Home is our heart, and our fondness of our home grows stronger with time. AARP’s 2014 survey of senior preferences found that 71 percent of individuals ages 50 to 64 want to age in place. The number increased to 87 percent among adults age 65 and older. There are many resources for seniors to stay at home as long as possible. Living at home while aging is becoming a popular trend. Another big benefit of choosing home over other senior living options is that it costs significantly less than skilled nursing care.
Nevada State Department of Health licenses and regulates all in-home care.
You can search licenses and surveys on the Department of Health’s website.
There are state programs for low-income seniors to afford in-home care.
More than 814,000 Americans were home health aides in 2016, and almost 1,430 of them live in Nevada.
In the Henderson/Las Vegas area, the average daily cost of homemaking services was $125 a day in 2016, which equals about $3,800 a month and $46,000 a year.
So, you may be wondering what services are included. Homemaking service providers help with household tasks and chores such as cooking, grocery shopping, transportation to appointments, and minimal cleaning. You can find other services that may offer:
Assistance getting dressed
Interacting with activities such as games, writing letters, or conversations
Reminders on prescriptions
Pet and houseplant care
Homemaking services are an excellent option for seniors that are independent of health assistance but need some help around the home or need companionship. These services are a great way for a family to keep up with how their loved one is doing at home.
Home health aide services average less than homemaker services in the Las Vegas area. The average rate in 2016 for home health aides was $116 a day. You can see the money saving potential when you compare the daily average costs for nursing home care, which was $260 for a semi-private room and $290 for a private room. You could save $52,000 - $63,000 a year depending on the room and nursing home choice.
Home health aide services provide the same services as homemaking services, but also include medical monitoring such as checking blood pressure, listening to the pulse, redressing wounds, and assistance with walking and mobility devices such as a walker.
Home health aides are required to meet training standards determined by the state. These include classroom and clinical experience, which is supervised by a registered nurse. Home health aides learn programs and methods such as identify and control infection, transfer of patients in safe techniques, emergency assistance, safe patient moving practices, and senior nutrition.
Every individual needs different care at different times. You can work with an agency to create a custom package and schedule for the services that fit your needs so you can stay home. You can quickly update this plan as your needs change. Here are the various types of care available:
Respite care covers your caregiver when he or she is unavailable. This care can be hours, weeks, or even months. This is a very good time to test out some new agencies or caregivers if you are just getting started.
Part-time care is regularly scheduled care a few days or hours a day. This care can also assist with cooking, cleaning, laundry, and errands. This is a great way for seniors to have companionship while they are at home. Family members hear status updates to ease worries for their loved one living at home.
Full-time care is a 40-hour week and is typical for care while family members are at work. This care can also be used overnight to eliminate falls and dispense medication.
Live-in care is the most amount of care and provides continuous care and monitoring. This care is best for seniors who need nursing home care but want to stay at home. Caregivers will split the day and night hours to have a fresh set of eyes.
You can either work with an agency or hire directly. When you hire an agency, they handle all the taxes, insurance, licensing, and payroll, which can be a headache for others. Agencies also have multiple caregivers on staff to cover schedule changes quickly. If you have a friend or relative to care for your loved one, you may want to hire yourself. The biggest benefit of hiring directly is that you get to choose the person you want. However, you are the employer, so you will need to handle taxes, payroll, and insurance.
When starting your search, you should ask for referrals or read online reviews. Word of mouth is sometimes the best advertising available. The Better Business Bureau allows you to review ratings, search for any complaints, and read reviews.
If you own a home but don’t have insurance or qualify for other benefits, you can check out a reverse mortgage to be paid the equity in your home. Also, some life insurance policies can be cashed out early for lump sums. However, since there are inheritance and tax implications, you should discuss it with your financial advisor or attorney.
Your long-term care insurance will pay for these expenses, but you will most likely need to have your doctor verify these services are a medical necessity. Low-income seniors may qualify for Nevada’s Medicaid services to get home care. Wartime veterans and widows may qualify for the VA Aid & Attendance pension for health care expenses. If you hired a family member for care, some benefits and insurance policies will pay for his or her services.
Find assisted living in Henderson near you.