 8 a.m.-4:30 p.m.

• Any medicine you need will be prescribed by your doctor and given to you by the nursing staff.

Please notify your nurse of any medications you have brought with you.

• Be sure to bring only essential personal items such as clothing, glasses, hearing aids and dentures.

When these items are not in use, keep them in a case or container placed in the drawer of your bedside table. If you have brought valuables with you, you may choose to send them back home with family members or alert your nurse so they can be properly stored. Valuables may be deposited with the Admitting Office upon admission. The hospital cannot be held responsible for loss of personal valuables.

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Preparing to Leave the Hospital

The Social Work and Case Management departments offer assistance to patients and families to develop the post-hospital care plan that is best for each patient. The social workers and case managers are able to assess patient care needs, provide information on aftercare services available in the community, assist in making arrangements for care at home or in another health care facility, and offer counseling to help deal with the emotional and physical demands of the illness. In addition, a medical assistance worker is available to take and process medical assistance applications.

The procedure for leaving the hospital is outlined below: 1. Your physician will write a discharge order on your chart.

2. When you have been discharged, you will be asked to stop by the Admitting Office for a brief check-out, to ensure all your insurance and/or contact information is complete and accurate.

3. So that we may prepare your room for the next patient, we ask that you plan to leave no later than 11 a.m. on the day of your discharge. You are charged for your room on the day of admission, but not for the day of discharge if you check out by 11 a.m.

Patients are often discharged to other levels of care, such as rehabilitation and nursing centers or home health. These other levels of care provide excellent services to meet the patient’s post-hospital needs. If you have a concern about discharge planning, please call the Social Work/Discharge Planning Department at 301-891-5465 as soon after admission as possible to begin the planning process.

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Washington Adventist Hospital Senior Resource Guide

Transitional Care Care Program Program Transitional

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Volunteering Makes a Difference Imagine the possibilities to transform your community by serving the diverse population at Adventist HealthCare Washington Adventist Hospital. You have the chance to uplift, change, and impact the lives of the patients and guests that pass through our doors.

Volunteers are currently needed to fulfill our mission to “demonstrate God’s care by improving the health of people and communities through a ministry of physical, mental and spiritual healing.”

Hospital volunteerism offers great variety and is not just for the medically-minded. Volunteers work in a multitude of departments and are determined by skill set, availability, and experience.

OPPORTUNITIES Volunteers are accepted at a minimum of 15 years old and may be placed in one of the following capacities: • Patient Care - Volunteers with an interest in the medical field may be especially interested to work around patients or assisting techs. Some examples include Transport, Post Anesthesia Care Unit, and several Medical/Surgical units. No previous training is required and spaces are limited.

• Office/Clerical Support - Our greatest demand is the need for assistance in filing, paperwork, phones, and other tasks necessary to maintaining an efficient hospital. Work is often stationary and requires strong English proficiency skills.

• Guest Relations - Patients are our first priority and volunteers are needed in the guest relations division. Strong interpersonal skills are required.

• Mended Hearts - Are you interested in volunteering with cardiac patients? Have you undergone complex heart surgery yourself? Consider working as a Mended Hearts Volunteer in the Adventist HealthCare Washington Adventist Hospital Chapter.

BENEFITS • Experience the healthcare environment • Learn a new skill and gain work experience • Share your expertise • Stay active and involved • Reach out to those in need • Have fun and meet new people • Join a network of fellow volunteers • Make a difference in the lives of others • Explore your abilities by trying new activities

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Washington Adventist Hospital Senior Resource Guide

To be considered for volunteer opportunities at Adventist HealthCare Washington Adventist Hospital, please contact the office of Volunteers at 301-891-5444.

Population Health Programs Washington Adventist Hospital has a number of programs and partnerships that aim to address our patients’ broader health needs and spread our reach beyond the hospital’s walls and into the community. The following programs and partnerships are at the core of our mission to improve population health.

Hospital Programs Our hospital-wide programs aim to keep patients healthy in the community after an acute-care episode.

Transitional Care Program Free to Washington Adventist Hospital patients, the transitional care program is designed to ensure that, upon hospital discharge, patients are returning to a safe environment and have the information and tools necessary to successfully manage their health and prevent an unnecessary return to the hospital.

How does it work?

Before you are discharged from the hospital, a registered nurse (RN) will meet with you and explain the program in detail and ask if you would like to participate.

• If you accept, you will be set up with a scheduled home visit within 48-72 hours of being discharged.

• The home visit is then followed by phone calls for 90 days, on a needs basis, until you are stabilized and ready to return to your daily activities.

During the 40-45 minute home visit, the nurse carries out a number of tasks intended to empower patients and ensure their safety: U-Turn Program This program is focused on decreasing unnecessary hospital visits and unnecessary returns to the hospital. Upon entry to the Emergency Department (ED), a RN assesses patients for medical and social needs and works to connect them with the appropriate emergency care and community services to be treated and discharged directly from the ED. SeedCo SeedCo is an online software that connects patients and their families to public and private benefits programs. Washington Adventist Hospital is the first hospital in the country to start such an initiative.

Often patients are not aware of the benefits programs that they are eligible for. This system identifies and screens patients for a number of benefits such as Medicaid, food stamps, child care subsidies, housing benefits, transportation vouchers, and tax credits. Staff and volunteers follow up with patients and help them through any remaining application processes.

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Population Health Programs Tobacco Cessation Program The program consists of RNs identifying patients at the hospital who are smokers, assessing them based on their tobacco cessation history and their willingness to quit, and encouraging them to join the program. The program offers patients free nicotine replacement therapy and over-the-phone counseling for up to a year. The RNs also follow up with them in intervals to coach them and try to help them stay quit.

For more information, call 301-891-5004 or visit www.AdventistHealthCare.com/QuitSmoking Remote Patient Monitoring Program The program identifies patients in the hospital with chronic conditions prior to discharge and sends them home with remote home monitoring devices. The devices ask questions each day about symptoms related to their heart and allows them to input biometric data.

The devices are Bluetooth or wireless connected, and the data gets sent to a dashboard at Washington Adventist Hospital almost immediately after the patient records it. A nurse then looks gets a list of all of the patients daily. If a patient is having issues, the nurses intervene assist patients in getting them what they need and avoid an unnecessary return to the hospital.

Walgreens 340b Drug Program This is a partnership with Walgreens to provide a 30 day supply of discharge medications prior to discharge from Washington Adventist Hospital to ensure all patients have their needed medications in their hand prior to leaving the hospital.

Churches and Parish Nurses Adventist HealthCare works with the local parish nurse program, and works closely with local congregations. Around 10-15 religious organizations meet once every two-months in the offices of Washington Adventist Hospital. Parish nurses partner with Adventist on the traditional care needs of discharged patients, and go into the homes of the patients and provide a range of services, including everything from cardiovascular screenings, to taking individuals to the hospital, to trainings on women’s empowerment, self-defense classes, skin cancer screening, and children’s bullying.

Prescription Produce Program (partnership with Long Branch Health Enterprise) Washington Adventist Hospital partners with the Crossroad Community Health Market (less than a mile) and Long Branch Health Enterprise to provide a “prescription” for healthy foods for its underinsured/uninsured diabetic patients. Under the “double food stamps” program, the community market gives physicians fresh-checks and they can prescribe them to some of these patients, at half of the cost. The market has commitments from 22 vendors and local farmers.

For more information about our population health programs, call: 301-891-6695

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Washington Adventist Hospital Senior Resource Guide

Special Programs and Services

Eat Well for Health: Nutrition & Cooking Class Learn how different foods affect your body and which ingredients can help best support your health during our FREE cooking classes designed for diabetes and cancer patients and survivors. You’ll gain expert nutritional tips from registered dietitians, new creative recipes, and savvy cooking techniques from Adventist HealthCare’s executive chef Randall Smith!

Registration is required. Please call 301-891-5100

Diabetes Education Program The Diabetes Education Program at Adventist HealthCare Washington Adventist Hospital and Adventist HealthCare Shady Grove Medical Center provides comprehensive education and training

by Certified Diabetes Educators to help patients learn and manage all aspects of diabetes care and prevent complications.

Topics covered through the program include: • Blood glucose monitoring • Preventing short and long-term complications • Medication information • Healthy nutrition • Risk reduction • Exercise information • Goal setting, handling feelings, problem solving

Diabetes Support Group Our Diabetes Support Group provides emotional support and resources to help those living with diabetes or pre-diabetes. More info at www.AdventistHealthCare.com/diabetes or call 301-891-6105

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Special Programs and Services Look Good Feel Better Cancer Support Group The American Cancer Society’s Look Good Feel Better program is dedicated to improving the selfesteem and quality of life of people undergoing the treatment of cancer. The program’s approach is to improve the self-image appearance through complimentary group, individual, and self-help beauty sessions that create a sense of support, confidence, courage and community.

Adventist HealthCare has partnered with the American Cancer Society to bring quarterly twohour sessions are facilitated by a certified cosmetologist who teaches women undergoing cancer treatment about make-up tips and tricks, turban use, wig care and other information related to beauty. A free make-up kit is also given to each participant! Registration Line at 800-542-5096

Community Screening Program Our Community Screening Program includes brief consultation (1-4 minutes) with a Health Practitioner in regards to your heart health risk and desired screenings. We will be offering comprehensive screenings for cancer, cholesterol, heart disease, diabetes and body fat. Some screenings require a fee and fasting. Specific screenings and tests, fees and registration information call 800-542-5096

Walgreens Pharmacy Well Transitions Program A long wait at the pharmacy to fill a new prescription is something you come to expect, but it is often the last thing you want to do after leaving the hospital. To tackle this issue and to help ease the transition from hospital to home, Washington Adventist Hospital and Walgreens.

WellTransitions Program offers a number of services including: • Medication review – pharmacists review patients’ prescriptions upon admission to the hospital and at discharge; check for possible duplication of therapy and simplify medication regimen • Bedside medication delivery – Walgreens pharmacy staff member delivers medication to patient’s room and offers additional counseling as needed • Patient counseling – pharmacists provide medication counseling to both the patient and caregiver and work in close communication with the medical staff • Regularly-scheduled follow-up calls – pharmacists conduct regular calls to follow up on patient progress, discuss regimen and answer any questions or concerns • 24/7 pharmacist support – pharmacy staff is available to answer patient questions 24/7 either over the phone or online

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Washington Adventist Hospital Senior Resource Guide

Special Programs and Services Adventist HealthCare Adventist Medical Group Adventist HealthCare Adventist Medical Group is a local, multi-specialty physician network with convenient locations offering quality primary and specialty medical care. Adventist Medical Group is an affiliate with The GW Medical Faculty Associates and part of the Adventist HealthCare comprehensive system of local hospitals and health services that you know and trust. The Adventist Medical Group team partners with you to coordinate and manage health and wellness.

For more information call, 855-318-3667

Community Clinic (CCI) Community Clinic (CCI) is one of the oldest and largest providers of medical services to medically under-served people in Montgomery and northwestern Prince George’s counties, CCI offers two major health services programs. In the primary care program, CCI serves more than 10,000 children and adults who are economically disadvantaged, homeless, disabled, with state medical assistance coverage or uninsured. The state of Maryland Women, Infants and Children (WIC) nutrition education and food supplement program enrolls more than 30,000 pregnant and breast-feeding women and children under the age of five. Over half the pregnant women in Montgomery County receive WIC services. Together, the programs serve more than 45,000 people in need who count on CCI for medical and health-related care. CCI is a patient-centered medical home for a significant number of individuals, families, friends and neighbors in our community.

For more Information call 301-891-6285

Montgomery County Department of Transportation Services for Seniors & Persons with Disabilities Montgomery County is committed to providing mobility for seniors and persons with disabilities.

All of Ride On’s buses are wheelchair accessible. The County’s transit system is one of the best in the country. It consists of Ride On, Metrobus, Metrorail, and special transportation programs such as MetroAccess and Call-n-Ride. http://www.montgomerycountymd.gov/dot-transit/seniors

Adventist HealthCare Home Care Services Adventist HealthCare Home Care Services has been delivering health care and healing to our community for over 40 years. We are part of Adventist HealthCare, a non-profit network providing the continuum of care through Adventist HealthCare Shady Grove Medical Center, Adventist HealthCare Washington Adventist Hospital, Adventist Rehabilitation Hospital of Maryland, partnering physicians, and other specialized services throughout the Maryland and D.C. region.

Request a FREE, no obligation, Home Care Consultation & Needs Assessment to evaluate your situation and develop a care plan online at www.adventisthealthcare.com or by calling 800-506-1063.

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Special Programs and Services Adventist HealthCare Physical Health & Rehabilitation Adventist HealthCare Physical Health & Rehabilitation and our outpatient facilities, it is a simple matter of priorities.

For us, what always comes first are the goals of our patients - helping them to live their best lives - as they recover from illness or injury.

We maintain a level of excellence in patient care because we find every way to lead our patients back to life. We stay current in the latest clinical and technological developments. Each patient has the support of a team of experts and comprehensive programs in an environment of enthusiasm, healing, strength and optimism. We are built around the lives of our patients.

Adventist HealthCare Physical Health & Rehabilitation was the first acute rehab facility with a CARF accreditation for all four of its specialty programs: stroke, brain injury, spinal cord injury and amputee in a 5-state region (DC, MD, VA, DE, WV).

Request a free consultation to determine the best rehabilitation services for you or your loved one. If you require more immediate service, please contact a rehab professional at 240-864-6000.

Adventist HealthCare Behavioral Health & Wellness Services at Washington Adventist Hospital Our staff includes a multidisciplinary team of registered nurses, psychiatric counselors, social workers and activity therapists delivers • Acute Inpatient Care • Partial Hospitalization Program (PHP) • Intensive Outpatient Program • Intensive Outpatient Program for Co-Occurring Disorders • Medication Management For more information call 301-891-5615

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Washington Adventist Hospital Senior Resource Guide

Emergency Care

At Adventist HealthCare, we provide emergency health care services to more than 150,000 patients each year ranging in age from newborns to the elderly. Our facilities are open 24 hours a day, seven days a week and are committed to providing the highest quality emergency care in an efficient and timely manner. Our doors are open to anyone in need of emergency medical services.

The following are some guidelines that can help you or your loved ones in an emergency or urgent care situation. When in doubt, never hesitate to call your doctor, go to the emergency department, or call 911 for ambulance assistance.

WHEN SHOULD I VISIT THE EMERGENCY DEPARTMENT? These symptoms warrant an immediate trip to the Emergency Department: • Chest pain • Pain in the left arm, neck and jaw • Shortness of breath • Sudden onset headache that can be described as “the worst headache of your life” • Weakness on one side of your body or face. Weakness in one arm or leg • Slurred speech • Bleeding from a cut that will not stop with applied pressure • Vomiting blood or bright red blood in your bowel movements These symptoms warrant a call to your doctor: • Body aches, joint pain, or muscle pain • Flu-like symptoms that persist or get worse over 2 to 3 days

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Emergency Care • Any known medication side effect (e.g. nausea, diarrhea, vomiting, mild rash, yellowing of the skin or whites of the eyes) • Any other sign or symptom that is not typical for you WHAT IS THE MOST IMPORTANT THING FOR ME TO BRING TO THE ED? Bring your medical history to the ED. HOW MUCH TIME WILL MY VISIT TAKE? The length of your wait depends on how many patients are in the ED and how ill you are. The ED sees the most ill patients first. Upon arriving at the hospital, patients who did not come via ambulance will first see a nurse who will begin the triage process. Patients will be assessed and prioritized based on the seriousness of illness or injury. Since each individual will require different levels of medical care and treatment, the length of visit will vary for each patient.

CAN I HAVE VISITORS WHILE I AM IN THE ED? Due to limited space and to ensure optimal patient privacy, patients are allowed a limited number of visitors.

WILL I NEED TO BE ADMITTED TO THE HOSPITAL? Admittance to the hospital is determined after a thorough examination. Most patients seen in the ED do not need to be admitted to the hospital, but patients who need tests or treatments not conducted in the ED are admitted.

WHAT HAPPENS IF THE ED DOCTOR IS NOT ABLE TO PROVIDE ALL OF THE TREATMENTS I NEED WHILE I AM IN THE ED? In the ED, our first goal is to treat life-threatening illnesses and pain. Your illness may need more longterm care than we are able to provide in the ED. It is important that you go to your doctor or clinic appointment after leaving the ED, so they may continue to provide treatment for your illness.

HOW DO I PAY FOR MY TREATMENT? The registration staff can answer any questions that you may have about how to pay for your treatment. After being seen by our physician and your condition is stabilized, you may be asked for your insurance co-pay or to make payment arrangements.

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Washington Adventist Hospital Senior Resource Guide

Understanding Senior Living Options An Overview of Our Complete Listings Continuing Care - Page 16

Communities offering a comprehensive, lifetime range of care from independent living to nursing care. Costs and levels of care vary widely, and most communities require new residents to be healthy and independent.

Cost: $246 – $7,000+ per month. Entry fees are usually required.

Who pays: Primarily private pay, with some services covered by Medicare, Medicaid or long-term care insurance

Independent Living - Page 18

Housing designed for individuals who can live independently. Some are affiliated with health care facilities that provide added support if needed.

Cost: $166 – $7,000+ per month Who pays: Private pay or private pay with rent subsidy based on income

Assisted Living - Page 21

Housing for those who cannot live independently but do not need skilled nursing care. Level of assistance varies among facilities.

Cost: $1,000 – $8,000+ per month Who pays: Private pay with some services covered by long-term care insurance

Nursing and Rehabilitation - Page 27

Facilities staffed by health care professionals under the direction of a physician. Designed for individuals who need 24-hour skilled nursing care on a regular basis.

Cost: $100-$500+ daily rate Who pays: Private pay, Medicare, Medicaid or long-term care insurance

Home Care - Page 32

A variety of services designed to help keep individuals who need assistance in their current home.

Cost: Variable, depending on level and frequency of services Who pays: Private pay, Medicare, Medicaid or long-term care insurance

Resource Section- Page 41

A directory of senior-serving professionals available to provide a wide variety of services, from adult day care to transportation.

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

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Housing Options Retirement Communities

Receive Care for Life

Continuing care communities offer support for changing health needs

C

ontinuing Care Retirement Communities (CCRCs) offer long-term contracts that guarantee lifelong shelter and access to specified health care services. A staff of medical professionals is on hand to provide different levels of care, from independent living to assisted living and nursing care. A member can move up or down this continuum of care for the rest of their life.

Most CCRCs establish requirements for incoming residents based on age, financial assets, income level and physical health.

Residents are typically expected to move in while they are still independent to get to know the community. In return for guaranteed lifelong shelter, amenities and health care, residents usually pay a lump-sum entrance fee and regular monthly payments.

There are three basic types of CCRC contracts.

An extensive contract covers shelter, residential services, and amenities, plus unlimited long-term nursing care without an increase in monthly payments (except for increases related to operating costs and inflation adjustments). An extensive contract spreads the risk of catastrophic health care costs among all residents, so that no single person faces financial ruin.

Entrance fees and monthly costs under this contract are typically higher than those under modified or fee-for-service contracts.

A modified continuing care contract covers shelter, residential services and amenities, plus a specified amount of nursing care. After the specified amount has been received, the resident can receive

care at daily or monthly nursing care rates.

A fee-for-service continuing care contract covers shelter, residential services and amenities. While emergency and shortterm nursing care is usually included in the contract, access to long-term nursing care is guaranteed only at daily rates. Entrance and monthly fees are lower because residents are responsible for all long-term nursing and health care costs. Most CCRCs provide a variety of residential services that may be covered by monthly fees or be available at extra cost, depending on the contract.

Visit the CCRCs you are considering with a trusted family member. Immerse yourself as much as possible in the daily life, and assess the management’s philosophy and its relationship with residents.

Understand Entrance Fees

Knowing the options when paying for Continuing Care Retirement Communities(CCRCs)

M

ost CCRCs require payment of a one-time fee, usually called the entrance fee, before moving to the community. The entrance fee amount often depends on the level of care at the time of entry, type of housing chosen (with larger units requiring a larger fee) and agreement type. The entrance fee allows the CCRC to offer lower monthly fees and provide for the future needs of residents. State regulations can impact the terms of the entrance fee and in some states, refunds are called rebates. Entrance fees are typically structured in one of three ways: Declining scale refunds, also known as amortizing entrance fees, specify a period of time in which the entrance fee will be refundable to the resident on a declining basis. For example, if an entrance fee under this arrangement declines at the rate of 1 percent each month, after 6 months 94 percent of the entrance fee is refundable.

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Partially refundable entrance fees guarantee a specific percentage of the refund that will be returned within a certain period of time regardless of the term of residency.

For example, 50 percent of the entrance fee may be refundable upon termination of the contract or to the estate upon the resident’s death.

Full refunds offer just that, a full refund of the entrance fee. A fixed charge may be deducted before the refund is made, and the agreement generally states how long the refund is valid and under what conditions a refund is due. Entrance fees that offer full refunds are typically more expensive than those without refunds or those that are partially refundable or refundable on a declining basis.

Excerpt from Consumer Guide to Understanding Financial Performance and Reporting: Enhancing People’s Lives in Continuing The entrance fee amount often depends on the level Care Retirement Communities. The guide is of care at the time of entry, type of housing chosen available free of charge at www.carf.org. and agreement type.

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

Housing Options Retirement Communities

Fitness Center Gardening Area Pets Allowed

Golf Course/Putting Green

Swimming Pool Indoor Swimming Pool Outdoor

Continuing Care Accreditation Commission

Location

Nursing Care

Phone

Assisted Living

www.retirement-living.com Communities Offering Continuing Care

Independent Units

Listings provided by

Web Address

MONTGOMERY COUNTY Asbury Methodist Village Bedford Court Brooke Grove Retirement Village

Charles E. Smith Life Communities Friends House Retirement Community Ingleside at King Farm Maplewood Park Place The Village at Rockville Riderwood

301-216-4136 301-598-2900 301-260-2320 301-816-5000 301-924-5100 240-499-9019 301-530-0500 301-354-8485 800-917-3141

Gaithersburg 827 133 257 n Silver Spring 218 76 60 n Sandy Spring 40 108 168 n Rockville 499 60 556 n Sandy Spring 131 21 82 Rockville 245 32 45 n n n n Bethesda 207 21 31 n n Rockville 138 50 160 n Silver Spring 1901 207 117 n n n

n n n n n n n n n

n n n n n n n n

PRINCE GEORGE’S COUNTY Collington, A Kendal Affiliatte Riderwood

Please confirm all information with communities.

301-679-3880 800-917-3141

Mitchellville 342 66 44 n n n n Silver Spring 1901 207 117 n n n n n

Highlighting denotes paid sponsorship Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

17

Housing Options Independent Living

Independent Living Communities

T

Communities offer security with no home maintenance

he more years you put behind you, the more worries you may have about continuing to maintain your home. When you do not need medical supervision, but feel like washing your hands of endless home-related tasks, independent living is an option that can help.

What is Independent Living?

Independent living communities are residential communities for active older adults who want an enjoyable lifestyle free of the worries and trouble of home maintenance. They are similar to any apartment, condominium or single-family

development, except that they provide special services, including security—an important consideration for many residents.

Most independent living communities are fully secured, with staff members greeting and screening all visitors around the clock.

Residents can leave home for extended periods of time knowing that their living quarters will be safe.

As many individuals at this stage in their lives are looking to pursue new hobbies and interests with their free time, the activities and amenities available at a community are a major factor for potential residents. Several independent living communities provide a full range of activities such as shopping trips, outings to cultural events and organized gath-

erings that promote socialization. Some communities also have tennis courts, swimming pools, activity rooms and other amenities that keep residents active and engaged. Most offer a variety of meal plans, including the option to prepare meals in your own apartment.

Most independent living communities do not offer health care services (such as those provided, for example, by assisted living communities and skilled nursing/rehabilitation facilities), but some independent living communities are affiliated with health care facilities that can provide such care when it is needed.

Residents also have the option of purchasing home health care services from outside providers to whom they may have grown accustomed.

Wellness Center

Dining Facilities

Fitness Center

Gardening Area

Beauty/Barber Shop

Pets Allowed

Public Trans. Nearby

Location

Private Transportation

Phone

Subsidies

www.retirement-living.com

Independent Living Communities

Total Units

Listings provided by

Web Address

MONTGOMERY COUNTY Andrew Kim House Arbor Crest of Silver Spring Arcola Towers Asbury Methodist Village Aspenwood Senior Living Community B'nai B'rith Homecrest House Bauer Park Apartments Bedford Court Bethany House Brooke Grove Retirement Village

Charter House Churchill Senior Living Covenant Village Five Star Premier Residences of Chevy Chase Fox Hill Franklin Apartments Friends House Retirement Community Gardens of Traville Hampshire Village

301-260-2500 Olney 877-324-0959 Silver Spring 301-929-6775 Silver Spring 301-216-4100 Gaithersburg 301-598-6424 Silver Spring 301-598-4000 Silver Spring 301-460-4545 Rockville 301-598-2900 Silver Spring 301-881-0700 Rockville 301-260-2320 Sandy Spring 301-495-1600 Silver Spring 301-528-4400 Germantown 301-540-1162 Germantown 301-907-8895 Chevy Chase 301-968-1800 Bethesda 301-270-5525 Takoma Park 301-924-5100 Sandy Spring 301-762-5224 Rockville 301-924-6565 Silver Spring

Please confirm all information with communities.

18

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

76 n n n n n n n 80 n n n n n n 25 n n n n n 823 n n n n n n n n 85 n n n n n n n 235 n n n n n n n n 142 n n n 218 n n n n n n n n 250 n n n 40 n n n n n n 212 n n n n n n n 121 n n n n n n 89 n n n n n n n 313 n n n n n n n 240 n n n n n n n n 185 n n n 131 n n n n n n 230 n n n n n n 111 n n n n n Highlighting denotes paid sponsorship

Housing Options

Independent Living

MontgomeryCounty Continued Ingleside at King Farm Kensington Park Kentlands Manor Lakeview House Maplewood Park Place Oaks at Four Corners, The Oaks at Oldetowne, The Randolph Village Revitz House Riderwood Ring House Seabury at Springvale Terrace Sunrise at Montgomery Village The Village at Rockville Town Center Apartments Victory Court Victory Forest Victory Oaks Victory Terrace Victory Tower Willow Manor at Clopper's Mill Willow Manor at Colesville Willow Manor at Fair Hill Farm

240-499-9019 Rockville 301-946-7700 Kensington 301-926-0696 301-469-6927 Bethesda 301-530-0500 Bethesda 301-681-6632 Silver Spring 301-519-8290 Gaithersburg 301-622-4800 Silver Spring 301-770-8450 Rockville 800-917-3141 Silver Spring 301-816-5012 Rockville 301-587-0190 Silver Spring 301-921-0445 Montg. Village 301-354-8485 Rockville 301-424-5450 Rockville 301-294-1111 Rockville 301-589-4030 Silver Spring 301-445-1445 Silver Spring 301-983-9600 Potomac 301-270-1858 Takoma Park 301-916-5277 Germantown 301-384-8500 Silver Spring 301-260-7620 Olney

Wellness Center

Dining Facilities

Fitness Center

Gardening Area

Beauty/Barber Shop

Pets Allowed

Location

Public Trans. Nearby

Phone

Private Transportation

Independent Living Communities

Subsidies

www.retirement-living.com

Total Units

Listings provided by

Web Address

245 n n n n n n n n 61 n n n n n n n n 206 n n n n n n 152 n n n n n 207 n n n n n n n n 120 n n n n n 72 n n n n n 130 n n n n n n 249 n n n n n 1901 n n n n n n n n 250 n n n n n n 120 n n n n n n n 92 n n n n n n n 141 n n n n n n n 112 n n n 86 n n n n 181 n n n n n 48 n n n n 72 n n n n n 187 n n n n n n 102 n n n n n 83 n n n n n n n 100 n n n n n n

PRINCE GEORGE'S COUNTY Avondale Park Apartments Bowie Commons Branchwood Towers Cheval Court Chillum Oaks Adventist Apartments Clinton Manor Apartments Collington, A Kendal Affiliate Council House Emerson House Apartments Evergreen Senior Living Community Fort Washington Adventist Apartments Ft. Washington Manor Gateway Village Green Ridge House House of Faith Jericho Residences Largo Landing Fellowship House Laurel Lakes Apartments Manor Apartments Manor at Victoria Park, The

301-853-7787 Hyattsville 88 n n n n n n n 301-249-2575 Bowie 36 n n n n 301-856-1620 Clinton 180 n n n n 301-736-0685 Forestville 26 n n 301-853-2755 Hyattsville 48 n n n 301-877-0444 Clinton 111 n n n n n 301-679-3880 Mitchellville 342 n n n n n n n n 301-423-0228 Suitland 161 n n n n n 301-779-6196 Bladensburg 220 n n n n n 301-218-5150 Bowie 110 n n n n n 301-203-7726 Fort Washington 47 n n n 1-888-258-4873 Fort Washington 150 n n n n n n n 301-324-0313 Capitol Heights 84 n n n n n n n n 301-474-7595 Greenbelt 100 n n n n n n n n 301-935-0630 College Park 3 n n n n 301-841-6711 Landover 270 n n n n n n 301-249-2100 Upper Marlboro 105 n n n n 301-317-0500 Laurel 125 n n n n n n n n n 301-853-2900 Hyattsville 62 n n n n n 301-630-0096 Temple Hills 102 n n n n n n

Please confirm all information with communities.

Highlighting denotes paid sponsorship Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

19

Housing Options Independent Living

Prince George’s County Continued Marwood Senior Apartments Mrs. Phillipines Home for Senior Citizens Park View at Bladensburg Park View at Laurel Park View at Laurel 2 Rainier Manor Rollingcrest Commons Selborne House of Laurel St. Paul Senior Apartments The Lodge at Marlton The Willows at Victoria Falls Trinity Terrace Victory House of Palmer Park Vistas at Lake Largo, The Willows Senior Community Windsor Crossing Senior Apartments Woodmore House Assisted Living Woodside Village

20

Wellness Center

Dining Facilities

Fitness Center

Gardening Area

Beauty/Barber Shop

Pets Allowed

Public Trans. Nearby

Location

Private Transportation

Phone

Subsidies

www.retirement-living.com

Independent Living Communities

Total Units

Listings provided by

301-599-1700 Upper Marlboro 155 n n n 301-567-9537 Oxon Hill 74 n n n n n n 301-699-9785 Bladensburg 102 n n n n 301-490-1526 Laurel 153 n n n n 301-490-9730 Laurel 105 n n n n 301-699-9795 Mount Rainier 104 n n n n n 301-559-2225 Hyattsville 140 n n n n n n 301-604-2635 Laurel 126 n n n n 301-350-1100 Capitol Heights 223 n n n n n n n n 301-599-5422 Upper Marlboro 102 n n 301-317-7701 Laurel 75 n n n 301-630-7717 Temple Hills 71 n n n n n n 301-341-4995 Landover 69 n n n n n n n n 301-350-4766 Largo 110 n n n 301-390-8000 Bowie 79 n n n 301-669-6540 Suitland 125 n n n n n 301-925-1515 Upper Marlboro 10 n n n n n n n n 301-839-2150 Fort Washington 200 n n n n n

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

Web Address

Housing Options

A ssist e d L ivin g

Assisted Living Communities Providing supportive services

A

ssisted Living communities offer housing and a variety of supportive services delivered by qualified staff members. As opposed to independent living communities, health care services are available at assisted living communities. The Assisted Living Federation of America (ALFA) notes that assisted living is “a unique transition from independent living without care” that “helps seniors enjoy an improved quality of life with independence and care combined.”

Community amenities vary widely but can include private units, state-of-the-art facilities, beautifully decorated common areas, barber shops and beauty parlors, pharmacies, physical therapy services, recreation rooms, libraries, gardening areas, and fitness centers.

Consumers will quickly find that assisted

living communities, also commonly called residential care facilities or personal care homes, come in a variety of shapes and sizes.

Who Needs It? Residents of assisted living usually include anyone who needs some help with the activities of daily life. These include eating, bathing, dressing, transferring, toileting, medication management and walking.

Most communities offer three meals a day served in a common dining area. Many also offer some type of assistance with transportation. Housekeeping and laundry services are standard offerings. Staff members are available to meet resident needs 24 hours a day. Most communities are equipped with security systems, and emergency call systems are often available in all residences. For residents with more acute health care needs, such as Alzheimer’s or

other forms of dementia, special units and/ or specially trained staff members are often available. In addition, communities offer a wide range of social activities to stimulate resident contact.

Choosing a Community First and foremost, consider the needs and desires of the potential resident. Narrow the search by reviewing a list of all the local communities.

Request a brochure from your top choices, as well as other specific information such as the resident agreement or contract, a list of services and amenities, detailed prices, staffing information, admission and discharge criteria, and community rules.

Visit a facility more than once to get a complete feel of the lifestyle at the community. Talk with staff and residents and tour the entire facility.

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

21

Housing Options A ssist e d L ivin g

Respite Care Gardening Area

Location

Alzheimer’s/Dementia Care

Phone

Scheduled Transportation

Assisted Living Communities & Homes

Subsidies Private Units Available

www.retirement-living.com

Total Units

Listings provided by

Web Address

MONTGOMERY COUNTY Aberdeen House I & II

240-472-4787

Rockville

16 n n n n

Aberdeen Manor

240-472-4787

Rockville

5 n n n

Absolute Assisted Living

301-774-1666

Rockville

5 n n n n

Advantage Assisted Living, LLC

301-622-1688

Silver Spring

5 n n n n n

Agape Assisted Living

301-572-6038

Silver Spring

5 n n n n n

AlfredHouse Florence

240-401-1753

Rockville

8

n n n n n n

AlfredHouse Needwood

240-401-1753 Derwood

5

n n n n n n

AlfredHouse Shalom-Kosher

240-401-1753

Silver Spring

8

n n n n n n

AlfredHouse I

240-401-1753

Rockville

AlfredHouse II

240-401-1753

Silver Spring

8

n n n n n n

AlfredHouse III

240-401-1753

Rockville

8

n n n n n n

AlfredHouse IV

240-401-1753

Rockville

8

n n n n n n

Rockville

16 n n n n n

AlfredHouse V

240-401-1753

Andrus House

301-656-8823

Angel’s Garden at Breeze Hill, The

301-806-0151

Silver Spring

Angel’s Garden at Bustleton

301-806-0151

Silver Spring

8 n n n n n

Angels Garden, The

301-806-0151

Rockville

15 n n n n n

Apple Blossoms Assisted Living

301-445-5837

Silver Spring

5 n n n n n

Arbor Place Dementia Care

301-924-0666

Rockville

16 n n n n n

Arden Courts Memory Care - Kensington

301-493-7881

Kensington

64 n n n n

Arden Courts Memory Care - Potomac

301-983-3620

Potomac

48 n n n n

Arden Courts Memory Care - Silver Spring

301-847-3051

Silver Spring

52 n n n n n

Ashier Manor

301-250-6660 Germantown

5 n n n n

Aspenwood Senior Living Community

301-598-6424

47 n n n

North Bethesda 15 n n n n n

Silver Spring

7 n n n n n

Assisted Living of Potomac

240-506-7719

Potomac

8 n n n n

Assisted Living of Rockville

301-356-3453

Rockville

8

Atrium Active Home

240-793-6052

Silver Spring

8 n n n n n

Atrium Kosher Home

240-793-6052

Potomac

8 n n n n n

Atrium Stonecrest Home

240-793-6052

Silver Spring

8 n n n n n

Bethesda

8 n n n

n n n n n

Auxiliary House-Alzheimer’s Care

301-384-4017

Avalon House-Andrus House

301-656-8823

B’nai B’rith Homecrest House

301-598-4000

Silver Spring

42 n n n n

Bartholomew House - Victory Housing

301-320-6151

Bethesda

30 n n n n n

Bedford Court

301-598-2900

Silver Spring

76 n n n n n

Benevolent Senior Home

301-434-7464

Silver Spring

5 n n n n

Bethany Living 1

301-651-3225 Gaithersburg

5 n n n n

Biltmore House

301-585-6568

Silver Spring

8 n n n n n

Bliss Villa

301-625-0474

Silver Spring

5 n n n n n

Bliss Villa 11

301-980-2836

Silver Spring

5 n n n n n

Blue Star Assisted Living Residence

301-571-8925

Bethesda

North Bethesda 15 n n n n n

Please confirm all information with communities.

22

16 n n n n n n

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

5 n n Highlighting denotes paid sponsorship

Housing Options

A ssist e d L ivin g

Respite Care Gardening Area

Location

Alzheimer’s/Dementia Care

Phone

Scheduled Transportation

Assisted Living Communities & Homes

Subsidies Private Units Available

www.retirement-living.com

Total Units

Listings provided by

Brighton Gardens of Friendship Heights

301-656-1900

Chevy Chase 107 n n n n n

Brighton Gardens of Tuckerman Lane

301-897-8566

North Bethesda 101 n n n n

Brightview Fallsgrove

240-314-7194

Rockville

94 n n n n

Brookdale Potomac

310-765-9198

Potomac

93 n n n n

Brooke Grove Retirement Village

Brookeville House Assisted Living

301-260-2320

Sandy Spring 108 n n n n n

301-957-0752

Brookeville

Byrds of Heaven Assisted Living

301-592-8720

Silver Spring

Byron House - Victory Housing

301-469-9400

Potomac

Caring Companion

301-649-7414

Silver Spring

14 n n n n n

Cascadia Courts, LLC

301-388-0844

Silver Spring

10 n n n

Catherine’s House

301-428-0562

Clarksburg

5 n n n n n

5 n n n n n 5

n n n n n n

30 n n n n n

Cedar Glen-Alzheimer’s Care

301-384-4017

Potomac

8 n n n

Clifton Woods-Alzheimer’s Care

301-384-4017

Silver Spring

8 n n n

Cohen-Rosen House

301-816-5050

Rockville

18 n n n n n

Cottage at Curry Manor

301-652-4344

Bethesda

8 n n n

Country Living

301-977-8593

Poolesville

5

Cresthaven, The

301-439-5949

Silver Spring

8

n n n n

Dayspring Senior Home

301-294-0252

Rockville

4

n n n n n n

Denley House

301-949-0466

Silver Spring

8

n n n n n n

Devotion Assisted Living

301-540-2472

Silver Spring

5

Eden Homes Group-Bells Mill

301-299-2637

Bethesda

8 n n n n n

Eden Homes Group- Greyswood

301-299-2637

Bethesda

8 n n n n n

Eden Homes Group- Ipswich

301-299-2637

Bethesda

8 n n n n n

Eden Homes Group-Liberty

301-299-0090

Potomac

8 n n n n n

Eden Homes Group-Stoneham

301-299-2637

Bethesda

8 n n n n n

Eden Kosher Home

301-299-0090

Potomac

Fatima Assisted Living Services, LLP

240-389-2918 Gaithersburg

5 n n n n

Foxhall Assisted Living Care Providers

301-460-1994

5 n n n n

Silver Spring

n n n n n

8 n n n n

Evergreen Eldercare Assisted Living

301-476-7538

Silver Spring

8 n n n n

Five Star Premier Residences of Chevy Chase

301-907-9894

Chevy Chase

22 n n

Friends House Retirement Community

301-924-5100

Sandy Spring 21 n n n n

Gabriel Home

301-622-4114

Silver Spring

Glorious Care, LLC

240-389-2918 Damascus

5 n n n n

Golden Years Senior Home

301-589-9578

Silver Spring

6

n n n n n n

Good Hope Home Care

301-879-2289

Silver Spring

5

n n n n n

8 n n n

Good Samaritan Assisted Living, LLC

301-681-5251

Silver Spring

10 n n n

Grace House- Victory Housing

301-924-4424

Silver Spring

30 n n n n n

Green Acre Group Home

301-236-6869

Silver Spring

8

n n n n n n

Green Acre Group Home II

301-622-6380

Silver Spring

8

n n n n n n

Heritage House I & II

301-570-4420

Silver Spring

14 n n n n

Hillwood-Alzheimer’s Care

301-384-4017

Bethesda

Please confirm all information with communities.

Web Address

8 n n n Highlighting denotes paid sponsorship

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

23

Housing Options A ssist e d L ivin g

Respite Care Gardening Area

Alzheimer’s/Dementia Care

Scheduled Transportation

Assisted Living Communities & Homes

Subsidies Private Units Available

www.retirement-living.com

Total Units

Listings provided by

Phone

Location

301-879-2852

Silver Spring

8 n n n

Himalayan Elderly Care, Inc. II

301-455-6016

Silver Spring

14 n n n

House of the Holy Family

301-236-4009

Silver Spring

5 n n n

Immanuel Senior Living

301-421-1895

Silver Spring

5

Ingleside at King Farm

240-499-9019

Rockville

32 n n n n

J & J Home of Ashton

301-924-9017

Ashton

8

Jeya Assisted Living I

301-585-9832

Silver Spring

7 n n n

Jeya Assisted Living II

301-572-4529

Silver Spring

5 n n n

JK House of Grace

301-792-1144

Silver Spring

8 n n n n

JK House of Grace II

301-792-1144

Silver Spring

8 n n n n

JK House of Grace III

301-792-1144

Silver Spring

8 n n n n

JK House of Grace IV

301-792-1144

Rockville

4 n n n n

Kaur Home

301-721-1530 Derwood

Kensington Park

301-946-7700

Kindley Assisted Living at Asbury Methodist Village

301-987-6105 Gaithersburg 133 n n n n n

Web Address

Montgomery County Continued Himalayan Elder Care

Kensington

n n n n n

n n n n n

140 n n n n n n

Kingshire Manor-Genesis HealthCare

301-315-1900

Rockville

34 n n n n n

Landow House

301-816-5050

Rockville

60 n n

Layhill Manor

301-871-8740

Silver Spring

8 n n n

Laytonsville Estates Assisted Living

240-477-8172 Gaithersburg

14 n n n n n

Lins House Assisted Living

301-216-2414 Gaithersburg

7 n n n n

Maple Ridge-Alzheimer’s Care

301-384-4017

Rockville

14 n n n

Marian Assisted Living - Victory Housing

301-570-3190

Brookeville

40 n n n n n

Milo Care, Inc

301-728-2292

Silver Spring

5 n n n

Montgomery Eldercare

240-560-6082

Silver Spring

5 n n n n n

Muriel’s Home ( Kosher Home)

301-681-6196

Silver Spring

8

n n n n n n

Natalie House

301-585-4780

Silver Spring

6

n n n n n n

Nightingale House

240-418-4774 Gaithersburg

5 n n n

Olney Assisted Living

301-570-0525

Olney

64 n n n n

Oriri I & II

301-384-9358

Silver Spring

13 n n n n n n

Perry Home Assisted Living

301-592-8353

Silver Spring

8 n n n n n

Phelps House, The

301-455-5995

Kensington

Potomac Senior Village

301-299-1670

Potomac

Porter House of Care

301-460-1733

Silver Spring

5 n n n n n

Raphael House - Victory Housing

301-217-9116

Rockville

31 n n n n n

Rebecca House

301-656-8823

Potomac

15 n n n n n

Rejuvenation

301-989-1665

Silver Spring

Riderwood

800-917-3141

Silver Spring 170 n n n n n

Seabury at Springvale Terrace

301-587-0190

Silver Spring

36 n n n

Senior Health Care, Inc.

301-754-2544

Silver Spring

8 n n

Serene Homestead Assisted Living LLC

301-875-5815

Silver Spring

8 n n

Please confirm all information with communities.

24

5

n n n n n

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

5

n n n n n n

10 n n n n n

5 n n n

Highlighting denotes paid sponsorship

Housing Options

A ssist e d L ivin g

Serenity Assisted Living Shady Grove Center - Genesis HealthCare Spring Meadows Assisted Living, LLP Summerwood Garden Assisted Living Sunrise at Fox Hill Sunrise at Montgomery Village Sunrise of Rockville Sunrise of Silver Spring Sunshine Home Care, Inc Sycamore Acres I Sycamore Acres II The Solana Olney , A Brookdale Managed Community The Village at Rockville Trudie’s Home Senior HealthCare, Inc. Warm Heart Family Assisted Living Winter Growth, Inc. Montgomery Center

301-675-3301 Rockville 301-315-1900 Rockville 301-572-7655 Silver Spring 240-381-2540 Silver Spring 301-968-1800 Bethesda 301-921-0445 Mont. Village 301-309-0500 Rockville 301-625-8655 Silver Spring 301-987-9600 Mont. Village 301-922-0615 Derwood 301-922-0615 Derwood 301-570-2611 Olney 301-354-8485 Rockville 301-754-2544 Silver Spring 240-398-1433 Germantown 301-774-7501 Olney

5 n 34 5 n 5 83 50 70 65 8 n 12 8 79 50 8 8 n 16

n n n n n n n n n n n n n n n n

Respite Care Gardening Area

Location

Alzheimer’s/Dementia Care

Phone

Scheduled Transportation

Assisted Living Communities & Homes

Subsidies Private Units Available

www.retirement-living.com

Total Units

Listings provided by

Web Address

n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n

PRINCE GEORGE’S COUNTY Able Hands Healthcare Services Abundant Love Homes Adol Assisted Living - Montpelia House Adol Assisted Living - Pine Tree House All Glory Healthcare Services Alpha & Omega Assisted Living Angel Connexion Assisted Living Angel Square Assisted Living Anne Dalton Home Arbor Terrace Senior Living Ark Assisted Living Ascension Home Autumn Meadows (2 Homes) Benevolent Assisted Living 1 & 11 Bowie Assisted Living, Inc. Brookdale Woodward Estate Candice Cares Assisted Living Candice Cares at Webbwood Canterbury House Assisted Living Caring Touch Senior Care Carol’s Care Assisted Living Castle of Love Elder Care Home Castle of Love II Assisted Living Home Castle of Love III Assisted Living Home Chesney House Assisted Living Collington, Episcopal Life Care Community

301-577-4430 Lanham 8 n n n n 202-330-6655 Laurel 8 n n n n n n 301-442-9663 Laurel 6 n n n n n 301-297-7344 Clinton 6 n n n n n 301-323-1519 Bowie 5 n n n n 301-655-4761 Bowie 5 n n n n 301-780-9184 Upper Marlboro 7 n n n n n n 301-516-1633 District Heights 7 n n n 410-721-3638 Bowie 8 n n n n n 301-241-8081 Lanham 114 n n n n n 301-318-2700 Bowie 5 n n n n n 301-333-5240 Upper Marlboro 6 n n n n n n 301-262-0123 Bowie 41 n n n n n n 301-755-4696 Bowie 10 n n n 301-352-3642 Bowie 8 n n n n n 301-464-4400 Bowie 80 n n 301-356-5067 Riverdale 5 n n n 301-333-0240 Upper Marlboro 8 n n n 301-630-4438 Temple Hills 8 n n n 301-248-9877 Fort Washington 8 n n n n n 301-772-3219 Springdale 5 n n n 301-499-9555 Largo 8 n n n n n 301-218-6561 Bowie 7 n n n n 301-249-4594 Upper Marlboro 8 n n n n n n 301-464-3290 Bowie 6 n n n n 301-679-3880 Mitchellville 66 n n n n n Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

25

Housing Options A ssist e d L ivin g

Respite Care Gardening Area

Alzheimer’s/Dementia Care

Scheduled Transportation

Assisted Living Communities & Homes

Subsidies Private Units Available

www.retirement-living.com

Total Units

Listings provided by

Phone

Location

Corkran House Assisted Living

240-603-4813

Temple Hills

CR Care of Laurel

301-483-0001

Laurel

Crescent Cities Ctr. -Genesis HealthCare

800-205-9342

Riverdale

Cureton Assisted Living, LLC

301-262-3351

Bowie

6 n n n n

Dail Haven Assisted Living

301-367-5890

Temple Hills

8 n n n n

Elyric’s Amazing Care II1 Assisted Living Facility

240-418-0009

Adelphi

7

n n n n n

Elyric’s Amazing Care II Assisted Living Facility

240-418-0009

Tacoma Park

6

n n n n n

Emmanuel Assisted Living I

301-996-1221

Bowie

8

n n n n n

Emmanuel Assisted Living II

301-996-4842

Bowie

8

n n n n n

Eva Care Assisted Living

301-741-7847

Bowie

8 n n n n n

Family Love (Two Homes)

301-336-8588

Landover

10 n n

Suitland

5

n n n n

Capital Heights 5

n n n n

Web Address

Prince George’s County Continued 8 n n n n n 15 n n

Fine Living Care

202-409-1366

Fine Living Care II

202-409-1366

Gentle Steps Assisted Living

301-699-7909

Riverdale

8 n n n n

Glorious Home Assisted Living

301-918-1771

Lanham

7 n n n n

Golden Age at Avalon

301-262-3900

Bowie

8 n n n n n

Golden Care Manor

301-292-0674

Fort Washington 8 n n n n

Golden Crown Assisted Living

301-442-9023

Upper Marlboro 8 n n n n n

Golden Touch Care

301-937-6245

Beltsville

5 n n n

HeartFields Assisted Living & Alzheimer’s Care

301-805-8422

Bowie

52 n n n n n

Heaven’s Gates Assisted Living

301-952-9060

Hillhaven Assisted Living, Nursing & Rehabilitation Ctr

301-937-3939

Upper Marlboro 7 n n n n n Adelphi

62 n n n n n

Hines House Assisted Living

301-203-1268

Home Sweet Home of America

301-776-4007

Fort Washington 5 n

House of Joseph, LLC

301-627-1119

Independence Court of Hyattsville

301-699-7900

Hyattsville

Integrated Health Care

301-332-7222

Laurel

8

Jubilee Cove

301-860-0717

Bowie

8 n n n n

Kekeli Assisted Living Services

301-449-3148

Leslies Assisted Living

301-422-4201

Life Assisted Living

301-588-1735

Lifesprings Eldercare (3 homes)

301-449-0322

Malta House - Victory Housing

301-699-8600

Mama’s Care Assisted Living

240-764-5621

University Park 5 n n n n

Mamie’s Assisted Living Care, Inc

301-839-6204

Fort Washington 5 n n n n

MHCA Homes-An Assisted Living Facility

301-809-6430

Bowie

Laurel

5 n n n n

Upper Marlboro 5 n n n n 112 n n n n n n n n n n

Ft. Washington 5 n Adelphi

5

n n n n n n

Capitol Heights 12 n n n n Temple Hills

24 n n n n n n

Hyattsville

31 n n n n n

8

n n n n n n

Mike-William Assisted Living Facility, LLC

301-535-9851

Oxon Hill

Morningside House of Laurel

888-632-1985

Laurel

103 n n n n

Morningstar Assisted Living LLC

301-604-0971

Laurel

5 n n

New Life Assisted Living

202-744-1331

Riverdale

8 n n n

Please confirm all information with communities.

26

8

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

5 n n n n n

Highlighting denotes paid sponsorship

Housing Options

A ssist e d L ivin g

Northview Assisted Living Old Town Assisted Living Paradise Assisted Living Peace of Mind Providence Assisted Living Quality Care Home Refreshing Springs Assisted Living Homes, Inc Riderwood Rene’s House Riderville Assisted Living, LLC Rose’s Place Rose’s Place-Bowie Royal Care Assisted Living Facilities, Inc Saint Berdette’s Residence Sarah’s House Senior’s Place Sherwood Manor-Residential Care, Inc Sierra Assisted Living Smith House Springtime Home I Springtime Home II Springtime Home lll Springtime Home IV Springtime Home V StarCare Partners Tranquility Living Woodmore House Assisted Living Whitehall Well Being Assisted Living

Respite Care Gardening Area

Location

Alzheimer’s/Dementia Care

Phone

Scheduled Transportation

Assisted Living Communities & Homes

Subsidies Private Units Available

www.retirement-living.com

Total Units

Listings provided by

Web Address

301-868-0538 Clinton 6 n 301-464-9063 Bowie 5 n n n n n n 301-218-6682 Upper Marlboro 8 n n n n n 301-248-6422 Fort Washington 6 n n n n 301-390-9484 Bowie 5 n n n n n n 301-306-1049 Lanham 5 n n n n n 240-486-9899 New Carrollton 5 n n n n n 800-917-3141 Silver Spring 170 n n n n n 301-464-8131 Bowie 8 n n n 301-604-7118 Laurel 7 n n n 301-577-3291 Upper Marlboro 16 n n n n n n 301-577-3291 Bowie 8 n n n n n n 301-203-2383 Fort Washington 8 n 301-953-3065 Laurel 7 n n n n n 301-218-9101 Bowie 14 n n n n n 301-345-2168 College Park 8 n n n n 202-320-1144 Bowie 5 n n n n 301-326-2402 Beltsville 5 n n n n n 301-265-0005 Fort Washington 5 n 301-322-2825 Hyattsville 8 n n n n 301-262-3984 Bowie 8 n n n n n 301-262-1350 Bowie 8 n n n n n 301-322-2825 Mitchellville 8 n n n n n 301-262-3372 Bowie 8 n n n n n 240-481-2206 District Heights 6 n n n n n 301-249-1700 Bowie 8 n n n n n 301-925-1515 Upper Marlboro 110 n n n n n n 301-464-8131 Bowie 8 n n n 301-595-0340 Hyattsville 5 n n n n

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

27

Housing Options N u rsin g & R e h abilitation

Nursing & Rehabilitation Centers Specialized care for individuals who need daily assistance

W

hile some individuals are able to continue running their households with little assistance, there are those who may have debilitating physical or emotional conditions that require care beyond what family or professional home care aides can provide.

What is Nursing Care?

At a nursing home, care is administered by professionals under the direction of a physician. Many facilities also offer subacute, respite, rehabilitation and other short-term care. Rehabilitation services can be especially helpful for individuals who are recovering from surgery, an illness or any other life-changing event.

These homes serve as permanent residences for individuals who are too sick

28

or frail to live at home, or as temporary facilities during a recovery period after a surgery or illness.

Who Pays for Nursing Care?

Medicare, Medicaid, private insurance and personal assets are all used under various circumstances to pay for services in a nursing care facility. If a facility is not certified by Medicare and Medicaid, the care will have to be paid for entirely with personal funds.

In general, Medicare pays for skilled nursing care following hospitalization for the same illness or condition at 100 percent of the cost for days 1 – 20. Some long-term care insurance pays for nursing home care; insurance payments are usually a fixed amount for a specified number of qualified days.

The basic daily rate is the standard charge the nursing home bills to all

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

residents, which covers the fundamental services every resident receives, including rent for the room, housekeeping, meals and general nursing care. It is important to understand all the services and amenities that are not included in the basic daily rate.

What to Look for in Nursing Care Before choosing a home, contact the Long-Term Care Ombudsman Program of your Area Agency on Aging. Ombudsman programs promote the highest quality of life and care for residents of nursing facilities and can help families and staff with inquiries and complaints. Tell the ombudsman which options you are considering and request any information they may have.

Visit your prospective communities at different times of day. Talk with residents.

Be persistent about getting your questions answered.

Housing Options

N u rsin g & R e h abilitation

Address

City

IV Therapy

Phone

Respite Care Hospice Care Respiratory Therapy

Nursing & Rehabilitation Centers

Total Beds

www.retirement-living.com

Medicare Medicaid

Listings provided by

MONTGOMERY COUNTY Althea Woodland Nursing Home

301-434-2646

1000 Daleview Dr.

Silver Spring

n n 50 n n

Arcola Health & Rehabilitation Ctr. Bedford Court

301-649-2400

901 Arcola Ave

Silver Spring

n n 151 n n n

301-598-2900

3701 International Dr.

Silver Spring

Bel Pre Health & Rehabilitation Ctr.

n n 100 n n n n

301-598-6000

2601 Bell Pre Rd.

Silver Spring

n n 90 n n n n

Bethesda

n n 200 n n n n

Bethesda Health & Rehabilitation Ctr.

301-530-1600

5721 Grosvenor Ln.

Brighton Gardens of Tuckerman Lane

301-897-8566

5550 Tuckerman Ln

Brooke Grove Retirement Village

North Bethesda n n 41 n n

301-260-2320

18100 Slade School Rd

Sandy Spring

n n 168 n n n

Carriage Hill - Bethesda

301-897-5500

5215 W. Cedar Ln.

Bethesda

n 108 n n n

Collingswood Nursing & Rehabilitation Ctr.

301-762-8900

299 Hurley Ave.

Rockville

n n 160 n n n

Fairland Nursing & Rehab Ctr.-Genesis HealthCare

800-205-9342

2101 Fairland Rd.

Silver Spring

n n 92 n n n n

Fox Chase Rehabilitation & Nursing Ctr.

301-587-2400

2015 East West Hwy.

Silver Spring

n n 74 n n

Friends House Retirement Community

301-924-5100

17340 Quaker Ln.

Sandy Spring

n n 82 n n n

Hebrew Home of Greater Washington

301-770-8476

6121 Montrose Rd.

Rockville

n n 556 n n n

Kensington Nursing & Rehabilitation Center

301-933-0060

3000 McComas Ave.

Kensington

n n 140 n n n n

Layhill Ctr . - Genesis HealthCare

800-205-9342

3227 Bel Pre Rd

Silver Spring

n n 191 n n n n

6530 Democracy Blvd.

Bethesda

99 n 243 n n n

ManorCare - Bethesda

ManorCare - Chevy Chase

8700 Jones Mill Rd.

ManorCare - Potomac

10714 Potomac Tennis Ln.

ManorCare - Silver Spring ManorCare - Wheaton Montgomery Village Health Care Center

2501 Musgrove Rd.

11901 Georgia Ave.

301-527-2501

Chevy Chase 157 n 245 n n n n Potomac

158 n n n n n

Silver Spring 130 n 162 n n n Wheaton

19301 Watkins Mill Rd. Gaithersburg

94 n 378 n n n n n 147 n n n n

NMS Healthcare of Silver Spring

301-933-2500

4011 Randolph Rd.

Silver Spring

n n 112 n n

Oakview Rehabilitation & Nursing Center

301-565-0300

2700 Barker Street

Silver Spring

n n 138 n n n n

Potomac Valley Nursing & Wellness Ctr.

301-762-0700

1235 Potomac Valley Rd.

Rockville

n n 175 n n n n

Riderwood

800-917-3141

3110 Gracefield Rd.

Silver Spring

n n 132 n n n n

Rockville Nursing Home

301-279-9000

303 Adclare Rd.

Rockville

n n 100 n n n

Sanctuary at Holy Cross-A Trinity Sr.Living

301-557-1400

3415 Greencastle Rd.

Burtonsville

n n 145 n n n n

Shady Grove Nursing Ctr. - Genesis HealthCare

800-205-9342

9701 Medical Center Dr.

Rockville

n n 134 n n n n

Sligo Creek Nursing Ctr. - Genesis HealthCare

800-205-9342

7525 Carroll Ave.

Takoma Park

n n 102 n n n n

Springbrook Nursing Ctr. - Genesis HealthCare

800-205-9342

12325 New Hampshire Ave.

Silver Spring

n n 91 n n

The Village at Rockville

301-354-8485

9701 Veirs Dr

Rockville

n n 160 n n

Wilson Health Care Ctr. @ Asbury Methodist Vill.

301-216-4136

Woodside Ctr . - Genesis HealthCare

800-205-9342

301 Russell Avenue Gaithersburg 9101 Second Ave.

Silver Spring

n n 257 n n n n n n 92 n n n n

PRINCE GEORGE'S COUNTY Bradford Oaks Nursing Ctr. Genesis HealthCare

800-205-9342

7520 Surratts Rd.

Clinton

n n 180 n n n n

Cherry Lane Nursing Ctr.

301-498-8558

9001 Cherry Ln.

Laurel

n n 155 n n n

Clinton Nursing & Rehabilitation Ctr.

301-868-3600

9211 Stuart Ln.

Clinton

n n 267 n n n n

Collington, A Kendal Affiliate

301-679-3880

10450 Lottsford Rd

Mitchellville

n n 44 n n n n

Crescent Cities Ctr. -Genesis HealthCare

800-205-9342

4409 East West Hwy

Riverdale

n n 140 n n n n

Forestville Health & Rehabilitation Ctr.

301-736-0240

7420 Marlboro Pike

Forestville

n n 152 n n n n

Fort Washington Health & Rehabilitation Ctr.

301-292-0300

12021 Livingston Rd.

Fort Washington n n 150 n n n n

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

29

Housing Options N u rsin g & R e h abilitation

FutureCare - Pineview Gladys Spellman Speciality Hospital & Nursing Ctr. Heartland Health Care Ctr.- Hyattsville Pull out 32 Heartland Health Care Ctr.- Adelphi Pull out 32 Hillhaven Assisted Living, Nursing & Rehab. Ctr Larkin Chase-Genesis HealthCare Magnolia Center-Genesis HealthCare ManorCare - Largo Pull out 32 NMS Healthcare of Hyattsville Patuxent River Health & Rehabilitation Center Riderwood Sacred Heart Home, Inc. Villa Rosa Nursing & Rehabilitation Center

Address

City

IV Therapy

Phone

Respite Care Hospice Care Respiratory Therapy

Nursing & Rehabilitation Centers

Total Beds

www.retirement-living.com

Medicare Medicaid

Listings provided by

301-856-2930 9106 Pineview Ln. Clinton n n 192 n n n n 301-618-2010 2900 Mercy Ln. Cheverly n n 110 n n n 6500 Riggs Rd. Hyattsville 150 n 175 n n n 1801 Metzerott Rd. Adelphi 200 n 150 n n n 301-937-3939 3210 Powder Mill Rd Adelphi n 66 n n n 800-205-9342 15005 Health Center Dr. Bowie n n 120 n n n n 800-205-9342 8200 Good Luck Rd. Lanham n n 104 n n n 600 Largo Rd. Largo 130 n 147 n n n n 301-864-2333 4922 LaSalle Rd. Hyattsville n n 260 n n n n 410-792-4717 14200 Laurel Park Dr. Laurel n n 150 n n 800-917-3141 3110 Gracefield Rd. Silver Spring n n 132 n n n n 301-277-6500 5805 Queens Chapel Rd. Hyattsville n 100 n 301-459-4700 3800 Lottsford Vista Rd. Mitchellville n n 101 n n n n

Please confirm all information with communities. Highlighting denotes paid sponsorship

Nursing & Rehabilitation Center Sponsors’ Websites Collingswood Nursing & Rehabilitation Ctr.

collingswoodnursing.com

Fairfax Nursing Center

fairfaxnursingcenter.com

HCR/ManorCare hcr-manorcare.com

30

Manassas Health & Rehab Center

manassas-rehab.com

Potomac Falls Health & Rehab. Center

potomacfalls-rehab.com

Potomac Valley Nursing & Wellness Ctr.

potomacvalley.com

Regency Care of Arlington

regencycarearlington.com

Virginian, The

thevirginian.org

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

Specialized Care

A l z h eimer ’ s

Choose Alzheimer’s Care

C

A Special Care Residence May Be the Right Option ertification standards for nursing homes and adult care residences do not specifically address dementia special care units. You will need to rely on your own judgment when considering a special care unit.

Visit more than one special care unit and compare them. Use all your senses when you visit — sight, smell and hearing are all important. Be sensitive to the overall atmosphere and how the staff interacts with the residents.

Ask about the number of staff on duty at all times and find out about any special training they have had. Generally, the more staff available, the higher the quality of care.

Some reports find a daytime ratio of six resi-

dents to one staff person to be adequate in a special care unit; others feel that a ratio of eight to one can also result in quality care.

At night, when residents are in bed, a higher patient to staff ratio may be fine.

Get a written description of the services and programs offered by any special care unit along with the charges or fees associated. This description should clearly explain to you how the special care unit differs from the rest of the nursing home or assisted living facility. It should emphasize special training the staff receives and describe the environment.

Before choosing a special care unit, you should be confident that the higher price charged for care in the unit will actually result in better care for your relative. You may find that your relative can be adequately

cared for in a regular unit.

Finally, talk with someone about special care units. Your state ombudsman, your local chapter of the Alzheimer’s Association or your local Area Agency on Aging are all good resources. They may be able to provide you with a more detailed consumer checklist to help you compare special care units.

All dementia special care units should focus on the individual needs of the resident. Care plans should be developed, implemented and reviewed often. All patients should be treated with respect and dignity in a physical environment that encourages independence while promoting safety. Researching special care residences can ensure your loved one will receive the proper support he/she needs.

Know Symptoms of Alzheimer’s

M

The Alzheimer’s Association Provides the Common Signs

mory loss that disrupts daily life is not a typical part of aging. It may be a symptom of Alzheimer’s, a fatal brain disease that causes a slow decline in memory, thinking and reasoning skills. Every individual may experience one or more of these signs in different degrees.

If you notice any of them, it is recommended you see a doctor.

used to handle on their own.

What’s typical? Sometimes forgetting names or appointments, but remembering them later.

2. Challenges in planning or solving problems Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills. They may have diffi1. Memory loss that disrupts daily life culty concentrating and take much longer One of the most common signs of Al- to do things than they did before. zheimer’s is memory loss, especially forWhat’s typical? Making occasional ergetting recently learned information. Oth- rors when balancing a checkbook. ers include forgetting important dates or events; asking for the same information 3. Difficulty completing familiar tasks at over and over; and relying on memory home, at work or at leisure aides (e.g., reminder notes or electronic People with Alzheimer’s often find it devices) or family members for things they hard to complete daily tasks. Sometimes,

people may have trouble driving to a familiar location, managing a budget at work or remembering the rules of a favorite game.

What’s typical? Occasionally needing help to use the settings on a microwave or to record a television show.

4. Confusion with time or place People with Alzheimer’s can lose track of dates, seasons and the passage of time.

They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there.

What’s typical? Getting confused about the day of the week but figuring it out later.

Information from the Alzheimer’s Association website. Visit www.alz.org or call 1.800.272.3900 for information, referrals and support.

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

31

Age In Place Home Hea lt h C are

Understanding Home-Based Care in Maryland

A

ccording to the Maryland Health Care Commission, “Home-Based Care can include a variety of activities such as nursing care, rehabilitation services (for example, physical therapy), assistance with activities of daily living (ADLs), assistance with housekeeping, chores and meal preparation, or assistance with activities to maintain health, such as taking medications.”

There are several types of agencies that provide these services throughout Maryland. For individuals needing home-based care, it is important to first determine what type(s) of help you need to narrow your search of agencies and find one that will meet your specific needs.

The following information from the Maryland Health Care Commission provides a look at the different agencies and their state regulations.

Home Health Agencies Home health agencies provide nurs-

32

ing services, home health aides and one or more other services such as physical therapy, occupational therapy or social services. Several kinds of health care staff may provide care based on your needs. Home health agencies participate in the Medicare program and many health insurance programs include a home health benefit.

A physician referral is required, so it is a good idea to talk to your doctor if you think you might need this type of care. Usually a medical reason is needed for these services to be reimbursed by Medicare or insurance.

Generally, home-based care is appropriate whenever a person prefers to stay at home but needs ongoing care that cannot easily be provided by family and friends.

Nurse Referral Service Agencies (NRSA) These agencies screen and refer licensed nurses, home health aides, homemakers, live-in caretakers, and companions for individuals needing help in their home. The person seeking assistance contracts directly with the individual who will provide the service and may pay the agency or the

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

provider for services.

Residential Services Agencies (RSA) RSAs provide supportive home care services, that is, assistance with ADLs and/or housekeeping services. They may provide one or more home care services, such as provision of oxygen or medical equipment, which includes wheelchairs, walkers and hospital beds. An RSA cannot participate in the Medicare Program; however, Level III RSAs can provide skilled nursing services. RSAs employ all their caregivers, while NRSAs do not. The person seeking assistance contracts with the agency.

RSA services are sometimes paid for by the person using services, but are generally covered under long-term care insurance policies and may be paid through medical insurance in some circumstances.

Resources: • Maryland Health Care Commission www. mhcc.maryland.gov • Office of Health Care Quality (OHCQ) www.dhmh.state.md.us/ohcq

Age In Place

Home Hea lt h C are

Questions to Ask When Hiring Paid Caregivers If facing this decision, the following questions will help in making a safe and educated decision: 1. If the hired caregiver becomes ill

checks, state abuse registry

or otherwise unavailable, what

checks, and prior work reference

alternate arrangements can be

checks completed?

made?

2. Are social security, federal and state taxes, and unemployment insurance paid so the family is not legally responsible?

3. Is there verification that the paid caregivers can legally work in the U.S.?

4. I f the hired caregiver is injured, who is responsible? Remember

6. Is there bonding and insurance in place that would cover any injury to the client, damage, or theft? When an agency says they are “bonded,” family members should be sure that this covers injury or damages related to the caregiver(s) working in the home.

7. A ssuming family is not available

that many homeowners’ insurance

to supervise paid caregivers

policies exclude such injuries via

at all times, will there be

“domestic employee exclusions.”

documentation that substantiates

5. Are criminal history background

If the adult caregiver does not have the time or resources available to answer these important questions, the services of a professional home care agency or adult day care center may be the right solution.

the completion of services?

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

33

Age In Place Home Hea lt h C are

Home Care Patient Rights Federal law requires that all individuals receiving home care services be informed of their rights as a patient.

Following is a model patient bill of rights the National Association for Home Care (NAHC) has developed, based on the patient rights currently enforced by law.

Home care patients have the right to: n be fully informed of all rights and responsibilities by the home care agency;

prior to the start of any treatment or procedure; n be advised of any change in the plan of care, before the change is made;

n choose care providers; n appropriate and professional care in accordance with physician orders; n receive a timely response from the agency to requests for service; n be admitted for service only if the agency has the ability to provide safe, professional care at the level of intensity needed; n receive reasonable continuity of care; n receive information necessary to give informed consent

34

n refuse treatment within the confines of the law and to be informed of the consequences of this action; n be informed of his or her rights under state law to formulate advanced directives.

For more information on patient rights, visit http://www. nahc.org/consumer/rights.html.

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

Age In Place Home Hea lt h C are

Understanding Home Health Care Benefits When it comes to understanding Medicare coverage, many individuals can find themselves confused by a complex web of information.

This especially applies to those who want to know if they are eligible for Medicare coverage when entering a nursing home or receiving home health care. Below is some helpful information on whether you can use your home health care benefits if you have Medicare and what services and products it will cover.

First, you can use your home health care benefits if all of the following applies to your situation. Your doctor must prescribe that you need medical care at home and create a care plan. The care you need has to be intermittent and in the form of skilled nursing care, physical therapy, occupational therapy or speech therapy. The home health agency must be Medicare-certified and you must be homebound, or unable to leave the home unassisted.

Once you have established those requirements, it is important to understand what Medicare will actually cover, which includes the following: • Home health aide services on a part-time or intermittent basis, as long as there is a skilled need • Medical social services • Certain medical supplies • Durable medical equipment (wheelchair, walker, bedside commode, etc.)

Given the services and products that Medicare does cover, it is also valuable to take note of what is not covered. Care that is required 24 hours a day will not be covered. Other services not covered include personal care provided by home health aides such as bathing and dressing, along with homemaker services like cleaning and laundry. Also not included are home-delivered meals.

If you require care that goes beyond intermittent visits for a limited amount of time, or if your needs are not covered by Medicare, an important option to consider is private duty home care. For more information on Medicare coverage, visit medicare.gov.

Information Provided by Family & Nursing Care/Legacy Home Care and adapted from medicare.gov.

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

35

Age In Place Home Hea lt h C are

Medicaid

Medicare

Home Healthaide

Phone

Skilled Care

Home Health Care & Services

Homemaker Care

www.retirement-living.com

Live in Care

Listings provided by

Web Address

Montgomery County A-1 Action Nursing Care, Inc. 301-890-7575 n n n n ACCfamily (Adult Companion Care, Inc) 877-549-7894 n n n Advanced Nursing & Home Support 240-430-1500 n n n n Always Best Care Mid -Montgomery Cty. 301-637-0233 n n n A Homemade Plan 443-837-7768 n n n Assisting Hands of Potomac 301-363-2580 n n n At Home Care, Inc. 301-421-0200 n n n n At Home Support & Staffing, Inc. 301-421-9700 n n Automatic Nursing Care Services, Inc. 301-270-9124 n n n n n Best Senior Care 301-717-2212 n n n n n BrightStar of Montgomery County 301-588-0859 n n n n Capital City Nurses 866-807-7307 n n n n Care For You 301-650-4169 n n ComForcare Senior Services 301-816-0222 n n n Complete Care Solutions, LLC 301-548-0100 n n n Eldercaring 301-949-0060 n n n Family & Nursing Care, Inc. 301-588-8200 n n n FirstLight Home Care 301-798-7089 n n Genesis SelectCare 800-480-3225 n n Georgetown Home Care 301-968-2457 n n n GraceFul Care, Inc. 703-904-3994 n n Griswold Home Care 301-947-7500 n n n Griswold Home Care-Aspen Hill, Wheaton 301-330-7646 n n n Holy Cross Home Care & Hospice 301-754-7740 n n n n Holy Cross Private Home Services 301-754-7780 n n n n Home Care Assistance 301-654-1525 n n n Home Helpers and Direct Link -Bethesda 240-713-3849 n n n n Home Instead Senior Care 301-588-9710 n n Housen Health Services 855-800-4682 n n n Lifematters 301-652-7212 n n n LivHOME, Inc. 703-448-1711 n n Medstar Health Visiting Nurse Assn.

800-862-2166 n n n n Medstar VNA Care Partners 301-570-7450 n n n Options for Senior America 301-562-3100 n n n n Potomac Home Health Care 301-896-6999 n n n n n n Potomac Home Support 301-896-6990 n n n n Premier Homecare 301-984-1742 n n n Prestige Healthcare Resources Inc. 202-558-2448 n n n n Professional Healthcare Resources Inc. 866-243-1234 n n n n n n Regent Healthcare 703-988-7131 n n n n Reliance Home Care 301-789-2525 n n n n n Right At Home 301-255-0066 n n n n n Specialty Care Services 800-880-2184 n n n n n Visiting Angels 301-355-6578 n n Please confirm all information with providers. Highlighting denotes paid sponsorship

36

Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

Age In Place

Home Hea lt h C are

Medicaid

Medicare

Home Healthaide

Phone

Skilled Care

Home Health Care & Services

Homemaker Care

www.retirement-living.com

Live in Care

Listings provided by

Web Address

Prince George’s County A-1 Action Nursing Care, Inc. 301-890-7575 n n n n ACCfamily (Adult Companion Care, Inc) 877-549-7894 n n n Advanced Nursing & Home Support 240-430-1500 n n n n At Home Care, Inc. 301-421-0200 n n n n At Home Support & Staffing, Inc. 301-421-9700 n n Automatic Nursing Care Services, Inc 301-270-9124 n n n n n BrightStar 301-588-0859 n n n n Capital City Nurses 866-807-7307 n n n n Care For You 301-650-4169 n n Comfort Keepers 301-340-0100 n n n Complete Care Solutions, LLC 301-548-0100 n n n Family & Nursing Care, Inc. 301-588-8200 n n n Genesis SelectCare 800-480-3225 n n GraceFul Care, Inc. 703-904-3994 n n Griswold Home Care 301-899-3200 n n n Griswold Home Care-Aspen Hill, Wheaton 301-330-7646 n n n Holy Cross Home Care & Hospice 301-754-7740 n n n n Holy Cross Private Home Services 301-754-7780 n n n n Home Care Assistance 301-654-1525 n n n Home Helpers and Direct Link -Bethesda 240-713-3849 n n n n Home Instead Senior Care 301-588-9065 n n n Housen Health Services 855-800-4682 n n n Lifematters 301-652-7212 n n n LivHOME, Inc. 703-448-1711 n n Medstar Health Visiting Nurse Assn.

800-862-2166 n n n n Medstar VNA Care Partners 301-570-7450 n n n Options for Senior America 301-562-3100 n n n n Prestige Healthcare Resources Inc. 202-558-2448 n n n n Potomac Home HealthCare 301-896-6999 n n n n n n Potomac Home Support 301-896-6990 n n n n Professional Healthcare Resources Inc. 866-243-1234 n n n n n n Reliance Home Care 301-789-2525 n n n n n Regent Healthcare 703-988-7131 n n n n Right At Home 301-255-0066 n n n n n Specialty Care Services 800-880-2184 n n n n n Visiting Angels 301-583-8820 n n n

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Resources Adult Day Care Programs Adult Day Center At Leesburg

703.771.5334

loudoun.gov/adultday

Adult Day Center At Purcellville

571.258.3402

loudoun.gov/adultday

Eastern Loudoun Adult Day Center

571.258.3232

loudoun.gov/adultday

Fairfax County Adult Day Health Care Program

703.246.8743

fairfaxcounty.gov/hd/adhc

703.237.9048

careoptionsva.com

AGE in place Care Options, an Ann E. O’Neil Inc. Company

Aging, Disability and Caregiver Information Fairfax County Government,

703.324.5277

fairfaxcounty.gov/dfs/olderadultservices/

Area Agency on Aging

Alzheimer’s and Memory Care Support National Capital Chapter Alzheimer’s Association

703.766.9028

alz.org/nca

Appraisers & Auctioneers Four Sales Ltd.

703.256.8300

foursales.com

Care Management Aging Care Management Consultants, LLC

703.307.0639

info@agingcaremgmt.com

Buckley’s for Seniors

703.390.0535

buckleys4seniors.com

Care Options, an Ann E. O’Neil Inc. Company

703.237.9048

careoptionsva.com

JSSA (Jewish Social Service Agency)

703.204.9100

jssa.org

703.204.9100

jssa.org

A.J. Peters Associates, LLC

703.738.4600

ajpeters.com

Personal Business Matters, LLC

703.283.4753

personalbusinessmatters.com

Counseling JSSA (Jewish Social Service Agency)

Daily Money Management

Elevators Glickman Design Build

301.444.4663 glickmandesignbuild.com

Please confirm all information with resources.

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Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

Highlighting denotes paid sponsorship

Resources Estate Sales, Consignment & Staging

Albritton Renovation Management 571.722.2189

renovatesupport.com

Carole Stadfield - Long & Foster Real Estate 703.899.8468

cstadfield@aol.com

M. Quinn Designs, Inc/Pack-N-Move 703.354.6359 mquinndesigns.com/pack-n-move.com

Financial Planning Sandy Spring Trust and Wealth Management

703.255.4106

sandyspringbank.com

703.584.4927

directcremationservicesofvirginia.com

202.234.1010

youreyes.org

Funeral Services/Cremation

Direct Cremation Services of Virginia HEALTHY LIVING-PREVENTATIVE CARE Prevention of Blindness Society of Metropolitan Washington

Home Design and Remodeling

Albritton Renovation Management 571.722.2189

renovatesupport.com

Glickman Design Build

301.444.4663

glickmandesignbuild.com

M. Quinn Designs, Inc/Pack-N-Move

703.354.6359 mquinndesigns.com/pack-n-move.com

Home Health Products & Pharmacy Services The Compounding Center

703.779.3301

compoundingcenter.com

Hospice and Palliative Care

Capital Caring Hospice 800.869.2136

capitalcaring.org

Optum Palliative & Hospice Care

571.262.5200

optumhospice.com

VITAS Healthcare

703.270.4300

vitas.com

Legal Services/Elder Law Cervoni Disability Law, PLLC

703.241.2625

cervonidisabilitylaw.com

Farr Law Firm

703.691.1888

farrlawfirm.com

Law Offices of John L. Laster

703.538.3600

trusttolast.com

Needham, Mitnick, & Pollack

703.536.7778

nmpattorneys.com

William J. Kovatch, Jr., Attorney at Law, PLLC

703.837.8832

kovatchelderlaw.com

Please confirm all information with resources.

Highlighting denotes paid sponsorship Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

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Resources Medicare Insurance Plans

Kaiser Permanente

703.287.6684 medicare.kaiserpermanente.org

Moving Coordination, Downsizing & Design A First-Class Move, LLC

703.356.5183

Albritton Renovation Management 571.722.2189

afirstclassmove.com renovatesupport.com

Care Options, an Ann E. O’Neil Inc. Company

703.237.9048

careoptionsva.com

M. Quinn Designs, Inc/Pack-N-Move

703.354.6359 mquinndesigns.com/pack-n-move.com

Orthopaedics and Physical Therapy

Arthritis & Sports – 703.444.5000 arthritisandsports.com Orthopaedics, Physical Therapy & Wellness Patient Advocacy Services IKOR of the Greater DC Area

703.879.6992

ikorglobal.com

Personal Emergency Response Systems Virginia Hospital Center - Philips Lifeline

703.558.6859

virginiahospitalcenter.com/senior

Berkshire Hathaway Home Services PenFed Realty

703.716.2900

penfedrealty.com

Carole Stadfield-Long & Foster Real Estate

703.790.1990

cstadfield@aol.com

Helen L Flynn, Century 21 New Millennium

703.328.7187

helenflynnsells.com

Real Estate Services

Senior Center Herndon/Reston Senior Center

703.464.6200

herndonseniorcenter.org

Senior Transition Specialist

Albritton Renovation Management 571.722.2189

renovatesupport.com

Home Marketing Services for Seniors LLC.

703.476.2260

hmss-usa.com

M. Quinn Designs, Inc/Pack-N-Move

703.354.6359 mquinndesigns.com/pack-n-move.com

Stairlifts

Albritton Renovation Management 571.722.2189

renovatesupport.com

Granting You Access

703.433.0380

grantingyouaccess.com

M. Quinn Designs, Inc/Pack-N-Move

703.354.6359 mquinndesigns.com/pack-n-move.com

Transportation Buckley’s for Seniors

703.390.0535

buckleys4seniors.com

Care Options, an Ann E. O’Neil Inc. Company

703.237.9048

careoptionsva.com

Please confirm all information with resources.

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Washington Adventist Hospital Resource Guide • www.AdventistWAH.com

Highlighting denotes paid sponsorship