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Assisted Living

The care provided at an Assisted Living community falls somewhere between an Independent Living community and a Skilled-Nursing facility. Assisted living communities can range in size from a small residential house for one resident up to very large communities providing services to hundreds of residents, though most are somewhere in between.

Assisted Living communities are popular with married couples because it is likely that they will remain together, even if one spouse needs more care over time.

The differences between an Assisted Living/Residential Care community and Independent Living community are primarily that an Assisted Living/Residential Care community:

  1. Provides ongoing regular care for persons with a least one serious chronic health problem or disability which disallows the choice to live independently.
  2. Each person or couple has an efficiency-style apartment or full apartment suite in a single, self-contained, locked, and secured building.
  3. Assisted Living communities are regulated and licensed by the state of California.


Residents of Assisted Living communities don’t need 24-hour skilled nursing care but do require assistance with daily activities and chores like medication, eating, bathing, dressing, grooming, toileting, and escort to meals and activities. Residents have access to a continuum of daily and/or long-term care services available as the senior’s health and social needs change over time though, if there is nursing staff, it is not available at all hours. A nurse may be available by phone 24-hours a day.

Assisted Living communities have a menu of services and amenities which can be purchased separately. They provide periodic monitoring, wellness programs, and optional 24-hour emergency pendant response. Additional amenities are provided within the building include areas for shared meals, gatherings, recreational activities, and sometime an area for some hospice care.

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2 + 6 =

The average rate for a private bedroom at an Assisted Living community in Northern California is about $4,000 per month. Non-medical care at an Assisted Living/Residential Care community may be provided by people who are or who are not medical professionals. Non-medical Assisted Living communities are much less likely to be covered by insurance or public funds compared to Skilled-Nursing facilities. Assisted Living community residents pay out of their own funds, often getting help from family and friends and from state agencies. Medicare does not pay for Assisted Living. It only pays when regular and ongoing skilled-nursing care is needed and given in certified skilled-nursing communities or by a skilled-nursing agency in the home.

Conditions and needs that are allowed in an Assisted Living community include:

Breathing Machine Colostomy/Ileostomy Contractures Diabetes Enema Healing Wounds Injections Incontinence Indwelling Urinary Catheter Intermittent Positive Pressure Oxygen administration Protective Supervision Stage One or Two Dermal Ulcer Transfer Dependency
Conditions and needs not allowed in an Assisted Living/Residential Care Community include:

Gastrostomy care Inability to Reposition Liquid Oxygen Naso-gastric tubes Staph infection Tracheostomies
There is a trend in California where some Assisted Living communities are providing higher levels of care. Some now accept individuals who need assistance with all activities of daily living, including persons undergoing rehabilitation after a hospital stay who may need more extensive daily assistance than the full-time residents, acting as a bridge between hospital and home. A short-term respite stay at an Assisted Living community is an option for families when the primary caregiver is unable to provide the needed care, when on travel for example.

Board and Care Homes are a type of Assisted Living community intended for people who require assistance to be available 24-hours a day. Most Board and Care homes are located in a residential house and serve only 6 or fewer people. They are staffed by licensed professionals, including nurses and doctors. Board and Care homes are strictly regulated and monitored by the state of California in order to ensure that the good care is being provided.

Since the enactment of the Americans with Disabilities Act, Assisted Living communities commonly have at least some apartments designed or retrofitted for ease of use for disabled people, with the bathroom having balance support grab bars and a specialize bath tub, and extra-wide hallways and doors to accommodate wheelchairs.

Senior Care of Sacramento is very careful to never refer a client to an Assisted Living community where the push to fill vacancies and maximize revenues has left staff overwhelmed and the care of residents endangered.

Simply call us now at 916-877-6904 for a free consultation or fill out the form below to get started. We will spend as many hours as necessary for free to find the best solutions for you or your aging parent’s unique situation if a placement is made within 90-days.

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