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Jonathan Tobin: Defending the Right to a Jewish State

Heather Hale: Compliment your kids without giving them big heads

Megan Shauri: 10 ways you are ruining your own happiness

Carolyn Bigda: 8 Best Dividend Stocks for 2015

Kiplinger's Personal Finance editors: 7 Things You Didn't Know About Paying Off Student Loans

Samantha Olson: The Crucial Mistake 55% Of Parents Are Making At Their Baby's Bedtime

Densie Well, Ph.D., R.D. Open your eyes to yellow vegetables

The Kosher Gourmet by Megan Gordon With its colorful cache of purples and oranges and reds, COLLARD GREEN SLAW is a marvelous mood booster --- not to mention just downright delish
April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review July 17, 2006 / 21 Tamuz, 5766

Be wary of self-serving care facilities

By Jan L. Warner & Jan Collins


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http://www.JewishWorldReview.com | Q: A year after our mother died, we saw Dad become more unsteady on his feet, and he needed help remembering to take his medications. He wanted to stay at home, but we finally talked him into entering an assisted-living facility where he has lived alone for 18 months, except for visits with my family and my siblings. Although the monthly fees began at $2,100 per month including meals, the cost has now risen to than $3,500 per month. The director tells us that Dad requires more care and assistance, thus the higher bills. We have noticed that he has become more and more frail lately. Is it time to seek a residential care facility or a nursing home? Does Medicaid cover residential care if we keep him there because his money is running out?


A: While we believe that assisted-living facilities certainly have their place, we have seen and heard horror stories where sick residents were retained without being given the appropriate care. We believe that all residents of assisted-living facilities should be closely monitored by family members to make sure the needed level of care is being provided. We believe that geriatric-care managers should be engaged by family members to review their loved one's records on a regular basis. We believe that facilities that take on the care of sick people without the proper staffing or regulatory authority are dangerous to the residents.


Medicaid does not directly cover residential care unless there is an optional state supplement program in your state of residence. This program provides a supplement to lower-income individuals, which allows them to stay in those facilities that participate in the program. To find out more, contact your local state agency.


Residential care facilities (RCFs), which are synonymous with what you have called assisted-living facilities, are special living environments for elderly persons who, although generally in good health, need assistance with certain activities of daily life or other functions. Generally, assisted-living facilities provide a room or apartment, meals, housekeeping, medication management, assistance with personal hygiene, activities and transportation. These facilities range in size from two unrelated persons to hundreds of residents.


Assisted living could be needed after an independent-living situation and before institutionalization in a nursing home, where a higher level of supervision and care is necessary.


Over the past several years, assisted-living facilities have been overbuilt in some parts of the United States. Although regulated and licensed by each state, generally speaking, anyone can build a residential care facility. A nursing facility, however, can be built only after securing a certificate of need from the appropriate state agency. Although subject to state regulations, an assisted-living facility is not a medical facility and does not offer continuous resident supervision or skilled nursing care. Generally, state regulations require that these facilities have a written plan of care for each resident.


Despite their stated purpose, for economic reasons some assisted-living facilities have increased their fees and services as they try to retain sicker residents, thereby, in effect, competing with nursing homes. To increase their fees for sicker residents, some assisted-living facilities use the "point" system — that is, a charge is made for each and every type of assistance given to a resident. The cost of each "point" can range from 75 cents to as much as $2. If your father needs help remembering to take his medication four times a day, he might be charged an additional $8 per day — or $240 per month — for that service alone.


With charges approaching $120 per day, we think it's time to have a geriatric-care manager independently assess your father to determine his actual care needs. While assisted-living facilities provide assessments, sometimes these can be self-serving and not in the best interests of the resident. For more information, you can check out www.caremanager.org.

Every weekday JewishWorldReview.com publishes what many in in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.

JAN L. WARNER received his A.B. and J.D. degrees from the University of South Carolina and earned a Master of Legal Letters (L.L.M.) in Taxation from the Emory University School of Law in Atlanta, Georgia. He is a frequent lecturer at legal education and public information programs throughout the United States. His articles have been published in national and state legal publications. Jan Collins began co-authoring Flying SoloŽ in 1989. She has more than 27 years of experience as a journalist, writer, and editor. To comment or ask a question, please click here.

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