Are You Waiting Too Long for Assisted Living?

Donna Nichols • November 6, 2024
A man with a ring on his finger is holding a cane.

How do you know if you're waiting too long to go into assisted living?


A time comes when it is too late. People are waiting until they are so ill, the only solution they have is a nursing home. There is no reason to go to a nursing home unless you have a machine or mechanical device needed to keep you alive (Oxygen machine is not in that category).


It does not have to be that way. Assisted living communities are the new nursing homes.


Assisted living regulations are very clear; you must be able to stand and pivot (with/without) assistance from a seat to a chair to be accepted in an assisted living community.


Assisted livings have different levels of licensure.


  •                 Standard
  •                 LNS (Limited Nursing Service)
  •                 ECC (Extended Congregate Care)
  •                 LMH (Limited Mental Health)


Some offer 24-hour nursing care, and some specialize in Memory Care. Most offer aging in place. So, what do these license levels mean?


Standard licensure: offers basic assistance from medication management to assistance with dressing, bathing, and toileting. They offer meals, transportation, and activities. Most offer apartment lifestyle living with services. They are not required to have a nurse on staff.


LNS licensure: offers all the same as the standard licensure, but they do have a nurse on staff or on call.


ECC Licensure: Allows additional nursing services and total assistance with personal care services. Your loved one may have a higher impairment level, which requires more needed assistance. Nursing is on the premises 24 hours a day, 7 days a week.


LMH Licensure: The facility administrator and staff of facility who are in direct contact with mental health residents must complete specific training to deal with mental health residents.


All licenses can order home health for residents with a doctor’s order. Home health offers physical therapy, occupational therapy, and skilled nursing, but it must be ordered by a doctor!!

 

Hospice: All residents, if accepted by hospice, can age in place with hospice care within the community they live in. Hospice does not mean end-of-life like the stigma it has been given anymore. Hospice can provide the equipment, supplies, and any additional services the assisted living community is unable to furnish. They also offer palliative care.


Back to the question: How do you know if you’ve waited too long to go into assisted living?


You really don’t know until it’s too late, but with proper guidance you can find an assisted living that can provide quality care in a home-like environment that offers your loved one and your family peace of mind. You need to make a plan and work with a qualified senior advisor to assist you in finding the right forever home for your loved one.


We all think that caring for our loved ones means that we must physically care for them. Not true, giving them a place with qualified trained caregivers and socializing with people their age is caring for them and allowing you to be their family or friend again.


Don’t let guilt rule your decisions. Allow smart advice and caring people to guide you to giving your family members the best journey of their lives. As we all know each part leads us to the next best part of our lives for the time left of our lives, or the “Time of our Lives.”

By Donna Nichols September 5, 2025
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