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Alzheimer’s Caregiving Tips
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A Guide To Different Levels Of Care

Before you can even begin the process of evaluating assisted living, it’s important to
familiarize yourself with all the terms. There are many types of care ranging from skilled
nursing to senior living. They all vary based on the level of assistance required by the
resident. What is the difference? Let’s find out.

SENIOR COMMUNITIES

Senior housing is designed for high-functioning elders, defined as those not requiring
assistance with ADLs. Senior communities are usually neighborhoods or towns
(consider Sun City, the nation’s “first and finest” senior community) that are limited to
people of a minimum age. They are designed for active seniors and have a variety
of social clubs such as golf, arts and crafts and cards. While some senior communities
offer additional levels of care, many are not equipped for individuals who require
assistance with ADLs. Some senior communities require the resident move on, should
they require this level of care.

CONTINUING CARE

Continuing care communities are sometimes called “step care” or “progressive” care
facilities and offer a wide range of options, all the way from independent living to
special care. Residents are usually admitted when they live independently. As needs
increase, they are guaranteed vacancies in the lower level of care. An entry fee is
often required, making this option quite expensive.
ASSISTED LIVING

Assisted living offers the elderly a place to live outside of their own home where they
can receive basic assistance in one or more of the following areas: housekeeping,
meal preparation, 24-7 monitoring, shower assistance, toileting, medication
assistance, transportation, eating, dressing, activities or socialization.

In assisted living, your loved one will likely have his/her own apartment, unless you or
your loved one consents to sharing a room with someone. A private bathroom is most
often in the apartment to allow for privacy and dignity. Most facilities will have a
kitchenette in the apartment with a sink, microwave, refrigerator, and cupboard
space. Each apartment will likely be climate controlled individually. There will be
access to common areas such as a TV room, an activity room, dining room, library,
and communal sitting areas.

Assisted living facilities are designed for people who need help with complex ADLs
on a daily basis. If you remember from the previous chapters, basic ADLs include
eating, bathing, dressing and hygiene. More complex ADLs include cooking,
shopping and money management. Assisted living aims to be the mid-point between
independent living and long-term care. Most assisted living facilities have a dining

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