DMV 2025

WHAT DOES IT MEAN TO BE TRULY WELL?

As we get older, it becomes increasingly important to stay social and active—both mentally and physically. We invite you to experience boutique assisted living with personalized care and a comprehensive focus on overall health and well-being.

At Chevy Chase House, conveniently located on Connecticut Avenue, our staff helps with the assistance you need, while encouraging independence and purposeful living. From our LIFE INSPIRED activities program to our dining experience to our on-site exercise physiologist, Chevy Chase House offers opportunities to live stronger and with more joy.

Schedule a tour today at (202) 618-1849.

· Individualized Care Plans

· Nursing Available 24/7

· Physical and occupational therapy on-site with FOX

Rehabilitation

· Life Inspired social program with wellness programs led by exercise physiologist

· Spacious Studio, One- and Two-Bedroom Apartments

· Chef-curated dining experience

· Great location near shops, restaurants, and healthcare

· State-of-the-art gym

(202) 618-1849

5420 Connecticut Avenue NW Washington, DC 20015

www.chevychasehouse.com

Navigating the Transition to Senior Care?

At CarePatrol, we help families to find the right care solution for their loved ones, including Assisted Living, Independent Living, Memory Care, In-Home Care, Nursing Homes and more. As your trusted partner, we review the history of each care provider, generate a recommended list of care options based on your needs and resources and facilitate the transition process. Our services are at no cost to you.

MARYLAND

CarePatrol of North Prince George’s County 301-852-9310

CarePatrol of Central Maryland 703-436-2219

CarePatrol of HowardMontgomery Counties 410-218-5588

CarePatrol of Baltimore/ Annapolis Corridor 410-672-1500

CarePatrol of Baltimore 410-844-0800

CarePatrol of Bel Air 667-304-6722

CarePatrol of Delmarva 302-524-8237

NORTHERN VIRGINIA

CarePatrol of Northern Virginia 703-375-4389

CarePatrol of Arlington 540-628-5891

CarePatrol of Loudoun Virginia 703-436-2219

WASHINGTON, DC

CarePatrol of Washington DC 540-628-5891

What’s Inside

With Great Care

Caregiving is an enormous responsibility, and it must be done with great care. That high level of care is exhibited every day by the caregivers with Comfort Keepers, a leading provider of in-home senior care designed to help older adults thrive while living safely at home. From live-in care to companion care, Comfort Keepers provides empathetic caregivers specially trained to provide uplifting care, transportation and support. Meet two of Comfort Keepers’ diverse array of clients who are maintaining their independence while receiving the care they need. | Pages 36-39

Look How We’ve Grown

Aging resources continue to expand

In the 35 years since I founded Guide to Retirement Living in 1990, the landscape of aging resources has grown exponentially. While we still have progress to make, the support available today is far more robust and diverse.

One significant shift is the recognition that aging doesn’t have to be a solitary journey. The emergence of professionals like Aging Life Care Managers, Move Managers, Daily Money Managers, Patient Advocates, and Mediators has revolutionized how we approach informed decision-making for ourselves and our loved ones. No matter what you need assistance with there are qualified people available to help.

Caregiving is no longer the purview of family members struggling in isolation to provide for their aging relatives. As lifespans extended and people began marrying later, far too many individuals found themselves in the

“sandwich generation”—stuck between the demands of raising children and the increasing needs of their aging parents. It is this generation of people who have led the charge for additional help with senior care needs.

“Aging in Place” has become a familiar concept, supported by innovations like the Village Movement,

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Continuing Care at Home, and Shepherd Centers. These initiatives create supportive environments that allow people to remain in their cherished neighborhoods. Technological advancements in home design and remodeling have further enhanced safety and engagement for those aging at home.

The home care industry has flourished, offering services ranging from companionship to skilled and palliative care. Families can now turn to home care providers whether their loved one needs live-in care or just a little help with medication management.

Perhaps the most striking development is the wealth of resources now available for those living with dementia, including innovative day care support and specialized memory care centers. With an increased understanding of how dementia progresses, providers are able to offer customized care for patients whether they need a low level of help or constant supervision.

Housing options have expanded dramatically since my grandfather’s move to a traditional nursing home in the 1980s. Today’s choices range from expansive campuses and luxurious high-rises to intimate residential settings. More importantly, these communities now prioritize person-centered care and support, focusing on individual needs and preferences. The range of amenities has also expanded tremendously from pickleball to theater and from aquatics programs to pottery classes.

Most recently, we have seen a movement to meet the needs of “solo agers,” older adults who have neither children nor spouses and are planning to age alone. This particular demographic has led to a growth in social options, clubs, and activities at all types of communities.

While we’ve made remarkable strides, there’s still work to be done. The positive changes over the past 35 years give us hope for an even brighter future in aging well.

STEVE GURNEY steve@proaging.com

NEVER RETIRE Your Zest for the Good Life

The Woodlands invites you to rethink the way you think about retirement. Here, life isn’t about what you are giving up, it’s about what’s new and what’s next. This is a place where neighbors become friends and friends become family and that’s what sets us apart.

A boutique-style independent living community where gracious dining, year-round social activities and a meticulously landscaped wooded setting provide the perfect environment for those desiring a maintenance-free, vibrant and engaging lifestyle.

Offering the best of both worlds on one sprawling, 17-acre campus, The Woodlands also invites you to discover our sister property, The Gardens—an acclaimed assisted living community that also offers memory care, adult day care and respite stays.

To arrange your discovery visit, please call us at 703-667-9801 or email: marketing@thewoodlandsccrc.com

A Journey Through Senior Living

There’s no single path for senior living that fits everyone; journeys involve detours, intersections, and opportunities to reroute. Countless resources are available to help you navigate your journey. Remember, you don’t have to take this trip alone!

Aging in Place

Choose to remain in your home or move to an apartment or condo that is not in a senior living community.

CONTINUING CARE AT HOME (page 181)

TRANSPORTATION (page 47)

VILLAGES (page 182)

SAFE & ACCESSIBLE HOME (page 184)

LIFE PLAN COMMUNITY/ CONTINUING CARE RETIREMENT COMMUNITY (CCRC) (page 91)

Making a Move

INDEPENDENT LIVING (page 107)

HOME CARE (page 191)

TECHNOLOGY (page 190)

ASSISTED LIVING (page 123)

When your current home is not the desired or most appropriate option to live a purposeful lifestyle.

NURSING AND REHAB (page 157)

MEMORY CARE (page 171)

ACTIVE ADULT COMMUNITIES Connect with a Real Estate Professional (page 83)

MOVING AND DOWNSIZING (page 83)

Resources

You don’t need to walk the road alone. A variety of resources are available for support and decision making.

• Health Care Support—Enlist specialized professionals to help with hearing, vision, mental, health, and disease-specific needs (page 41)

• Money Matters —Find help with managing day-to-day finances and planning ahead (page 54)

• Elder Law—Understand your legal rights and plan ahead with advance directives and wills (page 59)

• Mediation—Solve family disputes related to caregiving or retirement living (page 63)

• Aging Life Care Professionals—Make care decisions easier with professional help (page 65)

• Area Agencies on Aging—Find assistance from local governments (page 146)

• End-of-Life Support—Find the right care and advocacy at the end of life (page 178)

Engage, Connect & Thrive

Assisted Living Focused on Engagement and Wellness

At Forest Hills of DC, living well is just the beginning. Discover an active community with a continuum of care.

Multiple Assisted Living care levels mean we can meet the diverse needs of residents. And Skilled Nursing is just steps away, which makes transition seamless.

Happy employees equal happy residents. Many staff members have been with us for decades.

A walkable community on Connecticut Avenue makes it easy to get around campus or visit local shops and eateries.

To learn more, visit ForestHillsDC.org or call 202-966-7623.

To learn more, visit ForestHillsDC.org or call 202-966-7623.

Close to vibrant arts and cultural venues, such as Wolf Trap, The Alden Theatre, Capital One Hall and Lake Fairfax Park Amphitheater, The Providence brings a loving, discerning, uncompromising attention to detail to tailored Assisted Living and Memory Care.

the 21st century at The Trillium.

Sophistication and design innovation surround you in The Pinnacle. North Bethesda’s Pike District offers immediate access to dynamic dining, worldclass entertainment, arts, culture and recreation.

PINNACLENORTHBETHESDA.COM

11555 Old Georgetown Road North Bethesda, MD 20852

Blending urbane sophistication with adaptive, supportive service and care, The Landing in North Potomac Yard is a luxury community of great warmth and caring that ensures residents feel comfortable, secure and connected.

The Riviera offers a 5-Star Independent Living option that will infuse your life and lifestyle with cosmopolitan energy and sophistication. If you ever need high-quality care — you’ll find it right next door.

2620 Main Line Blvd. Alexandria, VA 22301

Independent Living

Planning Ahead vs. Crisis Response in Elder Care

Everyone ages. Senior care decisions are universal, but approaches to making them vary widely. The choice between proactive planning and reactive crisis management can significantly impact both the quality of care and the well-being of families. Learn more about the benefits of planning ahead and the challenges associated with crisis planning.

Benefits of Planning Ahead Peace of Mind

Engaging in senior care planning provides peace of mind for seniors and their families. By addressing potential needs before they arise, families can feel more prepared and less anxious about the future.

For adult children in particular, senior care planning can help relieve the enormous stress that comes with having to physically take care of, or make decisions for, an aging parent. For seniors, planning ahead is a gift they can give to their children. Advance planning can also help older adults ensure that their wishes are met and that their relationship with their children does not suffer as they age.

Improved Access to Care

Early planning often results in better access to quality healthcare and support services. Many retirement living communities have long waitlists and planning ahead will ensure that the desired community and unit are available when needed. For assisted living and nursing communities, planning ahead helps families find a community that

Financial Preparedness

The vast majority of long-term care costs are borne by families. Long-term care planning helps families avoid becoming a financial burden on each other. By securing long-term care insurance early and setting aside funds, families can mitigate the potentially devastating costs of elder care.

Personalized Care

Advance planning means more choices and a voice in all care decisions. If seniors avoid planning and are faced with a crisis that incapacitates them even temporarily, they may have no choices or severely limited options for care. Even a small amount of advance planning can ensure that care is tailored to specific needs and desires, enhancing overall quality of life.

Challenges of Planning Ahead Resistance to Change

Many seniors and families may resist planning for future care needs, preferring to avoid thinking about potential health declines. It can be particularly hard to initiate conversations when older adults do not want to talk about what they see as a loss of independence. It is important to start slow, but to remain dedicated to having productive conversations.

Evolving Needs

Care needs can change rapidly, potentially rendering some aspects of advance planning obsolete. It is important to remain flexible even as you plan ahead.

Complexity of Options

The sheer amount of care options available can make it difficult for families to assess and plan for future needs effectively. It is important for families to keep lines of communication open and to carefully consider all available options.

Benefits of Crisis Response

Immediate Action

Crisis response often leads to quick decision-making and immediate action, which can be crucial in emergency situations. In the midst of a crisis, it is sometimes easier to overcome resistance to change.

Clear Needs Assessment

A crisis often clarifies the

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will meet all their loved one’s care needs.

IBRANTLife

HIT YOUR HIG H NOTE

Inclusive Senior Living

The generation that fought for the rights of people of color and lesbian, gay, bi-sexual, transgender, and queer (LGBTQ) individuals is aging. While the world has undoubtedly become more inclusive since their youth, there is still work to be done.

To serve all older adults, senior living communities and service providers need to be cognizant of and dedicated to promoting diversity and inclusion. Increasingly, senior living providers are acknowledging the diversity of their staff and clients. These forward thinking providers are working to make sure that everyone is comfortable and respected. Our seniors and senior living providers— all of them—deserve no less.

Positive Aging Sourcebook is dedicated to helping senior living providers promote diversity and inclusion. We have held numerous digital discussions on equity, inclusion and diversity in senior living to advance acceptance and expand understanding. View past conversations or join future discussions at retirementlivingsourcebook.com/ digital-discussions

LGBTQ Seniors

Many of the LGBTQ seniors who are seeking senior living services today are the same individuals who struggled to come out to friends, families, and employers for decades because of fear of discrimination. Now, as they face retirement living decisions, they are again fearful that their lifestyle will lead to discrimination or the outright refusal of services.

Unlike other seniors, LGBTQ older adults are less likely to have children to help them in their later years. They may also be estranged from their families. This demographic is far more likely to rely solely on a partner or close friend for their care as they age.

A 2018 analysis by University of Washington professor Karen Fredriksen-Goldsen concluded that unique prevention and intervention strategies needed to be developed to address the needs of queer seniors. The study noted that the number of LGBTQ seniors is expected to double to more than four million by 2030.

During a recent Positive Aging digital discussion, Jennifer Marie

Brown, the community relations manager at Seabury Resources for Aging, explained the historical context that drives distrust among LGBTQ seniors. “During McCarthyism, people lost their jobs, people were hounded out of a lot of federal government positions here in the DMV, because they were gay and lesbians. And it made them even more closeted, more guarded, more suspect of being out or public about who they were,” she said.

Brown continued, “As we provide services for 80-year-olds, 85-yearolds, they are very leery of the consequences of being out in a retirement community or with home health care providers. They lived a life in which it was not okay to be queer in the workplace, was not okay to be queer in a house of worship, was not okay to be queer in the PTA, was not okay to be queer anywhere.”

Brown encouraged local senior care providers to seek out training and enrichment opportunities to better serve LGBTQ seniors. Some communities, including Seabury and Iona, have custom programs to serve this population. Additionally, SAGECare is an independent Continued on page 24

Vibrant Senior Living...

Weather won’t disrupt your day at an Erickson Senior Living®managed community. We have seven convenient locations in the greater Maryland, Virginia, and D.C. region:

• Ashby Ponds® Ashburn, Virginia

• Greenspring ® Springfield, Virginia

• Woodleigh Chase℠ Fairfax, Virginia

• Riderwood ® Silver Spring, Maryland

• Charlestown® Catonsville, Maryland

• Oak Crest ® Parkville, Maryland

Coming Soon

• The Grandview℠ Bethesda, Maryland

Inclusive Senior Living

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organization that provides training and consultation on LGBTQ aging issues to service providers.

Racism in Senior Living

When thinking of senior living challenges, most people focus on eliminating ageism. However, racism is a significant issue in senior living— just as it is throughout our society. Equity, inclusion and diversity are important topics that senior living providers must confront directly.

Historically, people of color have underutilized senior living services. Many senior living

communities have completely homogenous populations—often all white. For senior living service providers, systemic racism and its corresponding economic disparities may prevent people of color from accessing services. There are also cultural barriers to access. Even for hospice services, which are primarily covered by Medicare and Medicaid, a recent study of utilization by race revealed that 83 percent of hospice patients in the United States are Caucasians, while African Americans represent only 8 percent, followed by Hispanics at 6.4 percent, Asians at 2 percent and Native Americans at .05 percent. People of color do not use senior living services like they could—or should.

Hiring Practices

Beyond utilization, one of the biggest challenges facing senior living providers seeking to promote diversity and inclusion is diversity in hiring. In senior living communities and home care agencies, frontline caregivers are disproportionately people of color, while clients are disproportionately white.

Companies that are not already doing so need to actively recruit and promote people of color. Frontline caregivers should be made aware of opportunities and paths for promotion. They should be encouraged to recruit other people like them to work in the organization. They should also see themselves reflected in the management.

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Get a special VIP GIFT if you mention the Washingtonian during your tour!

“When we first walked into the stately Residences at Thomas Circle, we felt welcomed. On our 1st visit, my husband Bert Kubli even recognized an old friend he had not seen in 25 years! We feel safe here. The building itself is a safe zone. The apartments are beautiful and designed to be accommodating as life changes. We are impressed with the care, concern, and good humor of the professional staff, especially the wait staff in the dining room. The consistently good food is often enhanced by delicious mealtime conversations.

After decades together in our lovely home on Capitol Hill we decided it was the right time and right move for us—while we still had our wits about us and remain open to meeting new people and new experiences—all the while monitoring our health and wellbeing. The quality of the people living and working at the Residences at Thomas Circle makes us feel confident each day that we are living in the right place for us.”

Mark McElreath, Independent Living Resident

Bert and Mark with Maine Coons Lusya and Lera

- Terry Murphy

The Reviews Are In!

Proud to have earned top ranking for senior wellness from the International Council on Active Aging!

“We nailed the peaceful, stress -free retirement folks dream about.“

“There are educational programs, music concerts, exercise programs, a heated pool - always something. I wish I had come here earlier.” -Susan Wenger

“A wonderful place to live—and thrive.”

- Kathy Sloan

Step onto our scenic 134-acre campus to feel the vibrant community spirit. As Montgomery County’s top continuing care retirement community, Asbury offers superb senior living options, apartments, Courtyard Homes, and Villas, with comprehensive on-site health services for active living.

LIFE WITHOUT COMPROMISE

Ingleside’s not-for-profit, senior living communities offer vibrant lifestyles where passions flourish, connections deepen, and wellbeing is nurtured. Designed to reflect the highest standards, each community provides opportunities for active exploration, meaningful connections, and personal growth. Our Centers for Healthy Living, unparalleled cultural arts opportunities, and a continuum of care are all easily accessed on one campus.

Planning Ahead vs. Crisis Response in Elder Care

Continued from page 14

immediate care needs, making it easier to determine the next steps. This may be beneficial for families who have been unable to reach compromises.

Challenges of Crisis Response Limited Options

Responding to a crisis often means fewer options for care. Families will have to select from among facilities that are actually available immediately, and these may not always be the most desirable choices in terms of location, price or services offered.

Increased Stress

Crisis situations in elder care can be extremely stressful for families, especially when dealing with hospital discharges and urgent placement decisions. Oftentimes, hospitals give families very short notice of discharge and limited options for long-term care.

Financial Strain

Without proper planning, families may face significant financial burdens when responding to an elder care crisis. Long-term care insurance or savings accounts for long-term care need to be obtained far in advance.

Fragmented Care

Crisis response often results in fragmented and uncoordinated care, as families struggle to navigate complex healthcare systems under pressure. As the elderly population continues to grow and senior healthcare systems face workforce shortages, the problems of individual families are exacerbated by a system that is not prepared to meet the demands of an older population.

Proactive planning allows for more personalized care, better financial preparation, and reduced stress on families.

Planning Means Better Care and Less Stress

The benefits of planning ahead for elder care challenges generally outweigh crisis response. Proactive planning allows for more personalized care, better financial preparation, and reduced stress on families. However, it’s important to recognize that even with the best planning, crises may still occur.

The key is to start elder care planning conversations early, involve all family members, and consider working with professionals to develop a comprehensive plan. This approach can help families navigate the complexities of elder care with greater confidence and ensure better outcomes for their loved ones.

Understanding Solo Aging

Solo aging is simply aging on your own. For most people, this means aging without a spouse, adult children, or other close relatives. Whether they are widowed, divorced, estranged, or never had a spouse or children, many solo agers find themselves in their 70s, 80s, and beyond without any immediate family members.

Long misunderstood and misrepresented, solo aging is emerging as a desirable and increasingly popular way to age. Even for individuals who didn’t necessarily choose solo aging, it can be a positive phase of life with the right attitude and some advance planning.

Who is Solo Aging for?

Anyone and everyone who is over age 65 and living independently. Solo agers are making decisions on their own as they age. It is important to remember that solo aging is not just for individuals who have always been single. For instance, an older adult may become a solo ager when their spouse predeceases them. Even individuals with kids may become solo agers if their children live far away or if they are unable to be involved in aging decisions or caregiving.

Joy Loverde is a senior living expert and industry veteran, as well as the author of The Complete Eldercare Planner and Who Will Take Care of Me When I’m Old? She joined a recent Positive Aging Sourcebook Digital Discussion on solo aging. In the last decade, Joy’s focus has shifted from helping individuals care for their elderly loved ones to helping them plan for their own future.

Solo agers need to consider how they want to live and receive care as they get older. Options include aging in place or moving to a senior living community.

When should you start planning for solo aging?

Yesterday. Or today. Or as soon as possible. Planning for solo aging is much easier and far less stressful if it is done BEFORE a crisis.

Especially if you realize that your circumstances will mean that you will become a solo ager, it is important to start as early as possible to plan for the future. This includes planning for your financial, emotional, and physical well being.

Solo agers need to consider how they want to live and receive care (if necessary) as they get older. They should also give serious thought to

whether they want to “age in place” or move to a senior living community of some type. Aging in place means that you will be living in your current neighborhood or live in another community that is not age restricted. There are also a wide variety of senior living communities—ranging from communities where residents are fully independent but enjoy amenities to properties that provide varying levels of care for residents as needed.

How do you maintain and build connections and friendships as you age?

Joy explained that there are community organizations, events and clubs in every town and city— many designed specifically for older adults.

With no shortage of places to meet people, you have to focus on not just meeting volumes of people, but on being a good friend and forming long-term, deep commitments. Friendships take time and perseverance, and there must be a balance of give and take. As a start, Joy recommends seeking out county and city groups for older adults run through Area Agencies on Aging. She also suggests a quick google search of “free activities” and your city or town’s name.

What do you need to be a successful solo ager?

While the specific answer varies widely according to personal desires, the short answer is quite simple: a clear, actionable plan. Solo Aging has many facets including:

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A Lifestyle

GREAT LIVING

Our senior living campuses, Goodwin House Alexandria, Goodwin House Bailey’s Crossroads and The View Alexandria by Goodwin Living, support your active lifestyle within easy reach of Washington, D.C. You’ll enjoy independent living, assisted living, memory support, short-term rehab, long-term nursing care and a range of specialized healthcare services that Goodwin Living provides.

GREAT INDEPENDENCE

Goodwin Living At Home offers two options: a financial plan with insurance-like coverage for care costs and a care coordination plan to support aging safely and comfortably at home.

GREAT CARE

Goodwin Home Health provides short-term rehab therapy and nursing services by coming to you conveniently, wherever you call home.

GREAT COMFORT

Goodwin Hospice brings comforting care when you need it most, with dignity and quality at end of life, in homes throughout Northern Virginia.

With Great Care

t takes a very special person to dedicate their life to caring for another adult. The simple act of putting someone else first is perhaps the purest expression of love. Caregiving is an enormous responsibility, and it must be done with great care.

That high level of care is exhibited every day by the caregivers with Comfort Keepers, a leading provider of in-home senior care designed to help older adults thrive while living safely at home. From live-in care to companion care, Comfort Keepers provides empathetic caregivers specially trained to provide uplifting care, transportation and support.

Comfort Keepers helps a diverse array of clients maintain their independence while receiving the care they need. Here are two of their stories.

friends who she would travel with regularly. She was very active.”

“She was surrounded by her loved ones, and I wouldn’t have had it any other way. I just wish we would have moved her and started the in-home care sooner.”

DOUG BACCI, Comfort Keepers client who received inhome care for his mother, Marilyn

As Marilyn grew older, she began to experience some health challenges that required several surgeries. She also fell and broke her kneecap, which led to a stay in a rehabilitation facility.

Throughout her life, Marilyn benefited from the care and support of all her children and their families, as well as her sisters and their families. Home was a very special place to her because it was filled with family. Her large family network provided support, comfort, and joy while she was well and throughout her illnesses.

After returning home, Marilyn continued to experience health issues and had to move temporarily to a nursing home in New York. “She absolutely did not like that,” Doug said. “She went home, and my sister stayed with her, but it quickly became evident that she was going to need more care.”

Ultimately, after several more short-term nursing stays, the family decided that they needed a more permanent solution.

“We decided that she would move down to Virginia to live with me and my wife, and I started reaching out to caregivers because I knew we would need help,” said Doug. “Comfort Keepers responded promptly and professionally. They seemed to be in tune with what I was feeling and were able to anticipate my needs and answer all of my questions.”

Within a few days, Doug moved his mom from New York to Virginia and Comfort Keepers set up a full schedule of 24/7 care for her.

son’s home, was the right fit for Marilyn. “Nursing homes can be good, but there are so many more patients than caregivers, and sometimes things slip. When she was here there was someone dedicated to meeting her every need, and she was also in a loving environment with her family,” Doug concluded.

Lifelong Caregiver Learns to Receive

She was a nurse, a world traveler, a stay-at-home, and a dedicated grandma. She was always a caregiver, but when she fell and broke her shoulder at 95, Eva Mastromichalis needed help.

A young widow, Eva had been living alone for many years and was very active and healthy. She was involved with her church and volunteered at their thrift store. She also spent a lot of time reading and was a dedicated bargain shopper.

“I told everyone that I had never seen my grandma, my Yaiyia, sick. She never had colds or stomach bugs. She was just so healthy and was still doing all her errands and shopping independently at 95,” said Tim Mastromichalis, Eva’s grandson.

“Don’t let fear of the unknown hold you back. If you or a loved one needs help, reach out to an agency or provider who is experienced in home health care and discuss the benefits.”

TIM MASTROMICHALIS, Comfort Keepers employee and client whose grandmother, Eva, receives care

Eva was heavily involved in Tim’s upbringing following the passing of his mother at a young age. He spent afternoons with her after school for most of his childhood and has fond memories of that time.

“My grandfather was a language expert. He spoke Greek as his native language, but he was also fluent in English, Spanish, French, German and Portuguese. Because of his knowledge, they were moved by his company to Brazil,” Tim said. Continued on page 38

With Great Care

Continued from page 37

“My grandma’s life was filled with a lot of traveling. They lived and traveled all over the world— from Brazil to Germany and from Puerto

Rico to Greece. She continued traveling well into her 80s.”

After her fall, the family agreed that it was no longer safe for Eva to live alone. Since Tim worked for a Comfort Keepers franchise in North Carolina in addition to still

Caring for Community

Being a good neighbor means being involved, showing up and giving back. Comfort Keepers is committed to being a good neighbor in all the communities they serve. From assisting veterans to helping families facing dementia to pushing for better care after strokes, Comfort Keepers individual franchise owners and employees are active and engaged in their respective communities.

Helping Veterans

Too often, veterans are not aware of the benefits they are entitled to because of their service to the country. Winston Chapman, a veteran and client relations executive at Comfort Keepers, spends much of his time educating veterans and families and working closely with the Veterans Administration (VA). He partners with social workers, case managers and doctors with the VA to ensure veterans receive the care and support they deserve, including home care services.

assisting the Northern Virginia office, the family turned to him for advice. “I knew that we could trust the Comfort Keepers in Virginia, and I wanted to find her a livein caregiver because I wanted to assure consistency with the caregivers. I knew my grandma

proudly supports The Shepherd Center by sponsoring and participating in their annual pickleball fundraiser. They also provide respite and personal care services to Shepherd Center members in need.

Enhancing Dementia Care

Comfort Keepers and Insight Memory Care Center share a deep commitment to enhancing the quality of life for families navigating dementia. Insight Memory Care Center is a nonprofit providing quality memory and cognitive care for families living with dementia through specialized day programs, support for care partners and families, and education and engagement opportunities for the wider community. Two members of the Comfort Keepers leadership team have served as past and present board members.

Climbing for Parkinson’s Disease

Transforming Aging

The Shepherd Center of Northern Virginia works to improve the quality of life of older adults as they age through supportive programs and volunteer engagement. Their goal is to help seniors live full and productive lives while aging in place. Comfort Keepers

Up Ending Parkinsons is a nonprofit that provides guided rock climbing for people living with Parkinson’s Disease. Up Ending Parkinsons, through its tireless efforts, bridges the gap between hope and reality for Parkinson’s patients worldwide. The group meets weekly at various Sportrock locations throughout the region. Andy Riley, Senior Home Care Specialist with Comfort Keepers, is a proud volunteer for the program. Every Tuesday, Andy is on the ropes belaying for his Parkinson’s climbers.

Coming Back After a Stroke

The Stroke Comeback Center supports stroke survivors and their families throughout their recoveries, regardless of their ability to pay. Nick Bryan, owner of Comfort Keepers-Sterling, and Cynthia Shannon, Senior Home Care Specialist with Comfort Keepers, are both on the Board of Directors. Nick is the Vice Chair of the Finance committee, and Shannon serves on the development committee.

Winston Chapman during Operation Desert Sheild.

would want one person that she could get to know,” Tim explained.

The family was matched with Rejoice, a seasoned caregiver who Tim had known for several years. After an initial adjustment period, Eva began to trust and rely on Rejoice. Rejoice has been providing live-in care for Eva for three years now. In 2025, Eva will celebrate her 99th birthday.

While her health has remained largely stable, Eva did have to go the emergency room during one illness. During that time, Rejoice was able to stay with her and help maintain a sense of normalcy. “Rejoice has really become the expert on my grandma. She knows when

something is not right and when my grandma needs a different medication or more rest,” he said.

In addition to her close relationship with Rejoice, Eva also enjoys meeting the other caregivers who fill in when Rejoice is out. “She will talk to the other caregivers because she wants to get to know them, to hear about their life experiences and to share her own,” said Tim. “She loves the diversity of caregivers available in Northern Virgina. She loves learning about where they are from and hearing their languages.”

As both a professional in the home health care field and a recipient of home care for his grandmother, Tim recommends that families look into

the benefits of home care. “Don’t let fear of the unknown hold you back,” he advised. “If you or a loved one needs help, reach out to an agency or provider who is experienced in home health care and discuss the benefits and how home care can help meet your loved ones needs. Educating yourself is the first step.”

Whether you need a little extra help or live-in care, Comfort Keepers caregivers can help. Helping older adults maintain their independence and dignity while receiving the care they need is not always easy, but it is possible with qualified caregivers. From daily chores to medication management to companionship, Comfort Keepers caregivers handle everything with great care.

Comfort Keepers® has been elevating the human spirit for more than twenty-five years. As a trusted resource for helping seniors stay in their homes as they age, we offer companionship and personal care to aid our clients, helping them to achieve and live their best quality of life.

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Senior Living Resources

Offering vital assistance and support

Senior living resources include any professional or service that makes life easier for older adults and their families. Some prominent examples include elder law attorneys and aging life care professionals.

As the older adult population has grown, so have the number of professionals and services specifically dedicated to assisting older adults. Professionals who specialize in helping older adults have the expertise and the experience to make challenging situations easier.

How can senior living resources help me?

Senior living resources include professionals who can help older adults address any challenges that come along with aging.

For instance, elder law attorneys can help individuals get their affairs in order in terms of medical care, interventions and the disposition of their assets after death.

Aging life care professionals provide families with help navigating the vast and complex senior living industry. They can help seniors find appropriate care environments and mediate family conflicts.

Beyond these

suggest a course of action, or even a specific professional to

Use our research. Sourcebook features detailed articles, checklists, featured listings and comprehensive tables in each section. Use these resources to begin your search for a professional who can help you and your family.

Comprehensive Dementia Care for Medicare Beneficiaries

According to the Centers for Medicare and Medicaid Services (CMS), dementia affected more than 6.7 million Americans in 2023. That number is projected to soar to 14 million impacted Americans by 2060. Caring for individuals with dementia often falls to unpaid family caregivers who face enormous obstacles managing the behavioral and psychological symptoms of dementia.

Dementia patients may also have multiple chronic conditions which makes caring for them even more complicated. Given the need for care and supervision around the clock, it is not surprising that dementia patient caregivers are often unable to provide long-term care in the family home.

The Guiding an Improved Dementia Experience (GUIDE) Model, launched by the Centers for Medicare & Medicaid Services (CMS) on July 1, 2024, represents a significant step forward in dementia care. This eight-year voluntary nationwide program aims to enhance the quality of life for people with dementia and reduce the strain on their unpaid caregivers.

GUIDE focuses on comprehensive, coordinated dementia care through a standardized approach. The model provides Medicare payments for a package of services including care coordination, care management, caregiver education and support, and respite services. This allows beneficiaries to remain

in their homes and communities longer, potentially avoiding premature institutionalization.

Key components of the GUIDE program include:

• Care Coordination: An interdisciplinary team creates and maintains a person-centered care plan, coordinating services with primary care providers and specialists. This helps ensure that family caregivers are not dealing with a dementia diagnosis in isolation and trying to manage care without knowledge of the disease or long-term needs.

• 24/7 Support: Beneficiaries and caregivers have round-the-clock access to care team members or navigators. Challenges will arise when caring for someone with dementia. This support gives caregivers a place to turn for advice when they are facing specific challenges or feeling worn down.

• Caregiver Support: The program offers training, education, and support for unpaid caregivers, recognizing their crucial role in dementia care. Caregivers learn specific skills for avoiding conflict, maintaining patience, and dealing with hyper fixations (like leaving the home or going to a specific place).

• Respite Services: GUIDE provides payments for respite services, allowing caregivers temporary breaks from their responsibilities. This can help caregivers avoid dangerous burnout. These small breaks also give caregivers the time they need to take care of their own doctor appointments and other errands.

• Medication Management: Regular medication reviews and adherence support are provided. Medication management can be one of the biggest challenges preventing individuals from

Continued on page 44

Dementia Care

Continued from page 42

remaining in the family home. This service ensures that medications are reviewed and schedules are followed.

Eligibility Requirements

To be eligible for GUIDE, beneficiaries must have a diagnosis of dementia, be enrolled in Medicare Parts A and B, and not be receiving Medicare hospice benefits or living in a long-term care facility.

The GUIDE Model sets a new standard for dementia care by addressing key drivers of poor-quality care. It defines a standardized approach to care delivery, provides an alternative payment methodology, addresses unpaid caregiver needs, and offers respite services. As the program progresses, it has the potential to significantly impact the lives of hundreds of thousands of Medicare beneficiaries living with dementia and their caregivers.

By linking healthcare systems with community-based organizations and providing structured support and resources, GUIDE aims to transform the fragmented system that many providers and patients have struggled with in the past. This innovative approach to dementia care represents a promising step towards improving outcomes and quality of life for those affected by this challenging condition.

Some information adapted from the Centers for Medicare and Medicaid Services. Visit www.cms.gov/priorities/innovation/innovation-models/ guide for additional details and updates. While an initial smaller group of established providers is already offering services, additional providers will be starting the program in July 2025.

Understanding Solo Aging

Continued from page 30

• Location – Decide where you will age. Do you plan to age in place in your current private residence or move to a different location or senior living community?

• Accessibility – If you are aging in place, does your current residence need updates or modifications to accommodate your needs as you age?

• Finances – Do you have the financial means to see your plan through? Have you calculated your projected expenses?

• Legal – Both financial and medical planning may require the assistance of a legal professional. You should at the very least have

a power of attorney appointed to oversee your decisions and estate if you can longer do it.

• Medical – Do you have any longterm health conditions you need to plan for? Do you have a strong family history of a certain condition? Have you appointed someone (friend, family, or attorney) as a medical power of attorney?

• Emotional – Do you have a social safety net? What can you do to create one? Do you have relationships with your neighbors or friends close by?

For more information on solo aging, download the digital discussion at retirementlivingsourcebook.com. You can also find Joy Loverde’s books at www. elderindustry.com

PACE: Revolutionizing Senior Care with All-Inclusive Support

The Program of All-Inclusive Care for the Elderly (PACE) is an innovative healthcare model designed to help frail seniors live independently in their communities while receiving comprehensive medical and social services. PACE aims to provide coordinated, high-quality care that allows participants to age in place and avoid unnecessary hospitalizations or nursing home placements.

What is PACE?

PACE is a Medicare and Medicaid program that offers a unique approach to meeting the healthcare needs of eligible seniors. It provides a wide range of services, including medical care, social services, and long-term support, all coordinated by an interdisciplinary team of healthcare professionals.

The program operates on a capitated payment system, meaning that PACE organizations receive a fixed amount per participant to cover all necessary services. This allows providers to offer flexible, personalized care without the constraints of traditional fee-forservice models1.

Eligibility Requirements

To be eligible for PACE, individuals must meet the following criteria:

• Be 55 years of age or older

• Live in the service area of a PACE organization

• Be certified by their state as needing a nursing home level of care

• Be able to live safely in the

community with PACE support at the time of enrollment.

While most PACE participants are dually eligible for Medicare and Medicaid, this is not a requirement. Individuals can join PACE even if they only have Medicare or choose to pay for the program privately.

Comprehensive Services

PACE offers a wide array of services to meet the diverse needs of its participants. These services include, but are not limited to:

• Primary and specialty medical care

• Prescription medications

• Adult day care

• Home health care

• Hospital and nursing home care when necessary

• Physical, occupational, and speech therapy

• Social services and counseling

• Nutritional support

• Transportation to PACE centers and medical appointments

The program’s flexibility allows it to provide additional services deemed necessary by the interdisciplinary team to improve and maintain a participant’s health.

The Interdisciplinary Team Approach

At the heart of the PACE model is the interdisciplinary team, which assesses each participant’s needs and develops a comprehensive care plan. This team typically includes:

• Primary care physicians

• Nurses

• Social workers

• Physical and occupational therapists

• Recreational therapists

• Dieticians

• Home care coordinators

• Personal care attendants

The team meets regularly to discuss each participant’s status and adjust care plans as needed, ensuring a holistic and responsive approach to healthcare.

Benefits of PACE

PACE offers several advantages for eligible seniors:

Comprehensive care: All medical, social, and long-term care services are provided under one program.

Aging in place: Participants can continue living in their communities rather than in nursing homes.

Coordinated care: The interdisciplinary team approach

Continued on page 46

PACE: Revolutionizing Senior Care

ensures all aspects of a participant’s health are addressed.

No out-of-pocket costs: For those eligible for both Medicare and Medicaid, there are typically no deductibles, copayments, or coverage gaps.

Continued from page 45 As the population ages, programs like PACE may play an increasingly important role in meeting the healthcare needs of older adults.

Flexibility: Care plans are tailored to individual needs and can be adjusted as health status changes.

Enrollment and Disenrollment

Enrollment in PACE is voluntary and can begin at any time. Once enrolled, participants receive all their care through the PACE

organization, which becomes the sole source of services for Medicare and Medicaid enrollees.

Participants have the right to disenroll from the program at any time, typically effective at the

beginning of the following month. This flexibility allows individuals to choose the care that best meets their needs.

The Program of All-Inclusive Care for the Elderly represents an innovative approach to senior healthcare, offering comprehensive, coordinated services that support aging in place. For eligible seniors who value independence but require significant support, PACE can provide a valuable alternative to traditional care models. As the population ages, programs like PACE may play an increasingly important role in meeting the complex healthcare needs of older adults while promoting quality of life and community engagement.

Because Home Is Where You Want to Be

TRANSPORTATION

SUPPORT

Services

•

•

•

•

Non-Emergency Medical Transportation

For many older adults, driving can become a challenge. Whether they no longer drive at all or only feel comfortable driving to specific locations in their neighborhood, older adults may struggle getting to medical appointments if their ability to drive is limited.

Arranging for rides from friends or family, relying on public transportation, or enlisting paid drivers can pose physical and financial challenges. But there are better options.

Non-Emergency Medical Transportation (NEMT) is a crucial service that provides safe and

appropriate transportation for individuals who need assistance getting to and from medical appointments. This service caters to individuals who are not in emergency situations.

NEMT offers benefits, including:

• Cost-effectiveness compared to emergency transportation

• Access to vital medical equipment during transit

• Increased accessibility and convenience for regular medical visits

• Enhanced safety measures tailored to patients’ needs

• Promotion of independence for elderly and disabled individuals

Providing Non-Emergency Medical Transportation throughout Virginia and the Washington DC Metro

H&M Transport is the first and only company in the region to receive national accreditation from the Non-Emergency Medical Transportation Accreditation Commission (NEMTAC). We’re proud to deliver unmatched safety, reliability, and quality in every ride.

Many vehicles used for nonemergency transportation are equipped with features such as wheelchair ramps, handrails, and ergonomically designed seats to ensure passenger comfort and safety.

Services can range from basic ambulatory transportation to wheelchair and stretcher transport.

It is estimated that 5.8 million Americans are missing or delaying healthcare due to a lack of transportation. Transportation needs for these older adults is expected to increase by 6.5 percent annually over the next five years.

Revolutionizing Dental Care

Mobile Dentistry is transforming oral health for older adults

Mobile dentistry and home visits are revolutionizing dental care for older adults, providing essential services to those who may have difficulty accessing traditional dental offices. This innovative approach brings high-quality dental care directly to seniors in the comfort of their homes, nursing and rehab centers or assisted living communities.

Mobile dental services typically operate from specially equipped vehicles or use portable equipment that can be easily transported. These setups include all the necessary tools for comprehensive dental care, allowing dentists to perform a wide range of procedures, from routine check-ups and cleanings to more complex treatments.

Dental Care at Home

One of the primary benefits of mobile dentistry is the ability to offer standard dental care services in a familiar home setting, whether that is a family home, retirement community or adult day care.

“Offering dental care at home is a great option because it

allows patients to remain in an environment where they feel comfortable,” explained Dr. Julie Cole, a dentist in Leesburg, VA, who offers mobile dental services in addition to her traditional in-office services. “Especially for patients with dementia, they tend to be way more receptive to dental care and compliant when they are in a familiar environment.”

Mobile dental services are incredibly convenient, eliminating the need for seniors to travel, which can be challenging due to mobility issues or health concerns. Mobile dentists are also able to spend more time with each patient and provide tailored care. With modern equipment, mobile dentists can offer treatments ranging from wellness exams and

cleanings to filings and denture care. Finally, mobile dental teams are able to collaborate closely with the staff at a retirement community or family members to ensure proper home care for elderly patients.

“Whenever I talk to caregivers, I emphasize that there are many things they can do in the home that can make a big difference when it comes to senior dental health,” Coe noted. “A dentist can help you identify issues or areas that need work and then you can use tools like waterpiks or flossers to ensure that you are maintaining dental care at home.”

For seniors living in long-term care facilities or those with mobility challenges, cognitive impairments, or chronic health conditions, mobile dentistry provides a crucial service. It ensures that oral health is maintained, contributing to overall well-being and quality of life. This innovative approach to dental care is not only meeting the current needs of older adults but also shaping the future of geriatric dentistry.

Treating Movement Disorders

Treatments for Parkinson’s and other disorders have improved

Movement disorders, including Parkinson’s disease and related disorders, can disrupt everyday life. Patient’s experience a wide range of symptoms—from movement difficulties to mood disorders to cognition challenges. These conditions also typically progress with time. But help is available.

The available treatments for Parkinson’s disease, essential tremor, dystonia and other movement disorders have improved dramatically during the past decade.

World-class care in the community

For decades, individuals with Parkinson’s or other movement disorders were treated primarily by general neurologists and had limited choices in terms of medicines. To see specialists, patients would have to travel to large, academic institutions. That is no longer the case.

“One of the biggest hurdles to doing well with Parkinson’s compared to doing just okay was access to specialty care,” explained

Continued on page 52

Essential Tremor vs. Parkinson’s

Essential tremor is a movement disorder in which a tremor comes out with activity. For instance, when a person is writing, their hand may begin to shake, but when they are at rest, their hand will not shake.

Dr. Falconer noted that nearly 90 percent of essential tremor patients are treated only by a primary care physician. However, he said, essential tremor responds well to newer pharmaceutical protocols—and treatments like Deep Brain Stimulation can eliminate it completely.

Neurologists and associated specialists focused on movement disorders provide treatment for:

• Parkinson’s disease

• Essential Tremor (ET)

• Dystonia, spasticity and other tone issues, including those resulting from multiple sclerosis or neurological injury

• Tic disorders

• Huntington’s disease and other hyperkinetic movement disorders

• Parkinsonisms, including multisystem atrophy (MSA), progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD)

A Trusted Partner Caring for Our Community

A Trusted Partner Caring for Our Community

We pride ourselves on being a nationally recognized Parkinson’s and Movement Disorders Center, anchored in the community in which we live. participants.

For programs and resources, please visit ipmdc.org

We pride ourselves on being a nationally recognized Parkinson’s and Movement Disorders Center, anchored in the community in which we live.

We pride ourselves on being a nationally recognized Parkinson’s and Movement Disorders Center, anchored in the community in which we live.

• IPMDC sponsors dozens of online and in-person, educational, wellness and supportive programs each month, at no cost to participants.

IPMDC sponsors dozens of online and in-person, educational, wellness and supportive programs each month, at no cost to participants.

Whether it’s Parkinson’s, essential tremor, dystonia or another movement disorder, our experienced team of fellowship-trained specialists in neurology and neurosurgery offer patients the highest level of advanced care for these complex conditions.

Whether it’s Parkinson’s, essential tremor, dystonia or another movement disorder, our experienced team of fellowship-trained specialists in neurology and neurosurgery offer patients the highest level of advanced care for these complex conditions.

• Whether it’s Parkinson’s, essential tremor, dystonia or another movement disorder, our experienced team of fellowship-trained specialists in neurology and neurosurgery offer patients the highest level of advanced care for these complex conditions.

Offices at multiple locations across northern Virginia. Telehealth is also available.

For an appointment, call 571.472.4200 or visit inova.org/move

OFFICES AT MULTIPLE LOCATIONS ACROSS NORTHERN VIRGINIA. TELEHEALTH IS ALSO AVAILABLE.

Offices at multiple locations across northern Virginia. Telehealth is also available. 571.472.4200 or visit inova.org/move For programs and resources, please visit ipmdc.org

Low Vision Can Lead to Challenges

Everyday activities may be difficult with limited sight

Low vision is vision loss that is uncorrectable through glasses, surgeries, or medications. Low vision impacts one’s ability to complete everyday activities. One in ten people over age 80 have this issue, but many are unaware of what it is and what can be done about it.

The first signs of low vision may be trouble reading, driving (especially at night), or recognizing people’s faces. An increase in falls can also be an indicator of low vision. Different eye conditions—from agerelated macular degeneration or glaucoma to diabetic retinopathy— cause various vision challenges. However, all the conditions that cause low vision can make everyday activities more difficult!

It is important to note that, while one’s chances of low vision increase with age, permanent sight loss or going blind is not a normal part of aging.

Living with Low Vision

In the case of low vision, sight cannot improve. However, individuals can live with low vision

and continue to be active and engaged. There are strategies and tools available to help patients adjust to current vision. These supports range from magnification and environmental changes to learning how to use different senses (such as touch or hearing).

Service professionals, such as a low vision specialist, can work with patients to develop a comprehensive rehabilitation plan. This plan will be developed with the

individual’s personal goals in mind. Goals may range from regaining employment to staying safe in the home. No matter what the patient may want to do, there are hundreds of resources available to help.

Losing your sight does not mean losing your independence. There are many services, supports, and professionals available to help. With assistance in place, many people with low vision go on to live full lives.

If you or someone you know is experiencing low vision, learn more about what can be done to help. Connect with the Prevention of Blindness Society of Metropolitan Washington (POB), a nonprofit with free services and resources for people with vision loss, at (301) 951-4444.

As we age, some vision changes are normal, however others are not. Have you had . . .

• difficulty reading?

• difficulty walking down stairs?

• a hard time seeing or driving at night?

• a fall in the last year?

If you, your loved one, or clients answered “yes” to any of these questions notify your doctor and call our information and resource line at (301) 951-4444.

Finding Hope and Healing

Therapy can improve mental well-being

Aging comes with unique challenges—including significant physical and psychological changes. Older adults should never feel that they have to navigate these challenges alone. Therapy can offer numerous benefits for older adults, helping them handle the difficult aspects of aging and maintain mental well-being.

Person-centered and strengthbased approaches to therapy offer significant benefits for older adults dealing with emotional distress, depression, anxiety, family stressors, grief, and bereavement. These methods focus on respecting individuality and leveraging existing strengths, leading to improved outcomes and enhanced quality of life.

Person-centered care

The person-centered care approach tailors care to each individual’s unique needs and preferences, promoting autonomy and dignity. This personalized care has been shown to reduce agitation, depression, and neuropsychiatric symptoms

in older adults, particularly those with dementia. Actively involving seniors in decisionmaking fosters a sense of control and empowerment, crucial for maintaining mental well-being.

Person-centered care is widely used in the senior care industry. It is an excellent way to combat depression because elderly patients who are allowed to make their own care decisions and maintain their independence are less likely

to feel sad or overwhelmed. It is also so important to treat seniors as individuals with unique life experiences, wants and needs— rather than as one-dimensional elderly patients. Person-centered care is a simple approach with significant positive outcomes.

Strength-based therapy

Strength-based therapy complements person-centered care by focusing on an individual’s natural skills and attributes rather than solely on symptoms. This approach helps seniors develop stronger coping mechanisms and resilience, essential for managing anxiety and depression. It encourages problem-solving skills while providing emotional support, leading to improved self-esteem and overall psychological well-being.

Strength-based therapy is a type of psychotherapy that helps individuals identify positive qualities and use those traits to improve their overall well-being. This type of therapy is important to help older adults focus

Continued on page 52

Treating Movement Disorders

Continued from page 49

Dr. Drew Falconer, Medical Director and Movement Disorders Specialist at the Inova Parkinson’s and Movement Disorders Center.

“We created an academic center in a community-based setting and all of a sudden that accessibility problem fell by the wayside.”

Dr. Falconer noted that since its founding ten years ago, the Inova Parkinson’s and Movement Disorders Center has grown dramatically. The center now employs six movement disorder specialists in six offices and treats more than 5,000 Parkinson’s patients annually.

As part of their approach to individualized care and accessible support for the community, the Center has expanded offerings to provide programs, resources, and support to help patients, families and friends stay engaged. The Center offers more than 100 educational, wellness and supportive programs monthly.

The evolution of treatments

In addition to being more accessible, treatments for Parkinson’s disease and related disorders have also become more advanced and reliable.

“Parkinson’s is a problem of a chemical being low, and that

chemical is dopamine,” Dr. Falconer explained. “These patients are in a car driving around, and their tank of gas is empty. The gas we have to give them to fill up their tank is dopamine. It’s very much akin to your type 1 diabetics who need insulin to function.”

Traditional medications for Parkinson’s provided dopamine, but they were unable to provide consistent levels of the chemical. Patients would be left experiencing dopamine highs and lows. For instance, when patients have too much dopamine in their system, they may experience dyskinesia, or uncontrolled, involuntary muscle movements. New medications can deliver dopamine in more predictable and consistent ways— giving patients more symptom relief and fewer side effects.

Treatment options are expanding rapidly. There are now 25 treatments available for Parkinson’s, including 14 that have been introduced in the past 10 years and three that were released in the past six months.

If you or a loved one has been living with a movement disorder or were recently diagnosed, a specialist can develop individualized care. There is no need to rely on outdated therapies or to settle for inadequate symptom management.

Finding Hope and Healing

Continued from page 51

on what they can do, and who they are, rather than on their age-related limitations or health challenges.

Therapy Options

Today, therapy is more accessible than ever, with choices including inperson, online or visiting counseling sessions. Online therapy has proven particularly beneficial for older adults facing mobility or transportation challenges. Virtual services make it possible for everyone to find a therapist regardless of their location or physical abilities.

When seeking therapy, seniors should focus first on finding a therapist they can connect with, as this rapport significantly influences treatment effectiveness. The right therapist should make patients feel comfortable and safe sharing intimate information. It is important for therapy patients to feel like they can open up and be honest without being judged or labeled.

Lastly, it’s important for seniors to check their Medicare coverage and private insurance options. Many plans now cover mental health services, making therapy more affordable and accessible. By utilizing these approaches and exploring available options, older adults can find effective support for their mental health needs.

Connect with leading EXPERTS and RESOURCES in senior living at Positive Aging Community’s live and interactive discussions!

Join weekly sessions on diverse topics, and if you miss one, access hundreds of on-demand recordings in our library. www.proaging.com

Hearing is Believing

Acccording to the National Association of the Deaf (NAD), nationwide relay services were first required by the passage of the Americans with Disabilities Act (ADA) in 1990. Relay services enable people who are deaf or hard of hearing, or who have a speech impairment, to communicate via telephone with a person who can hear.

States implement their own individual programs and services vary from state to state.

How do relay services work?

Most states offer traditional relay services and other accommodations.

To make a call using relay services, users simply pick up the phone and dial 7-1-1. After dialing, users are automatically connected to a communications assistant.

It is important to note that relay service users who are experiencing an emergency should still dial 911 directly.

What types of relay services are available?

Traditional relay services are also referred to as TTY. A TTY has a keyboard, which allows the user to type their side of the conversation, and a text screen to read the other

Have confidence in every conversation.

Do you find it difficult to use a standard phone? Do people ask you to repeat yourself during telephone conversations? Do you miss important calls because you can’t hear the phone ring? The Maryland Accessible Telecommunications (MAT) program gives Maryland residents the opportunity to apply for telecommunications equipment to independently make and receive calls. If you qualify, a skilled evaluator meets with you to determine how to make your day-to-day communications easier and more accessible. The MAT program has a variety of equipment solutions to support clearer communication, including:

• Amplified phones

Tablets

Visual ring signalers

• Smartphones for the Blind

For more information:

• Phones with large and/or high contrast buttons

Captioned Telephones

• Phones for memory loss

800-552-7724 (Voice) | 410-767-7253 (TTY Direct)

410-801-9618 (Video Phone) | MDMAT.org

Hearing services may be particularly helpful for people living with conditions like cerebral palsy, multiple sclerosis, and Parkinson’s disease.

person’s responses. After the TTY user types their side of the conversation, an operator reads the text to the other person. As the other person speaks in response, the operator types the spoken words, so the TTY user can read them on their device screen.

Continued on page 75

Daily Money Management

Money matters. And money matters can be complicated. Medical bills, insurance invoices, mail, bank statements, and retirement account information can pile up—and something important can easily be missed. But there are professionals who can help.

What is a Daily Money Manager?

Daily Money Managers (DMMs) are financial professionals who handle daily money matters for clients including paying bills, establishing budgets and keeping records. DMMs serve older adults, people with disabilities, busy professionals, high net worth individuals, and small businesses.

DMM services provide value in monitoring medical bills, ensuring that Medicare and other health insurance have paid their share before the client pays any balance due. Additionally, DMM assistance

in assembling papers needed for income tax preparation and in documenting medical and charitable contributions often means the client will pay lower taxes each year.

Since Daily Money Managers often work with elderly persons living in their homes, they can provide recommendations to other seniorserving professionals as needed. If they see that a client is in any way “at risk” due to impaired vision,

physical limitations, or confusion, they can make referrals to community resources, including care managers, attorneys, and accountants.

How do I find a Daily Money Manager?

Because finances are a highly personal matter, hiring a DMM is an important and individual decision. Referrals from a friend, colleague, or other professional are a good place to start.

Daily Money Managers can help:

• Older adults who need help paying bills and managing accounts

• Individuals with disabilities who need assistance with personal finances

• Victims of identity theft or fraud

• Adult children who are stepping in to help a parent manage finances following a hospitalization or because of declining mental or physical abilities

• Family members who are managing finances following the death of a loved one

• High net worth individuals and small business owners who need help keeping accounts updated or preparing information to file taxes.

The American Association of Daily Money Managers’ website (www.aadmm.com) can also provide valuable information that will help consumers learn more about daily money management and find a reliable DMM. The association represents professionals in the field by providing information and education to members and the public and maintaining a network of dedicated professionals. The website includes a “Find a DMM” search function that can help consumers find qualified professionals in their area.

Financial Planning for Senior Healthcare

Evaluate needs and calculate options

Few things are guaranteed in the game of life. Healthcare costs just might be one of them. At some point, most people will face ongoing and potentially large healthcare costs. The odds increase dramatically with age. Now is the time to prepare for healthcare costs as you age.

LIFESTYLE

• Do you have a plan to get to the store and doctor appointments when you stop driving?

• Have you considered having services come to your home when you stop driving?

• Do you know how your health conditions will progress with age?

bonds, stocks, etc.) based on an increase in healthcare costs?

• Have you considered if it still makes sense to have accounts at multiple financial institutions versus simplifying or consolidating?

• Can family members access and understand your accounts to help when needed?

• Have you thought about staying in your home versus moving elsewhere as you age?

• Do you know the senior services support organizations in your community?

• Do you have a support system in place if you are caring for a loved one with Alzheimer’s Disease or another form of dementia?

CASH FLOW

• Do you have social security and if so, do you know your monthly income?

• Do you have a pension and if so, do you know your benefit income?

• Do you understand social security and pension survivor benefits?

• Do you know the direct and indirect costs of your health insurance?

• Are you saving to cover for emergency healthcare costs?

• Do you understand what Medicare will and will not pay for?

• Do you understand the three qualification areas to apply for Medicaid financial assistance?

• Do you know how your monthly income will change if one spouse dies?

TAXES

• Do you know the kinds of expenses that could be considered deductible when faced with a chronic illness?

• Have you consulted with your tax preparer to optimize deductions relating to increased healthcare costs for this year?

• Do you know how the SECURE Act affects your retirement?

FINANCIAL INSTITUTIONS

• Do you work with a financial professional?

• Do you know when to change your investment strategy (cash, CDs,

LONG TERM CARE INSURANCE (LTCI) CONTRACTS

• Do you understand what your LTCI policy will and will not pay for?

• Do you know if your policy has a maximum payout?

• Do you know your options if asked to pay a higher premium?

• Do you know the criteria for submitting a claim?

• Are you aware of the actual cost of care compared to your LTCI reimbursement amount?

PLANNING WHERE TO LIVE

• Do you plan to stay in the same area, move closer to family, or move to warmer weather?

• If you want to age in place in your home, have you had your home assessed by a healthcare professional for livability?

• If you are planning to work with an agency to provide help in the home, have you researched the hourly/daily fee?

• If you are considering moving to a retirement community, do you have an idea of the services offered and pricing models?

• Are you or your loved one in need of 24-hour care?

• Are you familiar with all of the senior housing options?

Elder Law

Legal issues that affect people as they age and people with special needs are growing in number. Elder and Special Needs Law encompasses many different fields of law. Some of these include:

• Preservation/transfer of assets seeking to avoid spousal impoverishment when one spouse enters a nursing home

• Medicaid

• Medicare claims and appeals

• Social Security and disability claims and appeals

• Supplemental and long-term health insurance issues

• Tax planning

• Disability planning, including use of durable powers of attorney, living trusts, “living wills” for financial management and health care decisions, and other means of delegating management and decisionmaking to another in case of incompetency or incapacity

• Access to health care in a managed care environment

• Conservatorships and guardianships

• Estate planning, including planning of one’s estate during life and its disposition on death through the use of trusts, wills and other planning documents

• Probate and administration of estates

• Administration and management of trusts

• Long-term care placements in nursing and life-care communities

• Nursing home issues, including questions of patients’ rights and nursing home quality

• Elder abuse and fraud recovery cases

• Housing issues, including discrimination and home equity conversions

• Age discrimination in employment

• Retirement, including public and private retirement benefits, survivor benefits and pension benefits

• Health law

• Mental health law.

Source: www.naela.org

Find an Elder Law Provider

Use our step-by-step guide:

STEP 1 – KNOW YOUR NEEDS

Organize and outline all the information pertinent to your situation.

If you are calling on behalf of a loved one, make sure that you have as many specific details as possible.

STEP 2 – CALL ATTORNEYS

It is not unusual to speak only to an assistant during an initial call. Here are some questions to ask this person:

How long has the attorney been in practice?

Does his or her practice emphasize a particular area of law?

How long has he or she been in this field?

What percentage of his or her practice is devoted to Elder or Special Needs Law?

Is there a fee for the first consultation, and if so how much is it?

Given the nature of your problem, what information should you bring with you to the initial consultation?

STEP 3 – INITIAL CONSULTATION

When you have found a prospective attorney, make an appointment to see him or her. After you have explained your situation, ask:

What will it take to resolve it?

Are there any alternate courses of action?

What are the advantages and disadvantages of each possibility?

How many attorneys are in the office? Who will handle the case?

Has that attorney handled matters of this kind in the past?

If a trial may be involved, does the attorney do trial work? If not, who does the trial work? If so, how many trials has he or she handled?

Is that attorney a member of the local bar association, a health advocacy committee, or trust and estates committee?

What is the estimate of the cost to resolve your problem and how long will it take?

STEP 4 – DISCUSSING FEES

There are many different ways of charging fees and each attorney will choose to work differently. Be aware of how your attorney charges. Ask:

Do you bill weekly, monthly, or upon completion of work?

Do you charge by the hour? Are there different hourly rates for work performed by attorneys, paralegals and secretaries?

Is there a flat fee for this service?

Will there be any out-of-pocket expenses (charges for copies, postage, messenger fees, court fees, deposition fees and other such costs)?

Do you require a retainer?

STEP 5 – MAKE IT A GOOD EXPERIENCE

Once you decide to hire an attorney, ask that your arrangement be put in writing. A positive and open relationship between an attorney and a client benefits everyone.

Source: National Academy of Elder Law Attorneys

Law

Elder Care Mediation

Bridging family divides

Elder care mediation is a growing field that addresses conflicts involving older adults, primarily focusing on caregiving and financial issues. When family members disagree about caring for an aging older adult or how to handle financial decisions, tensions can escalate quickly. Elder care mediation involves a neutral third party, the elder care mediator, who facilitates discussions between family members, caregivers, and sometimes healthcare professionals to reach mutually acceptable solutions.

The primary goal of elder care mediation is to preserve family

relationships while ensuring the best care for the aging individual. Mediators help families navigate complex issues such as living arrangements, healthcare decisions, and financial management. They create a safe space for open communication, allowing all parties to express their concerns and interests.

Finding Cost-Effective Options

One of the primary benefits of elder care mediation is its costeffectiveness. Compared to litigation, mediation is far cheaper. Once attorneys are involved in a family disagreement, both parties

are guaranteed to spend additional time and money before reaching a resolution. Except in rare cases, families will benefit from at least trying mediation before turning to the courts to resolve disputes.

Preserving Family Relationships

When families disagree in court, the process can make reconciliation and future relationships difficult— or even impossible. Families that want to preserve—and heal—their relationships have a better chance for success if they stay out of the court system. Sitting down with a mediator can help family members find common ground and reach a decision that results in the best possible care for the elderly family member.

Continued on page 74

In planning for the present and the future, the attorneys at McCandlish Lillard take the time to get to know clients in order to provide individuals and families with candid expertise, careful attention, and compassion to understand and address legal issues in the areas of Elder Law, Estate Planning, and Special Needs Planning.

Understand Aging Life Care™

Acting as guides and advocates for families

Aging Life Care/geriatric care management is a holistic, clientcentered approach to caring for older adults or others facing ongoing health challenges.

What is an Aging Life Care Professional?

An Aging Life Care Professional™, also known as a geriatric care manager, is a health and human services specialist who acts as a guide and advocate for families who are caring for older relatives or disabled adults. The Aging Life Care Professional is educated and experienced in any of several fields related to aging life care/

care management, including, but not limited to gerontology, nursing, social work, psychology or occupational therapy.

The Aging Life Care Professional assists clients in attaining their maximum functional potential. The individual’s independence

is encouraged, while safety and security concerns are also addressed. Aging Life Care Professionals have extensive knowledge about the costs, quality and availability of resources in their communities.

Aging Life Care Professionals are

Continued on page 67

Solving the ManagementCarePuzzle

Our team of dedicated Care Managers are Certified and hold Masters Degrees in Social Work. Service S i nclude:

● Care Management

● Counseling/Consultation Services

● Coordination of Services & Care Providers

● Friendly Visitor/Shopping & Delivery Service

● Bill Paying, Claims Services & Entitlements

Housing, Relocation & Downsizing

“Plan

• Va. Guardianship Assoc.

Compassionate Care, Clear Solutions

24/7 Direct Access: Always available with our dedicated care managers—ensuring personalized, consistent support.

Customized Care Plans: Tailored solutions for aging, dementia, chronic illnesses, and other complex care needed.

Specialized Services: Expertise in care for special needs, chronic illnesses, dementia, and transitional services like hospital discharges and moves to care facilities.

Expert Advocacy: Direct collaboration with medical providers to prioritize your loved one’s wishes and best interests.

Holistic Family Support: Addressing emotional, financial, and logistical challenges with comprehensive guidance.

Community-Centered Care: Proudly serving families across the DMV with deep local knowledge and connections.

Proven Results: Trusted by families, attorneys, and healthcare providers for personalized, ethical, and effective care management.

Understanding Aging Life Care

Continued from page 65

members of the Aging Life Care Association™ (ALCA) and differ from Patient Advocates, Senior Advisors, Senior Navigators and Elder Advocates. ALCA members must meet the stringent education, experience and certification requirements of the organization, and all members are required to adhere to a strict code of ethics and standards of practice.

What Services do Aging Life Care Professionals Provide?

Aging Life Care Professionals provide guidance to help families ensure quality care and an optimal

life for those they love through:

• Assessment and monitoring

• Planning and problem-solving

• Education and advocacy

• Family caregiver coaching

• Long-distance caregiving

Aging Life Care Professionals are engaged to assist in a variety of ways:

• Housing – helping families evaluate and select the appropriate level of housing options.

• Home care services –determining the types of services that are right for a client and assisting the family to engage and monitor those services.

• Medical management –attending doctor appointments; facilitating communication

between doctor, client and family; and if appropriate, monitoring client’s adherence to medical orders and instructions.

• Communication – keeping family members and professionals informed as to the well-being and changing needs of the client.

• Social activities – providing opportunities for the client to engage in social, recreational or cultural activities.

• Legal – referring to or consulting with an elder law attorney; providing expert opinions for courts in determining level of care.

• Financial – may include reviewing or overseeing bill paying or consulting with an accountant or client’s Power of Attorney.

Continued on page 72

Standards of Practice and Code of Ethics

Aging Life Care ProfessionalsTM (also known as geriatric care managers) have varied educational and professional backgrounds with a specialized focus on issues associated with aging and disabilities. Through consultation, assessment, care coordination and advocacy, an Aging Life Care Professional works with clients and families to address these challenges. The Code of Ethics and Standards of Practice were developed to guide the Aging Life Care Professional in his or her daily professional and business practices. The ethical principles at the core of the Code of Ethics are the foundation for the Standards of Practice.

THE CODE OF ETHICS PROVIDES:

Accountability to our Clients

ALCA members recognize diversity in our society and embrace a multi-cultural approach to support the worth, dignity, potential and uniqueness of each client. The Code of Ethics acknowledges the vulnerable population we serve and makes explicit the highest standards of practice.

Accountability to the Public

The Code of Ethics sets a national standard for the professional practice of Aging Life Care™. It defines for the public the ethical responsibilities expected of ALCA’s members and the organization’s role in maintaining the highest standards of practice and promotion of ethical behavior.

Assistance in Reviewing Complaints

In ALCA’s Peer Review Process the Code of Ethics and Standards of Practice serve as the basis for assessing and resolving ethical or business practice complaints against members in their practice of Aging Life Care.

Continued on page

THE CODE: Ethical Principles and Standards of Practice Supporting These Principles Integrity

An Aging Life Care Professional is honest, diligent, and accountable in the provision of service. An Aging Life Care Professional always acts in a manner that is consistent with the professional values stated in this Code.

Promoting Benefit and Avoiding Harm

An Aging Life Care Professional promotes clients’ interests, values, and welfare in order to maximize benefits and avoid harm. An Aging Life Care Professional is aware

of potential conflicts that may arise when balancing the benefits and risks of interventions being considered. An Aging Life Care Professional strives to assure that vulnerable clients’ individual choices are maximized to the greatest extent possible.

Loyalty and Responsibility

An Aging Life Care Professional is trustworthy and dependable in all aspects of both professional and business relationships. An Aging Life Care Professional maintains confidentiality, avoids conflicts

of interest, and always pursues the best interest of clients.

Respect for Clients’ Rights and Dignity

An Aging Life Care Professional treats clients with respect, as complete individuals with their own history, narrative, and unique cultural identity. An Aging Life Care Professional respects the rights of each client, including the right to privacy, and, for the vulnerable client, strives to balance client autonomy with the need for protection and safety.

Our Solid Expertise - Spanning Four Decades

Standards of Practice and Code of Ethics

Continued from page 68

Education of Aging Life Care Professionals

ALCA recognizes the diversity of the experience and education of its members and the needs of members for guidance in both their professional and business roles, and thus the Code of Ethics was developed to guide members in each of these roles. It states the core values and principles to current and future members, to the public, and to allied professionals. All members of ALCA are expected to understand and behave in a manner that is consistent with the provisions of the Code of Ethics.

A Framework for Analyzing & Resolving Ethical Dilemmas

The Code of Ethics offers a framework for ethical decisionmaking when conflicts arise in either the practice or the business of Aging Life Care. It assists Aging Life Care Professionals in examining the ethical issues present in all aspects of their work by identifying what principles need to be considered and how to prioritize them when it is necessary to make a choice. It asks Aging Life Care Professionals to be aware of their own biases as they seek to resolve ethical dilemmas.

THE CODE

Continued from page 69

Justice

An Aging Life Care Professional behaves in a just and fair way in all professional and business relationships. An Aging Life Care Professional does not promote or sanction any form of discrimination such as discrimination based on race, ethnicity, gender, religion, sexual orientation, national origin, disability, or socioeconomic status.

Care Management & Life Enrichment Services

5 Things an Aging Life Care Professional™ Did Today

by Heidi L. Garvis, BS, CMC® (Certified Care Manager), Aging Life Care

1. Listened. She* listened to your concerns and began to assess your short-term and long-term needs with regard to caring for a parent. She heard that your loved one wants to age in place, but the house, the finances and her ability to care for herself has diminished.

2. Asked questions. She asked about important aspects of your life and the life of an aging loved one. How has quality of life diminished? What worries you the most? What happens when you talk about your concerns to your loved one? What motivates him/her? Who has Power of Attorney? What is the medical history? What is the financial picture?

4. Gathered information and created an emergency file. She put all the pieces of information together (doctors, medications, medical history, do not resuscitate (DNR) order, family contacts, legal contacts and other documents) and told you that she would be there for you and your loved one 24/7 when they go to the doctor or hospital.

5. Became the neutral party. She helped you and your loved one meet common goals. And most importantly, she helped you be the daughter,** instead of a harried, potentially short-tempered caregiver.

3. Created a mutually agreeable plan of care. The Aging Life Care Professional assessed the risks and needs and created a dynamic plan of care to solve problems and monitor outcomes.

Understanding Aging Life Care

Continued from page 67

• Entitlements – providing information on Federal and state entitlements; connecting families to local programs.

• Safety and security –monitoring the client at home; recommending technologies to add to security or safety; observing changes and potential risks of exploitation or abuse.

• Long-distance care –coordinating the care of a loved one for families that live at a distance, including crisis management. Local, costeffective resources are identified and engaged as needed.

A care plan tailored for each individual’s circumstances is prepared after a comprehensive assessment.

How do you know that you need an Aging Life Care Professional?

You may need an Aging Life Care Professional if:

• The person you are caring for has limited or no family support.

• Your family has just become involved with helping the individual and needs direction about available services.

• The person you are caring for has multiple medical or psychological issues.

• The person you are caring for is unable to live safely in his/her current environment.

• Your family is either “burned out” or confused about care solutions.

• Your family has limited time and/ or expertise in dealing with your loved ones’ chronic care needs.

• Your family is at odds regarding care decisions.

• The person you are caring for is confused about his/her own financial and/or legal situation.

• Your family needs education and/or direction in dealing with behaviors associated with dementia.

• You live at a distance from your loved one.

Thank you to the Aging Life Care Association™ for permission to share this information. You may learn more about Aging Life Care™ at aginglifecare.org

At Corewood Care, our mission is to improve the way health is managed, allowing our clients to thrive and live gracefully. From household duties to skilled care, we provide home care and care management services throughout the DC Metropolitan area—Maryland, Northern Virginia, and Washington D.C.

Whether at home, the hospital, a senior living community, or elsewhere, our dedicated care team provides our clients with individualized services and flexible support.

Debbie Aggen RN, CMC, CDP

Heidi L. Garvis CMC

Find an Aging Life Care Professional

Use the checklist to interview professionals:

What is your area of expertise?

What certifications or licenses do you have?

What are your professional credentials?

What special training have you received?

Do you work with other professionals to provide referrals if needed?

Are you available for emergencies?

Can you provide me with references?

How long have you been working with senior clients?

Can you provide examples of other clients with situations similar to mine?

What resources will it take to handle this situation?

Our compassionate team of Geriatric/Aging LifeCare Managers and Educational Advocates serve family caregivers, medical professionals, and professional family advisors. We care for individuals who need assistance due to aging, dementia, disability, or serious illness. The Option Group helps you navigate the healthcare and education maze, advocating for services to give you peace of mind.

• Individual and Family Assessments

• Caregiver Coordination and Support

• Care Plan Development and Implementation

• Facility Placement & Transition Services

• Community Liaison and Service Coordination

Are there any alternative courses of action?

What are the advantages and disadvantages of each alternative?

Who will be working with you?

How many professionals may be involved?

What about off-hours and backup?

What are your fees? (These should be provided to the consumer/responsible party in writing prior to services starting.)

How are fees computed?

How are travel time and mileage handled?

How are services terminated?

How often do you bill?

Are there additional out-of-pocket fees?

• Patient Advocacy

• Medical Coordination

• Family Consultation

• Consumer Education

• Crisis Intervention

• Ongoing Monitoring

• Senior Transportation

• Cognitive Screenings

Ellen S. Platt, MEd, CRC, CCM Certified Geriatric/LifeCare Manager

Elder Care Mediation

Continued from page 63

Empowering Older Adults

Older adults should be involved in every step of the decision making process when planning for their future care, living arrangements, and use of financial assets. While family members, including spouses and adult children, should be consulted, a mediator ensures that the preferences of the older adult are honored.

Customizing Solutions

Elder care mediators are knowledgeable about the current state of the elder care industry. They can help families and older adults evaluate the myriad care

options available—from assisted living to home care—and find the one that is right for their situation and budget. There is no one-sizefits-all approach to elder care, so it is important to find a custom solution that meets the particular needs of both the elder and their family.

Advising Not Deciding

Mediators do not make decisions for the family but rather guide the conversation towards consensus. They may involve other professionals, such as geriatric care managers or financial planners, to provide expert insight during discussions.

Elder care mediation is particularly valuable when families face

While family members, including spouses and adult children, should be consulted, a mediator ensures that the preferences of the older adult are honored.

disagreements about an aging parent’s care, siblings have differing opinions on financial matters, or when role-reversal emotions complicate decisionmaking processes.

EXPERTS IN CARE MANAGEMENT

• Provide you with clarity and peace of mind

• To reduce your stress and give you confidence in your decisions

Megan Descutner MSN, RN, CMC, CDP

• So you can make precious memories

• Help you manage dementia from beginning to end

• Help you navigate the complex medical and hospital systems

• Give your loved one the best quality of life possible

•

Hearing is Believing

Continued from page 53

Using Hearing Carry-Over (HCO), users who can hear but have difficulty speaking or being understood over the telephone are able to type their side of the conversation, which is then voiced to the other participant by the operator.

Speech-to-Speech (STS) is a similar service that assists individuals who have mild to moderate difficulty speaking and can hear clearly on the phone. Users speak with their own voice or with an assistive device and the operator re-voices what is said, as needed. This service may be particularly helpful for people living with cerebral palsy, multiple sclerosis, and Parkinson’s disease.

Using Voice Carry-Over (VCO), people who can speak clearly but have difficulty hearing what is being said over the phone can remain connected. The relay user speaks directly to the other person. As the other person responds, an operator types the response and the VCO user reads it on the screen of their phone.

Another option for individuals who have difficulty hearing over the phone is a Captioned Telephone

Jessica Young, BS, CDP President Aging Life Care Manager

A Captioned Telephone works just like a standard phone, with one important difference: it displays captions on the device’s screen of what the other person says. For clarity, the Captioned Telephone user can read the captions while listening to the other person’s spoken words.

For Spanish speakers, Spanish Relay is available for all the aforementioned services.

For users who want to enjoy group calls or need conferencing functionality for work, Remote Conference Captioning (RCC) allows users to read captions of what all participants are saying during conference calls while they listen.

Newer services are also available. Video Relay Service (VRS) is an Internet-based system for people with video conferencing equipment or videophones who communicate in American Sign Language. Internet Protocol Relay (IP Relay) service is an Internet-based system for people with a computer or other webenabled device who communicate using text. Finally, using captions displayed on a computer or other web-enabled device, Internet Protocol Captioned Telephone

Ferretto Young Care Managment is here to reduce the stress and confusion in guiding you or your loved one’s healthcare journey. Whether you’re planning ahead, facing health issues, navigating caregiving challenges, seeking unbiased advice, or exploring the ever-changing world of resources, we’re here to help. Contact us for a free consult or visit our website for additional information.

Service (IP CTS) enables people to communicate by speaking and listening to what they can hear over a telephone and reading what the other person is saying.

What are the costs for relay services?

Relay services are provided at no cost to all users. Relay services are available 24 hours a day, 365 days per year. There is no limit on the number or length of calls a user may make, and there are no set-up fees or charges for calls.

State relay service programs provide and pay for some relay services, such as relay services used on in-state calls made through some services. The FCC oversees the Interstate Telecommunications Relay Fund which pays for other relay services, such as relay services used on interstate calls made using certain services and all calls made using newer services.

Equipment Options

Assistive telecommunications equipment is often available through state programs. To qualify, applicants generally must meet both medical and financial criteria. Applicants may also purchase equipment directly from a third-party provider.

OUR CLIENTS HIRE US TO:

• serve as a guide

• offer recommendations

• educate and advocate

• ease family discord

• provide an objective viewpoint

• save time, money, and distress

• assist preplanners in designing a SMART plan

AGING

Aging

Caring

ElderTree

Mid-Atlantic Chapter

Aging Life Care Professionals®The Experts in Aging Well

We are grateful to the Positive Aging Sourcebook for continuing to be a champion for older adults by connecting them to the resources and services they need to thrive as they age. As Aging Life Care Professionals, we provide seniors with a personalized tailored plan that integrates resources and other pertinent professionals into your care plan team. Integrated planning relies upon professionals who understand the health care system and you.

Healthcare and senior care can be confusing, overwhelming, and ambiguous. Our organization of health and human service professionals will provide you with advocacy, guidance, and resources by integrating these services into a meaningful plan designed to optimize your health and wellbeing.

Because many of us have diverse backgrounds, we work

in concert with one another to address your concerns across several health care fields. We adhere to a high code of ethics and commitment to the highest standards of care for our clients. We answer only to our clients’ best interest for their best possible quality of life. As the President-Elect of the Mid-Atlantic Chapter, I am proud to serve an organization that has upheld the gold standard of Care Management since 1986. I look forward to the future and to serving the Mid-Atlantic chapter and my community!. Visit us at midatlanticalca.org. We look forward to working with you.

Rebecca Roskey-Brunner BSN, RN, CEN, CMC

President

Aging Life Care™ Association Mid-Atlantic Chapter

Christine Bitzer

Erica Hanson

Irene Jackson-Brown The Art of Eldercare (202) 722-4205 theartofeldercare�com

Shelia Kirkbride

Sophia Malone

Betty Mizek

Malika Moore

Aliya Rocker

Barrie Lynn Tapia

MARYLAND

Uvonne Andoh

& Amazing, LLC (202) 873-4252

NAME

MID-ATLANTIC CHAPTER

Mid-Atlantic Chapter

MARYLAND (continued)

Christine Callahan Maryland Senior Concierge Services (301) 452-5730 mdseniorhelp com ASC

Alison Carelli 69 Aging Network Services (301) 657-4329 agingnetworkservices com PRO

Lynn Carr 76 Alliance in Aging (410) 507-0915 allianceinaging com AVP

Leslie Clarke 69 Aging Network Services (301) 657-4329 agingnetworkservices com PRO

Ann Craynon Ann Craynon, ElderCare Solutions (301) 218-0958 acElderCareSolutions com AVP

Carolyn Crosby 70 Seabury Resources for Aging (202) 364-0020 seaburycaremanagement org ASC

Janet D’Agostino 73 The Option Group (410) 667-0266 theoptiongroup net ASC

Michael DeSarno 64 Aging Well Eldercare (301) 593-5285 care-manager�com PRO

Meaghan Dingwall (301) 741-0503 mcdingwall@hotmail com

Mary Faith Ferretto 75 Ferretto Young Care Management (410) 661-6720 ferrettoyoung�com AVP

Kim Flash Howard County Department of Aging Kflash@howardcountymd�gov PRO

Beverly Francis 75 Ferretto Young Care Management (410) 661-6720 ferrettoyoung�com AVP

Tracey Franz 75 Ferretto Young Care Management (410) 661-6720 ferrettoyoung�com PRO

Renee Fuller 64 Aging Well Eldercare (301) 593-5285 care-manager�com ASC

Shontel Gaskin 70 Seabury Resources for Aging (202) 364-0020 seaburycaremanagement org PRO

Betsy Groomes 75 Ferretto Young Care Management (410) 661-6720 ferrettoyoung com PRO

Felice Grunberger Felice Grunberger, LCSW-C, C-ASWCM (301) 593-4738 AVP

Stacey Hailey 70 Seabury Resources for Aging (202) 364-0020 seaburycaremanagement org PRO

Jennifer Hartman Aging Grace Advisors, LLC (301) 525-1775 ASC

Margi Helsel-Arnold Geriatric Care Counseling (301) 320-5380 gercare com AVP

Myala Holmes 64 Aging Well Eldercare (301) 593-5285 care-manager com ASC

Anita Hughes 70 Seabury Resources for Aging (202) 364-0020 seaburycaremanagement org ASC

Vicky Hulcher Compassionate Care for Seniors, LLC (301) 996-3130 CompassionateCareforSeniors�com AVP

Patricia Jacobs Button Up LLC (732) 535-8441 npocfa�org ASC

Tova Jussim Care Matters For You (410) 645-0010 caremattersforyou�com PRO

Glenna Lewis 64 Aging Well Eldercare (301) 593-5285 care-manager�com ASC

Grace Liebermann 75 Ferretto Young Care Management (410) 661-6720 ferrettoyoung�com PRO

Yocheved Lieder Elder Care Leaders (443) 340-0594 eldercareleaders�biz PRO

Susan Lilly 64 Aging Well Eldercare (301) 593-5285 care-manager�com AVP

Robin Mansfield 69 Aging Network Services (301) 657-4329 agingnetworkservices com PRO

Leslie Mason 70 Seabury Resources for Aging (202) 364-0020 seaburycaremanagement org PRO

Michelle McGrath 70 Seabury Resources for Aging (202) 364-0020 seaburycaremanagement org PRO

Wendy Miller Annapolis Senior Care Solutions (410) 834-1452 annapolisseniors com PRO

Audrey Milner 70 Seabury Resources for Aging (202) 364-0020 seaburycaremanagement org PRO

Susy Elder Murphy 64

Aging Well Eldercare (301) 593-5285 care-manager com AVP

Melissa Needleman 69 Aging Network Services (301) 657-4329 agingnetworkservices com PRO

Susan Newhouse Senior Solutions, LLC (443) 845-0025 seniorsolutions-baltimore com AVP

Jodi Pasternak

Mary Petrizzo

Compassionate Care for Seniors (301) 742-1468 compassionatecareforseniors�com AVP

Compassionate Care for Seniors (240) 688-8059 compassionatecareforseniors�com PRO

Kim Picca 64 Aging Well Eldercare (301) 593-5285 care-manager�com AVP

Ellen Platt 73 The Option Group (410) 667-0266 theoptiongroup�net AVP

Nancy Reburn (301) 651-9695 PRO

Ann Marie Riehl 75 Ferretto Young Care Management (410) 661-6720 ferrettoyoung�com AVP

Jill Rosner

Rosner Healthcare Navigation (410) 591-6378 rosnerhealthcarenavigation�com AVP

Julie Rose 68 Paladin Life Care (703) 879-6992 paladinlifecare com PRO

Anita Rothwell

Rothwell Care Management (202) 368-8042 RothwellCareManagement com PRO

Jennifer Rynbrandt 75 Ferretto Young Care Management (410) 661-6720 ferrettoyoung com AVP

NAME

MID-ATLANTIC CHAPTER

Mid-Atlantic Chapter

MARYLAND (continued)

Jennifer Sapp Aging Services Management (301) 219-7645 agingservicesmanagement�com

Carol Sardinha 64 Aging Well Eldercare (301) 593-5285 care-manager�com

Heidi Schnapp LMR Elder Care, LLC (973) 533-0839 lmreldercare com AVP

Erin Seigel 72 Corewood Care (240) 314-9297 corewoodcare com PRO

Timna Shaw Rosner Healthcare Navigation (410) 259-8877 rosnerhealthcarenavigation com AVP

Wanda Smith JW Smith LLC (240) 375-6440 PRO

Karen Sorensen 73 The Option Group (410) 667-0266 theoptiongroup�net

Allyson Stanton Stanton Aging Solutions (443) 812-1028 stantonagingsolutions�com PRO

Jacqueline Tangires 73 The Option Group (410) 667-0266 theoptiongroup�net AVP

Robin Udell 64 Aging Well Eldercare (301) 593-5285 care-manager com

Amy Ullman 64

VIRGINIA

Well Eldercare (301) 593-5285 care-manager

Debbie Aggen 72 Caring Considerations (571)

Kathleen Allen

Juyong Armstrong

Lisa Bagby 67 Independent You (703) 999-3006 independentyou net

Dawn Beninghove Companion Extraordinaire Home Care (804) 752-2205 cenninc com

Kathleen Budzynski 67 Independent You (703) 999-3006 independentyou net AVP

Kate Caldwell 66 ElderTree Care Management (703) 424-7575 eldertreecare�com Fellow AVP

Carole Cameron 72 Caring Considerations (571) 237-6158 caringconsiderations com

Susan Cantrell Aging Life Matters (804) 640-3815 PRO

Lindsay Cavanah GeroPartners, LLC (804) 993-4304 geropartners com

Elissa Clark 74 Golden Pond Elder Care Strategies, LLC (703) 723-3737 goldenpondvirginia�com PRO

Julia Cotter 71 Lighthouse Senior Care Consultants (703) 440-2273 lighthouseseniorcare�com

Susan Coughlin Senior Care Solutions LLC (757) 705-6320 susan@seniorcaresolutionsllc�com

Sarah Crane 73 LionHeart Eldercare & Consulting (703) 677-8319 lionhearteldercare�com

Dana Cummings Pathways in Aging (703) 634-3879 pathwaysinaging com

Corrie Cyre Sparrow Nursing Solutions (904) 400-4600 sparrownursing com

Katie Davis Journey Together Home Care, LLC (804) 338-9030 journeytogetherhomecare org ASC

Colleen Dennis Genworth Financial (804) 357-8896 genworth com AVP

Megan Descutner 74 Golden Pond Elder Care Strategies, LLC (703) 723-3737 goldenpondvirginia�com AVP

Barbie DeVellis Senior Care Consulting, LLC (540) 206-7758

Jeanina DiVittorio

Management (703) 313-6114 geriatricare net PRO

Colleen Duewel 73 LionHeart Eldercare & Consulting (703) 677-8319 lionhearteldercare com AVP

Darby Duke Eldercare Specialists (415) 497-5605 elderspecialists com AVP

Teresa Dunbar 74 Golden Pond Elder Care Strategies, LLC (703) 723-3737 goldenpondvirginia com AVP

Emily Duncan 68 Paladin Life Care (703) 879-6992 paladinlifecare�com PRO

Paula Gargan 71 Lighthouse Senior Care Consultants (703) 440-2273 lighthouseseniorcare�com ASC

Heidi Garvis 72 Caring Considerations (571) 437-9396 caringconsiderations�com AVP

Martha Gaston 70 Seabury Resources for Aging (202) 364-0020 seaburycaremanagement�org PRO

Karen Gerndt 73 LionHeart Eldercare and Consulting (703) 677-8319 lionhearteldercare com PRO

Diana Gilbert 67 Independent You (703) 999-3006 independentyou net AVP

Bianca Graham-Bruce 73 LionHeart Eldercare and Consulting (703) 677-8319 lionhearteldercare com PRO

Rebecca Grim Home Care Assistance of Richmond (804) 920-9652 homecareassistancerichmond com AVP

MID-ATLANTIC CHAPTER Mid-Atlantic Chapter

VIRGINIA (continued)

Kelly Halteh

Suzanne Hanas Premier RN Geriatric Care (703) 416-0043 premiergeriatricrn�com

Catherine Hanson

Helen Hipps

Fred Jung

Lionheart Eldercare & Consulting (703) 677-8319

Marni Kayer Aging Advocates (251) 752-4424 youragingadvocate com

Erika Kelly

Wynter Kettlewell

Anne Kostulitz

Courtney Lavander

Joanne McCarty

Eldercare and Consulting (703) 677-8319

(540) 323-4929

677-8319

net AVP

Neda McGuire Aging Matters (540) 845-9291 agingmattersva com PRO

Karen McPhail Eldementals, LLC (703) 399-4028 eldementals�com AVP

Robin McQuinn Pathways in Aging (703) 634-3879

Margaret Meyers

Cathy

745-2848

Irina Nikitina Attenda Home Care (703) 608-8838 attendahomecare com

Mary Oborski 71 Lighthouse Senior Care Consultants (703) 440-2273 lighthouseseniorcare�com

Cameron Oglesby Senior Insights (804) 270-3619 seniorinsights com AVP

Alice Paxton 68 Paladin Life Care (703) 879-6992 paladinlifecare com pro

Danielle Pedden 71 Lighthouse Senior Care Consultants (703) 440-2273 lighthouseseniorcare�com

Margaret Pemberton ElderCare Connections (540) 419-4387 eldercareva com AVP

Courtney Petley GeroPartners, LLC (804) 993-4304 geropartners�com AVP

Jennifer Ragsdale Care is There (434) 326-5323 careisthere�com

Brenda Residovic 71 Lighthouse Senior Care Consultants (703) 440-2273 lighthouseseniorcare com ASC

Sara Roades 72 Caring Considerations (571) 488-9396 caringconsiderations�com AVP

Sandi Rosengart Elder Care Consultants, Inc (703) 904-0191 eldercc com AVP

Vanessa Rosengart-Bishop Elder Care Consultants, Inc (703) 904-0191 eldercc com ASC

Corinne Sampson 73 LionHeart Eldercare & Consulting (703) 677-8319 lionhearteldercare�com ASC

Elizabeth Shifflett Premier RN Geriatric Care (703) 416-0043 premiergeriatricrn com PRO

Condalisa (Lisa) Smith

Healthcare Transition Partners, LLC (703) 829-0379 healthtransitionp com AVP

Wendy Smith Journeys Senior Solutions, LLC (540) 223-1144 AVP

Lisa Smith Commonwise Home Care (434) 422-8037 commonwisehomecare com PRO

Jihan Starr

Davenport Senior Connections, LLC (443) 717-2289 dscecc�com PRO

Heather Suri Pathways in Aging (703) 634-3879 pathwaysinaging com AVP

Sheryl Taylor 73 LionHeart Eldercare & Consulting (703) 677-8319 lionhearteldercare com

Brooke Templeton 71 Lighthouse Senior Care Consultants (703) 440-2273 lighthouseseniorcare�com

Stephanie Thomopoulos 65 GeriatriCare Management, Inc. (703) 313-6114 geriatricare net

Heidi Travis 66 ElderTree Care Management (703) 424-7575 eldertreecare com

Susan Von Hemert Susan Von Hemert, MSW (434) 953-4851 susanvonhemert�com

Pat Velander 73 LionHeart Eldercare & Consulting (703) 677-8319 lionhearteldercare com

Julia Widman

Golden Pond Elder Care Strategies, LLC (703) 723-3737 goldenpondvirginia�com

Shelle Wightman 71 Lighthouse Senior Care Consultants (703) 440-2273 lighthouseseniorcare com

Brenda Wilson Brenda Wilson LifePath, LLC (434) 249-8240 BrendaWilsonLifePath weebly com

Marie Woodard 67 Independent You (703) 999-3006 independentyou�net AVP

Susanne Young 73 LionHeart Eldercare & Consulting (703) 677-8319 lionhearteldercare com

Housing Options

Accommodating a variety of needs, tastes and budgets

The senior living industry can seem overwhelming, but the important thing to keep in mind is that there is a housing option perfect for every person and every situation. Start here to find it.

What housing options are available and how can they help me?

Life plan communities are also known as continuing care retirement communities. These communities generally feature care options ranging from independent living to long-term nursing care on one campus. Residents can transfer to higher levels of care as needed.

For older adults who want to leave the burdens of home maintenance behind, independent living communities may be the ideal option. In addition to property upkeep, these communities also generally offer 24-hour security and activities to keep residents engaged. Most independent living communities are rental properties, although some do offer the option for residents to purchase units.

Individuals who need assistance with the activities of daily living may want to consider an assisted living community. In addition to daily assistance, these communities also offer activity programs to fit the interests of every resident.

Assisted living communities are an important option for older adults who need some level of help on a daily basis. All of these communities offer standard services including daily meals; supervision; security;

and help with the activities of daily living, or ADLs. ADLs can include assistance with bathing, dressing and toileting. Some communities also offer help with medication management; transportation services; and coordination of medical, health and dental treatments.

Finally, whether for a short-term rehabilitation or a long-term medical stay, nursing and rehabilitation centers are a vital

option.

residences for individuals who are too sick or frail to live at home. They are also ideal for short-term stays for individuals who are recovering after a surgery or an illness.

How should I find a housing option?

Use our research. Sourcebook features detailed articles, checklists, featured listings and comprehensive tables in each of our specific housing sections. Use these resources to begin your search for a community that is right for you and your family.

Seniors – Gain the Knowledge to MOVE SMARTER!

A later-in-life move doesn’t have to be daunting or stressful— especially when you have experienced realtors on your side who are also Certified Senior Housing Professionals™ and Certified Senior Downsizing Coaches™. At Capital Senior Solutions, our team is here for you when the time comes to sell your home and downsize. We’ll answer your important questions and prepare you for all of the what-if scenarios to ensure your moving experience is enjoyable and free from exhaustion or stress.

Our Services Include: Downsizing Success Plans, Home Preparation and Staging, Senior Care Communities Guidance, Access to Trusted Resource Partners, and more!

Don’t Miss Our Free Educational Events

Visit CapitalSeniorSolutions.com/Seminars-Resources/ to view our upcoming events.

Work with our certified team members Jan Brito, CSHP, SRES, and Laura Quigley, CSHP, SRES!

Moving and Downsizing

Professional help can make moving easy

Moving can be a daunting task—no matter what your age—but it can be even more overwhelming for older adults who may be leaving a home they have lived in for decades. Luckily, the enormous growth in the senior population has led to the development of a wide variety of professional moving and real estate services designed specifically to help older adults and their families.

Senior Move Managers®, Senior Real Estate Specialists®, and Certified Senior Housing Professionals are just a few of the professionals who are specially trained to help seniors with all the challenges of moving and downsizing.

Senior Move Managers assist older adults and their families with the emotional and physical aspects of relocation. They can also help families who wish to declutter or reorganize a home to better age in place. These professionals provide a multi-faceted approach to the move process, from space planning in the beginning to

post-move support and advocacy. By addressing all aspects of the moving process, Senior Move Managers minimize the chaos and stress of moving.

From initial planning to downsizing to the physical aspects of moving, Senior Move Managers create a comprehensive plan that includes selling or disposing of unwanted items and setting up the new residence. Many Senior Move Managers are also movers. Others work closely with a reputable local moving company to complete that aspect of the job.

Senior Real Estate Specialists are Realtors who are specially trained to manage the sale of a home for consumers over the age of 50. They bring targeted knowledge, senior experience and marketing savvy to each sale. These specialists have extensive knowledge about everything from reverse mortgages and the importance of universal design to the uses of pensions, 401k accounts and IRAs in real estate transactions.

Finally, Certified Senior Housing Professionals (CSHPs) are real estate professionals who have completed extensive coursework on how best to assist older adults and their families in the home buying or selling process. CSHPs understand that late-in-life moves can be more complicated and require greater physical and emotional energy than traditional moves. They are trained to help older adults navigate the complexities of moving by addressing their fears, concerns, needs and goals.

Sources: nasmm.org, seniorsrealestate.com, and seniorsrealestateinstitute.com

Moving & Downsizing for Seniors

FROM START TO FINISH

For over 40 years, we’ve been a trusted choice for senior moving services. Our expert team, including members of the National Association for Senior Move Managers, offers personalized services to ease the stress of seniors who are moving and downsizing.

Trust us to manage every aspect of your move with care, protection, and personalized solutions.

Special thanks to our partner communities:

• Arbor Terrace Sudley Manor

• Ashby Ponds

• Fairmont Senior Living

• Greenspring Village

• Heritage Hunt

• Kensington Park

• Knollwood

• Landsdowne Woods

• Leisure World

• Regency

• Suffiled Meadows

• Sunrise Senior Living

• The Virginian

• Vinson Hall

• Waltonwood

Handling Your Stuff

Stuff. We’ve all got it. Most of us have too much of it. It’s no surprise that there are now entire industries built around organizing, decluttering, and finding joy from our stuff—or lack of stuff.

For older adults and their families, the topic of handling stuff can become even more challenging as you may be talking about decades—or even generations— of stuff. In fact, one of our most popular discussion topics on the Positive Aging Community platform is “what to do with our stuff.”

A common refrain we hear from individuals who are considering

moving or downsizing is “I’m not ready yet.” However, too often that “I’m not ready yet,” actually means “I don’t know how to handle all my stuff.” Even when an individual has a strong desire to move, they must also have a strategy for handling their possessions. Otherwise, they risk becoming overwhelmed—and stuck.

Here are a few common themes and tips for getting started.

Photos, Videos and Storytelling

Take photos or videos of your possessions. Record the stories behind the items and share what they mean to you. Not only is this a good way to share your memories

YOUR VISION, MY MISSION

with your loved ones, it is also an opportunity for you to revisit positive memories of treasured items after they have found a new home.

Swedish Death Cleaning

Swedish death cleaning is a wellknown concept in Scandinavian culture. During this process, individuals work on eliminating unnecessary items from their homes, so their loved ones will not be burdened with the task after they pass away. This is an incredible gift to give your family members. If you are preparing to move or just decluttering, address the boxes of papers and stacks of old dishes.

Navigating the real estate market requires a unique understanding of your lifestyle and financial needs. Sherri Anne Green, an award-winning real estate agent and Seniors Real Estate Specialist (SRES ® ), is here to guide every step. From deciding what to do with personal belongings to selling and finding your next home, Sherri Anne provides personalized guidance.

• Customized: Services tailored to your unique needs.

• Specialized: SRES ® designation and senior-specific expertise.

• Compassionate: Selling a home is celebrating a cherished chapter of your life’s journey.

1025 Thomas Jefferson St NW, Suite W3300 | Washington, DC 20007 Cell (202) 798-1288 | Brokerage (202) 387-6180 | sherrianne.green@cbmove.com | www.sherriannegreen.com

Talking Stuff

The Positive Aging Community frequently hosts discussions on organizing, downsizing, and moving. Visit positiveagingsourcebook.com and click on “Channels” and “What to Do with Stuff.” Recent discussions included:

• Swedish Death Cleaning

• Chronic Disorganization

• Real-Life Stories About Moving & Downsizing & Senior Living Decisions

• What to do with your “Stuff”?

• What To Do With All Those DIGITAL Photos?

Don’t Walk the Road Alone

There are many professionals that can help with the broad task of organizing and downsizing. Senior Move Managers and Professional

• Tips for Overcoming the Paper Clutter

• What To Do With All Those Photos?

• Overwhelmed by Too Many Photos? You Are Not Alone

• The Stuff About Your Stuff Is Not About Your Stuff

• Solutions to Organize Paperwork

• Who Gets What and How to Divide? Help Avoid Family Conflicts After We Are Gone

• Discussion with TV Show Host Matt Paxton—Hoarders and Legacy List

Organizers are the main professional designations. These professionals have special training to help you through the process of cutting clutter or preparing to move. There are also niche specialties. For instance, there are professionals that specifically focus on helping clients organize photos, since that is a main barrier people face when downsizing.

MOVING & DOWNSIZING SUPPORT

Abilities Network

410-828-7700, ext. 1271 abilitiesnetwork.org Ararity Services 87 703-372-1543 ararityservices.com

Capital Senior Solutions, Brito Associates of Compass 82 202-656-3410

capitalseniorsolutions.com

Evolve Organizing + Design 703-527-0790 Evolveorganizing22@gmail.com

Felco Packing & Moving

felcobox.com

Four Sales, Ltd. 703-256-8300 foursales.com

JK Moving Services 84-85 703-420-3297 jkmoving.com/senior-living

Moyer Move Management 88 410 515 1199 / 301-685-7900 703-740-9912 moyermovemanagment.com

Paladin Life Care 68 703-879-6992 paladinlifecare.com

Sherri Anne Green Seniors Real Estate Specialist (SRES)® 86 202-798-1288 sherriannegreen.com

Shirah Cohen - Realtor® SRES® Licensed in VA & DC 703-851-0545 shirah.cohen@gmail.com Southern

Discover the Difference of Decluttering

Southern Belle Cleaners (SBC) utilizes the 5S Japanese workplace organization method when developing custom packages for clients—coaching clients in the art of 5S (Sort, Set in Order, Shine, Standardize, and Sustain). SBC offers judgment free decluttering services including donation delivery, junk removal, clearing walkways & deep cleaning.

Emmalyne Head

Living at one of our communities — Carroll Lutheran Village and Lutheran Village at Miller’s Grant — means you’ll experience our modern approach to retirement living that has consistently led to national and local award recognition.

Our communities offer stylish living, from homes to apartments, plus services and amenities that make life easier and a team of people whose sole purpose is to add fun and discovery to life.

As Life Plan Communities, we provide the most comprehensive services and care, all aimed at helping you thrive.

Life Plan Communities

Offering diverse lifestyle options

Life Plan Communities are properties offering a combination of living options for older adults. These communities offer an active lifestyle for residents, as well as a wide array of amenities and services.

Life Plan Communities were formerly known as Continuing Care Retirement Communities (CCRCs).

Living options available at Life Plan Communities may include independent living, assisted living and skilled nursing services. These different levels of care are all offered on a single campus. Residents have the option to have all their current or future healthcare needs met

without ever leaving campus.

Life Plan Communities afford residents endless opportunities to remain active and involved. These communities generally appeal to young, healthy older adults.

Amenities vary widely but often include swimming pools, fitness centers, gardening areas, and golf courses or putting greens. Additionally, residents have access to hundreds of clubs and activities—

Continued on page 121

Experience rejuvenating head-to-toe wellness and embrace the vitality of LIFE® at Brooke Grove Retirement Village.

Simply Different

Exceptional independent living in an energetic and supportive community • State-of-the-art rehabilitation that inspires and restores • Assisted living that nurtures freedom of movement, choice and self-discovery • Innovative and safe memory support • Exceptional skilled nursing care •Meaningful LIFE® enrichment programming • Dedicated and compassionate staff committed to helping you get the most out of LIFE® • Walking paths and outdoor gathering spaces in a healing environment ... because what surrounds you really matters.

Understand Entrance Fees

Knowing the options when paying for life plan communities

Most life plan communities require payment of a one-time fee, usually called the entrance fee, before moving to the community. The entrance fee amount often depends on the level of care at the time of entry, type of housing chosen (with larger units requiring a larger fee) and agreement type. The entrance fee allows the life plan community to offer lower monthly fees and provide for the future needs of residents.

State regulations can impact the terms of the entrance fee and in some states, refunds are called rebates. Entrance fees are typically structured in one of three ways:

Declining scale refunds, also known as amortizing entrance fees, specify a period of time in which the entrance fee will be refundable to the resident on a declining basis. For example, if an entrance fee under this arrangement declines at the rate of 1 percent each month, after 6 months 94 percent of the entrance fee is refundable.

Partially refundable entrance fees guarantee a specific percentage of the refund that will be returned within a certain period of time regardless of the term of residency. For example, 50

percent of the entrance fee may be refundable upon termination of the contract or to the estate upon the resident’s death.

Full refunds offer just that, a full refund of the entrance fee. A fixed charge may be deducted before the refund is made, and the agreement generally states how long the refund is valid and under what conditions a refund is due. Entrance fees that offer full refunds are typically more expensive than those without refunds or those that are partially refundable or refundable on a declining basis.

Where Culture, Nature, and Community

Shenandoah Valley Westminster-Canterbury’s Life Plan Community is more than just a place to live; it’s a vibrant lifestyle of connections. Nature enthusiasts will love our beautiful landscapes and outdoor activities, while book lovers and art enthusiasts will appreciate our diverse cultural events, lifelong learning opportunities, and engaging programs. Whether you’re looking for a serene retreat or an active lifestyle, our community offers a variety of living options, including apartments, single-family homes, cottages, and villa apartments. At SVWC, you’ll find a community that nurtures relationships and a sense of belonging.

Connect with us to find your place at SVWC. CONNECT. SVWC.ORG • (540) 665-5914

Understanding Contracts

Life plan communities, also known as continuing care retirement communities (CCRCs), offer multiple levels of care all on one campus. This article can help you navigate the different contracts you may encounter as you embark on your search for a new home.

1. Type A (Life Care Agreements). Type A contracts include overall housing, residential services (amenities) and unlimited health-related services. Type A contracts provide a sense of stability, as future costs are much more predictable regardless of any changes in needed services

or care. Residents pay a much larger entrance fee compared to other contract types, but the monthly fee is flat through all levels of care.

2. Type B (Modified Agreements).

As with Type A, Type B contracts include housing and residential services. Unlike Type A, Type B does not cover all future health care needs but does offer discounted or waived rates for those services.

While Type B contracts have a lower entrance fee than Type A, should an increase in care become necessary, it would be

the resident’s responsibility to cover costs.

3. Type C (Fee-For-Service Agreements). Like both A and B, Type C contracts cover housing, residential services and health care. Residents pay a smaller entrance fee in the beginning. Then, if you don’t need to use higher levels of care, there is no additional cost to you beyond your monthly service fee for using amenities like transportation or activities. While Type C contracts will save you on up-front costs, the resident risks the potential for large costs down the road if there is a sudden need for care.

Now’s your time to enjoy it all. In our diverse and inviting Life Plan community, surround yourself with people you’ll like and social opportunities you’ll love. Settle into a home amongst nature, supported by a continuum of care for every age and ability. At Broadmead, you’ll be able to focus on a lifestyle you truly enjoy!

Before Signing a Contract

1. Consult a financial adviser. Joining a senior living community is a serious investment. Discuss the decision with your trusted financial adviser.

2. Research the organization and management. The financial stability of the community as well as the continuity of management are two essential factors to vet thoroughly.

3. Understand services covered. Asking about guaranteed services will alleviate many of those “what if ” questions: What if you get dementia? What if you become debilitated? Ask management

specific questions about what’s covered in your contract beyond care services.

4. Find out how refunds work. Signing a Life Plan Community contract is a big decision—so what if you change your mind?

5. Ask about a benevolence program. Many nonprofit Life Plan Communities offer benevolence programs if a resident exhausts his or her financial resources.

6. Make sure your voice will be heard in the future. Some communities have their own associations, and residents have the

right to be represented on boards.

7. Determine what role your family will play. Make sure your family understands the financial commitment and how your contract works. Decide if you want your family to be involved in future decision making and give them the necessary permissions.

Choosing a Community

6 key considerations

Financially, emotionally, and from a practical perspective, choosing a continuing care retirement community (CCRC, or “life plan” community) is a big decision. This is a choice that will impact your quality of life, health, happiness, and wallet for years to come.

There are six key areas that consumers should evaluate when considering a CCRC.

Residences and amenities

When looking at a CCRC, among the easier things to assess are the physical campus and the various amenities provided by the community. Take

several tours of the community’s residences, considering different floorplans and features, and then contemplate what is important to you.

Because one of the principal reasons people opt for a CCRC is the continuum of care services they offer, be sure you look at both the independent living residences, as well as the assisted living portion of the community. You want to have confidence that you will feel at home once you are settled into your new surroundings.

When looking at a Life Plan Community, among the easier things to assess are the physical campus and the various amenities provided by the community.

There is also an assortment of amenities that will be provided by a CCRC, though these offerings can vary widely from community to community, from basic services to high-end conveniences. You

Continued on page 98

We’re Better Together

We believe the most fulfilling life is one with vast experiences — in a place where diversity of culture, religion, and experiences come together to create a true sense of belonging. Where every person’s unique story is enhanced by the stories of those around them. Empowering each resident to live to the fullest, together, Mercy Ridge is an unparalleled retirement destination in Maryland. AND YOU CAN BE PART OF IT.

Call us today at (410) 561-0200 or visit MercyRidge.com to experience the warmth of Mercy Ridge for yourself.

PLAN YOUR NEXT GREAT ADVENTURE

Vinson Hall Retirement Community residents come from a variety of backgrounds, but they have one thing in common: a spirit of adventure. They are curious, engaged, well-traveled and excited about their next chapter. And they all love calling our community home. From art classes and pickleball to lively meals and happy hours on campus, there’s no shortage of activities and entertainment. When you have seen all the wonders of the world, you want to make sure your home base measures up.

Whether they are returning from a vacation to Italy or a trip to the grocery store, our residents love coming home to Vinson Hall Retirement Community – where government or military association is no longer required! From friendly faces and exciting social activities to an experienced team on your side, discover the endless possibilities of a first-rate retirement.

Choosing a Community

Continued from page 96

will need to determine which are essential and which, in your opinion, are just nice-to-haves.

Some amenities to look for may include: technology that helps residents stay safe as well as keep up with the times; community gardens, walking trails, and manicured grounds; transportation services and planned excursions; multiple dining options like cafés and bistro-style settings; a fitness center, pool, golf course, and tennis or pickleball courts; and conciergestyle services and move-in coordinators.

Contract details

Generally speaking, there are five common types of CCRC contracts offered among communities: Type A (lifecare), Type B (modified), Type C (fee-for-service), Rental, and Equity/Co-op. And when it comes to entry fees (which almost all CCRCs require), some are refundable and others are not (or are only partly refundable).

Because they aren’t apples-toapples, comparing the cost of these various types of CCRC contracts, especially in different parts of the country, can be challenging. A lifecare contract in Seattle may be substantially more than a fee-forservice contract in Cleveland. Or, suppose one CCRC’s campus and

facilities are older and it has fewer amenities than another community.

It is critical that you have a thorough understanding of which contract is right for your particular situation, and which one you are signing.

Quality of care

CCRCs offer numerous attractive services and amenities for those living independently, but let’s keep sight of the primary reason for considering a CCRC: access to a continuum of care services. You want to be sure that the care services—both assisted living services as well as long-term skilled nursing care services within the onsite healthcare center—will be up to your expectations, should you one day need them.

Find out how at AboutActs.com/MarylandRetirement or call (877) 960-3509

Dot and Charlie, easy riders

A health center with doors open

and with our arms even

At Falcons Landing, exceptional care doesn’t end with our healthcare. Sure, we’re recognized by U.S. News & World Report as a “Best Nursing Home for Short-Term Rehabilitation and Long-Term Care,” and yes, we offer state-ofthe-art, specialized Memory Care in a brand-new, standalone neighborhood. But look closer and you’ll also find a close-knit community of people who excel at caring. So while our healthcare is outstanding, the common bonds that unite us are what’s truly remarkable.

Choosing a Life Plan Community

Use this checklist to review options:

PHYSICAL ENVIRONMENT

Is the community clean and well maintained? Is ample parking available for residents and visitors?

Are exterior maintenance, snow removal and landscaping included in the monthly fees?

Are there multiple floor plans available?

Can residents decorate their cottages, condos or apartments according to their personal tastes?

Is the community pet friendly?

Does the community have safety features, such as handrails and grab bars?

Do individual residences include safety features, such as emergency alert and fire suppression systems?

LEVELS OF CARE

What levels of care does the community offer?

Independent living?

Assisted living?

Skilled nursing care?

Short-term rehabilitation?

Memory care?

Do residents have access to in-home care should it be needed?

FEES AND COSTS

What services are included in the monthly fee?

What services are available for an additional fee? What are the fees?

How often do resident rate increases occur?

Are there multiple contract options?

Do some contract options offer entrance fee refunds?

RESIDENT AND STAFF INTERACTION

Is the community well staffed overnight?

How does the community handle residents who need additional care and support?

Are housekeeping and laundry provided?

Source:

Do staff members undergo screenings and background checks prior to employment?

Are transportation services available?

Do caregivers positively interact with residents? What is the staff-to-resident ratio for each level of care?

DINING SERVICES

Does the dining room look and smell inviting? Are the dining room tables, chairs and linens in good condition?

Are residents allowed to invite guests for meals?

Can residents select their own meal times, or are there designated meal times?

Are three daily meals, snacks and beverages included in the monthly rate?

Can the community accommodate special dietary needs?

Is there a dietician or nutritionist involved in meal planning?

LOCATION

Is the community conveniently located for friends and family to visit?

Is the community in a safe neighborhood? Are there shopping, dining and entertainment options near the community?

Is the community near preferred medical providers?

OVERALL IMPRESSION

Does the community look and feel like a place you could call home?

Talk with residents and their family members. What do they like about the community? Can they recommend it?

Did they consider other options when searching for a community? Why did they choose this community?

District of Columbia

Maryland

Maryland

PRINCE GEORGE’S COUNTY

Virginia

What’s your plan?retirement

Your life. Your plan. Your community.

At SpiriTrust Lutheran®’s six Life Plan Communities, with both in-town settings and countryside locales, you can find continued growth opportunities with Spirit360TM, a lifestyle filled with flexibility and choice, a variety of sought-after services, and no maintenance. You’ll also secure a plan for any future care needs. Come discover a place where “planning” and “living” merge and allow for living life to the fullest!

• The Village at Gettysburg Gettysburg, PA | 717-334-4443

• The Village at Kelly Drive York, PA | 717-854-5010

• The Village at Luther Ridge Chambersburg, PA | 717-261-1251

• The Village at Shrewsbury Shrewsbury, PA | 717-235-5737

• The Village at Sprenkle Drive York, PA | 717-767-0579

• The Village at Utz Terrace Hanover, PA | 717-646-2420

This is a partial listing of housing options available in Pennsylvania. For complete listings, please visit our website: postiveagingsourcebook.com. You can order a complete copy of the Delaware Valley Sourcebook online or by calling 800-394-9990.

INDEPENDENT LIVING COMMUNITIES

ASSISTED LIVING/ PERSONAL CARE

NURSING & REHABILITATION COMMUNITIES

Independent Living Communities

Providing security with no home maintenance

Independent living communities are residential communities for active older adults who want an enjoyable lifestyle free of the worries of home maintenance. They are similar to any apartment, condominium or single-family development, except that they provide special services, including security. Most independent living communities are fully secured with staff members greeting and screening all visitors around the clock.

As many individuals at this stage in their lives are looking to pursue new hobbies and interests, the

Continued on page 121

Choosing an Independent Living Community

Use this checklist to review options:

PHYSICAL ENVIRONMENT

Is the community clean and well maintained?

Is ample parking available for residents and visitors?

Are exterior maintenance, snow removal and landscaping included in the monthly fees?

Are there multiple floor plans available?

Can residents decorate their cottages, condos or apartments according to their personal tastes?

Is the community pet friendly?

Does the community have safety features, such as handrails and grab bars?

Do individual residences include safety features, such as emergency alert and fire suppression systems?

ACTIVITIES AND PROGRAMS

Are activities scheduled throughout the day and evening?

Are fitness classes offered?

Are there dedicated spaces for resident clubs and informal gatherings?

Does the community offer regular outings to local restaurants, theaters, museums and other destinations?

Are there outdoor spaces available for walking, gardening and recreation?

Are volunteer programs available?

Do the residents appear engaged and energetic?

RESIDENT AND STAFF INTERACTION

Is the community well staffed overnight?

How does the community handle residents who need additional care and support?

Do staff members undergo screenings and background checks prior to employment?

Are housekeeping and laundry provided?

Are transportation services available?

Do caregivers interact with residents in positive ways?

What is the staff-to-resident ratio?

DINING SERVICES

Does the dining room look and smell inviting? Are the dining room tables, chairs and linens in good condition?

Are residents allowed to invite guests for meals?

Can residents select their own meal times, or are there designated meal times?

Are three daily meals, snacks and beverages included in the monthly rate?

Does the resident committee work with the dining staff to develop menus?

Can the community accommodate special dietary needs?

Is there a dietician or nutritionist involved in meal planning?

LOCATION

Is there public transportation nearby?

Is the community in a safe neighborhood? Are there shopping, dining and entertainment options near the community?

Is the community near preferred medical providers?

FEES AND COSTS

What services are included in the monthly fee? What services are available for an additional fee? What are the fees?

How often do resident rate increases occur? Are subsidies available? How do residents qualify for subsidies? Is there a waiting list?

OVERALL IMPRESSION

Does the community look and feel like a place you could call home?

Talk with residents and their family members. What do they like about the community? Can they recommend it?

Did they consider other options when searching for a community? Why did they choose this community?

INDEPENDENT LIVING COMMUNITIES

District of Columbia

The Appleton at Spring Flats I& II

Seabury Home First® Residences

St. Mary’s Court

View at Edgewood Terrace, The 202-635-1995

Wah Luck House

202-289-5338

Suburban DC Maryland | Includes Montgomery and Prince George’s Counties

MONTGOMERY COUNTY

Andrew Kim House

Arbor Crest of Silver Spring

Arcola Towers

Asbury Methodist Village 25, 125 301-216-4100

Aspenwood Senior Living Community

Bauer Park Apartments 301-460-4545

Bedford Court

Bethany House 301-881-0700

B’nai B’rith Homecrest House 107

Bonifant at Silver Spring

Brightview West End 20-21

Brooke Grove Retirement Village INSERT

Cadence Living Olney 301-851-6118

INDEPENDENT LIVING COMMUNITIES

Suburban DC Maryland | Includes Montgomery and Prince George’s Counties

MONTGOMERY COUNTY (continued)

at Clarksburg Village, The

The Flats at Sandy Spring

Pinnacle North

Victory Crossing

Victory Forest

Victory Oaks

Victory Terrace

Victory Tower

236-0000

301-589-4030

301-445-1445

301-983-9600

301-270-1858

Village at Rockville, The 301-354-8485

Willow Manor at Cabin Branch

Willow Manor at Clopper’s Mill

Willow Manor at Colesville

Willow Manor at Fair Hill Farm

Willow Manor at Fairland

Wilshire Estates

301-384-8500

301-260-7620

301-847-1000

301-246-8432

INDEPENDENT LIVING COMMUNITIES

PRINCE GEORGE’S COUNTY

Avondale Park Apartments

Bowie Commons

301-853-7787

301-249-2575

Branchwood Towers 301-856-1620

Cheval Court 301-736-0685

Chillum Oaks Adventist Apartments 301-853-2755

Clinton Manor Apartments

Collington, A Kendal Affiliate 301-679-3880

Council House

301-423-0228

Emerson House Apartments 301-779-6196

Evergreen Senior Living Community

Washington Manor 1-888-258-4873

Apartments 301-779-6566

at Enterprise 16-17

Residences

Manor Apartments 301-853-2900

Mrs. Philippines Home for Senior Citizens

Park View at Laurel II

Selborne House of Laurel

The Sky Bridge at Town Center

St. Paul Senior Apartments

Trinity Terrace

Victory House of Palmer Park

Vistas at Lake Largo, The

Willows at Victoria Falls

Willows Senior Community

Windsor Crossing Senior Apartments 301-669-6540

Woodside Village 301-839-2150

INDEPENDENT LIVING COMMUNITIES

Central

Maryland | Includes: Anne Arundel, Baltimore City and County, Carroll, Cecil, Harford and Howard Counties

ANNE ARUNDEL COUNTY

Glen

Park

Pinewood Village

of Severna Park

Park at Edgewater

BALTIMORE CITY

Abundant Life Towers I

Abundant Life Towers II

Ahepa Senior Apartments

Apostolic Towers

Arlington Estates

Basilica Place - Catholic Charities

Belvedere Green

Bowleys Garden Villa

DePaul House - Catholic Charities

Ednor II Apartments

Ednor Apartments

Epiphany House

Everall Gardens - Catholic Charities

Gallagher Mansion

Greens at Irvington Mews, The

INDEPENDENT LIVING COMMUNITIES

BALTIMORE CITY (continued)

Harry and Jeanette Weinberg Place 410-542-4111

Harry and Jeanette Weinberg Woods

Harvey Johnson Towers

Highlandtown Plaza Co-op

Heritage Run at Stadium Place

John Manley House

Johnson Square Apartments

Kirkwood House Apartments 410-323-8910

Linden Park Apartments in Bolton Hill

Monte Verde

O’Donnell Square Senior Housing

Oliver Plaza Apartments

Our Lady of Fatima I -

Park View at Ashland Terrace

BALTIMORE COUNTY

INDEPENDENT LIVING COMMUNITIES

Central

Maryland | Includes: Anne Arundel, Baltimore City and County, Carroll, Cecil, Harford and Howard Counties

BALTIMORE COUNTY (continued)

at Liberty Road, The

at Logan Field, The

Greens at Rolling Road, The

and Jeanette Weinberg Gardens

Harry and Jeanette Weinberg House

Harry and Jeanette Weinberg Terrace, The

Holy Korean Martyrs - Catholic Charities

Masonic Homes

Owings Mills New Town - Catholic Charities

Park View at Catonsville

Park

Park

Park View at Rosedale

Park View at

Park

Park

Randallstown Pavillion Co-op

Randallstown Villa Co-op

INDEPENDENT

LIVING COMMUNITIES

BALTIMORE COUNTY (continued)

Reister’s Clearing - Catholic Charities

Charles House - Catholic Charities

St. Marks Apts - Catholic Charities

St Elizabeth’s Hall - Stella Maris

CARROLL COUNTY

The

Residences, Inc.

Court Apartments

Ridge Apartments

CECIL COUNTY

HARFORD COUNTY

Park View at Box Hill

St. John’s Towers

INDEPENDENT LIVING COMMUNITIES

Central Maryland | Includes: Anne Arundel, Baltimore City and County, Carroll, Cecil, Harford and Howard Counties

HOWARD COUNTY

Park View at Snowden River

Western Maryland | Includes Allegany, Frederick,

GARRETT COUNTY

Garrettland - 6 Properties

Goodwill Mennonite Home, Inc.

Starner Hill Apts - Catholic Charities

WASHINGTON COUNTY Creekside Village

Fahrney Keedy Senior Living Community

Francis Murphy Apartments

Eastern Shore of Maryland | Includes Caroline, Dorchester, Kent, Queen Anne’s, Sommerset, Talbot, Wicomico & Worcester Counties

Southern Maryland | Includes Calvert, Charles, and St. Mary’s Counties

INDEPENDENT LIVING COMMUNITIES

Virginia

ALEXANDRIA

Alate

FAIRFAX COUNTY

INDEPENDENT LIVING COMMUNITIES

Virginia

FAIRFAX COUNTY (continued) Lewinsville,

COUNTY

PRINCE WILLIAM COUNTY

Acclaim at Belmont Bay

Harper’s Station

Lake Ridge Fellowship House

571-489-7070

571-605-6193

571-347-1843

703-596-8153

703-494-4455

Oaks Senior Community, The 703-221-4888

703-365-8500

INDEPENDENT LIVING COMMUNITIES

PRINCE WILLIAM COUNTY (continued)

Park Place 703-257-3455

Potomac Place 145 703-494-3817

Potomac Woods Senior Living

Quarry Station Seniors Apartments

River Run at Prince William Commons 703-878-4618

Victoria Park & The Woods Apartments 703-879-8327

The Wellington at Lake Manassas Community 142 703-468-2750

OTHER VIRGINIA

Independent Living Communites

Continued from page 107

activities and amenities available at a community are a major factor for potential residents. Most independent living communities provide a full range of activities such as shopping trips, outings to cultural events, organized gatherings and an array of clubs. Some communities also have tennis courts, swimming pools and other amenities.

Independent living communities typically offer a variety of meal plans. Residents also have the option of preparing their own meals.

Most independent living communities do not offer health care services. However, some communities are affiliated with health care facilities that can provide such care when it is needed.

Residents also have the option of purchasing home health care services from outside providers.

Most independent living communities are rental communities, but some are condominiums or single-family communities in which residents purchase their units or homes. Costs and services vary widely. In some communities, a monthly fee covers many services, while in others a fee-for-service system is used. A few communities offer subsidies based on strictly defined need. To learn more, contact your local Area Agency on Aging.

Consumers should carefully research the independent living community options in their target areas or neighborhoods. After requesting and reviewing information from communities, prospective residents should plan on-site visits to each community they are considering.

Life Plan Communities

Continued from page 91

from art classes to yoga classes and from drama clubs to walking groups. Residents are also very involved in the operation and management of Life Plan Communities through resident boards or councils.

Finally, Life Plan Communities are generally integrated into the larger community. With active residents, these communities can focus on giving back and acting as a socially responsible neighbor.

Life Plan Communities give older adults the freedom and security to live active, healthy lives. They are the perfect option for individuals who want to plan ahead for future care needs, while focusing on enjoying every day.

Let’s Talk Assisted Living.

It’s a conversation we’ve been having with seniors and their families for over 30 years. At Victory Housing, you’ll discover our simple and straight-forward approach to assisted living. From all-inclusive rates to individualized care, our award-winning communities offer the ideal setting to call home. Call or visit us today, let’s talk.

Bartholomew House

Bethesda • 301-320-6151

Byron House

Potomac • 301-469-9400

Grace House

Silver Spring • 301-924-4424

Malta House Hyattsville • 301-699-8600

Marian Assisted Living Olney/Brookeville • 301-570-3190

Raphael House Rockville • 301- 217-9116 www.VictoryHousing.org

Assisted Living

Offering needed assistance and rewarding activities

Assisted living communities offer a vital option for older adults who need some assistance with daily living. While the specific amenities will vary, all assisted living communities offer basic services including meals, supervision, security and help with personal care needs. For many residents, the help available at an assisted living community can allow them to continue to live their best life.

In most states, assisted living communities are registered, licensed or certified by an appropriate department or agency of the state that has a process for issuance of initial licenses and for

renewing existing licenses. This process provides basic protections for consumers.

Residents of assisted living communities are generally seniors who need some assistance with basic activities, frequently called the

With 20 years of experience, Springhouse is a place that gives residents control over their lives and reduces the stress of household management. Our community is a place which enhances life through wellness programs, activities, socialization and personal care services—a place with warm, caring and knowledgeable staff. 8911 Reisterstown Rd • Pikesville, MD 21208 410-486-5500 We provide

activities of daily living (or ADLs). Some communities may accept residents with Alzheimer’s disease and other forms of dementia. In fact, some communities may specialize in serving individuals with specific medical conditions, including dementia. A few communities serve individuals of any age with developmental disabilities. When reviewing assisted living communities, consumers should ask about any specializations the community may have.

The services and activities provided in assisted living communities help

Continued on page 124

loving and supportive environments for the elderly to live with dignity. Our charming homes, one with a kosher option, are nestled in pleasant, local neighborhoods.

more

Assisted Living

Continued from page 123

to promote the quality of life and independence of the residents. One key offering is 24-hour supervision of the residents and the property. Resident safety and security is a priority at all assisted living communities.

All communities also offer three meals a day in a group dining room. However, dining options can vary dramatically in terms of the meals available and the costs associated with meal plans.

Finally, all assisted living communities offer personal care services, also known as help with the ADLs. These

services include assistance with bathing, dressing and toileting.

Other services and activities available at some assisted living communities include:

• Medication management, or assistance with self-administration of medicine

• Coordination of services by outside health care providers

• Assistance with arranging medical, health and dental care services

• Social services

• Transportation services

• Outdoor areas for walking or gardening

• Supervision and assistance for persons with Alzheimer’s or other dementias and disabilities

• Recreational and spiritual activities

• Exercise and wellness programs

• Laundry and linen service

• Housekeeping and maintenance

• Individualized services

While assisted living communities do provide a high level of care, it is important to consider what is not provided at these communities before selecting one. Assisted living communities are a bridge between living at home and living in a nursing home. Assisted living communities do not typically provide the level of continuous skilled nursing care found in nursing homes and hospitals. For instance, if a prospective resident needs constant care, a nursing home may be a more viable option.

Source: www.ahcancal.org

Pay for Assisted Living

Know your options when paying for care

Although Medicare does not cover the costs of assisted living, there are a variety of payment sources available. Certain services are paid under Supplementary Security Income and Social Services Block Grant programs. Individuals who meet income qualifications may also be eligible for assistance through their state Medicaid program. Some communities also offer internal financial assistance programs. State and local governments may offer subsidies for rent to those who are income-eligible. Contact the local Area Agency on Aging for more information on subsidies and other

payment assistance programs.

Long-term care insurance policies provide another financing option for assisted living. Most of these policies will cover the costs of assisted living. Some of the costs of assisted living are also reimbursable through individual health insurance policies.

While there are other payment options available, the vast majority of assisted living/personal care costs are covered through private payments by residents and families. Individuals should investigate all available payment sources and obtain specific information

on standard rates and fees for additional services before choosing an assisted living community.

Financial and insurance experts can provide more detailed information about all the available payment sources.

• All-inclusive

• Personalized, dedicated

•

•

Choosing Assisted Living

Use this checklist to review options:

FEES AND COSTS

What services are included in the monthly fee?

What services are available for an additional fee?

What are the fees?

How often do resident rate increases occur?

How much notice do residents receive prior to a rate increase?

PHYSICAL ENVIRONMENT

Is the community clean and well maintained?

Are there multiple floor plans available?

Can residents decorate their apartments according to their personal tastes?

Is the community pet friendly?

Does the community have safety features, such as handrails and grab bars?

Do individual residences include safety features, such as emergency alert and fire suppression systems?

DINING SERVICES

Does the dining room look and smell inviting?

Are the dining room tables, chairs and linens in good condition?

Are three daily meals, snacks and beverages included in the monthly rate?

Does the resident committee work with the dining staff to develop menus?

Can special dietary needs be accommodated?

RESIDENT

AND STAFF INTERACTION

What is the staff-to-resident ratio?

Is the community well staffed overnight?

How does the community handle residents who need additional care and support?

Is in-home care available if needed?

Do staff members undergo screenings and background checks prior to employment?

Is the staff screened and evaluated for their ability to work with older adults in the assisted living setting?

Does the community have its most recent survey results posted or displayed for families to review?

Are staff trained and retrained at regular intervals?

Are housekeeping and laundry provided?

Are transportation services available?

Do caregivers interact with residents in positive ways?

Do residents appear tidy and well cared for?

ACTIVITIES AND PROGRAMS

Are activities scheduled throughout the day?

Are fitness classes offered?

Are there dedicated spaces for resident clubs and

informal gatherings?

Does the community offer regular outings to local restaurants, theaters, museums and other destinations?

Are there outdoor spaces available for walking, gardening and recreation?

Are volunteer programs available?

Do the residents appear engaged?

LOCATION

Is the community conveniently located for friends and family to visit?

Is the community in a safe neighborhood?

Are there shopping, dining and entertainment options near the community?

Is the community near preferred medical providers?

Source: www.whereyoulivematters.org, a senior living resource powered by the American Seniors Housing Association (ASHA)

Kensington Senior Living is a partnership of bighearted leaders who made “a promise to love and care for your family as they do their own.” With deep understanding of older adults and their families, they designed, developed and staffed beautiful residences that reect decades of expertise and unwavering commitment to uphold their promise.

In every community, best-in-class professionals deliver more comprehensive care and support than what other senior living providers offer. Assisted living and memory care staff-to-resident ratios are excellent. Specialized levels of memory care address the challenges unique to each phase of loss. Couples are welcome and can reside together in the same suite, even if their care needs differ.

District of Columbia

Suburban DC Maryland | Includes Montgomery and Prince George’s Counties

Suburban DC Maryland | Includes Montgomery and Prince George’s Counties

(continued)

ASSISTED LIVING COMMUNITIES

MONTGOMERY COUNTY (continued)

Acres I - II

908-3475

ASSISTED LIVING COMMUNITIES

Suburban DC Maryland | Includes Montgomery and Prince George’s Counties

PRINCE GEORGE’S COUNTY

Assisted Living I-III

Alert Care I-II

Assisted Living I-VI

Devoted Assisted Living I - II

ASSISTED LIVING COMMUNITIES

Central Maryland | Includes: Anne Arundel, Baltimore City and County, Carroll, Cecil, Harford and Howard Counties

ANNE ARUNDEL COUNTY

ASSISTED LIVING COMMUNITIES

BALTIMORE COUNTY (continued)

CARROLL COUNTY

ASSISTED LIVING COMMUNITIES

Central Maryland | Includes: Anne Arundel, Baltimore City and County, Carroll, Cecil, Harford and Howard Counties CARROLL COUNTY (continued)

CECIL COUNTY

HARFORD COUNTY

HARFORD COUNTY (continued)

HOWARD COUNTY

ASSISTED LIVING COMMUNITIES

Assisted Living in Virginia

Virginia has specific laws and regulations governing assisted living communities.

According to Virginia laws, licensed assisted living communities can provide two distinct levels of care. Residential Living services provide minimal assistance with the activities of daily living, or ADLs, to older adults who have only minor physical or mental limitations.

Assisted Living services include more moderate assistance for residents who may need additional help to maintain their lifestyle.

Aides and companions provide assistance with ADLs, as well as help with medications and arrangements for off-site medical services.

Assisted living communities provide residents with three meals and snacks every day. Meals are generally served in a congregate dining room. If a resident is ill, they can be served their meals in their

Continued on page 144

Get Involved and Reap Rewards

Volunteering helps residents, families and communities

Most parents are involved to some degree in the parent teacher organizations at their children’s schools. The same concept applies for senior living. When your loved one moves to a retirement community, you should make it a priority to become a part of that community. Volunteering is a great way to get involved. Give freely of your time and your talents, and you and your loved one will certainly reap the rewards.

Much like schools, senior living communities welcome volunteers from the larger community. They are especially keen to get residents’ family members involved. Volunteers often engage in friendly visiting or help out with special events or fundraising activities. Some volunteers lead discussion groups, accompany residents for walks or share a special talent. Most communities are open to ideas for potential volunteer assistance.

Benefits for Residents

According to “The Benefits of Volunteering at a Senior Living Community,” by Marissa Salvesen, volunteers are essential to

the operation of senior living communities and the well being of residents. “Volunteers can offer much-needed time and assistance, such as helping a resident organize a closet, writing cards or notes, or recording a resident’s life story; all tasks that can help families with the responsibilities of caregiving,” Salvesen explained.

Family volunteers are particularly beneficial because they are familiar with the challenges that residents might face. By giving just a few hours of time, family members can help their loved one and other residents.

LIVING

www.lovettsvillehome.com info@lovettsvillehome.com

Schedule a visit, either virtually or in-person: 540-822-3824

Becoming a part of your loved one’s senior living community will help your loved one adjust quicker and feel more connected. Adding a regular volunteer shift to your schedule will let your loved one know that you are committed to their community and enjoy spending time with their friends.

Benefits for Families

Volunteering at your loved one’s senior living community will help the entire family feel more connected to your older relative and their home. In

Continued on page 144

Loudoun County’s Quality Assisted Living

Get Involved and Reap Rewards

Continued from page 143

addition, volunteers gain valuable experience with caregiving and learn a lot about life and our country’s shared history. Finally, family members who volunteer will gain greater peace of mind, knowing that their loved one is in a positive environment.

Young adults and even children should also be involved in volunteering at a loved one’s community. Volunteering will help young people stay connected with their older relatives and form relationships with other older adults.

Assisted Living in Virginia

Continued from page 141

rooms or in an on-site infirmary.

With the help of volunteers and activity staff, assisted living communities deliver social, recreational, and religious activities for residents. State regulations require that a certain number of hours each week are reserved for social activities among residents.

Many assisted living facilities offer on-site facilities, amenities, and services. Certain services and facilities are typically

included in the standard monthly fee that every resident pays. These include: housekeeping services, laundry services, group and individual transportation services, facility maintenance and groundskeeping, some utilities, and security services. The specific services and amenities that are included should be detailed in the residential contract. Residents and their loved ones should carefully review the contract before signing.

To meet state requirements, all assisted living communities in Virginia must have administrators who are responsible for the management of the home. They must also have aides and

Younger volunteers will learn the importance of giving back and gain an understanding of different generations.

Whether your loved one is preparing to move, or has been a senior living resident for decades, it is never too early or too late to get involved. Contact your loved one’s community today to ask about volunteer opportunities.

All assisted living communities in Virginia must have administrators who are responsible for the management of the home.

companions who provide direct assistance with ADLs to residents, maintenance and housekeeping staff, food service personnel, and activity planners.

More information about Virginia requirements and resident’s rights and responsibilities is available at vhi.org

JOYFUL, ENGAGED SENIOR LIVING

Three homes in Mclean, Arlington and Falls Church where residents are valued for their wisdom and experiences, and are cared for with deep respect and love, in communities that foster purpose and joy.

oving Care

Find Local Resources

Call the Eldercare Locator: 1-800-677-1116

The National Aging Network, headed by the Administration on Aging, includes 56 state Agencies on Aging, 622 Area Agencies on Aging, and more than 260 Native American aging programs. All individuals age 60 and older are eligible for services through this network. Most services are delivered on the local level by Area Agencies on Aging (AAAs).

AAAs are public or private nonprofit agencies designated by a state to address the needs and concerns of all older persons at the regional and local levels. AAAs operate in specific service areas that may include a city, county, or multi-county districts. AAA is

Visit: eldercare.gov

a general term—names of local AAAs may vary.

AAAs coordinate and offer services that help older adults remain in their homes or stay engaged in the community. Services vary widely, but a list of typical offerings is included below. By making

Email: eldercarelocator@USAging.org

a range of supports available, AAAs make it possible for older individuals to choose the services and living arrangements that suit them best.

To help individuals find services, the federal government established the Eldercare Locator. The Eldercare Locator is a nationwide service that connects older Americans and their caregivers with trustworthy local support resources.

Older adults and caregivers should tap into these federal, state and local resources to get the help they need to age well or to care for an aging loved one.

Connect with leading EXPERTS and RESOURCES in senior living at Positive Aging Community’s live and interactive discussions! Join weekly sessions on diverse topics, and if you miss one, access hundreds of on-demand recordings in our library. www.proaging.com

Discover a distinctively different approach to senior living with fast and reliable help-when-you-need-it in a small and cozy environment with country charm. Learn more: 703.223.5226 • IntegraCare.com

Northern Virginia’s premiere not-for-profit assisted living community. Located in a peaceful McLean neighborhood, offering affordable rental and care options, including rental assistance through the Fairfax County project-based voucher program.* Our residents and team members are what make Chesterbrook Residences such a unique and special community. Call today to schedule your personal tour! 703-531-0781 chesterbrookres.org |

*The project based voucher program available in 44 apartments allows qualified individuals (with an eligibility income of less than $54,150) to pay a rent based on income plus their applicable care fee. Based on 2024 eligibility rates; subject to change.

Choosing Assisted Living

Use this checklist to review options:

FEES AND COSTS

What services are included in the monthly fee?

What services are available for an additional fee? What are the fees?

How often do resident rate increases occur?

How much notice do residents receive prior to a rate increase?

PHYSICAL ENVIRONMENT

Is the community clean and well maintained?

Are there multiple floor plans available?

Can residents decorate their apartments according to their personal tastes?

Is the community pet friendly?

Does the community have safety features, such as handrails and grab bars?

Do individual residences include safety features, such as emergency alert and fire suppression systems?

DINING SERVICES

Does the dining room look and smell inviting?

Are the dining room tables, chairs and linens in good condition?

Are three daily meals, snacks and beverages included in the monthly rate?

Does the resident committee work with the dining staff to develop menus?

Can special dietary needs be accommodated?

RESIDENT AND STAFF INTERACTION

What is the staff-to-resident ratio?

Is the community well staffed overnight?

How does the community handle residents who need additional care and support?

Is in-home care available if needed?

Do staff members undergo screenings and background checks prior to employment?

Is the staff screened and evaluated for their ability to work with older adults in the assisted living setting?

Does the community have its most recent survey results posted or displayed for families to review?

Are staff trained and retrained at regular intervals?

Are housekeeping and laundry provided? Are transportation services available?

Do caregivers interact with residents in positive ways?

Do residents appear tidy and well cared for?

ACTIVITIES AND PROGRAMS

Are activities scheduled throughout the day?

Continued on page 151

At Tall Oaks, you can worry less and enjoy more. More energy for morning walks. More interactions with friends. More time to do what you love. And more space in which to do it!

Lounge on the back patio, dine with friends, watch a movie in our theater, or practice your golf swing on our wooded campus. Plus, care is available 24 hours a day. And it’s all just steps away from your spacious apartment.

Whatever you enjoy, you can embrace retirement knowing that you are—truly and happily—at home.

We look forward to helping you choose your new Tall Oaks apartment. Call 703-834-9800 today to schedule your visit!

FAMILY MATTERS because nobody can care for

TheGardensAtFairOaks.com

When it comes to choosing an assisted living community, the most important question to ask is “how well will my loved one be cared for?” As a family owned and operated community, we cannot overstate the importance of the relationships we’ve forged over the past 24 years. At The Gardens, we never take for granted the trust that each family puts in our family. From 24-hour nursing care to enriching social activities and fine dining, we are honored to care for your loved ones as if they were our own. Because to us, they are.

Offering the best of both worlds on one sprawling, 17-acre campus, The Gardens also invites you to discover our sister property, The Woodlands—a renowned independent senior living community.

To find out more about our acclaimed assisted living, memory care, adult day care and respite stays, call 703-278-1001 or visit thegardensatfairoaks.com.

Choosing Assisted Living

Continued from page 148

Are fitness classes offered?

Are there dedicated spaces for resident clubs and informal gatherings?

Does the community offer regular outings to local restaurants, theaters, museums and other destinations?

Are there outdoor spaces available for walking, gardening and recreation?

Are volunteer programs available? Do the residents appear engaged?

LOCATION

Is the community conveniently located for friends and family to visit?

Is the community in a safe neighborhood?

Are there shopping, dining and entertainment options near the community?

Is the community near preferred medical providers?

Source: www.whereyoulivematters.org, a senior living resource powered by the American Seniors Housing Association (ASHA)

Virginia

ALEXANDRIA

ASSISTED LIVING COMMUNITIES

FAIRFAX COUNTY (continued)

703-264-0506

703-214-4419

LOUDOUN COUNTY (continued)

WILLIAM COUNTY

Inclusive Senior Living

Continued from page 24

To improve hiring practices, senior living providers can turn to local colleges. “You’ve all heard of Howard University. You’ve all heard of Morgan State. You’ve all heard of UMBC. So if you’re not doing active recruiting in those locations, then you’re not looking hard enough,” explained Cordell Martin, community relations coordinator at Tribute at Melford, an assisted living and memory care community in Bowie, Md, during a digital discussion. “I’m talking about bringing in talented people. I’m not talking about bringing in someone just so you can say you’ve fulfilled a quota, because that’s often how it’s presented.”

Discrimination by Clients

During Positive Aging’s digital discussion, many of the panel members and the participants highlighted discrimination by clients, especially in the home care sector. Many caregivers, particularly those who are from foreign countries, face discrimination from clients.

Caregivers may be mistreated or misjudged simply based on racist ideas. Home care workers and owners alike reported clients asking for caregivers who “didn’t have accents” or who “looked like them.”

Sambal Johnson, a caregiver with HomeCare.com, relayed her personal experience. “I’ve been discriminated against because of my name. They assume that there will be a language barrier or that I don’t know what I’m

doing. But once you get in and you understand them and explain yourself to them, the majority of the people are understanding and it works out.”

Companies have to support and defend their workers—to the point of removing them from uncomfortable or unsafe situations. Todd Walrath, the CEO of HomeCare.com, spoke of how he supports his frontline workers by ensuring that they know they can always refuse a client if they feel they are in danger or being discriminated against. With clients, Walrath tries to keep the focus on the qualifications of the caregiver, instead of their race or ethnicity.

Industry Actions

To truly change the make-up of senior living, diversity and inclusion must become a way of life for companies. Dr. Jeffrey Ash the associate dean for diversity and inclusion at the University of Maryland School of Nursing explained that the single best way to encourage diversity in hiring practices and inclusion in employee experiences is to attach them to metrics. Dr. Ash encourages companies to add questions about diversity and discrimination to their employee and client reviews and to track the responses.

To help the health care industry as a whole better address these issues, HomeCare.com established a coalition called Nurses Against Racism. The mission of the group is to unite healthcare providers to make meaningful change towards racial equity in the nursing industry. For more information or to get involved, visit NursesAgainstRacism.com

Capital Caring Health, a nonprofit provider of advanced illness, home and hospice care services throughout the Washington metropolitan area, recently established The Center for Equity, Inclusion, and Diversity to serve more minority elders who need hospice care, as well as those who need traditional medical care to remain independent in their homes.

Finally, Broadmead, a senior living community near Baltimore, is engaging in a coordinated effort to recruit a more diverse resident population. Led by Jennifer Jimenez Maraña, the community’s director of diversity and inclusion, the effort focuses on promoting social justice by ensuring that the population of residents is as diverse as the caregivers.

While none of these efforts can eliminate systemic racism or homophobia in the senior living sector, they are small and important steps in the right direction. They can also serve as a model for larger efforts to ensure that senior living services truly serve all seniors and that the industry presents real opportunities for care professionals. If we advance a system that serves all, we will all be better served.

Nursing & Rehabilitation

Specialized care for individuals who need daily assistance

At a nursing care center, care is administered by professionals under the direction of a physician. Many facilities also offer sub-acute, respite, rehabilitation and other short-term care. Rehabilitation services can be especially helpful for individuals who are recovering from surgery, an illness or any other life-changing event.

Who is Nursing Care for?

These communities serve as permanent residences for individuals who are too sick or frail to live at home, or as temporary facilities during a recovery period. Some residents enter a nursing care center for a short-term stay after a surgery or illness, while others enter on a more permanent basis.

Who Pays for Nursing Care?

Medicare, Medicaid, private insurance and personal assets are all used under various circumstances to pay for services in a nursing care

Paying for Nursing Home Care

Nursing home care can be expensive. There are many ways you can pay for nursing home care. For example, you can use your own money, you may be able to get help from your state, or you may use long-term care insurance.

Most people who enter nursing homes begin by paying for their care out-of-pocket resources (like bank accounts and stocks). Over a period of time, you may eventually become eligible for Medicaid.

Will Medicare pay for nursing home care?

Medicare generally doesn’t cover long-term care stays in a nursing home. Even if it doesn’t cover nursing home care, you’ll need health coverage for hospital care, doctor services, and medical supplies while you’re in the nursing home.

facility. If a facility is not certified by Medicare and Medicaid, the care will have to be paid for entirely with personal funds.

Continued on page 169

Part A covers skilled care provided in a skilled nursing facility (SNF) under certain conditions for a limited time. Skilled care is nursing and therapy care that can only be safely and effectively performed by, or under the supervision of, professionals or technical personnel. It’s health care given when you need skilled nursing or skilled therapies to treat, manage, and observe your condition, and evaluate your care.

Medicare covers certain daily skilled care services on a short-term basis (up to 100 days in a benefit period). For more information on Medicare’s coverage of SNF care, visit Medicare. gov or call 1-800-MEDICARE (1-800-633-4227).

Continued on page 167

NURSING &

District of Columbia

Lisner-Louise-Dickson-Hurt Home

Serenity

Sibley Hospital -Skilled Nursing

Stoddard Baptist Nursing Home 202-328-7400 1818 Newton

Transitions Healthcare Capitol City 202-889-3600 2425 25th St, SE

Unique Rehabilitation and Health Center 202-535-1100

Suburban DC Maryland | Includes Montgomery and Prince George’s Counties MONTGOMERY COUNTY Althea

Suburban DC Maryland | Includes Montgomery and

PRINCE GEORGE’S COUNTY

Suburban DC Maryland | Includes Montgomery and Prince George’s Counties

PRINCE GEORGE’S COUNTY (continued)

NURSING & REHAB CENTERS

BALTIMORE CITY (continued)

CARROLL COUNTY

CARROLL COUNTY (continued)

HOWARD COUNTY

CECIL COUNTY

Eastern Shore of

|

Counties

Virginia

ALEXANDRIA

NURSING & REHAB CENTERS

Virginia

PRINCE WILLIAM COUNTY

Paying for Nursing Care

Continued from page 157

Personal resources

You can use your personal money and savings to pay for nursing home care. Some insurance companies let you use your life insurance policy to pay for longterm care. Ask your insurance agent how this works.

Important: Be sure to get help before using either of these options. There are important issues you need to understand.

Help from your state (Medicaid)

Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources. Most health care costs are covered if you qualify for both Medicare and Medicaid. Most, but not all, nursing homes accept Medicaid payment. Even if you pay outof-pocket or with long-term care insurance, you eventually may “spend down” your assets while

you’re at the nursing home, so it’s good to know whether the home will accept Medicaid.

Check with the nursing home to see if they accept people with Medicaid. Medicaid programs vary from state to state. Most often, eligibility is based on your income and personal resources. Many states have higher Medicaid income limits for nursing home residents. You may be eligible for Medicaid coverage in a nursing home even if you haven’t qualified for other Medicaid services in the past.

Sometimes you won’t be eligible for Medicaid until you’ve spent some of your personal resources on health care. Generally, even if you’re eligible for Medicaid, all of your income (except for a monthly personal needs allowance and amounts considered necessary to support your spouse and family living in the community) will go to pay your nursing home expenses and Medicaid will cover the rest. To get more information on Medicaid eligibility in your state, call your local Medicaid office.

Outpatient Rehabilitation

Promoting functional abilities and independence

Whether they are recovering from an injury or managing a long-term illness, older adults can turn to rehabilitation services to regain their highest possible level of independence. Topquality physical, occupational and speech therapists work on a wide variety of injuries, diseases and disabilities, helping older adults improve overall physical and mental functioning.

Professional therapists are highly trained in the newest rehabilitative techniques and have an enormous amount of experience in the care of the geriatric population. Modern outpatient facilities use cuttingedge rehabilitation equipment and technology to maximize a patient’s function and expedite their recovery process.

Outpatient rehab offers significant value for older adults, providing a comprehensive approach to maintaining health and independence. This form of therapy allows seniors to receive specialized care while continuing to live at home. From help with mobility to recovering language skills, outpatient therapists are able to help older adults live their best possible lives.

There are several different types of therapy available that target different needs and specific populations.

Physical Therapy

Physical therapy plays a crucial role in improving mobility and

strength for seniors. As we age, muscles can weaken and joint flexibility decreases, making daily activities challenging. Physical therapists work with older adults to enhance their physical abilities through:

• Strength training — Weight lifting exercises are particularly important for older adults because muscle tone tends to deteriorate with age. Strength training can help counteract this natural loss of muscle.

• Balance exercises — One of the number one causes of emergency room visits for older adults is falls. Balance exercises can help older adults remain steady on their feet, reducing the risks for falls.

• Stretching — Flexibility is important for balance and overall health. Regular stretching can help keep joints and muscles working optimally.

• Pain Management — One of the most effective treatments

for chronic pain resulting from arthritis or other conditions is physical activity. Certain exercises can help relieve persistent joint pain. There are also pharmaceutical and other methods for minimizing pain and improving daily functionality.

Physical therapy helps seniors maintain independence and reduces the risk of falls and other complications. For older adults who are recovering from injuries, strokes or surgeries, physical therapy can be the difference between regaining independence and enduring a long or neverending recovery period.

Occupational Therapy

Occupational therapy focuses on helping seniors perform daily tasks and maintain their independence. Occupational therapists assist older adults in: Continued on page 214

Nursing and Rehab

Continued from page 157

In general, Medicare pays for skilled nursing care following hospitalization for the same illness or condition at 100 percent of the cost for days 1 – 20. Some long-term care insurance pays for nursing care centers; insurance payments are usually a fixed amount for a specified number of qualified days.

The basic daily rate is the standard charge the nursing care center bills to all residents, which covers the fundamental services

every resident receives, including rent for the room, housekeeping, meals and general nursing care. It is important to understand all the services and amenities that are not included in the basic daily rate.

What to Look for in Nursing Care

Before choosing a community, contact the Long-Term Care Ombudsman Program of your Area Agency on Aging. Ombudsman programs promote the highest quality of life and care for residents of nursing facilities and can help families and staff with inquiries and complaints.

•

Walter H. Fanburg, MD Geriatric Psychiatrist Founder/Director

Choosing a Memory Care Community

Selecting the right memory care community for a loved one with dementia is a crucial decision that requires careful consideration. Dementia care is unique because dementia patients run a higher risk of wandering and other potentially dangerous behaviors. Often, individuals with dementia will need higher levels of care as the disease progresses. It is important to ensure that the community you select can care for your loved one both now and in the future.

By using Sourcebook, you can create a list of potential communities and narrow it down

based on factors such as location, cost and level of care provided.

It is important to ensure that the community

you select

can

care for your loved one both now and in the future.

Ask about the community's approach to personalized care

Continued on page 177

When touring centers, pay close attention to the environment, staff interactions and available activities. Look for a clean, welcoming atmosphere with secured exits and easy-to-navigate layouts. Observe how staff members engage with residents and inquire about their specialized training in dementia care.

Four Maryland Locations! Linthicum, Lutherville, Middle River, and Westminster

What Makes Arden Courts Unique?

MEMORY CARE IS ALL WE DO

Arden Courts provides success-oriented programs for all levels of dementia to maximize independence, self-esteem and social engagement.

For additional information or tour, contact:

Maryland Locations Northern Virginia Locations

4301 Knowles Avenue Kensington, MD 20895

301-493-7881

10718 Potomac Tennis Lane Potomac, MD 20854

301-983-3620

2505 Musgrove Road Silver Spring, MD 20904 301-847-3051

*Information based on internal research

*Images taken prior to mask requirement.

8909 Reisterstown Road Pikesville, MD 21208 410-415-5600

8101 Bellona Avenue Towson, MD 21204 410-847-9400

7104 Braddock Road Annandale, VA 22003 703-256-0882

12469 Lee Jackson Mem Hwy Fairfax, VA 22033 703-383-0060

arden-courts.org

Choosing a Memory Care Community

Use this checklist to review options:

STEP 1 – CALL COMMUNITIES AND ASK QUESTIONS

Are families encouraged to participate in care planning?

Do staff members communicate openly with families?

Are families informed of changes in the resident’s condition or care needs?

Is personal care and assistance provided?

Is medical care provided?

Is care personalized to meet specific resident needs, abilities and interests?

Is the staff specifically trained in dementia care?

Is there a physician and/or nurse practitioner on the premises and a registered nurse on site at all times?

What is the ratio of residents to staff?

Is staff equipped to handle challenging behaviors?

Are planned activities scheduled, and do they actually take place?

Are activities designed to meet specific needs, interests and abilities of residents?

Are activities available on the weekends or in the evenings?

Is transportation available for medical appointments or personal shopping?

Is physical, occupational, speech and recreational therapy available?

STEP 2 – VISIT COMMUNITIES AND OBSERVE

Do residents appear comfortable, relaxed and involved in activities?

Are residents well groomed, clean and dressed appropriately?

What is the rate of falls for residents?

Is the facility free of unpleasant odors?

Is there indoor space available for residents to move around freely?

Are both the indoor and outdoor areas safe, secure and monitored?

Is there a designated family visiting area? Are the resident rooms clean and spacious? Are residents allowed to bring personal items with them, such as photos and bedding?

Is the food appetizing?

Is the dining area a pleasant environment? Can family and friends join residents for mealtime?

Can the facility accommodate special dietary needs?

Does staff provide assistance with feeding if necessary?

STEP 3 – ASK MORE QUESTIONS AND DECIDE

Are family and friends able to participate in resident care?

What is the discharge policy? Ask about any situation or condition that would lead a resident to be discharged, including behavior changes and financial circumstances.

Is staff available to escort residents to the Emergency Room, if needed?

Is end-of-life/hospice care available on site?

Source: Information adapted from the Alzheimer’s Association. For additional assistance with care decision making, contact the Alzheimer’s Association 24/7 Helpline at 800.272.3900 or visit www.alz.org.

MEMORY

CARE COMMUNITIES

District of Columbia

Forest Hills of DC 11 202-966-7623

Washington forestsidedc.org

Grand Oaks Assisted Living Residence 127 202-349-3400 Washington grandoaksdc.org

Ingleside at Rock Creek 26-27 202-407-9673 Washington ircdc.org

Inspīr Embassy Row 5 202-293-2100 Washington InspirSeniorLiving.com

Maryland

ANNE ARUNDEL COUNTY

Brightview Annapolis 20-21 443-808-1232 Annapolis brightviewseniorliving.com

Brightview Crofton Riverwalk 20-21 443-494-6901 Crofton brightviewseniorliving.com

Brightview Severna Park 20-21 410-544-1605

Severna Park brightviewseniorliving.com

Brightview South River 20-21 410-956-7310 South River brightviewseniorliving.com

Inspirations Assisted Living & Memory Care 171 833-346-8569 Linthicum Inspired-Joy.com

Morningside House of Friendship 8-9 410-863-0830 Hanover mhseniorliving.com

BALTIMORE CITY

Roland Park Place 84 410-243-5800 Baltimore rolandparkplace.org

Springwell Senior Living Community 5 410-664-4006 Mt. Washington springwellseniorliving.com

BALTIMORE COUNTY

Arden Courts ProMedica Memory Care 158 410-415-5600 Pikesville arden-courts.org

Arden Courts ProMedica Memory Care 158 410-847-9400 Towson arden-courts.org

Broadmead 82 443-578-8098 Hunt Valley broadmead.org

Brightview Catonsville 20-21 410-788-5001 Catonsville brightviewseniorliving.com

Brightview Mays Chapel Ridge 20-21 410-628-2100 Timonium brightviewseniorliving.com

Brightview Perry Hall 20-21 410-529-1903 Nottingham brightviewseniorliving.com

Brightview Rolling Hills 20-21 410-744-7101 Catonsville brightviewseniorliving.com

Brightview Towson 20-21 410-296-3320 Baltimore brightviewseniorliving.com

Brightview White Marsh 20-21 410-668-1588 Baltimore brightviewseniorliving.com

Charlestown 22-23 888-325-7759 Catonsville charlestowncommunity.com

Dublin Court at Mercy Ridge 90 410-561-0200 Timonium mercyridge.com

MEMORY CARE COMMUNITIES

MEMORY CARE COMMUNITIES

MONTGOMERY COUNTY (continued)

Kindley Assisted Living-Asbury Methodist Village 25, 125 301-987-6071 Gaithersburg KindleyatAsbury.org

Marge’s Memory Care - A Winter Growth Community 126 301-774-7501 Olney wintergrowthinc.org

The Pinnacle North Bethesda 12-13 571-618-7619 Noeth Bethesda pinnaclenorthbethesda.com

Riderwood 20-21 844-377-9905 Silver Spring Riderwood.com

Harmony at Enterprise 16-17 240-329-9134 Bowie harmonyseniorservices.com

Morningside House of Laurel 8-9 301-725-2220 Laurel mhseniorliving.com

TALBOT COUNTY

VIRGINIA

Aarondale Community 142 703-813-1800 Springfield rui.net/aarondale

Arden Courts ProMedica Memory Care 172 703-256-0882

Arden Courts ProMedica Memory Care 172 703-383-0060

arden-courts.org

arden-courts.org

Ashby Ponds 20-21 703-574-4555 Ashburn ashbyponds.com

Ashleigh at Lansdowne Community

Avalon Homes

703-828-9600

301-656-8823

rui.net/ashleigh

Ch avalonresidentialliving.com

Benchmark at Alexandria 148 571-946-7780 Alexandria benchmarkseniorliving.com

Brightview Alexandria 20-21 800-666-9536

Brightview Dulles Corner 20-21 571-470-5638

Brightview Fair Oaks 20-21 571-495-2836

Brightview Great Falls 20-21 703-912-0096

Brightview Northfax 20-21 703-912-0096

Brightview Woodburn 20-21 703-879-1257

BrightviewSeniorLiving.com

BrightviewSeniorLiving.com

Gardens Assisted Living, The 150 703-952-5476 Fairfax thegardensatfairoaks.com

Garden View at Falcons Landing 99 703-404-5205 Potomac Falls falconslandinghealthcare.org

Goodwin House Alexandria 34-35 703-578-1000 Alexandria goodwinliving.org

Goodwin House Bailey’s Crossroads 34-35 703-578-7201 Falls Church goodwinliving.org

Greenspring 20-21 844-377-4062 Springfield greenspringcommunity.com

Harmony at Chantilly 16-17 703-994-4561 Herndon harmonyseniorservices.com

Harmony at Falls Run 16-17 540- 479-3788 Stafford harmonyseniorservices.com

PRINCE GEORGE’S COUNTY

MEMORY CARE COMMUNITIES

VIRGINIA (continued)

Harmony at Spring Hill 16-17 571-348-4970 Lorton harmonyseniorservices.com

Heatherwood Community 142 703-425-1698 Burke rui.net/heatherwood

Hunters Woods at Trails Edge 6 703-429-1130 Reston hunterswoodsattrailsedge.com

The Kensington - Falls Church 128 703-992-9868 Falls Church TheKensingtonFallsChurch.com

The Kensington - Reston 128 571-494-8100 Reston KensingtonReston.com

Morningside House of Fredericksburg 8-9 540-370-8000 Fredericksburg mhseniorliving.com

Morningside House of Spotsylvania 8-9 540-898-1900 Fredericksburg mhseniorliving.com

Lovettsville Home Assisted Living 143 540-822-3824 Lovettsville lovettsvillehome.com

Paragon Assisted Living 144 571-269-7794 Arlington/McLean/Falls Ch paragonassistedliving.com

Paul Spring Community 142 703-768-0234 Alexandria rui.net/paul-spring

Potomac Place Assisted Living 145 703-494-3817 Woodbridge potomacplace.com

The Residence at Colvin Run 146 703-223-5226 Great Falls theresidenceatcolvinrun.com

Sylvestery, The 97 703-970-2700 McLean vinsonhall.org

Tall Oaks Assisted Living 141 703-834-9800 Reston talloaksal.com

The Hillside House at Falcons Landing 99 703-404-5205 Potomac Falls falconslanding.org

The Landing Alexandria 12-13 571-577-6011 Alexandria landingalexandria.com

The Providence Fairfax 12-13 571-396-0500 Fairfax providencefairfax.com

The Trillium Tysons 12-13 571-249-2045 McLean trilliumtysons.com

Tysons Woods Assisted Living 141 703-846-0395 Vienna tysonswoods.com

The View Alexandria by Goodwin Living 34-35 703-797-3844 Alexandria goodwinhouse.org

Virginian, The 19 703-385-9229 Fairfax liveatthevirginian.com

Wellington at Lake Manassas Community 142 703-468-2750

Gainesville rui.net/the-wellington

Westminster at Lake Ridge 26-27 703-496-5156 Lake Ridge wlrva.org

Williamsburg Landing 32-33 757-258-2166 Williamsburg williamsburglanding.org

Memory Care

Continued from page 171

plans, medication management, and handling challenging behaviors. Evaluate the activities offered, ensuring they are engaging and tailored to maintain cognitive function.

Consider the staff-to-resident ratio and availability of medical care. Inquire about family involvement policies and communication practices.

Don't hesitate to visit multiple times at different hours to get a comprehensive view of daily life in the community. Finally, review

state regulations and check for any citations or complaints against the center.

By thoroughly evaluating these factors, families can make an informed decision to ensure their loved one receives the best possible care and support in a memory care community.

GUIDE Program, see page 42 Insight Memory Care, see page 211 Sunday Health, visit sundayhealth.com

Hospice Care

A patient and family may turn to hospice care when the goals of patient care have switched from curing to comforting. Hospice involves a special system of supportive services, including pain and symptom management, social services, and emotional and spiritual support. Any individual of any age with a diagnosis of a terminal disease may turn to hospice.

How Do I Receive Hospice Care?

Medicare, Medicaid or private insurance generally require a prognosis of six months or less for services to be covered.

In addition to traditional medical hospices, there is a non-medical hospice program in Montgomery County that offers support for patients with a year’s prognosis or less who may choose to continue their curative treatments.

Hospice is unique in that care and support are provided to the entire family, not just the patient. A team of skilled professionals and volunteers work to serve the special needs of everyone involved.

Choice is at the center of the hospice approach — a person faced with a life-limiting illness is encouraged to

remain in control of his or her life.

As care is usually provided in one’s home, many hospice patients live out their lives in the comfort of familiar daily routines, surrounded by their treasured possessions along with family and friends.

However, hospice services may also be provided in long-term care facilities or in-patient hospice residential settings.

What Services are Provided?

Hospice team members focus primarily on managing the patient’s pain and symptoms with medication, medical supplies and equipment. Other services, such as speech and physical therapy, are available if necessary.

END-OF-LIFE SUPPORT

HOSPICE PROVIDERS

Capital Caring Health 178 800-869-2136 capitalcaring.org

Goodwin House Palliative Care and Hospice 34-35 703-578-7108 goodwinhouse.org

Hospice of the Chesapeake 179 410-987-2003 hospicechesapeake.org

The Medical Team 202 703-390-2300 medicalteam.com

END-OF-LIFE DOULAS (See article page 181)

Alison Butler, Ph.D. - End-of-Life Navigator 771-242-5711 navigatingdying.com

If managing the symptoms within the home becomes impossible, hospice providers can offer shortterm inpatient care.

While family members learn how to properly care for the patient, information and support is also available to help everyone deal

with the emotional, psychosocial and spiritual aspects of dying. Surviving loved ones will receive bereavement care and counseling from the hospice professionals.

How Do I Pay for Hospice?

Most services are fully or partially covered by Medicare, Medicaid,

private insurers or prepaid health plans. The non-medical services available in Montgomery County are free and delivered by a staff of trained volunteers.

For more information, see www.caringinfo. org or the information on hospice care at www.cancer.org

Aging in Place Options

Choices for remaining at home

Never want to move? Want to receive the care and support you need in the home you love? Whether you are committed to remaining in your long-time family home or an amenity rich apartment community, there are plenty of options for aging in place. Start here to find them all.

What aging in place options are available and how can they help me?

Home care is a large and diverse field. The basic home care options include companion care, home healthcare and skilled nursing care

Companion caregivers serve as surrogate family members and may offer assistance including meal preparation, medication reminders, light housekeeping, transportation and help with exercising.

Home healthcare providers help older adults perform the activities of daily living they are no longer able to complete alone. These may include bathing, dressing, transferring, eating and toileting. Home healthcare providers may also offer some companion care services.

Skilled nursing services are prescribed by a physician and delivered by a registered nurse. This type of care may include administering injections or medications, wound care, catheter care, respiratory therapy, or other medical tasks.

Adult day care centers offer a variety of programs and amenities

• Aging in place options include home care and adult day care.

• Home care options range from occasional companion care to full-time skilled nursing care.

for older adults who need care and social opportunities during the day. Many providers offer assistance with the activities of daily living including eating, walking, toileting and medication management. They also generally offer a diverse schedule of activities including exercise programs.

Villages are communities where residents work together to afford

older adults the opportunity to remain in their homes as they age. Older adults receive volunteer support that allows them to maintain their independence. All residents benefit from enhanced multigenerational social connections.

Shepherd’s Centers of America promote aging well in the

Continuing Care at Home

Aging in place with support

Combining the amenities of a retirement community with the comforts of remaining in the family home, Continuing Care at Home (CCAH) programs offer a unique lifestyle option for older adults. CCAH is an innovative solution for older adults who wish to age in their own homes while still receiving the benefits of a continuing care retirement community (CCRC). These programs, sometimes called "CCRCs without walls," provide a range of services designed to support seniors in maintaining their independence and quality of life.

CCAH members typically pay an entrance fee and ongoing monthly fees in exchange for a comprehensive package of services, includng:

• Annual wellness checks and care coordination,

• Home health care and personal assistance,

• Home maintenance and safety inspections,

• Transportation services,

• Meal delivery,

• Social and recreational activities, and

• Access to higher levels of care if needed.

One of the key advantages of CCAH is the flexibility it offers. Members can receive care in their own homes for as long as medically feasible, with the option to transition to facilitybased care if necessary. This model provides peace of mind for both

seniors and their families, knowing that support is available as needs change over time.

CCAH programs also offer financial predictability, as they often include protection against rising healthcare costs. This can be particularly beneficial for those concerned about the potential financial impact of long-term care needs.

As the aging population continues to grow, CCAH programs are likely to become an increasingly popular option for seniors who value both independence and security in their later years.

PROVIDER PHONE WEBSITE

Goodwin Living at Home

703-575-5202 goodwinliving.org

Wesley SecureCare 410-324-2400 wesleysecurecare.org

Understand End-of-Life Doulas

While death is often seen as a taboo subject, it is a natural process that we will all face. Like every other step in the aging journey, there are professionals who can help ease the transition. End-of-life doulas are emerging as invaluable companions in the journey through life's final chapter.

A New Profession

End-of-life doulas provide non-medical holistic support, encompassing emotional, spiritual and practical care for individuals

Doulas create safe spaces for open, frank discussions about end-of-life wishes and what types of care and support might be needed.

diagnosed with degenerative diseases, terminal illnesses or facing imminent death. Multifaceted and deeply personal, this support can

extend to the person's circle of care, helping them navigate the complex emotions and practical challenges that arise during this sensitive time. End-of-life doulas complement, but do not replace, the medical services provided by hospices and healthcare institutions.

“People may not realize that they can benefit from working with doulas at various points in their lives and those of their loved ones,” explains Alison Butler, founder of Navigating Dying

Continued on page 202

What is a Village?

A Village is a community or group of people who want to live in their own homes as they get older, with all the resources needed to live active lives. A village provides many of the benefits of a traditional retirement community—all in the comfort of the family home.

Village residents maintain their independence, their friendships and multigenerational community connections. Because they work together to ensure each other’s continued health and safety, residents are able to live long, full lives in their homes.

What Does the Village Offer?

Villages offer volunteer help to their members. Volunteers provide transportation to medical appointments, grocery delivery, and other specialized services as

needed. Volunteers may also help with simple tasks at home.

Examples include small repairs, changing light bulbs, providing cooked meals to a sick neighbor, or offering assistance with laundry for someone who was just released from the hospital.

Villages focus on building social connections. There are organized events, large and small, that are of interest to the community. Villages

may organize book clubs, walking groups, knitting clubs, guest speaker events, group outings and so much more. Many Village events take place at a neighbor’s home; others take place at a local church, synagogue, mosque, library or community recreation center. Villages often partner with other local organizations to develop programs together.

Who Creates the Village?

Villages are created by residents of the community. The residents are people who have a vision for an improved quality of life for all. Every new Village starts with a vision and with a dedicated core of individuals ready and willing to make that vision a reality.

For more information, visit wavevillages.org or Village to Village Network - National Network: vtvnetwork.org.

DC Villages

Capitol Hill Village

Cleveland & Woodley Park Village

Dupont Circle Village

East Rock Creek Village

Foggy Bottom West End Village

Georgetown Village

Glover Park Village

Greater Brookland Intergenerational Village

Kingdom Care Senior Village

Mount Pleasant Village

Northwest Neighbors Village

Palisades Village

Waterfront Village

MARYLAND

202-773-0830

202-543-1778

DCVillages.org

capitolhillvillage.org

202-615-5853 CWPV.org

202-436-5252 dupontcirclevillage.net

202-656-7322 eastrockcreekvillage.org

202-333-1327 fbwe.helpfulvillage.com

202-999-8988 georgetown-village.org

202-436-5545 gloverparkvillage.org

202-658-5958 brooklandvillage.org

202-561-5594 kingdomcarevillage.org

202-573-7557 mountpleasantvillage.org

202-935-6060 nnvdc.org

202-244-3310 palisadesvillage.org

202-656-1834

dcwaterfrontvillage.org

MARYLAND (continued)

Bethesda Metro Area Village

Bradley Hills Village

Burning Tree Village

Chevery Village

Chevy Chase at Home

301-651-4531

240-600-1846

bmavillage.org

bradleyhillsvillage@gmail.com

240-389-3829 burningtreevillage.org

240-770-1033 cheverlyvillage.helpfulvillage.com

301-657-3115 chevychaseathome.org

East County Senior Village eastcountyvillageseniors.org

Friendship Heights Neighbors Network 240-620-3285 fhneighbors.org

Greater Stonegate Village

GIVES - Greenbelt Intergenerational Volunteer Exchange Services

Helping Hands University Park

240-918-7989 greaterstonegatevillage.org

301-507-6580 givesgreenbelt.org

301-892-6636 helpinghandsup.org

HomePorts 443-480-0940 homeports.org

Hyattsville Aging in Place 301-887-3101 hyattsvilleaginginplace.org

King Farm Neighbors Village

Little Falls Village

Manor Connections

301-799-8104 KFNV.org

301-320-3267 littlefallsvillage.org

240-408-5507 manorconnections.org

Mill Creek Village 240-686-5870 millcreekvillage.org

Montgomery County - Village Coordinator 240-777-1231 Pazit.Aviv@montgomerycountymd.gov

Neighbors Helping Neighbors of College Park 301-222-3434 nhn-cp.org

North Bethesda Village

North Chevy Chase Connections

240-781-8878 northbethesdavillage.org

240-343-2446 northchevychasecon.wixsite.com/nccc

Northwest Neighbors Connecting 410-500-5334 chaibaltimore.org

Olney Home for Life

Parkside Village

Potomac Community Village

301-446-2512 olneyhomeforlife.org

240-644.2079 parksidevillagemd.org

240-221-1370 potomaccommunityvillage.org

Queen Anne’s at Home 410-635-4045 queenannesathome.org

Rockville Area Villages Exchange rockvillevillages.helpfulvillage.com

Silver Spring Village

Somerset Helping Hand

301-503-7401 silverspringvillage.org

301-657-3211 townofsomerset.com/2160/Helping-Hand Town of Garrett Park Senior Committee

The Village in Howard

Villages of Kensington

Village at Kentlands and Lakelands

Village of Takoma Park

443-367-9043 thevillageinhoward.org

301-509-0191 villagesofkensingtonmd.org

240-449-9002 villagekentlandslakelands.org

301-318-1923 villageoftakomapark.com

Wyngate & Maplewd Neighbors Help Neighbors 301-388-5112 wnhn.org

VIRGINIA

Arlington Neighborhood Village

At Home in Alexandria

703-509-8057

703-231-0824

ANVarlington.org

athomeinalexandria.org

Cville Village cvillevillage.org

Fairfax Village in the City

703-385-5738 fairfaxva.gov/village

Here to Stay Wintergreen 434-373-7829 heretostaywtg.org

Lake Barcroft Village 703-354-0652 lakebarcroftvillage.org

Lake of the Woods, Living Independently in Our Comm. 855-569-5462 lowlinc.clubexpress.com

Herndon Village Network 703-375-9439 herndonvillagenetwork.org

Mount Vernon at Home 703-303-4060 mountvernonathome.org

Rapp at Home 540-937-4663 rappathome.net

Reston for a Lifetime 202-669-1244 restonforalifetime.org

Reston Useful Service Exchange

703-873-7578 restonuse.org

Springhill Community Village 703-843-7073 springhillseniorcampus.org

Vertical Village Alliance verticalvillagealliance.org

Valley Village 540-209-6484 vv.clubexpress.com

Safe and Accessible Homes

Creating home environments that promote aging in place

According to 2018 Home and Community Preferences: A National Survey of Adults Age 18-Plus by AARP, 3 out of 4 adults age 50 and older want to stay in their homes and communities as they age. However, older adults are painfully aware of the challenges that come with aging in place. In the same study, only 59 percent of respondents anticipated being able to stay in their communities.

Unfortunately, more than half of Americans (52%) age 65 plus will need long-term care in their lifetimes, according to investment research firm Morningstar. Otherwise healthy older adults often need help recovering after a major illness or a fall. In fact, falls are the most frequent cause of injury for older adults and often lead to increased care needs. A 2015 study published in the Journal of the American Medical Association showed that about a third of older adults fall each year—and the number of falls is steadily rising.

If older adults plan to successfully

Certified Aging-in-Place Specialists

Certified Aging-inPlace Specialists (CAPS) are professionals who are knowledgeable about home modifications to facilitate aging in place. They are familiar with common remodeling projects and can offer solutions to the common barriers to remaining at home.

To find a Certified Aging-in-Place Specialist in your area, call the National Association of Home Builders at 800-368-5242 or use the “Find a Certified Agingin-Place Specialist” tool at nahb.org.

age in place, they must plan ahead to improve the safety and function of their home environment.

Fortunately, there are a wealth of providers dedicated to helping older adults age in place. From

safe

home modification companies to emergency response services, there are professionals who can help older adults live in their homes for a lifetime.

Use this section to plan ahead.

Occupational Therapists

As licensed health professionals, Occupational Therapists (OTs) help older adults find the supports they need to maximize health, safety and independence in the home environment. After performing an in-home assessment and identifying daily routines, OTs can make recommendations that will enhance both the function and safety of the home.

To learn more about occupational therapists, visit AOTA.org.

Continued on page 186

Test Your Home’s Health

1. Is there a step-free entrance into your home?

2. Is there a bedroom, full bath and kitchen on the main level?

3. Are the interior doorways at least 36” wide?

4. Are the kitchen cabinets and shelves easy for you to reach?

5. Are there secure handrails on both sides of the stairs?

5. Are your staircases and hallways well lighted?

7. Do all of your area rugs have non-slip grips to prevent tripping or slipping?

8. Do you have a shower with a step-free entry?

9. Are there nonslip strips or nonslip mats in the bathtub and/or shower?

10. Is there “blocking” (e.g. a wood stud or other solid surface) behind the bathroom walls, so grab bars can be securely installed in the bathtub, shower and toilet areas?

Excerpted from AARP’s HomeFit Guide: www.aarp.org/livable-communities/ housing/info-2020/homefit-guide

ARE YOU SAFE AT HOME?

We provide individualized design recommendations — from an Occupational Therapist’s perspective — tailored to your specific needs, goals and aesthetics. Our knowledge of disease processes, healthy aging and current design and product solutions can help you modify your home for today and anticipate your needs for the future.

www.accessiblehomesolutions.com

Photo credit: Live in Place

Grab bars reduce fall risks and can be seamlessly integrated into any design.

Safe & Accessible

Continued from page 185

A home’s entryways are particularly important for aging in place, since they control access to the house. Ramps, covered entryways, wider doorways, exterior lighting and key less locks can be used to make access easier.

Technology to Promote Independence

Smart home technology can make aging in place safe and easy.

• Digital voice assistants (like Amazon Echo) can offer simple improvements to everyday environments. For older adults with vision impairment, the speakers allow users to access audio books, so they can easily “read.” The devices can also play a wide variety of music and games, offering a remedy for both loneliness and boredom and can be programmed to control thermostats, lights and security features.

• Video doorbells and in-home cameras allow adult children and other caregivers at a distance to monitor the movements and safety of older adults who are living alone.

• Personal Emergency Response Systems (PERS) keep older adults connected to emergency call centers that are monitored 24 hours a day by using a small transmitter that can be worn around the neck or on a belt. Consumers can purchase, rent or lease a PERS.

• Grab Bars

Home Accessibility Solutions

• Handrails

• Ramps

• Tub to Shower Conversions

From steady support to smoother transitions, we transform tricky spaces into comfortable places. Let’s talk about what’s possible. Discover the joys of working with the Li le Deeds family!

• Prep your home before hospital discharge

Serving Anne Arundel, Baltimore, Howard, Prince George’s, and Montgomery Counties

Accessibility Tailored to You.

We specialize in accessibility modification to help you maintain your independence and live comfortably in your own home. Our CAPS (Certified Aging in Place Specialist) certification ensures that we have the expertise to assess, recommend, and implement modifications to make homes a safe and more accessible for people of all ages and abilities.

Schedule your FREE consultation (301) 684-8411 • gogoaccess.com

• Home Evaluations

• Stairlifts

• Grab Bars

• Wood & Iron Railing Installation

• Tub Cut

• Home-Ready Discharge Solutions

• Wheelchair Ramps

• Refurbished and Rental Stairlifts and Wheelchair Ramps

• Safe and Accessible Bathrooms

• Barrier-Free Showers

• Handyman Services

Make Your Home Safer

Tip #1: Don’t use area rugs and check that all carpets are fixed firmly to the floor Falls are a major risk for older adults. Often, a simple fall can lead to a long-term injury or even a hospital stay.

Tip #2: Place non-slip strips or non-skid mats on tile and wood floors or surfaces that may get wet. Stair edges and bathroom entrances are good places to consider adding these.

Tip #3: Replace handles on doors

or faucets with ones that are comfortable for you to use. Many older adults struggle with arthritis in their hands, making using traditional twist doorknobs and faucets difficult. More modern lever-style handles and knobs are easier to turn or push down.

Tip #4: Install grab bars near toilets and in the tub or shower. Falls in the bathroom are a major concern. Grab bars are a simple fix. Have grab bars installed by a qualified

professional who can ensure they are anchored and able to support your weight.

Tip #5: Install a ramp with handrails to the front door. Easy entry to and from your home is essential for long-term aging in place.

Tip #6: Place light switches at the top and bottom of stairs and remember to turn on night lights. Low light can be extremely dangerous. Ensure that stairs, hallways, and entrances are well lit.

Information adapted from the National Institute on Aging: nia.nih.gov

Walk-in Bath Solutions

“We’ve lived, laughed and loved in our home for more than 30 years. I never thought our own bathroom would become the source of such worry. As Bill got older, he had trouble lifting his legs over the sides of the tub, and I was afraid he would fall and hurt himself. That’s when I called P.J. Fitzpatrick Bath Solutions. Their tub to shower conversion along with their safety package, that places handrails and even a seat in the shower, took the worry out of our day. We’re not worried anymore about not being able to stay in the home where we raised our family. Thanks PJ!” — PJ Fitzpatrick Client

FEATURED DESIGN

Kitchens can be designed to accommodate varying abilities.

FEATURED DESIGN

Railings with no gaps enhance safety.

Stairways

The optimal home would have all living areas on one level with no stairs. However, most homes in the region feature living areas on multiple levels, which makes the stairway a critical element of design. Some solutions include:

• Adequate grip rails on both sides that extend beyond the landings

• Lighting on and around the stairway

Kitchens

• Contrasting colors to provide visual cues

• Floor treads

• Chair lifts, platform lifts, elevators

Well designed kitchens can accommodate the different heights and abilities of family members or visitors to the home. Some designs and products to consider include:

• Varying counter heights

• Elevated dishwasher

• Roll-out & pull-down shelves

• Swiveling cabinet doors with lazy Susan style shelving

• Rolling carts

• Dark and light colors for visual contrast

• Pull-out countertops below ovens

• Side-by-side refrigerator

• Knee space underneath cook tops and sinks

• Front control touchpad appliances

• Heat-proof surfaces

• Eliminating sharp corners

• Additional lighting including under-cabinet lighting

• Ergonomic utensils & products

Courtesy of Schaffer Construction

Assistive Technology Can Help

The world of technology is exploding with options that could allow seniors and baby boomers to live in their homes longer. So why aren’t they all taking advantage of available technologies? The simple answer is because most of the people who would benefit from these technologies are unaware that they exist.

We are all familiar with the “I’ve fallen and I can’t get up” commercial advertising wearable pendants that can be pressed when a person needs help. But

there is so much more available today.

There are currently devices available that can visually and audibly alert individuals when it is time to take their medication. Given the fact that approximately 40 percent of nursing home admissions are the result of individuals being unable to take medication without supervision, these devices can help more seniors remain at home.

Sold in varying shapes and sizes, holding large to small pills,

medication management devices can beep, flash, and text patients and caregivers when it is time to take a medication or text when a medication is missed. They can be purchased with monthly services to allow distant caregivers the ability to manage medications. Devices range from $299.00 to $999.00.

Tracking devices are also available that allow people to be found quickly if they wander. These tracking devices can be worn as watches, placed in a shoe as an

Home Care

Receive assistance at home

Home care can include a wide variety of healthcare and supportive services from professional nursing and home health aide services to physical, occupational, respiratory and speech therapies. An advancing industry, home healthcare is essentially skilled nursing care and certain other forms of healthcare that you get in your home for the treatment of an illness or injury. It is an important option to consider regardless of one’s age or health conditions.

Options in Home Care

An incredibly diverse field, home care includes companion care, home

healthcare or skilled nursing care.

COMPANION CARE is provided by caregivers or companions, who serve as surrogate family members, performing many of the tasks that family members would typically complete. Assistance

from companion caregivers can include meal preparation, medication reminders, laundry, light housekeeping, shopping, transportation and assistance with exercising. The overall goals of companion care providers are to ensure that the home environment remains safe and that the individual has a companion to spend time with when family is not available.

HOME HEALTHCARE is for those who are no longer able to perform all of the functions of daily living by themselves but who do not require skilled medical services. A home health aide can help with activities of daily living (ADLs), which include bathing, dressing, transferring, eating

Care for Your Senior Loved

Premium Care Our non-medical care and support services feel like getting a little help from your friends®. We hire retired professionals and match them with clients who have a compatible personality and similar interests. Our caregivers include former diplomats, lawyers, pilots, executives, professors, engineers, nurses, pastors, and artists.

Professional Service Our management team includes a Certified Senior Advisor®, a Certified Senior Home Safety Specialist®, an Aging Life Care Manager, and a Registered

“Seniors Helping Seniors transformed my view of what an agency like this could be. Never previously having needed to engage with an elder care service, I was reluctant when my aging mother first needed support in her home after a hospitalization several months ago. What my family and I found was an amalgam of

We provide non-medical assistance that empowers seniors to maintain their independence and live their best life. Our caregivers are mature adults, which makes our services like getting a little help from your friends.®

non-medical care and support services We hire retired professionals and match them with personality and similar interests. Our caregivers include former executives, professors, engineers, nurses, pastors, and artists.

and an incredibly personal touch. This has been a blessing…. Kudos and gratitude!” – Current client

“Seniors Helping Seniors has been a godsend to our family. They are professional and knowledgeable…. I highly recommend their services.”

“Seniors Helping Seniors transformed my view of what an agency like this could be. Never previously having needed to engage with an elder care service, I was reluctant when my aging mother first needed support in her home after a hospitalization several months ago. What my family and I found was an amalgam of competence, expertise, reliability, responsiveness, warmth, and an incredibly personal touch. This has been a blessing…. Kudos and gratitude!” – Current client

Medicare and Home Care

When it comes to understanding Medicare coverage, many individuals can find themselves confused by a complex web of information. This especially applies to those who want to know if they are eligible for Medicare coverage when entering a nursing home or receiving home health care. Below is some helpful information on whether you can use your home health care benefits if you have Medicare and what services and products it will cover.

First, you can use your home health care benefits if all of the following applies to your situation.

Your doctor must prescribe that you need medical care at home and create a care plan. The care you need has to be intermittent and in the form of skilled nursing care, physical therapy, occupational therapy or speech therapy. The home health agency must be Medicare-certified and you must be homebound, or unable to leave the home unassisted.

Once you have established those requirements, it is important to understand what Medicare will actually cover, which includes the following:

• Home health aide services on a part-time or intermittent basis, as long as there is a skilled need

• Medical social services

• Certain medical supplies

• Durable medical equipment (wheelchair, walker, bedside commode, etc.)

Given the services and products that Medicare does cover, it is also valuable to take note of what is not covered. Care that is required 24 hours a day will not be covered. Other services not covered include personal care provided

Continued on page 199

Planning for Care at Home

by Phyllis Mensh Brostoff CISW, CMC, Aging Life Care Association™ Member, Fellow of the Leadership Academy

If you took a poll of older adults and asked each person if they wanted to remain in their own home until the end of their life, most people would say, “of course.” That is a wonderful goal, which often takes a lot of sound planning to be successful. Anything can get in the way—accidents, illness, lack of energy, declining physical abilities—of achieving your desired independence. It is hard to give up even a little autonomy, but asking for assistance can help keep you where you want to be—in your own home.

What if You Become Homebound?

If you are recovering from an acute illness, you may be eligible for home health services that are paid for by the Medicare program. An Aging Life Care Manager™ can help you access licensed home health services by facilitating a conversation with your physician about your need for skilled nursing services, physical therapy, occupational therapy, and/ or speech therapy in your home. This is an important conversation to have with your doctor and

www.georgetownhomecare.com

www.georgetownhomecare.com

It is hard to give up even a little autonomy, but asking for assistance can help keep you where you want to be—in your own home.

discharge planner if you are in the hospital or a nursing facility and need to decide on and plan for services in your home once you are discharged.

“She’s a fantastic caregiver. Even my cat likes her, and he hates everybody”.

“She’s a fantastic caregiver. Even my cat likes her, and he hates everybody”.

“She’s a fantastic caregiver. Even my cat likes her, and he hates everybody.”

At Georgetown Home Care, we believe great personal care takes a personal touch. That’s why we put so much thought into matching each client with the right Certified Nursing Assistant (CNA). Our services are available seven days a week, ranging from a few hours a week to 24-hour care.

At Georgetown Home Care, we believe great personal care takes a personal touch. That’s why we put so much thought into matching each client with the right Certified Nursing Assistant (CNA). Our services are available seven days a week, ranging from a few hours a week to 24-hour care.

› Assistance with personal care

At Georgetown Home Care, we believe great personal care takes a personal touch. That’s why we put so much thought into matching each client with the right Certified Nursing Assistant (CNA). Our services are available seven days a week, ranging from a few hours a week to 24-hour care.

› Transportation and running errands

Assistance with personal care

› Assistance with personal care

› Medication reminders

Transportation and running errands

› Transportation and running errands

› Light housekeeping

Medication reminders

› Medication reminders

› Meal planning and preparaton

› Light housekeeping

Light housekeeping

› Companionship

› Meal planning and preparaton

Meal planning and preparation

› Companionship

Companionship

Our caring, compassionate CNAs can give someone you love the help they need to keep living at home. And that means peace of mind for both you and your loved one.

Our caring, compassionate CNAs can give someone you love the help they need to keep living at home. And that means peace of mind for both you and your loved one.

However, Medicare will only pay for these services if you are “homebound.” Homebound is defined as only leaving your home for “medical treatment or short, infrequent absences for nonmedical reasons, like attending religious services.”

You may also receive help from a home health aide under the supervision of a professional nurse or therapist. A physical or occupational therapist can evaluate your home and recommend equipment (such as grab bars in the bathroom) that will improve your safety.

Accessing services

These services must be obtained from a state licensed home health agency certified to provide

Medicare-reimbursed services. They may be freestanding agencies, or they may be part of a large, hospital-based organization. Licensed home health services are usually time-limited, ending when you have met the goals of treatment and the need for the

skilled care has ended.

If you have enrolled in a Medicare Advantage program, you may also have access to additional services such as home visits after a hospitalization.

Continued on page 198

Susie Kondracki Loudon County 571-206-3525

Rashid E. Farrell Fairfax County 703-463-9462

Are you in the Metro DC or Baltimore area and looking for reliable options and solutions to meet you or a loved ones care needs? Look no further! We’ve got you covered!

Our team of experts specialize in assessing individual needs and guiding you through the many options available to you. Whether you’re considering In-Home Care or Senior Living, we provide personalized care plans and solutions tailored to fit your situation.

Caitlin

Caregiver Shares Hard-Earned Knowledge

By Carol Hillegas

Tracy Cram Perkins never set out to write a book about caregiving for someone with dementia. But when her father expressed his wish that she share what they were living through right then, there was really no choice.

“Before I really lost my father to the fog of dementia, he made me promise him that I would find a way to help other people do what I’m doing ... that’s what put me on this track,” said Perkins.

Out of her father’s generous wish came Dementia Home Care: How to Prepare Before, During, and After.

Tracy envisions caregivers who need help grabbing up her book, skimming through the table of contents, and going straight to the pages with realistic suggestions and ideas for that kind of situation. It’s immediate help from someone who has been there with four loved ones.

She has been a caregiver for both her parents, an uncle, and an aunt, all with different types of dementia and other health issues.

What to Do with a Master Escape Artist?

Tracy’s father had always been skilled at figuring things out. That didn’t change after the family placed

Tracy has been a caregiver for both her parents, an uncle, and an aunt, all with different types of dementia and other health issues.

him into his first group home. They were soon informed that he needed a place with more security.

Fast forward through homes two, three, and four, each with higher security than the last. When the fifth home let them know he had

ingeniously found his way out through a window and they would have to find yet another place for him, Tracy and her husband found a way to bring him to their home to live. That meant the higher level of security was now up to them.

Caregivers:

Take a Daily Photo

Tracy learned from the Alzheimer’s Association to take a daily photo of your loved one each morning. That way, if they take off and become lost, you’ll know what they are wearing that day and can describe it or give the photo to police and others who are helping to find them.

She then expanded that technique to solve another challenge—getting her dad to bathe and change clothes, which he regularly resisted.

She had him help her “wrap a present” for someone each night. Unbeknownst to him, a fresh set of his own clothes was in the box.

The next morning, while he was having breakfast, she would put the wrapped present in his room. She told him it was from a loved one, and he was excited every day to open it. He wanted to put on his new present and would even agree to bathe. Once he was dressed Tracy took the daily photo of him, telling him they would send it to whichever loved one had sent the package that day. His dementia kept him from remembering the process from day to day. Genius, and fun for Dad!

Tracy shares plenty of tricks and hacks she learned for keeping her

escape artist dad safe at home. Disguising exits to “disappear”visually by using one color of paint or murals, making doors look like windows, or posting signs discouraging entry can work well in keeping loved ones from leaving their safe home. Changing how doors work by moving working doorknobs to the very top or bottom of the door or putting locks or alarms on doors and windows.

Tracy stresses that not every trick will work for every person. Each family will figure out what works for their loved one through trial and error.

Tracy shares much more of her own hardlearned and hard-earned help in her book and on her website tracycramperkins. com. You can reach Tracy at tracy@ tracycramperkins.com.

Well with In-Home Care

Planning for Care at Home

Continued from page 195

Other Home Care Services

Many other care services are provided in the home but are not licensed or paid for by Medicare.

An Aging Life Care Manager can help you understand what they can offer, access reputable services, and monitor them on an on-going basis.

Non-Medical Aides, Companions and Homemakers

There are many types of paid care giving services available— often called non-medical aides,

companions and homemakers— who many people hire privately. If you do, you or your family should check at least two work-related references, develop a specific set of tasks and expectations for the caregiver, arrange to pay all appropriate taxes, and have the required insurance coverage.

Caregiver services can also be

arranged through an agency. While this may cost more per hour than hiring an aide yourself, hiring an agency assures you of coverage when the aide is sick, on vacation or quits. The agency also carries liability insurance and is responsible for all employment taxes and employee bonding.

An Aging Life Care Manager can help you find a reputable agency and get important questions answered, such as: do they check police and driver license records; do they provide supervision; how do they handle cancellations; and how long have they been in business? Thank you to the Aging Life Care Association™ for permission to share this information. You may learn more about Aging Life Care™ at aginglifecare.org

Aging in Place

Continued from page 180

community by providing lifelong learning, volunteer service, healthy living, and community engagement opportunities for older adults. There are currently 55 community-based Shepherd’s Centers in 17 states, including five in Northern Virginia.

How should I find an aging in place provider?

Use our research. Sourcebook features detailed articles, checklists, featured listings and comprehensive tables in each of our specific aging in place sections. Use these resources to begin your search for a provider or option that is right for you and your family.

After selecting the type of provider that best fits your wants, needs and budget, you should start calling individual companies to request additional information. Most providers can offer detailed brochures and easy-to-understand financial information.

Given all the options available, older adults and their families can easily age in the place they love— home.

Medicare and Home Care

Continued from page 193

by home health aides such as bathing and dressing, along with homemaker services like cleaning and laundry. Also not included are home-delivered meals.

If you require care that goes beyond intermittent visits for a limited amount of time, or if your needs are not covered by Medicare, an important option to consider is private duty home care. For more information on Medicare coverage, visit medicare.gov

Information Provided by Family & Nursing Care and adapted from medicare.gov.

Assistive Technology

Continued from page 190

insert, worn on a belt or worn around the neck as a pendant. According to the Montgomery County Police—Project Lifesaver, it is imperative that an individual is found quickly, because for each moment lost, the search grid expands to a size that makes it almost impossible for individuals to be found. With that in mind, when choosing a tracking device, it is important to know how soon the device will notify caregivers the person is wandering. Very few of the devices currently on the market can give an exact location. Newer models also include twoway voice communication.

The assistive technology market also includes devices that can monitor health, sleep patterns and movement in the house. House sensors can monitor water leakage, movement in the bathroom, movement in and out of a bed or a chair, as well as the opening and closing of cabinets or doors. Finally, there are sensors that can turn off appliances if there has been no movement in a certain amount of time.

Using the power of new technologies, caregivers can provide independent, safe living environments for their parents or other loved ones and still have peace of mind. By working with loved ones and professionals, seniors can easily create secure environments where they can age in place.

Home Care

Continued from page 191

and toileting. Additional services generally include meal preparation, mobility exercises, housekeeping, laundry, medication reminders and transportation.

SKILLED NURSING CARE is prescribed by a physician and is administered by a registered nurse. The services provided by skilled nurses include: administering injections, administering medications, wound care, IV monitoring, blood tests, catheter care, respiratory therapy, physical therapy, feeding tube administration and more.

Home Care Without The Stress

Give us a call to find out more and schedule a FREE home health assessment.

Our caregiving staff is highly experienced and trained to

Medicaid Waivers

Unique option for home-based care coverage

What is Medicaid?

Medicaid provides health coverage for low-income Americans. Although the Federal government establishes certain parameters for all states to follow, each state administers their Medicaid program differently.

How do Medicaid and Medicare work together?

According to the Centers for Medicare and Medicaid Services, Medicaid provides health coverage to 7.2 million low-income seniors and 4.8 million people with disabilities. These individuals are referred to as “dual enrolled” or “dually eligible.”

What is a Medicaid Waiver?

Many older adults prefer to age in their homes and communities, rather than moving to a long-term care setting. Medicaid Waivers can help make this possible.

Within broad Federal guidelines, States can develop home and communitybased services waivers (HCBS Waivers) to meet the needs of income-eligible individuals who prefer to get long-term care services and supports in their home. State programs have their own names, eligibility requirements, and coverage limitations.

Doulas

Continued from page 181

and an end-of-life doula. “Services from an end-of-life doula can range from creating advance care directives and legacy projects to providing support in the face of a devastating diagnosis or unexpected tragedy. However, one of the most significant contributions of end-of-life doulas is our ability to normalize and facilitate conversations about death and dying.”

Difficult subjects like death are often not broached until they become unavoidable. Unfortunately, waiting until the end may mean it is too late to have meaningful conversations with the person who is dying. Doulas

create safe spaces for open, frank discussions about end-of-life wishes and what types of care and support might be needed. These difficult but important conversations frequently lead to increased emotional and spiritual well-being for all involved. Most importantly, these conversations allow individuals to maintain their autonomy over final decisions and clearly outline their wishes with their loved ones and caregivers.

Not everyone finds themselves with family or friends to provide the support they need during the dying process. “As more Baby Boomers age, the number of ‘solo agers’ or people aging alone is increasing,” Butler continues. “They may have limited circles of care

and encounter different kinds of challenges. An end-of-life doula’s role can extend beyond practical matters to establish relational trust as someone who will accompany them through their end-of-life.”

Doulas can also enhance the services offered by the broader healthcare system. By addressing the gaps that often arise during the dying process, doulas can help alleviate the burden on medical staff and unpaid caregivers. They serve as advocates by assisting clients in finding all the necessary resources and maintaining clear communication among all parties involved in a person's care.

Caring for Emotions

One of the most profound benefits of working with an end-of-life

doula is the opportunity for a more peaceful and meaningful death. Doulas create personalized care plans that foster a supportive environment, honoring the wishes and values of the dying person.

For loved ones, the presence of a doula can be equally transformative. Doulas provide emotional support, practical guidance and much-needed respite care. They help the biological or chosen families process their emotions, understand what to expect during the dying process, and find meaningful ways to connect with their loved ones in their final days.

As our society grapples with how to provide compassionate,

Services provided by

• Companionship and a comforting presence

• Advance care planning and decision-making

• Respite care for exhausted family caregivers

• Legacy projects that allow individuals to reflect on and memorialize their life

• Information on the signs and symptoms of the dying process

• Facilitating meaningful conversations and life review

• Grief support for family members

• Connections to necessary resources

person-centered care at the end of life, doulas are becoming an essential part of the solution. These professionals are transforming the dying

experience for individuals and their families, fostering greater peace, understanding and acceptance in the face of life's greatest transition.

Choosing Home Care

Use these questions to interview providers:

How long has this provider been serving the community?

How does this provider select and train its employees?

Does it protect its workers with written personnel policies, benefits packages and malpractice insurance?

Do they consult the patient’s physicians and family members?

How does the agency follow up on and resolve problems?

Does this provider include the patient and their family members in developing the plan of care? Does this provider supply literature explaining

its services, eligibility requirements, fees and funding sources? Many providers furnish patients with a detailed “Bill of Rights” that outlines the rights and responsibilities of the providers, patients and caregivers.

Is the patient’s course of treatment documented, detailing the specific tasks to be carried out by each professional caregiver?

Does this provider take time to educate family members on the care being administered to the patient?

Are patients involved in making care plan changes?

Are nurses or therapists required to evaluate the patient’s home care needs? If so, what does this entail?

Does this provider assign supervisors to oversee

the quality of care patients are receiving in their homes? If so, how often do these individuals make visits?

Who can the patient and his or her family members call with questions or complaints?

What are the financial procedures of the provider?

Does the provider furnish written statements explaining all of the costs and payment plan options associated with home care?

What procedures does this provider have in place to handle emergencies? Are its caregivers available 24 hours a day, seven days a week?

Source: Information adapated from the National Association for Home Care & Hospice (NAHC). For more information, visit www.nahc.org.

CARING FOR OUR COMMUNITY, ONE PERSON AT-A-TIME

Get the care you need, when you need it, with our senior in-home care services. We offer personalized care all at one flat hourly rate, tailored to your unique schedule.

A family-owned business, 2nd Family began as a result of our own experience in searching for in-home care for our own loved one — our grandmother. We specialize in Alzheimer’s and Dementia care, and also provide additional services such as, companionship, transportation, hygiene, housekeeping, medication reminders, and personal care.

Includes Montgomery and Prince George’s Counties

HOME CARE NORTHERN VIRGINIA

Adult Day Care

Providing socialization and care

Adult Day Centers are an important option for family caregivers, as they offer socialization, activities, and necessary supervision to those who are socially isolated or need care and assistance.

Caregivers can feel confident that their loved one is safe and well cared for while they are at work or performing other necessary tasks. Centers offer a variety of programs and amenities, including exercise programs and a diverse schedule of engaging activities.

Assistance with the activities of daily living, including eating, walking, toileting and medication management may also be available. Additionally, many centers offer physical, speech and occupational therapies to their participants. All licensed centers provide nutritious meals and snacks on a daily basis.

Choosing a Provider

After locating nearby providers, call them to request flyers, brochures, calendars and application information.

While reviewing this information, pay careful attention to how many years the provider has been in business and their licensures and certifications. Be sure to understand the staff credentials, staff-to-participant ratio, and the medical conditions the facility and its staff are equipped to handle. Inquire about the availability of transportation to and from the program if it is necessary. The types of activities offered and the menu variety should be considered as well. Specific costs and any financial assistance that is available should be clearly outlined in the information packet.

Reviewing printed materials and asking questions over the phone can help narrow the choices, but the final decision of which Adult Day Center to use must be made in person. During the visit, staff members should be able to provide clear and easyto-understand information about the services and activities provided at the center. Checking references from individuals who are currently using this provider or have used them in the past is the final step in the decisionmaking process.

Source www.nadsa.org

AGING IN PLACE ADULT DAY CENTERS & SERVICES

BALTIMORE COUNTY (continued)

Active Day of Arbutus 410-242-8900 Arbutus

Active Day of Parkville 410-663-9501 Parkville

Active Day of Randallstown 410-922-8600 Randallstown

ADULT DAY CENTERS & SERVICES

WASHINGTON, DC

Brookland Senior Day Care

Center Care Day Treatment

Downtown Cluster’s Geriatric DC

Ingleside Engaged Day Program 26-27

Iona Wellness & Arts

MARYLAND

ALLEGANY COUNTY

Cumberland Covenant House

Evergreen Adult Day Services

George’s Creek ADC

Willow Creek Adult Center

ANNE ARUNDEL COUNTY

Active Day of Annapolis

Caring Hand Adult Day Care

Foundation Adult Day Care

Moo Goog Adult Med Day Care

202-682-8612 Washington

202-541-6150 Washington

202-347-7527 Washington

202-596-3100 Washington

202-895-9448 Washington

Active Day of Timonium 410-560-6717 Timonium

Alice Manor Adult Med Day 410-298-7255 Baltimore

Caring Hands ADC - Dundalk 410-285-7060 Dundalk

Center for Social Change 443-405-3712 Randallstown

Easter Seals AD Services 410-277-0940 Baltimore

Friends & Family AD Care 410-277-0070 Windsor Mill

Friendship Adult AMDC 410-866-3700 Baltimore

Friendship at Owings Mills 410-902-0252 Owings Mills

Happy Time Day Care Center 410-664-0056 Baltimore

Heritage Adult Enrichment 410-825-5575 Baltimore

Hong Lok Adult Medical Day 410-686-8868 Essex

Hopkins Elder Plus 410-550-7044 Baltimore

301-722-6681 Cumberland

301-777-2650 Cumberland

301-463-4085 Lonaconing

301-777-8422 Cumberland

410-573-9100 Annapolis

410-789-9850 Brooklyn

410-789-7772 Linthicum

410-987-0360 Millersville

Woods Adult Day Care Center 410-987-0360 Millersville

BALTIMORE CITY

Active Day of Baltimore

Adult Day Care of Overlea

410-242-0379 Baltimore

410-444-5800 Baltimore

Caring Hands AMDC 410-285-7060 Baltimore

Extended Family Adult Day 410-233-0048 Baltimore

Golden Days Medical Day Care 410-242-6650 Baltimore

Golden Dove Senior Med Day Ctr 410-462-3802 Baltimore

Golden Pond Adult Day Prg. 443-850-1586 Baltimore

Keswick Adult Day Center 410-662-4324 Baltimore

Levels Medical Adult Day Care 410-779-7487 Baltimore

Maryland Avenue ADC 443-873-9814 Baltimore

More Than Just Friends AMDC 667-205-1111 Baltimore

Paradise Adult Medical Day 410-483-4444 Baltimore

Ravens Med. Adult Day Care 410-225-7888 Baltimore

League For People w/ Disabilities 410-323-0500 Baltimore

St. Ann Adult Day Services

Catholic Charities INSIDE BACK 667-600-2680 Baltimore

Today’s Care & Family AMDC 410-319-9009 Baltimore

True Vine Adult Day Care 410-444-0204 Baltimore

BALTIMORE COUNTY

A Providence Medical ADC 410-523-1500 Baltimore

Joyful Adult Medical Day 410-601-3359 Baltimore

L.I.F.E. Adult Medical Day 410-735-5433 Arbutus

League For People w/ Disabilities 410-323-0500 Baltimore

LifeBridge Hlth Adult Day Srvs 443-426-1800 Randallstown

Lifeway Adult Medical Day 443-226-3289 Owings Mills

Maximum Day Services I & II 410-581-9150 Owings Mills

New Life Adult Medical Day 410-988-8400 Windsor Mills

Phoenix Adult Daycare Ctr 443-278-9290 Baltimore

Progress Unlimited 410-363-8550 Owings Mills

Rainbow Park Adult Care Ctr 410-517-1828 Baltimore

Renaissance AMDC 410-580-9301 Pikesville

Rob N Ness Adult Medical 410-744-8225 Catonsville

St. John Adult Medical Day 410-329-1444 Hunt Valley

Today’s Care and Family ADC 410-319-9161 Baltimore

Town Square 410-847-2150 Nottingham

Welcome Friends ADMC 410-574-5005 Essex

CALVERT COUNTY

Adult Day Care of Calvert Co. 410-535-0133 Prince Fred. Friendly Health Services 410-535-6542 Huntingtown

CAROLINE COUNTY

Caroline County Medical ADCC 410-479-8065 Denton

CARROLL COUNTY

West End Place ADCC 410-840-0406 Westminster

CECIL COUNTY

Adult Day at Union Hospital 410-392-0539 Elkton

CHARLES COUNTY

Fenwick Landing ADC 301-638-4100 Waldorf

Sagepoint Adult Day Services 301-934-6753 La Plata

ADULT DAY CENTERS & SERVICES

MARYLAND (continued)

DORCHESTER COUNTY

Daybreak Adult Day Services

Pleasant Day Medical ADC

FREDERICK COUNTY

Daybreak Adult Day Services

Frederick Medical Day Care

HARFORD COUNTY

Active Day of Harford County

HOWARD COUNTY

Arirang Adult Medical Day

Comfort Life Care

Long Life Adult Medical Day Ctr

Rainbow Terrace ADC

ADULT DAY CENTERS & SERVICES

PRINCE

GEORGE’S COUNTY

Crescent Ridge AD Health Ctr.

Helping Hands ADS - Cap Hgts

Helping Hands ADS - Clinton

Joseph A. Gilmore Sr. ADC

410-221-1900 Hurlock

410-228-0190 Cambridge

301-696-0808 Frederick

301-791-5421 Frederick

410-273-2060 Abingdon

410-730-9740 Columbia

410-796-1188 Elkridge

443-276-3088 Columbia

301-725-7088 Columbia

Royal Garden Adult Medical 443-583-3777 Columbia

Winter Growth 126

Shine Senior Center

KENT COUNTY

Kent County MADC

MONTGOMERY COUNTY

Bella' s Reserve

CCACC Adult Day Healthcare

Easter Seals AD Services

Evergreen Adult Med Day Care

Holy Cross Medical ADC

Jasmine Medical Day Care

Ingleside Engaged Day Program 26-27

Loving Care Adult Medical DC

Loving Heart Adult Medical

Montgomery Adult Day Care

Plus Care

Rainbow Gardens Adult DC

Rainbow of Montgomery Co.

Rainbow of Rockville

Washington-McLaughlin ADC

410-964-9616 Columbia

301-310-3067 Columbia

410-778-5581 Chestertown

301-255-4240 Silver Spring

301-820-7200 Gaithersburg

301-920-9700 Silver Spring

301-527-1100 Gaithersburg

301-754-7150 Silver Spring

240-364-4471 Germantown

240-398-3823 Rockville

240-477-6199 Gaithersburg

301-309-0946 Rockville

240-423-9182 Gaithersburg

240-668-3418 Rockville

240-683-9010 Gaithersburg

301-987-8889 Gaithersburg

301-770-7676 Rockville

301- 613-7793 Takoma Park

Winter Growth 126 301-774-7501 Olney

Worldshine International

240-899-4898 Germantown

301-567-1885 Oxon Hill

301-736-6622 Capital Hghts

301-856-5553 Clinton

301-808-9808 Upp. Marlboro

Maryland Care ADS 240-716-3649 Camp Springs

Success is Yours

We Care Adult Services

301-534-3153 Greenbelt

301-925-1515 Upp. Marlboro

Worldshine Care 240-542-4055 Beltsville

ST. MARY’S COUNTY

St. Mary’s Adult Med Day Care 301-373-6515 Hollywood

WASHINGTON COUNTY

Diakon Adult Day at Ravenwood 301-791-1030 Hagerstown

Easter Seals AD Services 301-745-3828 Hagerstown

Fahrney Keedy Senior Living 301-733-6284 Boonsboro

Florida Avenue MDC 301-714-1003 Hagerstown

Washington Co. HDC - ADC 301-791-5421 Hagerstown

WICOMICO COUNTY

Shady Pines AD Services 443-523-0050 Salisbury

WORCESTER COUNTY

Worcester AD Medical Srvs 410-632-0111 Snow Hill

VIRGINIA

Agape Adult Day HC I & II

703-354-6767 Chantilly/Alex

Alexandria Adult Day HC 703-746-5671 Alexandria

Arlington Adult Day Program 703-228-5340 Arlington BrightCare Center 703- 330-5836 Manassas

Eastern Loudoun Adult Day 571- 258-3232 Ashburn

Eden Senior Care Services 240- 377-6760 Fairfax Station

Evergreen Adult Day Center 703-534-5049 Annandale

Gardens ADC Program, The 150 703-278-1001 Fairfax Herndon Harbor AD Health Care 703-435-8729 Herndon

Ingleside Engaged Day Program 26-27 703-496-3400 Lake Ridge

Insight Memory Care Center 40, 211 703-204-4664 Fairfax/Sterling

Joy Adult Day Healthcare 703-992-6688 Vienna

Lewinsville AD Health Care 703-734-1718 McLean

Lincolnia AD Health Care 703-914-0330 Alexandria

Mac Brownell AD - Loudoun Co 571-258-3402 Purcellville

Loudoun County AD - Ashburn 571-258-3232 Ashburn

Loudoun CO. AD - Leesburg 703-771-5334 Leesburg

Love Hand Adult Day 703-657-0944 Chantilly

Mt. Vernon Adult Day HC 703-704-6050 Alexandria

Prince William Adult Day 703- 792-4991 Woodbridge

Washington Senior Healthcare 703-354-4590 Alexandria

Williamsburg Landing 32-33 757-565-6544 Williamsburg

Youngs Healthcare Senior 703- 988-2044 Annandale

Outpatient Rehabilitation

Continued from page 168

• Overcoming challenges in everyday activities like dressing and grooming — Being capable of performing simple tasks independently can mean the difference between remaining in the family home and needing to move to a retirement community or get full time home care.

• Modifying home environments to reduce fall risks — There are simple techniques to improve the safety and functionality of the home environment. Professional therapists can make recommendations to make any home safer.

• Improving fine motor skills and upper body strength — Targeted exercises can help seniors maintain their abilities and enhance their strength.

By addressing these areas, occupational therapy empowers seniors to manage their daily lives with greater confidence and autonomy.

Speech Therapy

Speech therapy is essential for older adults facing communication or swallowing difficulties. Speech-language pathologists work on:

• Improving speech clarity and articulation — Following a stroke or other medical event, older adults may need targeted assistance to regain their speech. Regaining language skills takes time and practice.

• Enhancing language skills, including comprehension and

Outpatient rehab offers significant value for older adults, providing a comprehensive approach to maintaining health and independence.

expression — The importance of understanding language and being able to express oneself clearly cannot be overstated. Speech therapists can work with older adults to maintain or regain their comprehension skills.

• Addressing swallowing disorders — Normal swallowing is important for both speech and eating. Specific exercises and activities can strengthen these muscles.

• Stimulating cognitive function — Boredom and mental inactivity can take a toll on an older adult's brain capacity. Through activities and games, therapists can help older adults think clearer and faster.

These interventions help seniors communicate more effectively with family and caregivers, reducing the risk of social isolation and improving their overall quality of life.

Comprehensive Benefits

The combination of these therapies offers a holistic approach to senior care, addressing physical, cognitive and emotional needs. Clinicians may also hold advanced certifications in dementia care, Parkinson’s management, lymphedema management and vestibular rehabilitation.

Outpatient therapy contributes to:

• Managing chronic conditions like arthritis, COPD, and diabetes — In addition to pharmaceutical treatments, there are many types of therapies available to help treat chronic conditions.

• Improving mental and emotional well-being — Improving physical health and functionality has a positive impact on mental and emotional health.

• Enhancing overall cognitive function — Brains need exercise too, and when they get it, they function much better.

• Promoting social engagement and reducing isolation —For many seniors, outpatient therapy is a much needed opportunity to get out of the house and improve their lives.

Convenience and Flexibility

Outpatient therapy allows seniors to schedule appointments at times that suit their needs, minimizing disruption to their daily routines and social obligations. This flexibility ensures that older adults can receive essential care while maintaining their independence.

Outpatient rehabilitation providers can help clients return to living their lives to the fullest, pain free and stronger than ever. Local providers are available that offer a comprehensive approach to senior care—empowering older adults to lead more fulfilling and independent lives.

Information provided by VItalStrong Outpatient Rehabilitation. For more information about available services and benefits, contact VitalStrong Outpatient Rehabilitation at VitalStrongRehab.com or call 410-412-5050.

AGENCIES ON AGING

Department of Aging and Community Living (DACL)

MARYLAND

Allegany County Human Resources Development Commission 301-777-5970

alleganyhrdc.org

Anne Arundel County Department of Aging and Disabilities 410-222-4257 www.aacounty.org/departments/aging-and-disabilities

Baltimore City Division of Aging and Care Services

410-396-4932 health.baltimorecity.gov/programs/seniors

Baltimore County Department of Aging 410-887-2594 baltimorecountymd.gov/departments/aging

Calvert County Office on Aging 410-535-4606 calvertcountymd.gov/113/Office-on-Aging

Carroll County Bureau of Aging and Disabilities 410-386-3800 carrollcountymd.gov/aging-and-disabilities

Cecil County Department of Community Services 410-996-5295 ccgov.org/government/community-services

Charles County Aging and Human Services 301-934-9305 charlescountymd.gov/services/aging-and-senior-services

Frederick County Senior Services Division 301-600-1234 frederickcountymd.gov/54/Senior-Services

Garrett County Area Agency on Aging

301-334-9431 garrettcac.org/index.php/aging-and-nutrition-services

Harford County Office on Aging 410-638-3025 harfordcountymd.gov/651/Office-on-Aging

Howard County Office on Aging and Independence 410-313-6410 howardcountymd.gov/aging

MAC, Inc. (Dorchester, Wicomico, Worcester Counties) 410-742-0505 macinc.org

Montgomery County Department of Health and Human Srvs. 240-777-3000 montgomerycountymd.gov/hhs

Prince George’s Department of Family Services

301-265-8450 princegeorgescountymd.gov/1644/Older-Adult-Services

Queen Anne’s County Area Agency on Aging 410-758-0848 qac.org/155/Area-Agency-on-Aging-Senior-Centers

St. Mary’s County Department of Aging & Human Service 301-475-4200 stmarysmd.com/aging

Upper Shore Aging (Caroline, Kent, Talbot Counties) 410-778-6000 uppershoreaging.org

Washington County Commission on Aging 301-790-0275 wccoaging.org

NORTHERN VIRGINIA

Alexandria Division of Aging & Adult Services

Arlington Agency on Aging

Fairfax Area Agency on Aging

Loudoun County Area Agency on Aging

Prince William Area Agency on Aging

Shenandoah Area Agency on Aging

703-746-5999

alexandriava.gov/Aging

703-228-1700 arlingtonva.us/Government/Departments/DHS/Aging-Disability

703-324-7948 fairfaxcounty.gov/familyservices/older-adults

703-777-0257 loudoun.gov/1104/Area-Agency-on-Aging

703-792-6374 pwcva.gov/department/area-agency-aging

540-635-7141 shenandoahaaa.com

Connecting Local Professionals

Coalition improves quality of life for seniors

The Grass Roots Organization for the Well-being of Seniors (GROWS) is a nonprofit organization dedicated to improving the quality of life for seniors, particularly in Montgomery County, Maryland. By fostering connections between senior care professionals and providing a platform for knowledge sharing, GROWS plays a crucial role in improving the overall quality of senior care in the region.

Established in 1989, GROWS operates as a coalition of organizations and individuals committed to enhancing the lives of seniors, especially those who are frail and atrisk. The organization's mission is centered on providing leadership, education, advocacy, and public awareness

to address the needs of the aging population. Through its various initiatives, GROWS aims to assist seniors in maintaining their independence and remaining active members of their communities.

One of the key strengths of GROWS lies in its community-driven approach. The organization brings together a diverse group of professionals, including healthcare providers, social workers, and other individuals passionate about senior care. This collaborative effort allows GROWS to tackle complex issues facing seniors from multiple perspectives, leveraging the collective expertise of its members to create meaningful impact.

FINANCIAL SERVICES

Arch Financial Advisors

Kendall Capital Management

Meagan M. Sexton - Edward Jones

Northwestern Mutual

FUNERAL HOME

Sagel Bloomfield Dazansky Goldberg Funeral Care, Inc.

HOME CARE

Assisting Hands of Potomac

301-500-2079

archfinancialadvisors.com

301-838-9110 kendallcapital.com

301-774-6026

edwardjones.com/us-en/financial-advisor/meagan-sexton

301-980-8457 carter.szwec@gmail.com

301-340-1400 sagelbloomfield.com

301-363-2580

Aveon Services LLC 202-644-2245 aveonservices.com

Bayada Home Health Care

301-977-6400 bayada.com

Capital City Nurses 301-652-4344 capitalcitynurses.com

CarePlus Home Health, Inc. 301-740-8870

Comfort Keepers of Rockville

Caregivers of

D. A. Healthcare Innovations LLC

Exceptional Staffing Solutions

Express Home & Renal Healthcare LLC

Family & Nursing Care, Inc.

Griswold Home Care for Chevy Chase

Home Helpers Home Care of Olney

Home Instead

HomeCentris Health Care, LLC

Homewatch CareGivers of Bethesda

Homewatch CareGivers of Potomac

HomeWell Care Services Montgomery County

Just Divine Home Care Agency LLC

Liberty Home Care Nursing Agency

Loving House Homecare

Nouveau Health Care

Philia, LLC.

Platinum Seniors Care, LLC

Priority Home Care of Maryland

Right at Home

Seniors Helping Seniors Bethesda

SmithLife HomeCare

Synergy HomeCare

The Empathic Home Care and Care Management

Visiting Angels - Central Maryland

Visiting Angels - Montgomery County and D.C

Warman Home Care

Visiting Angels Living Assistance

Warman Home Care

410-329-0558

301-693-0313 exceptionalstaffsolution.com

301-825=5900 expresshrh.com

301-588-8200

301-579-3395 homehelpershomecare.com/olney-md

301-588-9710 homeinstead.com/197

443-202-2659 homecentris.com

443- 335-8202 hwcg.com/Bethesda

240-242-7224 homewatchcaregivers.com/potomac

301-263-3502 homewellcares.com

301-219-1585 justdivinehomecare.com

301-263-6941 libertycare.health

443-522-5082 lovinghousehomecare.com

240-221-7151 nouveauhc.com

202-607-2526 philia-care.com

301-476-1621 psc-healthcare.com

410-406-7950 priorityhomecaremd.com

301-255-0066 rightathomemd.net

301-895-0205

locations.seniorshelpingseniors.com/md/bethesda/146.html 192

301-816-5020 smithlifehomecare.com 208

301-200-9292 rockville.synergyhomecare.com/

240-730-7329 the-empathic.com

410-549-8002 visitingangels.com

301-355-6578

visitingangels.com

301-428-2940 warmanhomcare.com

301-355-6578

visitingangelsmd.com

301-428-2940 warmanhomcare.com

HOSPICE

Caring Matters

Frederick Health Hospice

Heartland Hospice

JSSA Home Care

MedStar Montgomery Medical Center

HOUSE CALL PROVIDERS

Bones On Wheels

Ennoble Care

301-869-0113

caringmatters.org

240-566-3030 frederickhealthhospice.org/

240-264-1692 heartlandhospice.com

301-816-2676 jssa.org

301-467-2261 medstarmontgomery.org

240-797-8080

BONESONWHEELS.COM

240)-744-0001 ennoblecare.com/

HOUSING OPTIONS - INDEPENDENT, ASSISTED, NURSING, MEMORY CARE, LIFE PLAN

Alfredhouse Eldercare, Inc.

Arden Courts of Silver Spring

Arden Courts of Kensington

Artis Senior Living of Potomac

Asbury Methodist Village

Asheir Homes Assisted Living

ASSISTED LIVING OF POTOMAC

B’nai B’rith Homecrest House

Brandywine Living at Potomac

Brighton Gardens of Friendship Heights

Brightview Grosvenor

Brooke Grove Retirement Village

CAREVILLA ASSISTED LIVING

The Carnegie at Washingtonian Center

Cedar Creek Memory Care Homes

Charles E Smith Life Communities

Chevy Chase House

Eden Homes of Potomac

Five Star Premier Residences of Chevy Chase

Grand Oaks

Ingleside

Inspir Embassy Row

Inwood House

JK House of Grace, Assisted Living

Kensington Bethesda

Kensington Park Senior Living

Larmax Homes Assisted Living and Memory Care

Montcare

Serene Haven Care & Assisted Living

Sunrise at Fox Hill

Sunrise at Montgomery Village

Sunrise of Bethesda

Sunrise of Rockville

Sunrise Senior Living of Chevy Chase

Sweetbriar Hills Home Assisted Living

The Angels Garden

301-260-2080 alfredhouse.com 124

301-847-3051

301-493-7881

arden-courts.org/SilverSpring 172

arden-courts.org/Kensington 172

240.460.5122 artisseniorliving.com

301.216.4820 asbury.org/asbury-methodist-village 25, 125

301-250-6660 asheirhomes.com

240-506-7719 assistedlivingofpotomac.com

301-244-3579 homecresthouse.org 107

301-417-3000 brandycare.com/our-communities/potomac

301-656-1900 BGFriendshipHeights.com

301-615-0119 brightviewseniorliving.com 20-21

301-260-2320 bgf.org insert

240-671-7563 acarevilla.com

240-690-2734 lifeatthecarnegie.com

301-370-3516 cedarcreekassoc.com

301-770-8450 smithlifecommunities.org

202-686-5504 meridiansenior.com 20-21

301-299-0090 edenhomesofpotomac.com 123

301-915-9217 fivestarseniorliving.com/communities

202-349-3405 grandoaksdc.org 127

202-596-3121 inglesideonline.org 26-27

202-293-2100 inspirseniorliving.com 5

301-649-6595 inwoodhouse.org

301-792-1146 JKHouseofGrace.com

240-752-8600 thekensingtonbethesda.com 128

301-946-7700 kensingtonparkseniorliving.com 128

703-712-2515 larmaxhomes.com

240-507-4841

240-413-3939

301-968-1836

301-219-1170

301-657-6880

301-309-0500

301-588-0484

202 468 2493

301-806-0151

mcbethesda.com

shcareassistedliving.com

sunriseatfoxhill.com

sunriseseniorliving.com

SunriseBethesda.com

SunriseRockville.Com

sunriseseniorliving.com

sweetbriarhillshome.com

angelgardenhomes.com

PHYSICIAN

Complete Concierge Care

REAL ESTATE

Capital Senior Solutions, a division of Brito Assoc. of Compass

Craig Johnson Seniors Real Estate Specialist Compass

David Engel - Redfin

Karen Friedman, Long & Foster Real Estate

Laura Bach, COMPASS Real Estate - Next Step Living

Liz Korte, REALTOR, Samson Properties

Marc Hershkowitz, Perennial Real Estate

Paul Smith - The Abrams Group at RLAH Real Estate

Peggy Bresler Compass Real Estate

Rebekah C Kleinman, Coldwell Banker Realty/ Park Potomac

202-244-9300

301-646-5774

301-520-2908

completeconciergecare.com

capitalseniorsolutions.com 82

compass.com/agents/craig-johnson-dc

240-620-4783 movingyoufastertohome.com

301-213-6327 karenfriedmanrealtor.com

301-442-8806

compass.com/agents/laura-bach

240-994-3128 lizkorte.samsonproperties.net

202-425-8885 perennialdmv.com/agents/marc-hershkowitz

301-661-0738

240-671-9459

HomesByTheAbramsGroup.Com

compass.com/agents/peggy-bresler

240-994-2166 rebekahkleinman.com

Sparkle Senior 571-901-9011 sparklesenior.com

REVERSE MORTGAGE

Mutual Of Omaha Reverse Mortgage

301-246-3417 brucemeyersmortgage.com

Arts

the Aging, Inc.

Jewish Council for the Aging (JCA)

PGC Senior Services

SPEECH/HEARING

Integra Speech LLC

Olney Family Hearing

Something to Say LLC

Susan I. Wranik

Swallowing Wellness LLC

MedTech

Innovative Speech Therapy

301-255-0103 artsfortheaging.org

240-290-3311 accessJCA.org

220.213.3975 pgcseniorservices.com

240-650-6521 integraspeech.com

240-390-3232 olneyfamilyhearing.com

603-540-2464 stsspeech.com

301-520-2332 speakskill.com

301)-288-1313 swallowingwellness.com

Find Our Champions

Positive Aging Community Champions are committed to providing real choices to older adults and their loved ones. They are the backbone of the Positive Aging Community, ensuring that older adults are heard, helped, and honored through every step of the aging process. We hope you turn to these organizations when you are seeking advice, guidance, or support.

AGING IN PLACE

Find Our Champions

HOUSING

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Find Our Champions

24 locations for older adults in Maryland

Senior living, services and supports for older Marylanders and their families.

Caritas House

Assisted Living

667-600-2660

A residential community of care with personalized assistance in daily activities for adults 62 and older.

St. Ann Adult Day Services

667-600-2680

Activities, socialization and medical supervision so older adults can continue to live at home.

Senior Communities

667-600-2280

Supportive, affordable apartment communities. Total of 24 locations in Maryland, home to more than 1,800 older adults.

ANNE ARUNDEL COUNTY

Glen Burnie

Arundel Woods

Odenton

Friendship Station

Friendship Village

BALTIMORE

CITY

East Baltimore

Our Lady of Fatima I

Our Lady of Fatima II

Mount Vernon

Basilica Place

Overlea

Everall Gardens u

Violetville

DePaul House

St. Joachim House

BALTIMORE COUNTY

Catonsville

St. Mark’s Apts.

Edgemere

St. Luke’s Place

Lansdowne

Kessler Park u Coursey Station

Nottingham Village

Crossroads I *

Village Crossroads II

Owings Mills

Owings Mills

New Town

Pikesville

St. Charles House

Reisterstown

Reister’s Clearing

Reister’s View

BALTIMORE COUNTY CONT.

Reisterstown

Reister’s Clearing

Reister’s View

Towson

Trinity House

Woodlawn

Holy Korean Martyrs

GARRETT COUNTY

Grantsville Starner Hill

HARFORD COUNTY

Abingdon Abingdon Gardens

Aberdeen Aberdeen Court

MOST COMMUNITIES ARE 62 AND BETTER

ANNE ARUNDEL COUNTY

The Greens at Hammonds Lane: 410-636-1141

Park View at Furnace Branch: 410-761-4150

Park View at Severna Park: 410-544-3411

BALTIMORE CITY

Ednor Apartments I: 410-243-0180

Ednor Apartments II: 410-243-4301

The Greens at Irvington Mews: 410-644-4487

Park Heights Place: 410-578-3445

Park View at Ashland Terrace: 410-276-6440

Park View at Coldspring: 410-542-4400

BALTIMORE COUNTY

Cove Point Apartments I: 410-288-2344

Cove Point Apartments II: 410-288-1660

Evergreen Senior Apartments: 410-780-4888

The Greens at English Consul: 410-789-3000

The Greens at Liberty Road: 410-655-1100

The Greens at Logan Field: 410-288-2000

The Greens at Rolling Road: 410-744-9988

Park View at Catonsville: 410-719-9464

Park View at Dundalk: 410-288-5483 • 55 & Better

Park View at Fullerton: 410-663-0665

Park View at Miramar Landing: 410-391-8375

Park View at Randallstown: 410-655-5673

BALTIMORE COUNTY (CONT.)

Park View at Rosedale: 410-866-1886

Park View at Taylor: 410-663-0363

Park View at Towson: 410-828-7185

Park View at Woodlawn: 410-281-1120

EASTERN SHORE

Park View at Easton: 410-770-3070

HARFORD COUNTY

Park View at Bel Air: 410-893-0064

Park View at Box Hill: 410-515-6115

HOWARD COUNTY

Park View at Colonial Landing: 410-796-4399

Park View at Columbia: 410-381-1118

Park View at Ellicott City: 410-203-9501

Park View at Ellicott City II: 410-203-2096

Park View at Emerson: 301-483-3322

Park View at Snowden River: 410-290-0384

PRINCE GEORGE’S COUNTY

Park View at Bladensburg: 301-699-9785 • 55 & Better

Park View at Laurel: 301-490-1526

Park View at Laurel II: 301-490-9730