Selecting a long-term care facility is a very difficult process and should be done only after gathering as much information as possible and doing lots of comparative shopping.
Skilled Nursing Facilities (SNFs) - Licensed SNFs, also known as nursing homes or convalescent hospitals, provide 24-hour skilled nursing care. Staff includes nurses, nursing assistants, social services and activities staff. Skilled nursing care can be paid for privately, by private insurance, Medicare or Medi-Cal. For Medi-Cal or Medicare reimbursement, a facility must be certified to accept Medi-Cal or Medicare. A resident must also meet certain requirements for the care to be covered by Medi-Cal or Medicare.
Range of cost: $5000 - $9000 per month.
Residential Care/Assisted Living - These licensed facilities provide 24 hour non-medical care and supervision for individuals needing assistance with activities of daily living (dressing, bathing, medications). These facilities range in size of a private home to over 100 beds. The larger assisted living facilities frequently have small apartments for residents, though residents still eat the meals in a group setting. Payment methods most frequently are private or Supplementary Security Income (SSI) for low-income residents.
Range of cost: $1800 - $6000 per month. Note: Assisted living facilities typically break out charges based on resident care needs. The Admissions Contract should be thoroughly reviewed before signing.
Sometimes the urgency of a placement precludes planning and one has to take the first available bed. However, one can always have their name placed on a waiting list of another facility if it is believed that the consequent move is in the best interests of the resident.
Include in your investigation the following resources:
In choosing a facility, consider the following:
Licensing reports skilled nursing, residential care and assisted living facilities are available for review at our office.
Facilities are required by law to post in a public place their most recent survey.
Licensing reports are an important element in choosing a long term care facility. Reports provide details of annual surveys performed by the licensing agency as well as individual incident reports that may or may not have resulted in a citation to the facility. This information is important to know in the planning stage of choosing a long term care facility.
Licensing reports for skilled nursing, residential care and assisted living facilities are available at the Senior Advocacy Services office and State Licensing Offices.
Skilled Nursing Facilities
California State Dept. of Public Health,
Licensing and Certification
2170 Northpoint Parkway
Santa Rosa, CA 95407
Residential Care Facilities
California Dept. of Social Services
Community Care Licensing
101 Golf Course Drive
Rohnert Park, CA