Aging Resources Magazine 2020-2021 by Hulsey Media

Look Inside For

• Senior Housing Guide • Caregiver Support • Elder Law & • Home Care & Estate Planning Home Health • Resource Directory • Aging in Place and More • Medicare Help

BRATING OUR CELE CARE HEROE G N I S AG

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SUCCESSFUL AGING

6 Tips for Successful Aging

SENIOR LIVING

Age in Place with Universal Design

Lifelong Learning

Downsizing

Embracing Technology

How SRES® REALTORS® Can Help

Understanding Different Types of Senior Housing

Senior Housing Options

Senior Housing Checklist

HEALTHY AGING AND WELLNESS

Maximizing Your Time with Your Doctor

Fall Prevention

Hearing Well

Living with Dementia

CAREGIVING AND COMMUNITY HELP

INSURANCE AND FINANCES

How to Pay for the Care You Need

Avoid Being Scammed

When to Seek Help

Understanding Medicare

Transitioning from Driving

Medicare Help

Community Resources

Geriatric Care Managers

Home Care and Home Health Care

Home Care, Home Health and Hospice Providers

Planning Ahead for Peace of Mind (Legal Advance Directives)

End-of-life Planning

Caring for the Caregiver

Palliative and Hospice Care

END-OF-LIFE PLANNING

AGING RESOURCES DIRECTORY

FEATURES

Celebrating Our Aging Care Heroes Donate a Car, Change a Life Customized Home Care That Eases Social Isolation

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A Retirement Community That is Called to Serve

Finding Senior Housing & Care Solutions

Elder Law with Comprehensive Support 73

President & Publisher

ON THE COVER

Brett Hulsey

The front cover features just a few of our local Aging Care Heroes who serve Western North Carolina. We celebrate their hard work and dedication to providing much needed services to seniors and their families. See page 4 to read more about our nominated heroes.

Writer

Kathleen O’Nan Brown Advertising

Katie Cornwell Operations Manager

Alissa Fuller

Design/Production

Lyndsey Simpson Digital Marketing

Grayson Marshall

Find More Resources Online

Visit AgingResourcesWNC.com to view a digital version of Aging Resources with direct links to all provider websites for easy access to more information. You’ll also find a searchable resource directory and helpful articles.

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The care you need in the community you call home. Conveniently located in Biltmore Park, East Asheville and South Asheville.

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Aging Resources 2020–2021

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WORKING HARDER to Keep You Healthier

Aging is not easy. But aging gracefully is even harder. St. Luke’s Hospital is working harder to provide services that keep your life active, comfortable, and enjoyable while elevating your sense of purpose and control.

Senior Life Solutions is an intensive outpatient counseling program for emotional and behavioral health for adults over 65. Rosenberg Bone & Joint is the regional leader in orthopedic surgery, offering outstanding hip and custom-fit knee replacement results. St. Luke’s Cancer & Infusion Center delivers world-class breakthrough cancer treatment close to home. St. Luke’s Pain Center specializes in ethical, advanced treatment options that radically improve your quality of life. St. Luke’s Rehabilitation Center, recognized for personalized care and progressive technology, provides world-class care to patients from across the country. Steps to Home helps patients to improve physical, emotional, and social functioning. Community Alternative Program assists qualified people to receive home care. You are not alone. We are working harder to help you live a purposeful life.

HHHHH (828) 894-3311 SaintLukesHospital.com 101 Hospital Drive Columbus, NC 28722

Celebrating Our Aging Care Heroes! Aging Resources Magazine celebrates the local Aging Care Heroes who serve Western North Carolina. Here are some Heroes within our community who have helped meet the challenges of COVID-19. Suzy McFee, RN, Director of Clinical Services

Compassionate Care Western North Carolina

We nominate Suzy McFee, RN as our hero throughout the COVID-19 pandemic. Suzy is our Director of Clinical Services and even without a pandemic she has a huge responsibility. COVID-19 has created many challenges for all of us, particularly in healthcare. Suzy has managed to ensure that our staff, patients and families remain safe and healthy, while continuing to coordinate staff to deliver “A Higher Standard of Care,” to those we are honored to serve. It takes a team to accomplish our mission, and strong, effective and efficient leadership such as we get from Suzy every day. She goes above and beyond! ~ Ronnie Gregory, CEO 4

Aging Resources 2020–2021

Always Best Care Staff

Always Best Care

The staff at Always Best Care Western NC has worked so hard during this pandemic to take care of our clients. We are thankful for everything they do for our community! Our caregivers are the heart of our business, providing much needed service to seniors and their families struggling to keep their independence on a daily basis. - Jim Smeaton, Owner/Director of Client Care

Deerfield Staff

Deerfield

Heroes work here - all kinds of heroes. Each person in every department across the Deerfield campus helps to make sure residents are safe and cared for during this pandemic, from meal delivery to healthcare to providing opportunity for activities including exercise, emotional and spiritual support, and fun. Many are taking on additional tasks that support efforts to keep residents and staff safe and engaged. All are going above and beyond for their Deerfield family. All are heroes. - Kathy Foster, Director of Marketing

Dr. Chris Parsons

Pardee UNC Health Care

Dr. Chris Parsons, Director, Pardeeâ&#x20AC;&#x2122;s Center for Infectious Diseases is a quiet hero who has worked nonstop since early March to develop a community-wide COVID-19 response. His expertise and guidance has helped Pardee, the Henderson County Health Department, private physicians, and Long Term Care facilities facing COVID outbreaks. - Pardee UNC Health Care Staff

Jossie Fardulis, LPN, Clinic Manager

Brooks-Howell Home

Jossie is a genius at making her residents feel loved! Whether using telehealth with their medical team or checking on the residents when they arenâ&#x20AC;&#x2122;t feeling well, or just laughing with them, she brings a smile to their faces especially during this COVID time. Hero! - Jill Knight, Admissions/Marketing Coordinator

AgingResourcesWNC.com

Maria Becerra, CNA

Heather Glen at Ardenwoods

We have nominated Maria Becerra, CNA, as our hero throughout the COVID-19 pandemic because she always provides exceptional service to our residents with a smile on her face and makes everyone feel special. One example of how Maria has gone above and beyond is by doing the resident’s hair and nails while our salon has been closed. Her supervisors can always count on her to complete tasks and our residents are most appreciative of the extraordinary care that she provides. - Pam Slater, Assisted Living Director

Cindy Conner, BSN, RN, CCM

AdventHealth Hendersonville

Cindy Conner, BSN, RN, CCM, and her team help patients who have been to our ER, hospital or who have chronic conditions manage their health. When the COVID-19 pandemic hit they increased their check-ins with patients to make sure they were doing ok with all the changes. Cindy and her team also led the AdventHealth Food Rx program that provided healthy groceries to these patients who are high-risk for COVID-19. The team even stepped in to deliver the groceries to patients who live outside the food service delivery area. In every case, the patients have told us this has been a true blessing. - AdventHealth Hendersonville Staff

Greg Varney

Four Seasons

There certainly are many folks behind the scenes working hard to ensure our staff and volunteers have the PPE they need, but at the hub of it all at Four Seasons, is Greg Varney. By night he is a husband and dad, but by day, he is a PPE Superhero. From the beginning, Greg has offered to fill any gaps he has seen. He advocates for our teams and makes sure that specific needs are met. Greg exemplifies EXCELLENCE in all he does. He is just one person within our Four Seasons family who is helping meet the challenges of COVID-19. - Four Seasons Staff

Lorena Zamora, CNA

Givens Highland Farms

Lorena is a wonderful CNA who works in our health care center from 3-11 on a part-time basis. In a prior career in Lorena’s home country, she was a beautician. When it was clear we wouldn’t be allowed to utilize beauticians in the health care center, Lorena graciously agreed to do hair cuts a couple of days a week prior to her shift to keep our residents feeling well cared for…she is such a special part of our team, and the willingness to offer her talents has been instrumental in maintaining our residents’ well-being. - Sheree Byrd, MSHL, LNHA, Health Services Director

Aging Resources 2020–2021

Tammy Wellman, CNA

The Laurels of Hendersonville

There are several members of our staff that have gone above and beyond to take care of our guests throughout the pandemic but one that stands out above all is Tammy Wellman, CNA. Tammy worked extra shifts to make sure the guests were well cared for. She shared her warm and enthusiastic spirit to elevate everyoneâ&#x20AC;&#x2122;s mood and above all she continued to laugh when we needed it most. - Bob Pompeo, Director of Marketing

David Robinson, PTA

The Laurels of Hendersonville

David is a true example of what teamwork is all about. He volunteered to assist another one of our facilities that had a COVID-19 outbreak by doing any job that needed to be done, housekeeping, dietary, and CNA. As a Physical Therapist he made sure that the guests would get therapy to help them regain their strength. He worked whatever shift he was needed to get the job done. - Bob Pompeo, Director of Marketing

Bobbi Call, RN

The Laurels of GreenTree Ridge

During the COVID-19 pandemic, RN, Bobbi Call has gone above her realm of nursing. She went to two sister facilities to assist them with needs of their outbreaks. She selflessly worked at both facilities for the wellbeing of these residents. During which time she followed all infection prevention measures to ensure the spread of COVID-19 did not occur. This is what makes a true healthcare hero! She is a true example of dedication and leadership to her residents and her profession. We are thankful and blessed to have Bobbi to be a part of our team. - Angie Black, Director of Nursing

Carmen McDowell, CNA

The Laurels of Summit Ridge

The Laurels of Summit Ridge would like to nominate Mrs. Carmen McDowell, a 14 year veteran CNA and Restorative Aide as our COVID-19 Hero. She is a person who is always willing to go above and beyond the call of duty. She is the true definition of a fighter. Recently diagnosed with stage 4 cancer, she has never wavered in this fight against COVID-19. Carmen is a person that always is willing to put others first, staying on the front line to care for others. We are proud to call her one of our own. - Kathey Camby, Director of Marketing

AgingResourcesWNC.com

6 Tips for Successful Aging Proactive Strategies can Help with Healthy Aging in the Prime Time of Life

With people living longer – and healthier – than ever before, our latter years afford us the opportunity for more fulfillment and fun. To focus on healthy aging, consider these lifeenhancing strategies:

Engage your mind and spirit. Stay sharp and mentally enriched by reading and writing, doing puzzles and playing games, taking classes at a community college or online, engaging in arts and crafts, playing and listening to music, and traveling — even if just taking short day trips. Seeing and experiencing new things can make you feel youthful. Immersing yourself in a hobby and engaging in lifelong learning not only can help you stay young at heart, but can help you remain mentally and physically healthy, too.

Focus on good nutrition. Make sure your diet includes lots of fresh, nutritionally rich foods and go easy on junk food and fast food. With the advice of your healthcare provider, take supplements to ensure you’re getting enough vitamins and minerals in your diet. Avoid dehydration by drinking plenty of water and other healthy drinks.

Keep moving. In the spirit of the old adage “move it or lose it,” staying physically active can do wonders for your overall health. In addition to building strong bones and muscles to help prevent falls, exercise helps your cardiovascular health and staves off depression. Find types of physical activity that keep you interested and motivate continued on page 10

Aging Resources 2020–2021

Say Hello to Your New Family!

Fletcher Academy students are seen in our dining room, keeping our lawns, and helping with dishes. It’s kind of like having your grandchildren around! • 1 or 2 bedroom apartments starting at $55,000 (Some rentals also available) • Up to 2,300 sq. ft. villas from $135,000 • 103-bed AdventHealth across the street • Our own fitness & aquatic center • 90% Return of Capital program 150 Tulip Trail • Hendersonville, NC 28792 800-249-2882 • 828-209-6930 info@fletcherparkinn.com

www.fletcherparkinn.com

Aquatic Center

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A Christian Retirement Community

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Owned and Operated by Fletcher Academy, Inc. A not-for-profit (501)(c)(3) organization “Christian Businesses for Christian Education” (300 students in grades K-12)

you to make movement, stretching and strengthening a daily habit. Consider joining a health club or find a buddy to enjoy walks or other exercise with indoors and outside in the fresh air.

signs of other health issues and can also affect your balance, make these check-ups a priority. Dental care becomes more important especially as we age because it can impact our eating and can also affect our heart health. Be sure to take good care of your teeth and see your dentist regularly. If you find yourself dealing with depression, substance abuse or other mental health challenges, don’t delay seeking professional help.

Make check-ups a priority. Key to keeping illness and physical problems at bay is having regular screenings and checkups from healthcare providers. If and when a physical or mental health change occurs, don’t assume it’s “just part of aging” – go get checked out. Symptoms can be signs of treatable illnesses especially when addressed early. Changes with vision and hearing are a common part of growing older but can often be helped easily with the right prescription of glasses or the appropriate hearing aid. Because vision and hearing problems can be

Stay socially connected. Make a concerted effort to keep up with friends and loved ones through regular phone calls, emails, social media platforms like Facebook and in-person visits inside and outside your home. Join recreational clubs where you can make new acquaintances as well as get involved with new activities and

STAY ACTIVE LIVE WELL

Staying active is the key to a healthy life. The Y gives you access to unlimited group exercise, swimming, social activities and more to improve your spirit, mind and body. Ask about special rates for seniors and Medicare Advantage members. Financial assistance is available. Join us today!

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Katherine C Morosani 1185 Charlotte Highway Suite I Fairview, NC 28730 828-628-1546

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Aging Resources 2020–2021

interests. Volunteer your time – by doing so, you’ll not only experience the joy of giving back and having a purpose but you’ll also have opportunities to interact with others.

Combine healthy activities for even more impact. Simultaneously participating in healthy practices gives you even more benefit than just doing them individually. For example, playing an intellectually challenging game with a friend is better than simply doing so alone because you get the perks that come from socializing in addition to flexing your brain muscles. By combining a mentally challenging game with others with physical exercise, too, you reap a positive powerhouse of benefits for your mind, body and spirit.

VOLUNTEERING RESOURCES

United Way of Asheville and Buncombe County HandsOnAsheville.org United Way of Henderson County VolunteerHendo.org United Way of Transylvania County VolunteerTransylvania.org United Way of Rutherford County UnitedWayofRutherford.org United Way of Haywood County UWHaywood.org United Way of Madison County UnitedWayMadisonCo.org VolunteerMatch VolunteerMatch.org

Everyone Can Shop, Anyone Can Join! Come see us to discover all the wonderful, healthy items you can find in our store, from local produce to helpful vitamins and supplements.

You don't have to be a member/owner to shop, but you might want to find out about the benefits. Plus, we are keeping our customers and staff safe with daily COVID-19 measures.

AgingResourcesWNC.com

Lifelong Learning Enriches Mind, Body and Soul Local Entities Offer a Variety of Programming As people now are living longer, growing older means we often can continue to thrive and enjoy life for many more decades than previous generations experienced. In the United States, the average life expectancy is 76 years for men and 81 years for women. More people are living to be 85 years old and older, and the number of Americans living to be 100 or older continues to climb. With more good years – and even decades – ahead, we have the opportunity to continue to learn new things, stay physically active and be socially engaged. And such life enrichment helps us remain healthy and productive in our elder years. 12

Lifelong learning and life enrichment feeds and nurtures our physical, intellectual, social and spiritual wellness. Here in Western North Carolina, several institutions offer high-quality, life-enhancing programs for older adults. By their very nature, all of these programs offer opportunities for socialization, volunteering, community building, life planning and networking. They can broaden your world, open your mind to new possibilities for your life and ensure your upcoming years are rich and meaningful. BLUE RIDGE CENTER FOR LIFELONG LEARNING (BRCLL) (828) 694-1740 | BRCLL.COM BRCLL offers a full slate of enrichment and educational programming. Participants can select from courses on a wide variety of topics including US, international and Appalachian history, current affairs, technology, literature Aging Resources 2020–2021

and more. The program also hosts occasional brown bag lunches on various topics and has launched a new series called “For Your Health” which brings in various medical professionals to discuss topics related to healthy aging. There is a one-time lifetime membership fee to receive a catalog of classes three times a year. LIFE@WESTERN CAROLINA (828) 227-7397 | LIFE.WCU.EDU A program of Western Carolina University (WCU), LIFE@ offers noncredit classes for adults 50 years old and older. Courses range in topics from history and culture to health and science to geopolitical and legal issues. Current and retired WCU faculty, as well as other experts in their fields, teach classes. Membership in the program includes 24 weekly sessions from September through April.

OSHER LIFELONG LEARNING CENTER (OLLI) (828) 251-6140 | OLLIASHEVILLE.COM A nationally acclaimed learning community for older adults, the Osher Lifelong Learning Center at UNC-Asheville offers opportunities for lifelong learning, leadership, community service and continued growth in a variety of settings. Founded in 1988 as the North Carolina Center for Creative Retirement, OLLI’s programming includes intellectual and cultural pursuits as well as social, physical and practical life courses such as life transition and retirement relocation planning. OLLI’s College for Seniors (CFS) program offers more than 350 courses in four terms every year.

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Embracing Technology Helps You Stay Independent How Different Devices Promote Health and Happiness

In our 21st-century world, technology is woven into every part of our lives and has become even more important during the pandemic to help people stay connected. For older adults and those caregiving for loved ones, the realm of devices and technological tools that can help with maintaining independence and a good quality of life is growing every day. Here’s a sampling of just some of the many gadgets that can make life easier and more enriching: Tablets and E-readers

With screens that are larger than smartphones and portability that desktop computers lack, tablets – when connected to the Internet through Wi-Fi – can help provide easy access to bank accounts, investments, financial information and health records. They also provide a handy way to surf the Web and stay connected with friends and family through social networking sites like Facebook. Through video chatting platforms like Zoom, WhatsApp, Skype and Google Hangouts, 14

people can combat loneliness and isolation. These platforms also help individuals take care of business with professionals such as medical providers who offer telehealth services. E-readers like Kindles, Kobos and NOOKs are lightweight, have the ability to make words appear larger and can provide virtual libraries of books, magazines and other reading materials at the touch of a fingertip. Smart Speakers

Like having a virtual assistant who does what you say, smart speakers like the Amazon Echo and Google Home devices also use a Wi-Fi connection to respond to requests for information and more. Users give voice commands to make the devices play music and games, set timers, make lists, get the weather, control connected devices such as thermostats and lights, order products from select retailers, turn televisions on and off and much more.

Aging Resources 2020–2021

Video Gaming Consoles

By playing video games, you can have fun while flexing your mental muscles, helping your memory, improving your dexterity and stimulating your mind. And in addition to the action, adventure, role-playing, simulation and puzzle genres, there are games that virtually mimic playing sports and doing exercises that can help with maintaining physical activity, balance and strength. Games are also available that allow the player to connect with others online, offering a virtual avenue for additional social interaction. Healthcare-Related Devices

Medication-dispensing systems can remind users to take their medicine and can send alerts if a dose is missed. Battery-powered devices called personal emergency response

systems (PERS) – or medical emergency response systems – typically can be carried in a pocket or worn around the neck or wrist and allow the user to call for emergency help with the press of a button. Vital health data such as someone’s heart rate, oxygen levels, blood pressure, blood glucose and more can be measured and collected through wearable health monitoring sensors. Wireless-enabled wearable activity trackers like those made by Fitbit and Garmin can help measure daily physical fitness, such as steps walked or climbed, sleep quality and heart rate. Through an ever-growing number of assistive devices, technology can offer life enhancement, peace of mind and help with remaining independent at home with less worry and more fulfillment.

Now with capptioning.

Announcing the new CaptionCall app for iPhone® Connect to everyday life using CaptionCall on your iPhone®. Easy-to-read captions of the conversation help people with hearing loss communicate better anywhere, any time. www.CaptionCall.com

AgingResourcesWNC.com

Maximizing Your Time with Your Doctor How to Get the Most Out of Your Appointments with Healthcare Providers Time with your doctor can be limited these days. Most primary care physicians see more than a dozen patients a day and spend on average 25 minutes or less with a patient during a typical office visit. But with some preparation and planning, you can maximize time with your healthcare provider and get more out of your appointment. Explore Telehealth Options. During the pandemic, many healthcare providers have begun offering more telehealth options to address patient needs. When contacting your healthcare provider, find out if such telehealth options as virtual appointments through online videoconferencing or phone calls are available and if they are a good fit for your particular health situation. Share Medical Records and Test Results Before Your Visit. By making sure your doctor has your previous diagnostic work prior to your visit, your healthcare provider has the opportunity to gain important background information about your medical situation before seeing you in person. 16

Get to Your Appointment Early, but Be Prepared to Wait. Arriving about 15 to 20 minutes before your appointment will give you adequate time to fill out paperwork, go to the bathroom and take care of other check-in items. By getting to the appointment early, you ensure your actual appointment time with your healthcare provider is not taken up with these other tasks. Even if you arrive early, you may still have to wait to see your doctor, so allot yourself plenty of time for the appointment. Don’t Go Alone. Having a friend, loved one or hired advocate with you during an office visit gives you another set of eyes and ears. Ask your companion to take notes or consider asking your health care provider if he or she is OK with you making an audio recording of the visit for your future reference. Your appointment buddy can be a good sounding board and also may be able to offer insight to the doctor about any health issues you are having. Take a List of Your Medicines and Supplements. Rather than relying on memory, take a list of your prescription and over-the-counter medications, supplements, vitamins, herbs, nutraceuticals and their dosages. Include how frequently you take them. Bring them in their prescription bottles or store packaging if that’s easier for you. By accurately sharing with your medical provider what medications and supplements you are taking, how much and how frequently you are taking them, you lessen the chances of negative drug interactions.

Aging Resources 2020–2021

Summarize Your Medical History. Have in hand a summary of your allergies, surgeries, vaccinations, family medical history and diagnosed conditions. Be Specific and Bring a Written List of Your Medical Concerns. Before your visit, list your health concerns, questions and symptoms and prioritize them in order of their importance to you. Invite input from your loved ones. Take three copies to your appointment – one for you, one for your physician and one for your health advocate. Clarify Your Doctor’s Recommendations. Ask questions, repeat back what your doctor says and ask for written details about your treatment plan. Find out if there are warning signs you need to watch for with your

condition and possible medication side effects and interactions. Clarify next steps about your treatment and find out the best way to reach your physician before, during and after regular office hours in case you have questions or concerns. Stay Positive, Follow Your Healthcare Plan and Pay Attention to Your Body. Having a good attitude about your well-being, your healthcare providers and your doctor’s visits helps support your health and wellness. Follow your treatment plan to maximize results. Don’t wait to report changes in your condition with your provider. Instead of seeing medical appointments as burdensome, embrace the attitude that you are part of a healthcare team that is helping you age well and stay healthy.

THERE’S NO PLACE LIKE HOME. Pardee Home Health offers a full range of medical services, including skilled nursing, social services, therapy, disease and medication management, respiratory care, diabetes, wound care, and falls prevention. What’s even better? We provide these services 24 hours a day, 365 days a year, all in the comfort of your own home.

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SERVING HENDERSON, BUNCOMBE, TRANSYLVANIA, RUTHERFORD, AND POLK COUNTIES PARDEEHOSPITAL.ORG

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Reduce the Risk of Falls and Their Consequences

Tips for Preventing Falls by Improving Your Health and Home Every 11 seconds, an older adult is treated in the emergency room for a fall and every 19 minutes, an older adult dies from a fall, according to the U.S. Centers for Disease Control and Prevention.

• Have your physician review your medications to ensure interactions do not increase your risk of a fall. For example, tranquilizers, sedatives, antidepressants and over-thecounter medicines can affect your balance.

Falls are the leading cause of fatal injury and the most common cause of nonfatal traumarelated hospital admissions among older adults. But even when no physical injury occurs, experiencing a fall can cause older adults to become worried and then depressed, to suffer decreased confidence and selfesteem and to begin to limit their activities and socialization out of fear – all of which can lead to more falls.

• Be careful when drinking alcohol since it can impair perception.

Falling is not a normal part of aging. And fortunately, falls can be prevented with awareness and simple changes around the home. Prepping Yourself for Fall Prevention As we age, we cannot regain our balance from a stumble as quickly as we once did but we can ensure we stay as alert, strong and flexible as possible to prevent that stumble in the first place. • Wear sturdy, nonslip shoes every day and all the time and clothing that is well-fitted and doesn’t bunch up or drag on the ground. • Take your time rather than hurrying, particularly when walking up and down stairs. • Be particularly mindful when visiting places outside your home since you may not be as familiar with their layouts. • Stay active and walk every day. Consider taking exercise classes, balance classes, yoga or tai chi to build physical strength and improve balance. • Schedule a doctor’s appointment specifically to discuss fall prevention. 18

• Discuss with your doctor any numbness, aches, foot pain or shortness of breath you experience as you go about your daily routine. • Get tested for balance, strength and gait. • Be treated for low blood pressure and vitamin D and calcium deficiencies as all are risk factors for falls. • Ensure that any eyesight or hearing issues are noted and corrected if possible. Get an eye exam at least once a year and update your glasses as needed. If you wear bifocals or progressive lenses, consider getting a pair with only your distance prescription for outdoor activities, such as walking, because these types of lenses can impact how you judge distances. • Impaired hearing can put you at risk for balance issues in addition to isolation and reduced activity. Have your hearing checked and use a hearing aid if one is prescribed. • Bring up any other issues you think may put you at risk for a fall. For instance, if you’ve already suffered a fall, let your doctor know. • Ask for your overall risk level for falling and for recommendations on how to prevent a fall. • Talk with your healthcare provider about whether mobility assistance devices such as canes or walkers might help if you have impairments.

Aging Resources 2020–2021

• If your physician does not offer such assessments, ask to be referred to a physical therapist to evaluate your balance, strength and gait; see your eye doctor to evaluate your sight; have your hearing checked; and ask your pharmacist to review your medications for any potential interactions. Prepping Your Home for Fall Prevention Reducing major risk factors for falling inside your home is easy and inexpensive. Eliminate Clutter: Take a good look around the house and remove anything from the floor that could cause you to trip, such as piles of reading material, electric cords, heaters or fans. Secure Rugs: Remove any loose rugs. If you must keep them, secure them to the floor with double-sided tape. Improve Stairs: Stairways should be clear of clutter, and have sturdy handrails on both sides and be well lit. Make Your Bathrooms Safer: Be sure floors stay dry. Put non-slip mats in tubs and showers and in front of toilets. Install grab bars in showers and anywhere else they could be helpful. Place a seat in the shower or use a transfer bench in the tub. Improve Lighting: Be sure every room in the house – especially high traffic areas and bedrooms – are well lit. Ensure light switches are easily accessible from doorways and not behind furniture or across a room. Install good nightlights from the bedroom to the bathroom. Keep flashlights and fresh batteries in each room of your home, including in your bedroom by your bed. Evaluate Pet Behavior: If pets are constantly underfoot or are strong enough to pull you over during a walk, you may want to create strategies – such as gates to keep pets off AgingResourcesWNC.com

FALL PREVENTION RESOURCES Organizations throughout Western North Carolina can help you assess your fall risk and assist you in eliminating as much of that risk as possible through classes and training programs.

Resources Include: WNC Fall Prevention Coalition Sites.Google.com/View/ WNCFallPreventionCoalition/Home YMCA of Western North Carolina’s Moving for Better Balance Classes YMCAWNC.org/Moving-Better-Balance YMCA and Land of Sky Regional Council Area Agency on Aging’s A Matter of Balance Classes YMCAWNC.org/Matter-of-Balance Other Land of Sky Regional Council Programs and Classes LandofSky.org/FallPrevention

steps or having someone walk your dog – to keep both you and your pet safe. Take Precautions Right Outside Your Home: Make sure pathways and entrances are well lit. Install handrails where there are steps. Have sidewalks regularly pressure washed to eliminate slick spots that build up. Be careful with curbs. Keep your porch, deck, walkways and driveway in good repair and free of leaves, snow, trash, gardening and yard equipment and clutter. Consider nonslip paint on outdoor steps and walkways. Live On One Level: Consider moving to a home with one floor. If you can’t, take extra care on stairs and try to arrange your life so that climbing steps is kept to a minimum if stairs are challenging for you. 19

Hearing Well Means Staying Well Regular Medical Check-ups are Key to Dealing with Age-Related Hearing Loss and its Effects Hearing loss can have serious consequences to your health beyond the frustration of not being able to hear well or at all. It can result in mental health issues, physical health issues and major safety concerns including: • Depression due to isolation; • Faster cognitive decline resulting in dementia due to isolation; • Significant increase in risk of falling due to balance issues;

and the earlier it is discovered, the easier it is to adapt to management techniques, hearing aids or other assistive listening devices. Hearing aids and other listening devices also have improved greatly over the last decade in function as well as fashion. Signs of agerelated hearing loss include: • Having trouble following a group conversation; • Often thinking people are mumbling;

• Driving impairment due to the inability to hear sirens, horns and other vehicles accelerating;

• Asking people to repeat things;

• Paranoia due to inability to hear environmental sounds and cues; and

• Having trouble understanding conversations on the phone;

• Increased stress from struggling to understand.

• Becoming stressed at or avoiding large gatherings because of difficulty hearing in crowds;

Keeping tabs on the ability to hear is an important part of healthy aging. Age-related hearing loss happens gradually, typically over a decade or more, and often goes unnoticed until it becomes significant. Among people 75 and older in the United States, nearly half have difficulty hearing and about one in three between the ages of 65 and 74 has hearing loss. Although most hearing loss cannot be reversed, it can often be successfully treated

• Having trouble understanding higher voices like those of women and children;

• Ringing in the ears; • Dizziness, loss of balance or vertigo; • Comments from others that your or your loved one’s TV, radio or stereo is loud; and • Ears that itch, hurt or leak fluid. Other factors that can contribute to hearing loss include a family history of hearing loss, diabetes, heart disease, or circulation or thyroid issues. Aging Resources 2020–2021

If any of these warning signs describe your or your loved one’s experience, seek medical attention from a physician who will be able to evaluate symptoms and determine whether one or more of the following specialists should be seen:

Taking care of hearing issues makes a huge difference in the quality of life, health and the ability to remain independent. Regular hearing check-ups are an important part of aging well.

• An otolaryngologist, a physician specializing in the ears, nose and throat (ENT);

LEARN MORE

• An audiologist, a healthcare professional who specializes in identifying auditory disorders, treating them with hearing aids or other devices and monitoring hearing issues; or • A hearing instrument specialist, a licensed professional who can test hearing and select and fit hearing aids.

National Institute on Deafness and Other Communication Disorders NIDCD.NIH.gov/Health/AgeRelated-Hearing-Loss American Speech-LanguageHearing Association ASHA.org/Public/Hearing/ Hearing-Loss-in-Adults To view local hearing resources, turn to page 95.

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Living with Dementia Identifying and Managing Symptoms of Alzheimer’s and Other Dementia Dementia is difficult for everyone – for the person diagnosed with it, for the family members who become caregivers and even for healthcare providers who do not always have solutions to the many challenging situations this disease can create for patients and their families. When confronted with dementia – as a patient or caregiver – the best defense is a good offense. Begin by educating yourself about the disease, treatments and lifestyle practices that can work to slow the disease, behaviors and challenges you can expect as the disease progresses and ways to manage life after a dementia diagnosis with as much joy and dignity as possible. What is Dementia? Dementia is an umbrella term that covers a multitude of disorders that impair memory to the point that daily functions become difficult or impossible. Alzheimer’s disease, cerebrovascular disease, Lewy body disease, mixed pathologies, frontotemporal lobar degeneration and Parkinson’s disease are some of the more common causes of dementia. Although dementia is not a normal part of aging, the biggest risk factor for the disease is age. For example, the majority of people with Alzheimer’s dementia are age 65 or older and about a third of people age 85 or older have Alzheimer’s dementia. Breakthroughs on causes and treatments continues but currently, dementia is progressive and has no cure. 22

Dementia Versus Forgetfulness It is easy to confuse the very early signs of dementia with typical memory issues we all experience as we age, but they are different. For instance, it is normal to misplace your keys or your glasses. It is not normal – and may be an indicator of dementia – to put your keys or glasses in an unusual place, such as the freezer or in the back of a drawer, and then have no recollection of where you put them. It is normal to walk into a room in your home and forget your purpose for going there. It is not normal – and may be an indicator of dementia – to walk into a room in your home and for a moment not know where you are. Difficulty performing once routine mathematical tasks such as balancing your checkbook or adding a column of numbers, or feeling excessively challenged when learning new things such as how to work a new appliance, may also indicate a serious memory disorder. Get Diagnosed – The Sooner, The Better If you suspect dementia, get a diagnosis from a neurologist who specializes in memory loss and do so as soon as possible. Insist that both Aging Resources 2020–2021

the patient and close family members or loved ones are part of the evaluation and are given the opportunity to discuss with the physician what has caused them to suspect dementia. While most patients are well aware that their ability to process information has changed, a loved one is usually in a better position to recall and give details of specific incidents and behavior changes, giving physicians a more complete picture.

With a diagnosis in hand, a physician is better able to guide the patient and the family as to how to manage symptoms now to maintain the greatest independence and to give all concerned an idea of what to expect for the future. Make a Plan Although only one member of the family may have dementia, everyone in the family is affected. It makes sense to come together as a family in these early stages and put together a plan of action to care for the patient and manage life as the disease progresses.

While there currently is no cure for dementia, there are medications and lifestyle practices that can slow the progression of the disease especially when a diagnosis is made early. Also, other conditions, such as depression, stress, poor sleep, hearing loss, vision problems, an underlying infection or other illness can worsen symptoms. Simply treating these disorders often can return some memory function.

As a family, you should decide on roles and responsibilities for everyone who wishes to be part of the care management. Be realistic in your commitments. Dementia is for the long haul. Commit to what you can do and then find resources in the community to help where you and others cannot. continued on next page

We’re here to help.

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Tips for Helping Someone with Dementia Being there for someone with dementia can pose challenges but there are approaches that can help, many of which involve being supportive, compassionate and understanding of changes caused by the disease. Simplify: Talk about one thing at a time, use fewer words and speak slowly. Sharing too much information – and multitasking – can be confusing and overwhelming. Realize that logic does not apply to an illogical disease. Let your loved one carry out tasks: Offer to help but also be willing to not help so your loved one has the chance to feel good about accomplishing something on his or her own. Use memory aids: Lists, signs, dry-erase boards, alarm clocks and calendars can help as can having designated spots for commonly misplaced items. Be attuned to eyesight and hearing issues: Vision and hearing problems can worsen – and in some cases can mimic – dementia symptoms. Peripheral vision can be lost and perception can change, too, as the disease progresses. Make sure your loved one has his or her eyesight and hearing checked regularly, especially if he or she is having trouble with avoiding obstacles, seeing well even when wearing glasses, struggling to follow a conversation or having problems with balance. Show and tell: Visually communicating with your loved one is as important as talking with him or her so be sure to show and say what you mean. To assist with his or her comprehension, make your loved one’s living space as free as possible of distractions such as visual clutter and noises. Use hand gestures, visual cues and prompts to help convey what you mean. Go down memory lane: Reminisce about the past by looking at old photographs and mementos and telling stories from days gone by. Practice patience and kindness: Reassure your loved one and focus on his or her feelings rather than the facts. Apologize and say “I’m sorry” regularly when he or she is frustrated, sad or angry. Respond with affection through smiles and hugs. 24

Securing the help of a professional at this point such as a geriatric care manager, a social worker or someone from your local council on aging may be a good idea. These professionals are trained to help you know what to plan for. They can inform you of support services and various resources in your area, help you weigh your housing options and help you navigate the system overall. With dementia, moving to assisted living, using adult day care or needing roundthe-clock care — can become necessary as the disease progresses. With a plan, these transitions become easier financially and emotionally for everyone. Housing Considerations Someone with memory impairment functions better in familiar surroundings. To that end, it is to everyone’s advantage to move the person with dementia into the care situation chosen before rather than after the full force of that care is needed. By making a move before dementia progresses, individuals can make friends, get used to routines and form relationships with staff while they still have the ability to do so. As you look at living situations, focus on the goal of only moving your loved one only once if possible. Consider places that offer both assisted and skilled care in the same building, or at least on the same campus. If symptoms worsen and skilled nursing becomes necessary, it is healthier for your loved one to be in familiar surroundings with people he or she trusts. Staying put also increases opportunities for independence, reduces your loved one’s fear and makes it easier for friends who live on-site to visit.

Aging Resources 2020–2021

Prioritize Support for the Caregivers Part of every plan for dementia care must be to care for the caregivers. This means ensuring caregivers donâ&#x20AC;&#x2122;t overcommit themselves and that their needs and desires also are considered. They should take time to join a support group online or in person for emotional support as well as to gain insight and strategies for managing the disease. Respite care should be built into the schedule to ensure caregivers have time for rest and for living their own lives. Remember that the care plan is not written in stone. The person with dementia and the caregivers should feel free to change it as circumstances and abilities change. For instance, a caregiver may commit at first to keeping a loved one at home. As the disease progresses or life circumstances change, this may prove to be too stressful for the caregiver. At that time, the caregiver should feel free to change the plan and find a solution that works better for him or her and the patient. Advances in Treatment With increased scientific research now being devoted to Alzheimerâ&#x20AC;&#x2122;s disease and other forms of dementia, advances in diagnosis and treatment are occurring more rapidly. Medications for memory, treatments for sleep changes, strategies for addressing changing behaviors and a host of alternative therapies are improving the quality of life for dementia patients and their loved ones. You and Your Family are Not Alone Millions of people in the United States have dementia and that number is expected to rise as the population ages. There is nothing easy about the often long course of dementia. But

AgingResourcesWNC.com

with early diagnosis and a proactive approach to management, both people with dementia and their caregivers can maintain the highest quality of life possible for as long as possible.

LEARN MORE For a list of 10 early signs of dementia, visit ALZ.org/ Alzheimers_Disease_Know_ the_10_Signs.asp. For updates about advances in treatment and promising clinical research breakthroughs, visit ALZ. org/Research or ALZ.org/HelpSupport/I-Have-ALZ/TreatmentsResearch. Geriatric Care Managers Find a certified Geriatric Care Manager or Aging Life Care professional at the Aging Life Care Association at AgingLifeCare.org. Read more about what Geriatric Care Managers do on page 34. Caring for the Caregiver Find resources and tips for caregivers on page 43. Local Help Learn about local community resources including Councils on Aging on page 32. Find local help in the Alzheimerâ&#x20AC;&#x2122;s/ Dementia and Caregiving Support sections of the Aging Resources Directory on pages 90 & 91.

Figuring Out When Help Is Needed

How to Evaluate if a Loved One Could Use Assistance Determining exactly when loved ones need help at home can be challenging but answers often can be determined by observing personal appearance, home upkeep and driving abilities. Asking these questions can shed light on how loved ones are feeling and managing daily activities: Personal Appearance and Demeanor • Do they stand up straight or are they bent over? Are they leaning to one side or having trouble with balance? • Are they maintaining their normal weight? • Do they appear to be having trouble seeing or hearing?

• Is the kitchen sink clean? Are beds made and floors swept or vacuumed? Are plants alive? • Is the garbage taken care of correctly? • Does the pet have food and water? • Are things that used to be put away now left out? • If they take medications, are they stored neatly in a sensible place? Using dates on the bottles, can you tell if they are being taken as prescribed? • Is mail in an unorganized pile? Are unpaid bills left around? Are checks to pay bills written but never sent? • Does the refrigerator have old, spoiled food or not enough food? • Are the dishes, glasses, and flatware properly put away and clean? • Is their bedroom, bathroom and closet dirty or unorganized? Outside the Home

• When walking, is their gait strong? Or are they shuffling more than stepping?

• Has regular maintenance been carried out on the outside of the house and on other structures?

• Are they clean and shaved? Are their nails clean? Is their hair combed?

• Are the gutters clean? Porches swept? Windows washed?

• Are their clothes clean? Are they dressed appropriately for the weather?

• Has the grass been mowed, the shrubs trimmed and the flowerbeds weeded?

• Are their buttons buttoned properly? Are zippers zipped?

The Car and Driving

• Do they seem fatigued, sad, frustrated, upset or confused? • Are there any signs of substance abuse? Inside the Home • Is the home kept the way it always has been or do you see a change?

• Are there signs the car has been in minor accidents? Any new dents from running into the garage or another bumper? • Is the car well maintained? What does the change-oil sticker say versus the mileage? Are the fluids full? Is the registration current? • When you drive with them, can they get in and out of the car with ease? Aging Resources 2020–2021

• Do they drive too slowly? How is their reaction time? Do they tailgate? • When they drive, do you observe other drivers on the road being annoyed? • Do you feel afraid when riding with them? • Do they know where they are going? • Do they have trouble parking?

As with many issues of aging, there are no hard and fast rules as to when to step in to help. However, if what you have observed leaves you feeling uncomfortable, then trust you have the evidence you need to look into finding necessary support services.

HELPFUL RESOURCES

• Can they drive safely and confidently at highway speed? Answers to these questions can serve as indicators of emerging concerns including waning eyesight, hearing problems, issues with movement and walking, depression or other mental health issues, the onset of dementia and more. If you see a pattern of decline, the cause should be determined by a physician to see if any treatments can improve or slow the condition.

Tips about transitioning from driving on page 28. Area Councils on Aging, Geriatric Care Managers and other professionals on pages 32-36. Home Care and Home Health Care options on page 38. Aging Resources Directory beginning on page 90.

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If you need in-home, non-medical assistance, we can help. A compassionate caregiver can lend a hand with everyday chores like cooking, cleaning, and running errands so people can stay home and stay independent.

AgingResourcesWNC.com

Transitioning From Driving When to Consider Using Alternate Transportation

Driving a vehicle is an integral part of American life. But aging can bring changes in vision and response times on the road and health conditions and medications can impact the ability to drive. When it appears that driving is becoming more challenging, it may be time to explore next steps and other transportation options to protect the safety and wellbeing of the driver and others on the road.

if someone is having challenges with driving. According to the AARP, signs to look for include:

Talk About Driving Abilities and Transportation Options

• Misjudging distance.

Start by having a candid conversation about your concerns about you or your loved one’s driving abilities as well as about alternative transportation options. If someone stops driving, it’s important to figure out ahead of time transportation needs for errands, appointments and recreational activities. Being kind, calm and empathetic during these discussions is beneficial to everyone involved.

• Getting lost in familiar places.

Observe and Evaluate Driving Skills

Broaching the Subject of Ceasing to Drive

A passenger riding along with a driver can assess driving abilities. While such a ridealong is not a test, it is a way to help figure out

• Being easily distracted. • Having a delayed response to unexpected situations. • Running lights or stop signs. • Clipping the curb. • Exhibiting lane drifting or having trouble changing lanes. • Showing a loss of driving confidence • Driving too fast or too slow. • Having trouble moving the foot from the gas to the brake or confusing the two. • Being pulled over by the police, having dents and scrapes on the vehicle and being involved with accidents – including fender-benders – also indicate that it may be appropriate to evaluate whether or not to drive.

Because driving is often equated with independence, having a conversation about no continued on page 30

Aging Resources 2020–2021

Donate a Car, Change a Life Giving a Used Vehicle to Working Wheels Helps Families in Need of Reliable Transportation

People transitioning from driving are often faced with

car’s title and get the vehicle to the nonprofit. Donors

the question of what to do with their vehicles.

can then drop off cars themselves or have Working

Local nonprofit Working Wheels offers a solution by

Wheels’ volunteers come drive or tow the car away.

accepting donations of cars, inspecting and repairing

In addition to donations of vehicles, Working Wheels

them to ensure safety and reliability, and then selling

– a 501(c)3 nonprofit – also accepts monetary

those vehicles at a deeply reduced price to people in

contributions to the Parts and Repair fund.

need of reliable transportation. “Donate a car, change a life” is the motto of Working

A Vehicle’s Next Chapter Can Have Big Impact

Wheels, an Asheville-based organization that recycles

Working Wheels has helped hundreds of program

and repairs donated cars, transforming them into working wheels for working families in Western North Carolina. Working Wheels accepts vehicles in any condition and repairs as many of them as possible. The nonprofit

participants with their transportation needs. By having reliable transportation, these individuals have been able to work more hours, choose from a wider selection of available safe options, take themselves and their families to appointments and spend more

collaborates with mechanic shops in the area who

time with their loved ones.

work on donated cars at a discounted price. Those

Working

vehicles that are not able to be placed in the program serve as parts cars or are sold to generate proceeds to help further the nonprofit’s mission.

Wheels

partners

with

trusted

local

organizations, including Helpmate, ABCCM, and Homeward Bound, to connect cars to people in need.

How to Donate to Working Wheels Donating a vehicle to Working Wheels begins by contacting the nonprofit by phone or through a form on their website. After a 10-minute conversation about the vehicle, Working Wheels guides donors on how to transfer the

“ This car means that I can get to work safely and on time,” a participant named Karen said of her Working Wheels vehicle. “I have a good job, and with reliable transportation, I can advance.” 76 Weaverville Road, Asheville, NC | WorkingWheelsWNC.org | 828-633-6888

N.C. DMV and Public Transportation Information In North Carolina, motorists are required to renew their driver’s licenses every eight years. If done in person at a DMV office, a vision test must be passed. People age 66 and older are required to renew their driver’s licenses every five years. The N.C. Division of Motor Vehicle’s Medical Review Unit Program also evaluates a driver when there are concerns that certain medical conditions – not age alone – might have an impact on the ability to safely operate a motor vehicle. For more information, visit NCDOT. gov/DMV/License-ID/License-Suspension/ Medical-Review-Program. Throughout Western North Carolina, there are county public transportation options. For details on area public transportation services, turn to the Transportation, Appointments and Errands section of the Aging Resources Directory on page 104.

longer driving can be a sensitive one. Approach such a conversation with respect, directness and a focus on safety, including those of passengers, pedestrians and other drivers. Participating in a formal driving assessment performed by a professional who is not a family member can be useful, as can meeting with a family physician who may be able to evaluate how health conditions and medications may be impacting driving ability. Arrange Alternative Transportation In the event that you or a loved one stops driving, discuss transportation needs and set up alternatives. Family members and friends can create driving schedules and take turns providing regular transportation. Private ride services such as cab companies, Uber and Lyft may be useful as may be public transportation options. By having alternate transportation plans in place, you or your loved one can continue to live independently without the worry that can come with driving challenges. And while giving up driving is a transition, ceasing to drive does not have to mean disengaging from socializing, running errands or being active in the community.

HELPFUL RESOURCES AAA’s SeniorDriving.AAA.com American Occupational Therapy Association’s Driving and Community Mobility AOTA.org/Practice/ Productive-Aging/Driving

Aging Resources 2020–2021

Services Include:

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70 Sweeten Creek Road, Asheville, NC 28803 LaurelsOfGreenTreeRidge.com (828) 274-7646 The Laurels of Hendersonville A 120-bed skilled nursing and rehabilitation center, The Laurels of Hendersonville is located just outside historic downtown Hendersonville. Among our many amenities is a gazebo area which provides the perfect setting for our guests to enjoy quiet time or socialization. The Laurels of Hendersonville provides long-term care, short-term rehabilitation, respite, hospice care, and veteran's services. They are able to provide IV therapy, wound care and other complex medical services to their guests.

290 Clear Creek Road, Hendersonville, NC 28792 LaurelsOfHendersonville.com (828) 692-6000

The Laurels of Summit Ridge Located adjacent to the beautiful Blue Ridge Parkway, The Laurels of Summit Ridge is a 60-bed skilled nursing and rehabilitation center, with a 27-bed assisted living unit, just a half mile from the VA Medical Center and five miles from Mission St. Joseph Hospital. The Laurels of Summit Ridge offers short term rehabilitation, hospice care, respite care, long term care and assisted living. We provide high quality, comprehensive health care for each guest.

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AgingResourcesWNC.com

Find the Help You Need in Your Community

Local Professionals Offer Range of Assistance with Aging Issues

If youâ&#x20AC;&#x2122;re facing issues related to aging or caregiving and need advice or assistance, help is available through a variety of regional professional resources. Councils on Aging, Area Agencies on Aging, veterans affairs agencies, the N.C. Dept. of Health and Human Services, geriatric care managers and other resources can all provide helpful information and services. Councils on Aging and County Resources Depending on where you live in Western North Carolina, the Council on Aging serving the county you live in may offer different services from those in other parts of the region, but they all share the common mission of acting as advocates for elders and providing connections for the assistance you need.

Council on Aging of Buncombe County The Council on Aging of Buncombe County is an advocate for older adults, providing personal support, assistance and resource coordination to people 60 years old and older to help them stay independent and healthy. To help older adults receive the services they need, COABC answers questions by phone and helps people complete applications for community-wide services. COABC offers informational assistance about Medicare and health insurance. Medicare counseling and education is held in both Buncombe and Henderson counties through online webinars and one-on-one counseling by phone. COABC also assists older adults with the Affordable Care Act. continued on page 34

Aging Resources 2020â&#x20AC;&#x201C;2021

Now, More Than Ever, Ensure No One Else Has to Age Alone...

Join Hands With Your Local Council on Aging Caregiver Services • Community Resource Coordination Heat Relief • Liquid Nutrition • Meals on Wheels Lunch at the Sammy-Congregate Nutrition Senior Companion • Volunteer Opportunities

COAHC.org @hcountycoa | @coahc

Support our Mission by Donating and Shopping at our Etowah & Hendersonville Thrift Stores!

105 King Creek Boulevard, Hendersonville, NC 28792 | 828-692-4203

Geriatric Care Managers Possessing backgrounds typically in nursing, social work, elder care, psychology or counseling, geriatric care managers are qualified health and human services workers who can be hired to offer personalized, holistic assistance and planning for older adults and people with disabilities. These professionals act as advocates and focus on helping you or your loved one stay independent, healthy and safe. Geriatric care managers can be especially helpful for caregivers who don’t live near their loved ones. Working with families and caregivers, they use their expertise to assess, problem-solve, plan and monitor older adults’ living and healthcare situations. Examples of the help they can provide include: •A ssessing a loved one’s social, emotional and medical status including problems with memory loss and related dementia. • I nteracting with and facilitating communication with a healthcare team.

Through its Seniors Safe at Home program, COABC helps with such issues as minor home repair, transportation resources, elder justice counseling and some homebound food delivery. Minor home repair services focus on reducing fall risks in the home through the installation of grab bars, hand railings and threshold fixes.

• Evaluating, recommending and helping coordinate moves to appropriate long-term care housing. •S upporting and helping loved ones and families cope with care options and concerns and helping them reach a consensus about long-term care planning. •C onnecting with community resources available for older adults. • I ntervening when a crisis occurs such and as an emergency room visit and overseeing a hospitalization or rehabilitation stay. •R eviewing and overseeing bill paying, assisting with insurance companies and working with financial advisors and attorneys. The Aging Life Care Association offers more information about geriatric care management as well an online searchable database for finding a professional in your area at AgingLifeCare.org.

and deliveries while the dining sites are closed due to the pandemic. Monthly food boxes are delivered by volunteers with COABC to atrisk, homebound elders.

COABC partners with a variety of local agencies and connects clients with other assistance in the community, such as help with ramp installations.

Through its Benefits Enrollment Center, COABC provides application assistance for individuals living in Buncombe County who are on Medicare due to disability or age. COABC provides these individuals with assistance with applications for SNAP, Medicaid, Extra Help and Medicare Savings Programs.

For people who can’t drive or use public transportation, COABC has volunteers who take people to doctor’s appointments, grocery shopping and occasional social trips. Senior Nutrition is being offered via curbside pick-up

COABC assistance with the Low-Income Home Energy Assistance Program (LIHEAP) program, a federally funded program that helps qualified individuals with their home heating and cooling costs.

Aging Resources 2020–2021

The COABC also has an Elder Justice Navigator who provides information and support for older women and men experiencing abuse, neglect and exploitation. A separate organization – Meals On Wheels of Asheville and Buncombe County – delivers Meals on Wheels in Buncombe County. Council on Aging for Henderson County For more than 50 years, the Council on Aging for Henderson County has sought to provide and coordinate services that engage, connect and support adults in the community as they age. Programs include Meals on Wheels’ weekday delivery of lunchtime meals, Caregiver Support, Resource Coordination and Liquid Nutrition Assistance. The Council on Aging also offers seasonal services including a heatrelief assistance program and the providing of free fans during warmer months and shelfstable meals for inclement weather. Meals on Wheels leverages volunteer drivers to deliver meals on weekdays to homebound seniors 60 years old and older throughout Henderson County. This nutritious meal and check-in is vital to the wellbeing, independence and socialization of older adults. This program is available to qualifying Henderson County residents at no cost for long-term, short-term and post medical procedure recovery times. A Caregiver Support Specialist is available at COAHC to assist those caring for a loved one with long-term physical or cognitive conditions. The caregiver specialist can assist with accessing available resources and provide ongoing support. Those qualifying for

respite care services may be able to receive a grant to assist with covering costs of in-home services. The Liquid Nutrition program aims to serve adults dealing with digestive issues, mouth or teeth problems or the inability to tolerate solid foods. The Liquid Nutrition program offers an opportunity to qualify for Ensure or Glucerna products to help maintain a proper diet. A physician's authorization is required to be eligible for this service. COAHC also has a Resource Coordination Specialist available for offers support, advice and guidance related to aging, housing assistance, medical appointments, assisted living options and more. The nonprofit also offers seasonal services such as free fans during warmer months through a heat-relief assistance program for eligible Henderson County residents. In addition, inclement weather emergency food kits/shelfstable meals are available to current clients. Polk County Senior Services As part of Polk County’s consolidated human services department, Polk County Senior Services offers drive-thru meal pick-up, Meals on Wheels, educational opportunities and recreational activities. Transylvania County Council on Aging Transylvania County has a Council on Aging as part of its Social Services department. Its adult services programs offer support to elderly and disabled adults, provide protective services to vulnerable adults and regulate certain residential services. continued on next page

AgingResourcesWNC.com

In Transylvania County, Meals on Wheels of Brevard provides delivered meals to people who are at least 60 years old, homebound and unable to shop or cook. Services are available temporarily for those recovering from illness or injury. Area Agencies on Aging The Land of Sky Regional Council’s Area Agency on Aging covers Buncombe, Henderson, Madison and Transylvania Counties. The Isothermal Planning and Development Commission serves as the Area Agency on Aging for Cleveland, McDowell, Polk and Rutherford Counties. Both are part of a national network of aging agencies established by the federal Older Americans Act. While local Councils on Aging provide direct services, Area Agencies on Aging support older adults living independently through planning, resource development and partnering with Councils on Aging and other organizations. In addition to being resources for older adults and their caregivers to contact when seeking information about age-related issues, offerings from Area Agencies on Aging can include family caregiver support services, foster grandparent programs, health promotion and disease prevention, longterm care ombudsmen, regional and county aging planning, senior community services employment programs, senior companion programs, information about North Carolina legislation and Project CARE – or Caregiver Alternatives to Running on Empty – which helps people caring for people with dementia.

Veteran-Specific Resources Based in Asheville, the Charles George VA Medical Center provides healthcare and wellness services to US military veterans and their families. In addition to serving veterans’ overall health, the VA Medical Center offers assistance related to geriatrics and extended care including adult day health care, homebased primary care, long-term care and respite care. The North Carolina Dept. of Military and Veterans Affairs provides a system to assist veterans and their families with a variety of issues. The state agency also oversees four skilled care homes for veterans, including one in Black Mountain in Buncombe County. Through this state agency, Veterans Service Offices also have been established throughout the state for veterans and their families to receive assistance with benefits, claims questions and other issues. North Carolina Dept. of Health and Human Services Through its Division of Aging and Adult Services, the North Carolina Dept. of Health and Human Services works to promote the independence and enhance the dignity of North Carolina's older adults. This state agency includes an Adult Protective Services Division, the work of which is carried out by county Dept. of Social Services (DSS) offices. If you are concerned that an older adult is suffering from abuse, neglect or exploitation, contact your local DSS office. DSS workers can evaluate and help determine if an elderly individual is in need of assistance or protective services.

Aging Resources 2020–2021

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Exploring Home Care and Home Health Care Determining the Care You Need for Various Life Situations

You or a loved one may need assistance with daily living tasks such as bathing, getting dressed or running errands. Or perhaps you or your family member needs medical care such as skilled nursing, physical therapy or prescription management. Home care and home health care services are available to address all of these needs and to help you maintain your independence and quality of life in your own home. By understanding the differences between these two options, you can craft a care plan that best suits you or your loved one both in terms of the help you need and how you will pay for the care you receive. Home Care Home care services require no doctor’s orders, can be contracted for 24 hours a day and can continue as long as someone wishes. Home care involves custodial care and is sometimes also referred to as personal care, attendant care, non-medical care or companion care.

Home care services can include meal preparation, personal care, light housekeeping, shopping and other errands, and companionship. Some home care agencies offer geriatric care management, a service that oversees and coordinates all the outside services in a client’s home — from hiring a lawn service to coordinating medical-related home health care visits and more. Although often crucial to being able to stay independent at home, home care typically is not covered by health insurance, but it may be covered by a long-term care policy if you or your loved one happens to have one. When looking for a home care agency, ask if the home care agency: • Can provide services within 24 hours of a request; • Offers services any hour of the day and every day of the week; • Sends a substitute home care aide if the assigned aide is unable to come; continued on page 40

Aging Resources 2020–2021

Now Open and Ready to Serve WNC

CareHeartedly Offers Customized Home Care That Eases Social Isolation and Supports Health and Independence According to the Centers for Disease Control, social isolation and loneliness in older adults puts seniors at risk for serious medical conditions, including heart disease, stroke, dementia, depression and anxiety. To help ease social isolation that has been further exacerbated by the pandemic and to support seniors’ health and independence, CareHeartedly offers customized companion personal care and nonmedical in-home care, including virtual caregiving. Based in Hendersonville and providing services throughout Western North Carolina, CareHeartedly is a locally owned, independent provider that offers non-medical home care such as companionship, safety support, assistance with daily activities and more. During his time as a paramedic, CareHeartedly CoOwner Justin Vickers had a lot of interaction with older adults and witnessed first-hand the kinds of accidents that can happen in the home – insights that factored into his and his wife Co-Owner Meghan Vickers’ decision to open CareHeartedly. The CareHeartedly team includes seasoned nurses as well as a supervisor who specializes in infection control and another who is a licensed social worker for mental health issues. To ensure a reliable and trustworthy staff, all potential employees are interviewed in person before proceeding with the hiring process. Rigorous background checks are done on all management and caregiver staff.

Types of Help CareHeartedly Can Provide Personal Care Services That Include Help With Basic Activities of Daily Living Such as: • Bathing, showering and getting dressed • Toileting and catheter care • Teeth and denture care • Mobility assistance and transferring • Feeding and eating assistance • Hair, nail and skin care • Medication monitoring and reminders Companion Care Services That Can Help Seniors Stay Active and Socially Engaged Include: • Companionship and socialization • Activities like reading, games and crafts • Enjoying the outdoors and gardening assistance • Light cleaning and organization • L aundry, folding and changing of linens • Meal preparation • Shopping and errands • Transportation to appointments • Assistance paying bills • Medication reminders Additional Services Include: • Alzheimer’s and dementia care • 24-hour care/365 days a year • Hospice support and respite care • Post-surgery recovery care • Home and property maintenance • T elehealth/virtual caregiving - a remote caregiving approach that can involve general check-ins, safety check-ins, remote vital sign and symptom monitoring and medication reminders

Call or Visit Us Online to Learn More About Our Packages & Special Offers! (828) 595-5734 | CareHeartedly.com 109 South Main St, Suite 3, Hendersonville, NC

• Is bonded and insured for up to $1 million; and • Conducts criminal background checks and does other pre-employment screening of their employees. Because the cost of home care is typically out of pocket, some people consider hiring an individual themselves instead of using an agency. If you are exploring that option, consider running criminal and other background checks on the caregiver and get client references. If you go the non-agency route, you also will need to make a plan for: • What happens when the individual caregiver is ill or unavailable; • Withholding taxes, Social Security and Workers’ Compensation Insurance; • Homeowner’s insurance that would cover if a caregiver is hurt on the job; • Hiring an individual caregiver with flexibility to change with your needs; and • What actions to take should the caregiver harm your family member. Home Health Care Home health care is in-home medical care ordered by a doctor. The cost is often covered by private health insurance or Medicare. Home health care procedures are performed by medical professionals and include services such as skilled nursing care, medication management, wound care, physical therapy and disease management training. Home health care professionals are in a patient’s home only long enough to carry out treatment. Home health care is typically prescribed after a hospital stay. A home health care prescription can be taken to any licensed agency covered by your insurance. To be 40

proactive with your planning, research agencies before a hospitalization occurs. When choosing a provider, be sure the agency: • Is licensed; • Accepts your loved one’s insurance; • Can begin providing services within 48 hours; • Is on call 24 hours a day; • Has a policy for you or your loved one to be able to reject particular care providers if you or your loved one don’t like them or feel they are not a good fit; and • Gives you references from a current patient, a patient’s family member and a business that refers to them. As we and our loved ones age, there may be times when home care and home health care will be needed. By understanding what these different services offer, the most appropriate in-home help can be found.

HOME CARE RESOURCES North Carolina home care agency licenses can be checked at the N.C. Division of Health Service Regulation at NCDHHS.gov/DHSR/ Reports.htm. A comparison of home health care agencies, a checklist for interviewing and more tips for finding the right agency can be found at Medicare’s page at Medicare.gov/ HomeHealthCompare. More about local Home Care and Home Health Care providers and services they provide can be found on our chart on page 42.

Aging Resources 2020–2021

AgingResourcesWNC.com

HOME CARE, HOME HEALTH & HOSPICE PROVIDERS Enjoy the Advantages of Staying at Home

Private/Insurance Accepted

Medicare Accepted

Medicaid Accepted

Hospice Services

Therapy Services

Medication Reminders

Transportation Available

Cooking/Meal Preparation

Cleaning/Housekeeping

24/7 Care Availability

Home Care (Non-Medical)

Home Health Care (Medical)

Minimum hours per shift

PAGE

35 Always Best Care Senior Services

36 CareHeartedly

Serving Buncombe, Henderson, Polk & Transylvania Counties

85 Compassionate Care Western North Carolina Serving North Buncombe, Madison, Mitchell & Yancey Counties

84 Four Seasons Home Care

Serving Buncombe, Henderson, Polk & Transylvania Counties

Four Seasons

84 Serving Buncombe, Haywood, Henderson, Polk & Transylvania Counties

Griswold Home Care

25 Serving Buncombe, Haywood, Henderson, Madison & Transylvania Counties

39 Kindred at Home

Serving Buncombe, Henderson, Polk & Transylvania Counties

Pardee Home Health

15 Serving Buncombe, Henderson, Polk, Rutherford &Transylvania Counties

Aging Resources 2020â&#x20AC;&#x201C;2021

Caring for Yourself When You’re a Caregiver Strategies for Taking Care of Your Needs While Caring for a Loved One

If you are a caregiver for a chronically ill, disabled or elderly family member, you are not alone – nearly a third of the U.S. population provides such care during any given year, spending an average of 20 hours a week on caregiving, according to the Caregiver Action Network. As a caregiver, you know first-hand the challenges of finding balance in your life while caring for someone else. Juggling your own personal and family obligations as well as those of the person whom you’re caring for can be difficult and sometimes feel impossible. As a result, it’s not uncommon to neglect your own needs and become depressed, frustrated, exhausted and physically ill. Sadly, caregiver burnout also can result in resentment of and anger towards the person you’re caring for and – in the worst-case scenario – unintentional abuse or neglect of that elderly or disabled loved one. AgingResourcesWNC.com

By making self-care a priority, you are not only helping yourself as an individual, but also as a family member and caregiver. Here are some strategies for taking care of yourself in the midst of caregiving: Focus on Healthy Habits • Do what you can to get enough rest and quality sleep, including taking naps when you can. • Incorporate exercise into your regular routine, even if it’s just in short stints. • Avoid junk food and fast food and eat nutritious meals and snacks. • Drink plenty of water and don’t overdo caffeinated beverages. • Don’t postpone your own regular medical check-ups. • Avoid abusing tobacco, alcohol or drugs, including prescription medications. continued on next page

Ask for Hands-on Help From Others • Adopt an attitude of being willing to accept help from others. Avoid the mindset that you are the only one qualified to take care of your loved one. Create a plan for respite care so you can have breaks from caregiving. • Enlist friends and family members of all ages to help with tasks such as grocery shopping, housework, yard work and taking your loved one to appointments and out recreationally. • Explore the possibility of contracting home care or home health care for your loved one. • Consider investing in healthcare-related devices like personal emergency response systems, or PERS, which can give you more peace of mind. Get Emotional, Psychological and Spiritual Support • At least once a day – preferably for at least 30 minutes – engage in an activity that gives you joy, such as reading, watching television, listening to or playing music or participating in a hobby like gardening or crafting. • Carve out some time every day to sit quietly by yourself. Include meditation, prayer or inspirational readings if those activities are enjoyable and fulfilling to you. • Realize that a range of emotions come with caregiving.

• Participate in caregiving support groups. Communities of caregivers can be found both online and throughout our region. By taking care of yourself while you are taking care of someone else, you can reduce your stress and lessen the chances for negative impacts, allowing you to feel more joy and satisfaction with the labor of love that is caregiving.

CAREGIVING RESOURCES Caregiver Action Network CaregiverAction.org Family Caregiving Alliance Caregiver.org National Alliance for Caregiving Caregiving.org Respite Care Advice AARP.org/Caregiving/Life-Balance/ Info-2017/Respite-Care-Plan.html

LEARN MORE ABOUT How technology can help on page 14. Home Care and Home Health Care on page 38. Area Home Care and Home Health Care providers and their services on page 42. Caregiver Support resources in the Aging Resources Directory on pages 91 & 92.

Aging Resources 2020–2021

Brooks-Howell Offers Compassionate Care through Age-in-Place Services, Respite and Dementia Care Skilled Care

Established more than 60 years ago, Brooks-Howell is a nonprofit, charitable age-in-place continuing care retirement community in the center of Asheville that is owned and supported by the United Methodist Women of the United Methodist Church. Located on 10 acres less than a mile from downtown Asheville, Brooks-Howell offers skilled care through its Health Center and Intermediate Care to anyone in the community age 62 and older whether or not they are affiliated with the United Methodist Church. In addition to accepting long-term care insurance, Brooks-Howell offers a sliding scale payment program for long-term care residents. Brooks-Howell takes pride in offering more individualized care for residents by having a high ratio of CNAs to residents. All of Brooks-Howell's rooms are private with a view of Brooks-Howell's 10 acres of landscaped grounds. Brooks-Howell is also known for the quality cuisine which meets each individuals' particular nutritional needs. Brooks-Howell also provides short and long-term rehab with on-site physical, speech and occupational therapy. Aqua-therapy also can be provided in Brooks-Howell’s indoor pool. An interdisciplinary team develops a clinical care plan which also ensures a high quality of life outside the clinical arena. Medical Director Dr. Hiren Patel is board certified in geriatric medicine. Brooks-Howell is committed to providing exceptional care to residents with dementia. The majority of staff have undergone comprehensive dementia education from the National Council of Certified Dementia Practitioners and have become Certified Dementia Practitioners. Amenities for all residents include a heated pool for recreation and therapy, full service beauty salon, medical equipment loan closet, chapel for worship and activities, resident dining, comprehensive library and transportation services.

" Respite care at Brooks-Howell turned out to be the best thing I could have possibly done! I had the break I needed to refresh my own spirit."

Respite Care at Brooks-Howell

Respite care is an opportunity for a caregiver of a loved one to be able to rest and rejuvenate their spirits while their loved one is cared for at Brooks-Howell for three to 30 days. A Registered Nurse will provide a free in-home consultation to answer any questions the caregiver and the loved one has. The respite care resident may participate in all of Brooks-Howell’s activities and medications can be brought from home. Brooks-Howell’s robust respite care program includes activities that support intellectual, emotional, physical and mental health. Because Brooks-Howell understands the importance of respite care, rates are competitive.

Independent Living

Brooks-Howell’s Independent Living for individuals affiliated with the United Methodist Church has a variety of affordable accommodations. Additional services for Independent Residents include an on-site medical clinic, transportation for shopping and medical appointments, outpatient therapy services, walking trails, and access to gym equipment. Guest rooms are available. As an integrated community, Brooks-Howell residents enjoy dining and activities together which also promotes the inclusive nature of Brooks-Howell. Learn more about all Brooks-Howell has to offer by calling (828) 253-6712 or visiting brooks-howell.org.

266 Merrimon Ave., Asheville, NC | (828) 253-6712 | Brooks-Howell.org

Age in Place with Universal Design Approaches That Can Help You Maintain Independence Longer As we grow older and our physical abilities change, our living spaces sometimes need modifications to help us function, prevent falls and stay independent so we can “age in place” in our homes. Through a design approach called Universal Design, or UD, we can make our homes more accessible, operational and safe. UD often involves simple, small changes that can make huge differences. For example, retrofitting a home using UD can be as easy as changing lighting to reduce glare, installing wall-to-wall carpet, putting up two handrails on staircases or making thresholds smooth. Such changes actually benefit everyone, make living easier and more secure for people of all ages and abilities, from toddlers to seniors. Universal Design sometimes can call for more involved remodeling, like making a barrierfree bathroom with a walk-in tub or roll-in shower. Creating a more accessible kitchen may include appliances at lower heights and cabinets with roll-out shelves and handles rather than knobs. These UD elements are a bigger investment but are still less expensive and less disruptive than having to move from home to an assisted living or care facility. Retrofitting a home using UD also can be done gradually as your budget allows and on an “as needed” basis. If you are building a home, you are in a great position to incorporate UD options into your new space such as wider hallways for wheelchairs or walkers, lower light switches, 46

higher electrical outlets and blocks behind walls to accommodate grab bars if they are needed later. The cost of incorporating UD into the design of a new home is minimal, while having UD throughout the house can add great value for resale. Interior designers and homebuilders who are Certified Aging in Place (CAP) specialists can help you decide which Universal Design elements to bring into your current home or to add to your new home’s blueprints.

UNIVERSAL DESIGN RESOURCES

The RL Mace Universal Design Institute UDInstitute.org The National Aging In Place Council AgeinPlace.org AARP HomeFit Guide AARP.org/Livable-Communities/ Housing/Info-2020/ Homefit-Guide.html USC Leonard Davis’ School of Gerontology’s Interactive Website LifetimeHome.org University at Buffalo’s Center for Inclusive Design and Environmental Access Idea.ap.Buffalo.edu/About/ Universal-Design/ Certified Aging in Place (CAP) Specialist Directory in the National Association of Home Builders NAHB.org/Education-and-Events/ Education/Designations/CertifiedAging-in-Place-Specialist-CAPS

Aging Resources 2020–2021

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Universal Design Options That Can Make Life Easier • Lights that turn on when you approach your home • No-glare lights for general lighting and task lighting • Rails on both sides of stairs • Raised electric outlets • Lowered rocker light switches • Programmable thermostats • Remote-controlled lighting, window blinds and other home systems • Drawers instead of cabinets in kitchen • D -shaped cabinet and drawer pulls • Wall-to-wall carpet rather than throw rugs • Wires neatly managed, off floors • Grab bars by toilets and in showers • Elevated toilets • Roll-in showers • Hand-held shower heads on glides

•N on-slip, low-maintenance floors in bathrooms •K itchen, bedroom, bathroom and laundry on one floor •S ide-by-side refrigerator/freezer aised or lowered dishwasher •R •C ounter-height microwave •F lat cooktop with front controls toves and sinks with open space •S underneath for someone seated •S eparate, comfort-height wall oven •V aried counter heights so cooks can sit or stand •B eveled corners on counters, furniture and walls •R aised, front-load, front-control washer and dryer • 36-inch-wide doorways and hallways to accommodate wheelchairs

Visit the New Aging Resources Website! • View Recorded Presentations from our Virtual Senior Expo nhanced, Searchable •E Online Resource Directory • Website Links to Local Providers & Services • Additional Articles & Tips on Successful Aging, Health & Wellness • Sign Up for the Aging Resources Newsletter • Accessible from Your Computer, Phone or Tablet

AgingResourcesWNC.com 48

Aging Resources 2020–2021

Aging in Place Starts with the Home Many older adults want to “age in place” stay in their homes as they get older. Without a safe, well maintained home, this simply isn’t an option. That’s where we come in!

CALL TODAY FOR YOUR FREE SENIOR HOME SAFETY ASSESSMENT! Reduce fall hazards Install a ramp with handrails to the front door.

by placing no-slip strips or non-skid mats on tile and wood floors or surfaces that may get wet.

Don’t use area rugs

Place light switches

and check that all carpets are fixed firmly to the floor.

at the top and bottom of stairs and remember to turn on night lights.

Replace handles

Install grab bars

on doors or faucets with ones that are comfortable and easier to use.

near toilets and in the tub or shower.

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Simplify Possessions for a Manageable Life Downsizing Household Items can Help Prepare You for Your Next Transition Maybe your children are grown and living on their own and you find yourself with more house – and more possessions – than you need or want. Perhaps you want to trade your life in a multi-story house with a basement for one in a retirement community with one level and less upkeep. Or maybe you are thinking of moving to an assisted living or skilled nursing facility. Reducing the number of household items you own may better suit your needs at this stage in your life and there are many professionals and resources that can help with this transition. Consider Hiring a Professional Sorting through and getting rid of possessions – especially in a home where you’ve lived for many years – can feel daunting particularly if you have a lot of household items of yours and your loved ones. You may benefit from employing the services of professionals who specialize in sorting and organizing, managing paperwork and documentation, selling items through estate sales, coordinating the donation of possessions to charity and arranging packing and moving. 50

Professional organizers include Senior Move Managers who are members of the National Association of Senior Move Managers. The organization has a searchable database of Senior Move Managers at nasmm.org. Tips for Tackling Downsizing Tasks To do some downsizing yourself, start by honestly evaluating what items you need and currently use in your life and think about what you really will need – or won’t – in your next living arrangement. When considering what to do with items, categorize items as those to “keep,” “sell or donate,” “see if a family member wants” or “throw out.” Using color-coded stickers to indicate which category an item falls into or putting items into different designate piles also can help during the sorting process. Because it’s easy to become overwhelmed, pace yourself, enlist the help of friends and loved ones if possible and limit your sorting and purging sessions to no more than two hours at a time. If you have possessions that you think friends and loved ones would like, invite them over to take items for themselves, perhaps at a “downsizing party.” Consider contacting local nonprofit thrift stores and other charities about your donations which may be taxdeductible. Many organizations will come to your home to pick up furniture and other Aging Resources 2020–2021

household items that you want to give away as long as they are in good condition. Areas to Start With Your Downsizing Include: • Getting rid of clothing and accessories you haven’t worn in years • Purging collections of books, magazines, CDs, albums, DVDs and VHS tapes • Clearing out multiple pieces of furniture, especially ones that are large and bulky • Disposing of unused exercise equipment, tools, kitchen appliances and other devices • Weeding out holiday and other decorations • Passing on keepsakes, old photos and mementos to family members • Emptying off-site storage facilities

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AgingResourcesWNC.com

• Going through paperwork, digitizing important documents and shredding files that are outdated or no longer needed While the prospect of downsizing may be daunting at first, be encouraged that as an increasing number of older adults adopt a “less is more” lifestyle, there is more help available than ever with transitioning to your next home.

SENIORS REAL ESTATE SPECIALIST® (SRES®)

REALTORS® with the Seniors Real Estate Specialist® designation specialize in helping clients 50 and older with relocating, refinancing or selling their home. Learn more by turning to page 52.

Whether Buying or Selling, We Sell WNC! As a licensed Seniors Real Estate Specialist®, Chris Scruggs and the WeSellWNC team can help you find the perfect home.

Call Us Today at 828.290.1207!

WeSellWNCTeam.com @WeSellWNC Each office independently owned & operated.

Seniors Real Estate Specialists

Trust an Expert as You Prepare for Your Next Move To better address the unique needs of home buyers and sellers who are 50 years old and older, some REALTORS® earn the SRES® – or Seniors Real Estate Specialist® – designation. The SRES® designation indicates that a REALTOR® has demonstrated the necessary knowledge and expertise to counsel clients age 50 and older through the major financial and lifestyle transitions involved with relocating, refinancing or selling their home. SRES® designees recognize that a home is often the largest and most precious asset that older adults have and these certified senior specialists can help with navigating the financial and emotional aspects of selling a long-held family home. REALTORS® with the SRES® designation have knowledge about a range of seniorrelated aspects of home ownership including things like managing capital gains and tax implications, how Medicare, Medicaid and Social Security affect real estate decisions for senior citizens, how Universal Design can help seniors stay independent in their homes and how to avoid loan schemes and scams that target older adults. SRES® designees have specific training and experience related to assisting older adults 52

with real estate transactions, including: • Creating a customized plan to market and sell your property; • Understanding your unique needs and creating a personalized plan to ensure your home meets those needs now and in the future; • Utilizing specialized knowledge in reverse mortgages, 401(k) accounts and IRAs for your real estate transaction; and • Connecting you with a network of movers, attorneys, CPAs, home inspectors and other experts to help you through the process.

MORE ABOUT SRES® For more about REALTORS® with the SRES® designation visit SRES.org. To find Seniors Real Estate Specialists® in your area, visit our Resource Directory on page 104.

Aging Resources 2020–2021

There are chairs, and then there are chairs. Find your next treasure at the Four Seasons Hospice Home Store. Donate or Shop! Collectibles, Antiques, Fine Furniture, Clothing, Kitchen, Books, Art & More.

215 N Main Street, Hendersonville 21 Long Shoals Road, Arden HospiceHomeStore.org

Hospice Home Store

AgingResourcesWNC.com

Understanding Different Types of Senior Housing

Residential Options for Elders Vary Based on Individual Needs

If you are in the process of searching for senior housing for yourself or a loved one, it’s important to understand the differences in types of housing available for older adults with varying needs. Choices include independent and assisted living facilities, continuing care communities which are also known as life plan communities, family care homes, and nursing homes which are also known as skilled nursing facilities. You aren’t just looking for a roof over your or your loved one’s head – you are searching for a place that has the facilities, staff and services to meet your needs now and in the 54

future. Understanding the types of housing available, the industry lingo and pertinent state regulations – which vary from service level to service level and state to state – can help ensure you make the right move. Independent Living As the name states, independent living refers to a community of apartments and/or singlefamily homes where residents – typically restricted to people 55 years old or older – live on their own without assistance. Some allow you to buy your unit, some are rent only and some offer a choice of either option. continued on page 56 Aging Resources 2020–2021

Change Your View Not Your Lifestyle Ardenwoods Retirement Community offers an incredible variety of on-site amenities and activities including:

www.ArdenwoodsRetire.com 828-484-6744

• Chef-prepared dining • Fitness center • Indoor pool • Library • Salon and spa • Gardening • Nature trails • Art studio and more!

Independent and Assisted Living. Your Choices, Our Priorities.

Keeping Care in Carefree

www.HeatherGlenRetire.com 828-532-2071

Heather Glen is an active 48-residence community available should your health care needs change. Services are provided in a cozy, non-clinical atmosphere and include round-the-clock assistance with bathing, grooming and dressing, and medication maintenance. Registered nurses partner with physicians, residents, and families for a truly customized approach to short or long-term care.

Along with apartments and homes, many of these communities provide amenities such as scheduled social activities, recreational facilities, transportation to and from appointments, housekeeping and laundry services, and full-service dining. Some of these amenities may be included in the facility’s regular monthly fee while others may cost extra. Independent living facilities are not licensed to provide medical care, home care or home health care, but they can invite a licensed provider to offer on-site care and contract individually with residents. As a resident, you can choose to use the on-site provider or a provider of your choice. Independent living facilities also may be called congregate living or retirement communities. Assisted Living Assisted living in North Carolina can refer to state-licensed adult care homes, statelicensed family care homes and non-licensed multi-unit assisted housing with services. Adult care homes, which are defined as having more than seven beds, offer 24-hour supervision and assistance to residents. Licensed by the North Carolina Division of Health Service Regulation, they provide meals, housekeeping, personal care services, medication supervision and management and nursing services as needed. Family care homes are also licensed by the state. They have from two to seven beds and offer 24-hour supervision, meals and personal care to residents. They operate as any regular family home does and are not required to have nursing staff. Caregivers live

on-site, adding to the family atmosphere and providing residents with a consistency of care not usually achievable in more traditional assisted living facilities. Multi-unit assisted housing with services sites are registered with the state but are not licensed. These facilities are only required to provide housekeeping and one meal a day. All other services — like personal care, extra meals, transportation, activities and medication management — can be charged for individually. These facilities must maintain an agreement with one licensed home-care or hospice-care agency to provide personal care and nursing services to residents on-site. However, residents are always free to choose their own providers. Most of these establishments offer a full schedule of activities on-site and opportunities for off-site events. A few also have special wings for dementia care. Be aware, however, that just because an assisted living facility says it has a memory care unit does not guarantee that the staff is well trained in managing dementia or that state-of-the-art activities are offered. Be sure to ask for staff training and program specifics and spend some time observing the unit. Assisted living facilities also may be called rest homes or homes for the aged. Whatever name they go by, it is important to know if they are licensed or registered and exactly which services come as part of their standard care and fee and which are charged at an extra cost. continued on page 58

Aging Resources 2020–2021

RIGHT THERE WITH YOU. Arbor Terrace Asheville is your partner in living life to the fullest. Arbor Terrace Asheville is your partner in living life to the fullest. Arbor Terrace Asheville is your partner in living life to the fullest. Arbor Terrace provides you with the assistance you need to maintain the lifestyle you prefer. From the comprehensive measures ensuring the health and safety of our residents to empowering them to live their best life, there is simply no better place for seniors than Arbor Terrace.

Assisted Living & Dementia Care CALL 828-532-2497 FOR MORE I N F O R M AT I O N ! www.AT-Asheville.com

AgingResourcesWNC.com

Nursing Homes or Skilled Nursing Facilities Nursing homes – also known as skilled nursing facilities – also are licensed by the North Carolina Division of Health Service Regulation. They offer the highest level of residential care and are the right choice for short-term inpatient rehabilitation for people recuperating from an accident or illness or for those who are chronically ill and need longterm care. In addition to a bed and meals, these homes provide round-the-clock monitoring, personal care, nursing care, rehabilitation, medication management and social-work services. Most also offer a schedule of activities and opportunities for socialization.

Continuing Care Retirement Communities (CCRCs) or Life Plan Communities Continuing care retirement communities, which are also known as CCRCs or life plan communities, offer all three levels of care – independent living, assisted living and nursing home or skilled nursing – all on one campus. Typically, these communities require a buy-in or entrance fee. For this investment, residents are guaranteed the level of care they need at a regulated rate for life. Most CCRCs require that residents be able to live independently at the time of buy-in. Buying into a CCRC can simplify financial planning and allows residents to establish continued on page 60

Choose Your Own Adventure Passion, Purpose, and Possibility: Discover Givens Estates

Reach out today to plan your next adventure. 828.771.2203

2360 Sweeten Creek Road | Asheville, NC 28803

givensestates.org

Aging Resources 2020–2021

AgingResourcesWNC.com

peace of mind for everyone in the family. Each community must issue and provide potential residents with a disclosure statement on their financial health. If you or your loved ones are considering a CCRC, it is imperative that you not only understand the terms of your contract but that you also understand the community’s disclosure statement. These contracts usually fall into one of the following categories: • Extensive contracts are full-service contracts that provide for residents to transfer from on-site independent living to on-site assisted living or skilled nursing when needed for an unlimited time and at little to no additional cost. The CCRC bears the majority of the burden of the residents’ long-term care.

odified contracts obligate the CCRC to •M provide health-related services for a specified number of days at no additional cost or at a subsidized fee. Thereafter, the financial responsibility for long-term care shifts to the resident. • Fee-for-service contracts give residents guaranteed admission to on-site assisted living or a skilled nursing facility when needed but residents must pay extra for these additional services when used. With this type of contract, the resident bears the full financial burden of additional long-term care needs. • Equity contracts involve a true real estate purchase. Be aware that the health-related services with these contracts differ.

NC State Veterans Home of Black Mountain Caring for Those Who Served

Licensed by the State of North Carolina and Approved for Medicare, Medicaid and Third-party Insurance. •P hysical, Occupational, Speech and Aquatic Therapies emory Care, 24/7 Nursing Care, •M Wound Care, Pain Management, Medication Management and Hospice

• Full-Time Dietician and Nutritious Meals •A ctivity Programs, Meditation Room, Chaplain, Social Work and Volunteer Programs ousekeeping, Laundry, Private Rooms, •H Cable TV, Internet Access and Activities

Call Today to Schedule Your Pre-admission Tour.

(828) 257-6800

62 Lake Eden Road Black Mountain, NC 28711 Governed by the Department of Military & Veteran Affairs

Aging Resources 2020–2021

• Rental contracts provide for housing, services and guaranteed access to healthrelated services in exchange for monthly rent and service fee. Typically, as part of these fees, residents are guaranteed healthcare services at a discounted fee for a certain number of days. After that, full rates are charged. Regardless of how well you understand these documents, it may be prudent to take them to an elder law attorney or a CPA who can explain them to you. Careful Evaluation is Key Making a move to senior housing involves research and planning. Do not be shy about asking questions, requesting to dine with a current resident or asking to spend a weekend or up to a week at any community

you or your loved ones are considering. The more information you gather about different properties and their services, their policies and rights as a resident, the better choice you or your loved one will make.

ASSISTED LIVING AND SKILLED CARE RATINGS AND REGULATION Check on the licensing, inspections, ratings, penalties and more for assisted living and skilled care facilities at the N.C. Division of Health Service Regulation at NCDHHS.gov/DHSR/Index.html. Visit Medicare’s Nursing Home Compare at Medicare.gov/ NursingHomeCompare/Search.html.

Boutique Living • Home Ambiance Assistance Tailored to You

Resident-focused, senior living nestled in the enchanted mountains of Asheville, NC embracing enhanced and joyful living.

silverbellhomestead.com 828.844.4634

765 Cane Creek Road, Fletcher, NC 28732

AgingResourcesWNC.com

N.C. Senior Housing Regulation For a list of licensed assisted living facilities by county, to check on any violations and penalties and to see their star ratings from the N.C. Division of Health Services Regulation, visit NCDHHS.gov/DHSR/ACLS.

from a few thousand dollars to more than $1 million with a typical entrance fee ranging from $68,000 to $370,000. NCDOI says monthly fees for CCRCs in North Carolina can range from $1,000 to more than $8,000 but typically fall within the $2,000 to $4,000 per month range.

To see licensed family care homes listed by county, visit NCDHHS.gov/ DHSR/Reports.htm.

Because CCRCs require a long-term financial investment from residents, they are regulated by the North Carolina Dept. of Insurance. Their skilled-nursing units are licensed by the North Carolina Division of Health Service Regulations.

A list of licensed nursing homes in North Carolina by county can be found at NCDHHS.gov/DHSR/ Reports.htm. A Medicare star rating and facility comparison of nursing homes/skilled nursing facilities including those that are part of continuing care retirement communities or life plan communities can be found at Medicare.gov/ NursingHomeCompare. CCRCs in North Carolina According to the North Carolina Dept. of Insurance, entrance fees for North Carolina CCRCs can range

The N.C. Dept. of Insurance publishes a CCRC reference guide that can be accessed at https://Files.NC.gov/ DOI/Documents/Continuing-CareRetirement-Communities/2019CCRC-Reference-Guide.pdf. Other information including a list of licensed facilities in North Carolina and their related disclosure statements can be found at NCDOI.gov/ Documents-Disclosures and https:// Files.NC.gov/DOI/Documents/ Continuing-Care-RetirementCommunities/CCRCList.pdf.

Keep Up With Aging Resources Magazine Weekly by Subscribing to the Online Newsletter! Featuring Health & Wellness articles, tips and announcements, the Aging Resources Newsletter will arrive directly to your email each week of the month. Subscribe to the newsletter at AgingResourcesWNC.com.

Aging Resources 2020â&#x20AC;&#x201C;2021

Find your sweet spot.

Tucked away in the foothills of the Blue Ridge Mountains, Tryon Estates, a premier Acts Retirement-Life Community in North Carolina, surrounds its residents with gorgeous scenery, wonderful friends and gracious living. With delicious on-campus dining, a host of exciting activities and on-site health care professionals, Tryon Estates offers the peace of mind that comes from knowing that your happiness and well-being are our priority. Best of all, our Acts Life CareÂŽ offers a full continuum of care at predictable monthly fees that protect your nest egg even as needs change. Call today to find out how you can come home to Tryon Estates.

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SENIOR HOUSING OPTIONS

Enjoy the Peace of Mind Offered by These Housing Providers Medicaid Accepted

Medicare Accepted

Rehabilitation Care

Respite Care

On-Site Home Care

Ardenwoods

Asheville

Brooks-Howell Home

Asheville

Deerfield Retirement Community

Asheville

Givens Estates

Asheville

Givens Highland Farms

Black Mountain

Heather Glen Assisted Living

Arden

60 NC State Veterans Home

Black Mountain

Pisgah Valley Retirement

Candler

Silverbell Homestead

Fletcher

The Laurels of GreenTree Ridge

Asheville

The Laurels of Summit Ridge

Asheville

Trinity View

Arden

HENDERSON COUNTY

106 Carolina Village

Life Plan (CCRC)

Asheville

Hendersonville

Fletcher Park Inn

Hendersonville

Heritage Hills

Hendersonville

The Laurels of Hendersonville

Hendersonville

Legacy at Mills River (Accepting Reservations)

Mills River

Nursing Care

Arbor Terrace

PAGE

Memory Care

BUNCOMBE COUNTY

PAGE

Assisted Living

Independent Living

PAGE

POLK COUNTY

Tryon Estates

Columbus

Aging Resources 2020â&#x20AC;&#x201C;2021

Trinity View offers amenities and services without the commitment of an entrance fee. AMENITIES INCLUDE: • No Entrance Fee • Pet Friendly • Fine Dining • Transportation • Housekeeping • On-site Clinic

• On & Off Site Activities • Exercise Center with Fitness Instructor • Priority Access to our Assisted Living • 24-Hour Security/Maintenance

828.687.0068 • www.TrinityView.net

2533 Hendersonville Road • Arden, NC 28704 Trinity View is a not-for-profit affiliate of Lutheran Services Carolinas. Trinity View does not discriminate on the basis of race, age, sex, religion, or national origin.

Senior Housing Checklist What to Look for and Ask When Considering a Move to Senior Housing

Thinking about moving to senior housing? Here is a comprehensive checklist of questions to ask and things to consider when evaluating the options for you or a loved one: The Property A re the grounds attractive? Is the building well kept? Are the common areas inviting? I s it handicap accessible? Are hallways and doors wide enough for walkers and wheelchairs? re handrails in the hallways? A Are there elevators as well as stairs? Is it well lit? hat precautions are being taken to W reduce the spread of COVID-19? Does it have a pleasant smell?

Do you like its layout? Is it easy to find your way around? ow close are amenities like the H dining room and recreational areas to living quarters? I s security on the grounds 24 hours a day, seven days a week? How far is it from where loved ones live? The Staff Are staff present throughout the property? re the front-desk staff friendly A on the phone and in person? continued on page 68

Aging Resources 2020â&#x20AC;&#x201C;2021

Senior Care Authority Finds Housing and Care Solutions That Best Fit Seniors’ Individual Needs Finding the right senior housing and care can be

Senior Care Authority also can help with finding other

these decisions, Senior Care Authority acts as an advocate

fiduciaries, day programs, moving specialists and more.

challenging. To help seniors and their loved ones navigate

and offers services that help people find senior housing

resources, such as attorneys, in-home care professionals,

and care solutions in the Carolinas.

Senior Care Authority Also Offers ElderCare Consulting

With a coverage area that encompasses 11 counties in

ongoing decision-making and navigating often complex

Western North Carolina and eight counties in Upstate

South Carolina, Senior Care Authority connects seniors

and their families with senior residential and care

Families sometimes need help with challenging transitions, healthcare systems, particularly when a senior loved one’s desire is to stay independent and safe at home as long as possible.

communities that best fit clients’ needs.

Through its ElderCare Consulting services, Senior Care

Senior Care Authority helps sort through and understand

family members, locate a skilled nursing facility, help with

care options, traverses a complex healthcare system, gets accurate and up-to-date information and connects clients to vetted local resources.

Through its relationships with senior communities throughout the Carolinas, Senior Care Authority has knowledge of which ones may be the best matches for individuals and their particular wants and needs, including financial, medical, religious and social criteria.

Authority can facilitate essential conversations between home care agency or caregiver selection, coordinate long-

distance caregiving, find the right resources and make regular visits to a loved one, providing families with peace of mind when they are unable to be there in person.

ElderCare Consulting plans are not “cookie cutter” but rather are customized for families. Also, there is no fee for an initial consultation.

“We work with families and the seniors themself to identify what’s important in terms of housing and care,” Senior

Care Authority Owner Linda Cale said. “It’s a privilege to be able to work with families, to be an advocate, to give a

sense of not being alone, to help people have a roadmap.”

The Senior Care Placement Process After someone reaches out by phone or fills out a form

online, Senior Care Authority follows up with a phone

Linda Cale, Owner

assessment and then a consultation to understand needs, answer questions and discuss suitable options.

A plan is then made with clear steps and goals. Once potential housing and care providers are identified, Senior

Care Authority schedules tours, accompanies clients to sites and assists with paperwork and moving arrangements.

Once care has been established, Senior Care Authority follows up to ensure that expectations of the care, comfort

Senior Care Authority Serves: The Western North Carolina counties of Buncombe, Cherokee,

Graham, Haywood, Henderson, Jackson, Macon, Madison, Polk, Swain and Transylvania.

The Upstate South Carolina counties of in Anderson, Cherokee, Greenville, Laurens, Oconee, Pickens, Spartanburg and Union.

and safety needs are being met.

2131 Woodruff Road, Suite 2100, #361, Greenville, South Carolina, 29607 AgingResourcesWNC.com 864-402-8600 | SeniorCare-Carolinas.com 67

I s every staff member at every post – front desk, maintenance, housekeeping, healthcare, dining room – appropriately dressed, pleasant and attentive? re your phone calls and emails A responded to promptly? I s it easy to reach someone by phone and to leave a message? o staff members know residents and D address them appropriately? The Residents Are the common areas active? o residents look well and happy and are D they socializing? hen you ask them, what do residents W have to say about life in their community

and their satisfaction with food, healthcare and other services? oes the property have a newsletter D or monthly calendar of events in print and/or by email or online? If so, check out several months’ worth to see if the frequency of and types of activities offered are appealing to you. The Food hat dining options are available? W Is there more than one dining room? Are complimentary coffee, tea, water and other beverages available throughout the day? Can you carry out meals to go or have them delivered, and if so, is there an extra charge? What meals does the dining room serve and how many are included in the monthly fee?

Easy Mountain Living Nestled on 75 beautiful acres, Givens Highland Farms is just minutes from downtown Black Mountain and a short drive to Asheville. Our walkable, pet-friendly, Life Plan Community encourages an active and natural lifestyle. Freedom from responsibilities, such as yard work and home maintenance gives our residents more time to enjoy a unique, carefree mountain lifestyle. New Apartments Coming! For more information, call 828-357-3621

For more information, call 828-357-3611

givenshighlandfarms.org

Aging Resources 2020–2021

Is the dining room full at dinner? hat foods are available every day? W Get sample monthly menus to review. re meals for people with special A dietary requirements available? oes the food taste good? Is it presented D with pride? Are portions to your liking? Dine in the dining room at least once. I s there a private dining room if you wish to host a special event? Are special meals offered on holidays? Services and Amenities

Think Think small small and and

LIVE BIG

hat services are available? Laundry? W Housekeeping? Transportation to and from shopping, medical and other appointments, and special events? Wi-Fi? I f transportation is available, how often does it run, how far will they take you and is there an extra charge? re there on-site recreational facilities for A exercise, games and other activities? hat activities are available daily? What W special events are offered? Check out several months of events calendars. Is there an on-site hair salon or barber? I s there newspaper delivery, telephone, TV, cable and Internet availability?

Big Big Advantages Advantages to to a a Small Small Community Community

There’s something about the vastness of the There’s something about the vastness of the mountains that creates a longing for something smaller mountains that creates a longing for something smaller and more intimate. Nestled in a serene setting just and more intimate. Nestled in a serene setting just outside of the vibrant city of Asheville, North Carolina, outside of the vibrant city of Asheville, North Carolina, Pisgah Valley is a right-sized retirement community with Pisgah Valley is a right-sized retirement community with big advantages. big advantages. Here the staff and fellow residents not only know each Here the staff and fellow residents not only know each other’s names, they really get to know and other’s names, they really get to know and appreciate one another as individuals. This greater appreciate one another as individuals. This greater sense of community leads to more frequent and sense of community leads to more frequent and meaningful social interactions, including engaging in a meaningful social interactions, including engaging in a range of social and enrichment activities. range of social and enrichment activities.

re there accommodations A for overnight guests? I s there assistance with WhatsApp, Zoom, Skype or other video messaging platforms so relatives and friends can visit virtually? Are any religious services offered? continued on next page

AgingResourcesWNC.com

Schedule your personal tour today. Schedule your personal tour today.

828.418.2333 828.418.2333

PisgahValleyRetirement.com PisgahValleyRetirement.com

6 Rhododendron Way, Candler, NC 28715 6 Rhododendron Way, Candler, NC 28715 A Continuing Care Retirement Community A Continuing Care Retirement Community from the Liberty Senior Living family from the Liberty Senior Living family

Costs and Contracts What exactly is included in the monthly fee? Which utilities and services are extra? When can fees be raised and by how much? What happens if your funds run out? Do you need renters insurance? hat can result in termination of your W lease or contract? Read your lease or contract and make sure you understand everything in it. If you don’t, consult an attorney. If buying into a continuing care retirement community, or CCRC, or life plan community, be sure to receive a contract and financial disclosure. hat are your rights as a resident? W Is there a resident council? What is the grievance procedure? Your Living Space

In Independent Living

What floor plans are available? re pull cords throughout the residence in A case of accident or emergency? Is 24-hour emergency response available?

an you stay in an apartment overnight C or longer to see how you like it? re pets allowed? If so, are there A restrictions? Is there a place to walk dogs? Is a dog walker available? In Assisted Living and Skilled Nursing

an you lock your windows and doors? C Who else has access to your room and under what conditions? an couples live together in assisted C living and skilled nursing rooms? re rooms private or doubles? A If doubles, can you request a private room and if so, what is the charge? re pets allowed? If so, A what are the restrictions? Healthcare Services For Independent Living

I s medical staff on site? If so, what are their hours?

an you control your own heat and C air conditioning?

hat precautions are being taken to W reduce the spread of COVID-19?

I s the bathroom walker and wheelchair accessible?

hat healthcare services – such as W medication management, care during illness and physical therapy – are offered onsite? What is the cost?

Can you open your windows? an you have a washer and dryer in the C apartment and/or is there a common laundry room or on-site laundry service? ho has access to your apartment or W home and under what conditions?

I f the campus has assisted living and skilled nursing, how does the transition to a different living arrangement work?

an you hire home care or home health C care if needed and remain in independent living? t what point does a resident need to A move from independent living to assisted living and who makes that decision? What are your rights should you disagree? Aging Resources 2020–2021

For Assisted Living

I s it a licensed assisted living facility or multi-unit assisted housing with services? hat healthcare and daily-living W support services are available? hat precautions are being taken to W reduce the spread of COVID-19? re services all-inclusive or A offered as levels of care? hat is the staff-to-resident ratio W and staff turnover rate? t what point of care does a resident need A to move from assisted living to skilled nursing and who makes that decision? What are your rights should you disagree?

I s there a dementia care unit? If so, how is staff trained and what special services are offered? What are the daily scheduled activities? For Skilled Care

I s the facility licensed by the state? Does it have any violations? Can you choose your own doctor? hat healthcare and daily-living W support services are included in the fee? What is extra? hat precautions are being taken to W reduce the spread of COVID-19? hat is the staff-to-resident ratio W and staff turnover rate?

RETIREMENT LIVING IS AN ADVENTURE.

Call to schedule a visit and discover a holistic approach to a joy-filled retirement.

Asheville, NC

800-284-1531

AgingResourcesWNC.com

deer fieldwnc.org

Taking the road less-traveled. Taking the reins of your life and your future. Taking control. These are the things that got you in the position to have a choice about your future. And these are the reasons to choose a retirement community that provides a higher level of control. Homes with the best views are going fast. Call 828.348.7065 to schedule a one-on-one appointment with our team.

N E X T- GE N E R AT ION R E T I R E M E NT LIVING.

LEGACYATMILLSRIVER.COM

582 Jeffress Road, Mills River, NC 28759

How to Pay for the Care You Need Resources for Figuring Out How to Cover Elder Care Costs Challenged with how to pay for elder care services for you or a loved one? The following online resources can help you figure out how you may be able to cover these costs. LongtermCare.gov Managed by the U.S. Department of Health & Human Services, this website can help you answer questions about: • The costs of long-term care. • Disability and health insurance and how they may or may not pay for long-term care. • Long-term care insurance and what it covers, when coverage begins, how to shop for it, where to look for it and what the costs are. • How you may be able to use life insurance to pay for long-term care through Combination (Life/Long-Term Care) Products, Accelerated Death Benefits or ADBs, life settlements or viatical settlements. • How to pay privately for services through reverse mortgages, annuities and trusts. Benefits.gov Run by the federal government, this website is a single source of benefit information set up to help citizens understand which federal benefit programs they may be eligible for and how to apply. Based on the answers you provide, the website’s Benefit Finder can generate benefits you may be eligible for, including health and medical cost assistance.

BenefitsCheckup.org The National Council on Aging online BenefitsCheckUp can help you find federal and state benefit programs that may help your family pay for health care, medications, family caregiver support, respite care and more. NIA.NIH.gov/Health/Paying-Care Through this website, the National Institute on Aging offers options to consider when facing paying for long-term care including: • Personal funds such as personal savings, pensions or other retirement funds, income from investments in stocks and bonds and proceeds from the sale of a home. • Government programs and assistance offered through the Centers for Medicare & Medicaid Services, Medicare, Medicaid, Programs of All-Inclusive Care for the Elderly (PACEs), State Health Insurance Assistance Programs, the U.S. Dept. of Veterans Affairs and Social Security. • Private funding options such as long-term care insurance, reverse mortgages, life insurance, annuities and trusts.

More About Medicare Learn more on pages 77-79.

Community Resources

Read on page 32 about local Councils on Aging, Area Agencies on Aging, Veterans Affairs contacts and other resources that might be able to assist with care costs.

Aging Resources 2020–2021

KNOX LAW HAS A UNIQUE APPROACH TO ELDER LAW WITH COMPREHENSIVE SUPPORT SERVICES For Board Certified Elder Law Attorney, Caroline Knox, and her team at Knox Law in Hendersonville, the practice of elder law is much more than just finalizing legal documents. Caroline has spent the last two decades practicing elder law in Western North Carolina and was in the first class (of nine attorneys) of Board Certified Elder Law Specialists in 2009. She specializes in counseling clients about long-term care planning, asset preservation, Medicaid, estate planning, estate and trust administration, special needs trusts, guardianships and more. Knox Law is the only firm in Western North Carolina offering a multi-disciplinary approach to caring for clients and their families.

HELPING WITH LEGAL MATTERS AND CLIENTS’ DAILY LIVES Since she founded Knox Law in 2018, Caroline’s goal has been to help clients with not only their legal matters but also with issues relating to their well-being and daily lives. She recognized a significant need in the community for a comprehensive approach to assisting aging adults, especially those with no family members nearby.

CARING PROFESSIONALS WITH ‘A FEELING OF FAMILY’ At the request of clients or of the court, Caroline serves as power of attorney or guardian. In this capacity, Knox Law provides a range of services that can include arranging medical appointments, managing health care and household services, paying bills, setting up an emergency contact network, making funeral arrangements and organizing an estate sale. “We’ve built a strong relationship with all kinds of people who work with older folks, and through these connections, we’re able to provide services to our clients that contribute to their peace of mind,” Caroline says. “Everyone here at Knox Law cares, and there’s a feeling of family that carries into the work we do for our clients.”

Her team includes a social worker, geriatric case managers and account specialists. Services include in-home care referrals and management, placement at care facilities, insurance filing, Medicaid applications, asset preservation bill paying and geriatric case management.

16 Towne Place Drive, Suite 100 | Hendersonville | (828) 513-1600 | cknoxelderlaw.com Based in Henderson County, Knox Law serves all of Western North Carolina and beyond and can serve anyone anywhere through teleservices such as teleconferencing consultations and phone conferences.

Take Precautions to Prevent Being Scammed Tips to Prevent Being the Victim

of Scams Targeting Older Adults Access to major funds or credit, the fact that sometimes seniors are isolated and lonely and the perception that elders have reduced cognition are all reasons scam artists view older adults as easy prey. Each year, older Americans lose approximately $3 billion to an ever-growing number of financial scams, according to the U.S. Senate’s Special Committee on Aging. But just because you or a loved one may be a target doesn't mean you or someone you care about has to be a victim. With awareness of the most common scams and having strategies in place, you and your loved one can avoid getting ripped off and help law enforcement agencies shut down these sordid operations. Common Scams Targeting Seniors Senior scams play on our biggest fears and concerns – our health, our finances, our home and the well-being of our families. Scammers enter people’s lives by mail, phone and email, and in person with an unsolicited knock on 74

the door. They often look official and seem trustworthy. Their offers may seem like good ideas – often too good to be true. Some of the most common senior scams include: IRS Scams: People pretend to be Internal Revenue Service employees and ask for payment for back taxes that are supposedly owed. Sweepstake Scams: Fraudsters call or send a flyer saying you have won something. To retrieve your “prize,” they ask you to send a check or give your credit card or bank account number. Medicare/Health Insurance Scams: Someone calls saying they are from Medicare or a health insurance company and asks for confidential, personal information, such as your Social Security number. Social Security Scams: A caller pretends to be with Social Security and attempts to get your Social Security number and other personal information by threatening legal action.

Aging Resources 2020–2021

Romance or Sweetheart Scams: Through online dating sites and apps, scammers build fake relationships with targets. Once a sense of trust is established, the scammer creates stories to elicit the transfer of funds to pay for made-up expenses such as medical emergencies, airplane or hotel expenses and other major purchases. Update-Your-Account Scam: An email or text that looks like it is from a company you actually do business with pops into your inbox or comes across your phone and asks you to update your account information, including a credit card or bank account number. Home Repair Scams: Unsolicited, someone knocks on your door saying they can fix an issue with your home or on your grounds at a good price. Utility Imposter Scams: Scammers pretend to be with the electric, water, gas or other utility provider, say there’s an overdue bill and threaten that services will be turned off if payment isn’t made by providing a bank account number or credit card information. Charity Scams: Someone calls and asks you to donate to a fake charity with a very real sounding name or someone calls and says you previously made a pledge and they are now collecting on it — again, asking for cash, a check or your credit card number. Grandparent Scam: Someone calls and says something like, “Hi, Grandma, it’s me” – not giving a name. The senior then responds with the grandchild’s name and the caller assumes the grandchild’s identity and asks for money. Coronavirus Scams: Scammers trying to take advantage of people during the AgingResourcesWNC.com

pandemic include those pretending to be contact tracers, individuals saying they are government representatives calling about checks and people reaching out with offers for vaccinations and home test kits. There also are funeral and cemetery scams, discount drug scams, computer tech support fraud, fraudulent anti-aging scams, investment scams, reverse mortgage scams and debt collection scams. The list is long and new scams are created every day. What they all have in common is asking for money directly or asking for personal information they can use to steal your identity and get your money. How to Avoid Being Scammed Be aware that everyone is susceptible and no one is immune. Have your guard up no matter how sharp you think you are and no matter how legitimate something seems. To stay safe, follow these recommendations: • Don’t give credit card numbers, bank account numbers or Social Security numbers over the phone or by email. • Don’t answer the phone if you don’t recognize the caller. • Never answer the door for a person you don’t know. • Should you find yourself on the phone with a stranger, have a strategy for getting off the phone. Some people feel just hanging up is rude. If that’s the case for you or a loved one, have a strategy that works for you and use it – perhaps by saying that you have something to tend to and need to get off the phone. continued on next page 75

• Shred your mail and documents before throwing them away. • Lock up your checkbook, account statements and other sensitive personal information when people are going to be in your home. • Check references and credentials of people you are hiring to do work for you. • Consider using direct deposit to prevent benefit checks from being stolen from your mailbox. • Get an unlisted phone number. Your phone service provider will be glad to help you with this. • Make it your strict policy to talk over any financial, charity or spending decisions with a trusted family member or friend before giving out information or money. • Never click a link in an email or text to access or set up an account with a business. Always enter your account through the business’ main website via your own browser and if anything seems questionable, call or visit the business. • Trust your instinct. If your gut feeling is that something feels too good to be true, it probably is. Steps to Take if You Are Scammed If you or your loved one receive what you believe to be a scam phone call, email, text or mailing, or if you believe a scam artist has knocked on your door, report it immediately to your local law enforcement agency. Call your bank and/or credit card company to report what’s happened and cancel any debit 76

or credit cards linked to the compromised accounts. Be sure to reset passwords and personal identification numbers associated with access to those accounts. If you realize you have been a victim of a scam, do not be embarrassed. These scammers are professionals and are very good at what they do. Turn your misfortune into a positive for your community and report the scam so you can help protect others.

TO PREVENT AND REPORT SCAMS Sign up for the free National Do Not Call Registry at DoNotCall.gov or by calling 888-382-1222 from the phone you want to register. Check your credit report annually at AnnualCreditReport.com or by calling 877-322-8228. Consider putting a “security freeze” on your credit report to restrict access to your credit file, making it harder for identity thieves to open new accounts in your name. Find out more by visiting the North Carolina Dept. of Justice at NCDOJ.gov. Visit at NCDOJ.gov for more tips about avoiding being defrauded. Contact the Consumer Protection Division of the North Carolina Dept. of Justice at 877-5-NO-SCAM. Report a scam and stay up-to-date with what others are experiencing in your area by visiting the Better Business Bureau website at BBB.org/ ScamTracker/Charlotte.

Aging Resources 2020–2021

Understanding Medicare Need-to-Know Information for Navigating Your Federal Healthcare Options

The federal health insurance program Medicare is complicated but not impossible to understand. The program does have numerous parts and add-ons and the details of your selected policy can change from year to year, as can the premium. However, Medicare itself offers comprehensive information at Medicare.gov; publications you can download or have mailed to you; toll-free numbers for your questions; and Medicare counselors in a town near you who can walk you through the entire process by phone. But before you make contact, here’s a quick overview of Medicare – what it is, its parts and how those parts work together or not – so you know what specific questions to ask. The Basics Medicare is a federal health insurance program for people who are 65 years old or

older. Some people with certain disabilities or diseases qualify for Medicare before they reach 65 years of age. Medicare Parts Medicare is available in four parts – A, B, C and D – each with its own level of services. Additionally there is Medicare Supplement Insurance, or Medigap, which is not Medicare but a private policy that works with your Medicare policy to supplement your healthcare costs. Medicare Part A, in general, covers hospitalization, skilled nursing facility care, hospice care and some home-health services. This part is offered through the federal government with no premiums for most American citizens if they or their spouses paid Medicare taxes for a certain amount of time while working. continued on next page

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Medicare Part B pays for medically necessary services, physician’s services, outpatient care, medical supplies, durable medical equipment, ambulance services and some preventative screenings and services. This part is offered through the federal government and is combined with Part A. Part B does have premiums. Medicare Part C is also known as Medicare Advantage Plans. These plans are offered through private insurance companies and premiums are charged. These companies contract with Medicare to provide Medicare A and B benefits plus benefits and services not covered under A and B. They may offer extra coverage, like vision, hearing, dental or health and wellness programs. Also, many Part C plans offer prescription drug coverage (so if you have your Medicare through Part C, you won’t need Medicare Part D). With Medicare Part C, you typically are part of a Health Maintenance Organization (HMO), a Preferred Provider Organization (PPO), a private fee-for-service plan, a special needs plan, or a Medicare Medical Savings Account (MSA) Plan. Medicare Part D covers prescription drugs. It is an add-on to Parts A and B. As with Part C, Part D is offered through private companies approved by Medicare and there is a premium. Be aware that there is a penalty for late enrollment. Supplemental Insurance Medicare Supplement Insurance, or Medigap policies, are sold by private insurance companies and are meant to supplement Original Medicare, also known as Parts A 78

and B. Medigap policies help pay some of the health care costs that Medicare doesn’t cover, like copayments, coinsurance and deductibles. Some Medigap policies also cover services that Original Medicare doesn’t cover, like medical care when you travel outside of the United States. Newer supplemental policies do not include prescription drug coverage. To obtain such coverage, you need to sign up for Medicare Part D or a supplemental plan with drug coverage. Note that if you have Medicare Advantage Plan (Part C), it is illegal for a company to sell you a Medigap policy. You will need to choose whether Medicare Advantage Plan (Part C) or a supplemental policy best suits your needs. The Medicare parts you choose are highly specific to your own unique situation. One starting point for figuring out what type of Medicare coverage is right for you is the questionnaire at Medicare.gov/ MedicareCoverageOptions. Our Medicare Resources section also has resources that can help you make informed choices so you can get the healthcare coverage that best fits your individual needs.

SUPPLEMENTAL MEDIGAP POLICIES IN N.C. There are 12 types of supplemental policies offered in North Carolina – A, B, C, D, F, F Prime, G, G Prime, K, L , M and N. To find out what is covered by each policy type, visit the N.C. Dept. of Insurance’s Medicare Supplement Premium Comparison Database at NCDOI.COM/Medisupp.

Aging Resources 2020–2021

MEDICARE HELP Medicare.gov

In Henderson County 828-277-8288 (ask for SHIIP help)

This website offers thorough explanations about the Medicare program, updates on changes and answers to frequently asked questions. It also offers Medicare & You for download to your computer, as an e-book reader or as an audio podcast. You also can request that information be mailed to you on an audio CD or in print form, which is also available in large print and braille formats. This reference has everything you need to know about Medicare and supplemental policies, along with charts that allow you to compare and contrast parts, policies and benefits.

Blue Ridge Health 709 N. Justice Street, Hendersonville 828-692-4203

800-MEDICARE

Mitchell County Cooperative Extension 10 South Mitchell Avenue, Bakersville

Call this toll-free helpline to speak with someone trained to help you with any Medicare question or issue.

Seniorsâ&#x20AC;&#x2122; Health Insurance Information Program (SHIIP) NCDOI.com/SHIIP 855-408-1212 (toll-free) Each county in North Carolina has its own SHIIP counselors specially trained to help you with your Medicare questions. Contact information for some of the SHIIP programs in our area:

In Buncombe County 828-277-8288 (ask for SHIIP help) Council on Aging of Buncombe County 46 Sheffield Circle, Asheville In Haywood County 828-356-2800 (ask for SHIIP help) Mountain Projects, Inc./ Senior Resource Center 81 Elmwood Way, Waynseville

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Council on Aging for Henderson County 105 King Creek Boulevard, Hendersonville In Madison County 828-398-7700 (ask for SHIIP help) Asheville-Buncombe Technical Community College 4646 US 25-70, Marshall In Mitchell County 828-688-4811 (ask for SHIIP help)

In Polk County 828-749-9245 (ask for SHIIP help) Saluda Senior Center 64 Greenville Street, Saluda 828-894-0001 The Meeting Place 75 Carmel Lane, Columbus In Rutherford County 828-287-6409 (ask for SHIIP help) Rutherford County Senior Center 193 Callahan Koon Road #132, Spindale In Transylvania County 828-884-3109 (ask for SHIIP help) Transylvania County Cooperative Extension 106 E. Morgan Street, Brevard In Yancey County 828-682-6011 (ask for SHIIP help) Yancey County Committee on Aging 503 Medical Campus Drive, Burnsville

Planning Ahead for Peace of Mind

Create Legal Advance Directives to Help Carry Out Your Medical and Financial Wishes

Peace of mind comes with making a plan, especially when it comes to expressing your wishes for your medical care, your finances and your desires about the end of your life and after you die. Legal advance directives are documents that give others the authority and directions to carry out your wishes when you are unable to or when it’s more convenient for someone you trust to do so for you. Four Essential Legal Documents Advance directives are legal tools that ensure a person’s wishes concerning their healthcare and finances are carried out should they become unable to express them. Everyone should have these documents on file no matter what their age. If you are helping your loved one create their advance directives, consider using this as an opportunity to write down

your own desires and file your own advance directives. Documents you and your loved one should have include: • A living will; • A healthcare power of attorney; • A will; and • A durable power of attorney. Living wills address end-of-life issues, such as requesting or withholding medical treatments. A healthcare power of attorney is broader and allows the person you appoint, who is also known as a proxy, to make medical decisions on your behalf if you are unable. For instance, if you are in a stable coma, your healthcare proxy could make decisions about your everyday care. Both the living will and the healthcare power of attorney are activated only when a physician declares the patient unable to give consent. continued on page 82

Aging Resources 2020–2021

peace of mind for

your future.

People are living longer than any time in human history. With longevity come concerns about independent living, decision making, incapacity, quality of life, long term care, and asset preservation. Van Winkle’s Elder and Special Needs Law attorneys are equipped to address these concerns in all aspects of planning, counseling, educating, and advocating for our clients.

ELDER & SPECIAL N EED S L AW

Pr actice Areas

• long term care and special needs planning • incapacity and estate planning • trust and estate administration • incompetency and guardianships • trust and estate disputes and controversies

Heather Whitaker Goldstein

Brian T. Lawler

v w l a w f i r m . c o m 8 2 8 - 2 5 8 - 2 9 9 1 asheville

hendersonville

Medical or Physician Orders for Scope of Treatment Medical Orders for Scope of Treatment (MOST) or Physician Orders for Life-sustaining Treatment (POLST) are other types of medical directives. Issued through your healthcare provider as you approach the end of your life, a MOST or a POLST is more detailed than a do not resuscitate or DNR order or a living will. The terminology for these kinds of orders varies from state to state. These types of advance medical orders allow you or your proxy to decide what specific treatments or interventions you wish to have and which you don’t pertaining to your particular condition.

A will deals with the division of property and assets after death. The durable power of attorney allows for the appointment of someone you choose to manage financial affairs should you become incapacitated. You decide on the scope of the durable power of attorney and under what conditions it is activated. Durable power of attorney ends at death. The executor of a will, who can be the same person who has durable power of attorney, then takes charge of the estate and financial affairs. Consider Professional Help You don’t have to use an attorney to create advance directives but you may feel more confident doing so. State bar associations and government agencies can often be resources for instructions and forms for living wills and healthcare powers of attorney. In addition, most area hospitals and hospice organizations have forms and are glad to assist you with completing them. Be aware, though, that these directives must be properly executed and witnessed to be valid. 82

Typically, they work with your DNR and living will and also can temporarily suspend any conflicting orders. For example, you may have such a directive that instructs your provider to perform a surgery or offer a treatment that your living will might prohibit. You and your physician, physician’s assistant or nurse practitioner fill out these medical orders together and they must be signed by both of you. For more information, ask your physician and visit the North Carolina Medical Society at NCMEDSOC. org/AdvocacyPublic-Health/End-of-Life Resources and the National POLST Paradigm at POLST.org.

Will and durable power of attorney forms can be downloaded from various sources online as well. However, unless your life is very simple, think twice about executing these documents without the assistance of a lawyer. An attorney can be especially helpful if you have had multiple marriages or have stepchildren, grandchildren, a large estate, a business or other complex life situations. With all advance directives, there is a lot to consider that is unique to you or your loved one and much is riding on the paperwork being properly done. While you can “do it yourself,” talking with a professional is prudent. What Your Directives Should Say The wishes expressed in advance directives are up to the person drafting the document. The downloadable forms contain good prompts to ensure you ask and answer important questions and cover many bases. However, these documents cannot address every situation so in addition to getting your wishes down on paper, make sure that all involved understand the underlying spirit of those wishes as well. Aging Resources 2020–2021

A family meeting is a great way to accomplish this. Frank discussions face to face with all concerned parties allow people to ask questions, sort out possible misunderstandings and come to terms with what their loved one wants. Such a meeting – strengthened by legal documents that reflect the content of the meeting – provides the proxy and other family members with direction and peace of mind when tough decisions may need to be made.

Whomever you select, think about that person’s natural strengths and weaknesses. One child or close friend might be great for financial matters while another might be better with healthcare issues.

Who Should Have the Power?

Once completed, keep a file at home with several copies of all of your advance directives. Share copies with your agent, alternate agent and health care providers. Do not store them in a safe deposit box because people who need them may not be able to access them. Scan these documents onto your computer for quick reference and so you can send them electronically to any appropriate entity that needs them. Keep an electronic set on your phone, too, and register your advance directives online.

The toughest decision for many when putting these documents together is deciding who should receive their healthcare and durable powers of attorney. The proxy needs to be someone who knows the person and sees his or her life in context. The proxy also should understand the responsibilities and agree to the job. Although a spouse or partner may seem like a natural choice, he or she might not be the best proxy. Typically, spouses and partners are about the same age so issues of aging can present problems.

Keep Directives Up-to-Date Situations change over time so you should update all of your directives every five years or more frequently as needed to be sure they still reflect the your circumstances and desires.

ADVANCE DIRECTIVES Instructions and forms for North Carolina living wills and healthcare powers of attorney are available at SOSNC.gov/AHCDR.

Appointing all children equally is another popular option. However, before making such a decree, consider, based on past experience, if this sibling group can reach consensus on sometimes complicated and tension-filled decisions. On the other hand, realize that appointing one child as the sole proxy can lead to its own set of problems.

This site also is home to the N.C. Advance Health Care Directive Registry where you can file up to four different advance directive documents for easy access.

If the family dynamic won’t fare well with a group or individual being appointed, consider asking a close family friend or choosing a professional to do the job.

To find Elder Law & Estate Planning Attorneys in your area, visit our Resource Directory on pages 100 & 101.

AgingResourcesWNC.com

End-of-Life Planning Benefits Everyone

Outlining Your Final Wishes Helps Both You and Your Loved Ones Most people avoid talking about death and dying and don’t want to think about a time when they’ll be gone. But being clear about your final wishes and making plans for what happens after you pass away can give you and your loved ones great peace of mind. A good time to think about, write down and share what you would like to have happen upon your death is when you are crafting your advance directives. Talking with friends and family members about your final wishes will give you and those who care about you confidence that when you die, your wishes will be carried out. Here are some questions to ask yourself as you start thinking about your end-of-life planning: Healthcare at the End of Your Life • If you are diagnosed with a terminal illness, what kind of medical care do you want? Do you want hospice or palliative care providers? If so, what are your goals for such care? • Is there a particular family member or friend you would like involved with your care at the end of your life? • If you are able to choose where you will pass away, do you want to die at home or in a healthcare facility? Are there certain people you would like to visit you before you die? Who would you like to be present with you when you pass away?

Personal Business • Even if you have a will outlining who will inherit your possessions, are there certain items such as photographs, family mementos and other keepsakes that you want particular people to have? • If you have pets, who do you want to take care of them after you die? • How do you want your email, social media and other digital accounts handled after you die? Who do you want to take care of these matters? • Are there certain memories, stories and photos from your life and of your family history that you want to make a written, audio or video record of to preserve prior to your death? Philanthropy and Financial Donations • In addition to your family, is there a particular charity that you desire to donate to? Have you contacted a legal or financial advisor to inquire the best method of planning for your donation? Does your family know of your desired donation? Are you aware of the tax regulations which will be applied to your donation? In addition to listing it in your will, there are many different ways to prepare a philanthropic donation. For example, taking out a life insurance policy with the charity as the beneficiary, setting up a private foundation or beginning to give annually right now might be effective ways for you to plan for your donation. Aging Resources 2020–2021

• After you pass, is there an organization you would like to direct friends and family to donate to in lieu of sending flowers? If you have experienced a battle with a specific sickness or disease, would you like to request donations be sent to an association or foundation aiding in relevant research? Or perhaps if a long-term health issue has caused a financial burden on your family, would you like to set up a trust to help your family members in the time following your death? Funeral and Memorial Planning • What do you want done with your body after you die? What are your preferences with regards to cremation, burial, organ donation and donation to science? If you are buried, do you want a grave marker? If you are cremated, do you have a particular place where you’d like your ashes spread?

Through end-of-life planning, you gain peace of mind today and at the time of your death your grieving loved ones are relieved of the additional burden of second-guessing what you may have wanted.

PLANNING RESOURCES Online tools, guides and checklists can be found at TheConversationProject.org and EverPlans.com. Aging Resources has more information about creating your living will, healthcare power of attorney, will and durable power of attorney on pages 80-83.

• Do you want a funeral, memorial service, visitation or celebration of life? If so, where would you prefer these be held? Are there particular readings and music you would like to be shared? Is there a certain person you would like to deliver a eulogy? Are there any religious, military or other special considerations you want taken into account? If you have a casket, do you want it open? • Do you want an obituary and if so, what do you want it to say? Is there a particular photograph you would like used with it? These questions can serve as a starting point for making your end-of-life plans and having conversations about your final wishes with the people who care about you.

AgingResourcesWNC.com

Planning ahead is important.

Wills • Trusts • Estates Real Estate Matters Edward Harrelson Romeo, Harrelson & Coiner, P.A. (828) 698-2345 EdwardHarrelson.com

Enhancing Life with Palliative and Hospice Care The Comforting Benefits of Both when Navigating Illness When facing a serious illness or life-limiting condition, palliative care and hospice care can provide you or a loved one with relief, a sense of control and enhancement of life in the midst of difficult circumstances. Both palliative care and hospice care focus on the needs of the whole patient, not just someone’s illness. Both have the goal of decreasing symptoms and increasing quality of life, and both help patients and their families live as fully as possible and with dignity in spite of their illness. Palliative Care Palliative care is for patients managing a serious illness. With palliative care, curative treatments continue but with a more holistic approach that takes you and your whole life into account. With palliative care, you get a team of specially trained professionals to help you navigate your life, as well as your illness. A palliative care team typically consists of a medical social worker, some combination of healthcare providers – such as a physician, nurse practitioner and nurses – and perhaps a pharmacist, nutritionist, spiritual counselor and volunteers. Working closely with you and your family, the team helps you or your loved one: • Have a conversation with family members about and document wishes for future health care;

• Develop treatment goals and a lifemanagement plan that reflect your or your loved one’s values, life goals, lifestyle and desires; • Ensure proper pain management and symptom relief is in place; • See that financial issues are addressed and help is found if needed; and • Ensure that family members receive information, support, respite and other needed resources. With palliative care, the patient is always in control. You or your loved one can ask the doctor for a referral to palliative care at any time during a serious illness and palliative care services can be stopped at any time during an illness or when there’s recovery. Hospice Care Hospice care is for an individual with any lifelimiting condition and typically a prognosis of six months or less to live. As with palliative care, hospice care is provided by an interdisciplinary team of healthcare and human services professionals. A hospice team works closely with the individual who is ill to achieve many of the same goals as with palliative care. The difference is that hospice patients are no longer seeking curative treatments, but rather are seeking comfort and quality of life. continued on page 88

Aging Resources 2020–2021

When living with a serious illness, Four Seasons helps you make the most of every moment and feel better doing it. Care Navigation Home Care Palliative Care Hospice Care Grief Services Research & Innovation Foundation

(866) 466.9734 FourSeasonsCFL.org

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The Care You Trust

Hospice care does nothing to hasten death. In fact, people receiving hospice care often live longer than people actively being treated for the same disease. With hospice care: • Services can be received at home, at a care facility, at a hospital or at a hospice house. For those in a hospital or nursing facility, hospice care can often make a move home possible if so desired. • Hospice recipients can continue to see their regular physicians and use prescribed medications. • People under hospice care can go out, have visitors in and do whatever they feel up to doing. • Individuals under hospice care can stop receiving it and resume curative treatment at any time.

A physician’s referral is required for palliative or hospice care. Medicare, Medicaid and private insurance may offer benefits for both types of care. Care teams can help look into specifics of an individual’s health care policy to determine what is covered.

MORE ABOUT PALLIATIVE AND HOSPICE CARE Visit the National Hospice and Palliative Care Organization at NHPCO.org/Patients-and-Caregivers. Find local Palliative and Hospice Care Providers on page 42 and in the Aging Resources Directory on page 96.

Plant the seed. Grow a Legacy that Inspires.

Contact CFHC today to create your charitable legacy for your lifetime and generations to come. (828) 697-6224 www.CFHCforever.org

Aging Resources 2020–2021

Palliative • Hospice • Counseling 828.682.9675 | CompassionateCareWNC.org 856 Georges Fork Road, Burnsville, NC 28714

AGING RESOURCES DIRECTORY

There is plenty of help for seniors and their caregivers in our area. Below is a list of commonly needed services. For a direct link to all websites for listings in this directory, view the magazine online at AgingResourcesWNC.com. Look for the icon for safety protocols for COVID-19 and beyond. Be sure to check each organizations' website for the most up-to-date information. GENERAL INFORMATION Aging Resources Magazine A print and online resource for managing the financial, legal, social, residential, health and medical issues of aging and caregiving. 828-513-3888 | AgingResourcesWNC.com Local Councils on Aging (COA) receive limited funding to provide family caregivers with grants for respite care. Funding can be used for home care, day programs, and overnight respite programs. Contact the COA nearest you for more information and to apply for a grant. Council on Aging of Buncombe County Local nonprofit advocacy agency that also provides a wide range of services and resources for older adults. 828-277-8288 | COABC.org Council on Aging for Henderson County Providing and coordinating services to engage, connect, and support adults in our community as we age. Support the mission by donating and shopping at the Etowah and Hendersonville Thrift Stores. elow is a selection of safety measures they B have taken across their services and functions: ·M asks required whenever in close proximity with staff, volunteers, clients, and customers ·T emperature checks and health screening for all staff and volunteers ·F requent hand-washing or hand sanitizing by staff and volunteers · Regular sanitization of surfaces · Plexiglass shields in public facing areas · Social distancing in all functions ·V irtual meetings in lieu of face-to-face meetings whenever possible 105 King Creek Boulevard, Hendersonville 828-692-4203 SEE PAGE 35 COAHC.org 90

Isothermal Planning & Development Commission Area Agency on Aging Facilitating a comprehensive long-term care system for older adults in the region. Serves Polk, Rutherford, McDowell, and Cleveland Counties. 828-287-2281 | RegioNC.org Land of Sky Regional Council A multi-county, planning and development organization offering volunteer opportunities, aging resources, workforce development, community development services and more. 339 New Leicester Highway, Suite 140 Asheville 828-251-6353 | LandofSky.org ACCESSIBLE AND UNIVERSAL DESIGN RL Mace Universal Design Institute The Institute works with homeowners, builders, remodelers, and design professionals to create accessible and universal home environments. 1854 A Hendersonville Road, Asheville 919-608-1812 UDInstitute.org AGING IN PLACE Aging Projects, Inc. This online resource directory is specially designed to help seniors find screened resources to age in place. 828-776-1390 | AgingProjectsInc.org ALZHEIMER’S/DEMENTIA Alzheimer’s Association Comprehensive information, care consultations, and online resources—24/7 Helpline. For information call. 800-272-3900 | ALZ.org Western Carolina Chapter 828-398-5780 SEE PAGE 22 ALZ.org/NorthCarolina

Aging Resources 2020–2021

Project C.A.R.E. (Caregiver Alternatives to Running on Empty) This state-funded program offers care consultation, information, assistance and referrals to other resources to family caregivers/care partners who care for a loved one with dementia. Services are free to consumers. 339 New Leicester Hwy, Suite 140, Asheville 828-251-6622 | LandofSky.org/ProjectCare Memory Support Groups Dementia Alliance of NC Support Groups Committed to offering local support groups throughout the state of North Carolina so that location is never a factor that hinders a caregiver from attending a group session. Visit their website to find a support group in your area. DementiaNC.org/Family-Services-Support/ Support-Groups Henderson County Caregiver Support Group Third Tuesday each month, 12:00-1:15 pm. Please contact for schedule updates. First United Methodist Church 204 Sixth Avenue West, Hendersonville Contact Lisa Kaufman at 828-696-9799 Memory Loss Caregivers of East Buncombe Highland Farms Retirement Community Support Group Second* and Fourth Tuesday 9:30-11:30 am. Please contact for schedule updates. 200 Tabernacle Rd., Black Mountain

(Brookside Building, J-K Entrance, lower level lounge 3)

Contact Mel Kelly at 828-301-0529 or Avant_garden@msn.com

AgingResourcesWNC.com

New Hope Presbyterian Church Support Group A support group for caregivers meets every 3rd Tuesday 1:00–2:30 pm concurrently with “Memory Loss Navigators”, a support group for those in the early states of memory loss. Pre-screening required. Please contact for schedule updates. 3070 Sweeten Creek Road, Asheville Contact Nancy Hogan at 828-251-7432 or Mel Kelly, co-facilitator, at 828-301-0529 Spouse Support Group Third Tuesday each month, 1:30-3:00pm. A care receiver program is provided for loved ones. Please contact for schedule updates. First United Methodist Church 204 Sixth Avenue West, Hendersonville Contact Lisa Kaufman at 828-696-9799 BEHAVIORAL HEALTH St. Luke’s Hospital Senior Life Solutions (outpatient) and the Center for Behavioral Health (inpatient) offer a multidisciplinary approach to mental health for seniors. 101 Hospital Drive, Columbus 828-894-3311 SEE PAGE 3 SaintLukesHospital.com CAREGIVER SUPPORT Family Caregiver Support Program Land of Sky Regional Council The Family Caregiver Support Program works on a regional level to establish partnerships with caregiver service providers, caregivers, and those who interact with caregivers to leverage resources and improve and expand the available resources / services for caregivers. This program is funded by the Older Americans Act, Title III-E. 828-251-7441 Ruth Price, Family Caregiver Resource Specialist Pat Hilgendorf, Caregiver Program Associate LandofSky.org/fcsp.html Mountain Care Adult Day Services – Caregivers Support Groups Third Wednesday each month, 3:00–5:00 pm. No pre-registration required. 68 Sweeten Creek Road, Asheville Contact Donna Nawrocki at 828-277-3399

AGING RESOURCES DIRECTORY

Dementia Friendly WNC A grassroots organization dedicated to the well-being of people living with dementia and their families through a welcoming and knowledgeable community. 828-348-7261 WNCDementiaFriendlyCommunities@gmail.com DementiaFriendlyWNC.org

AGING RESOURCES DIRECTORY

Mountain Care Adult Day Care Last Thursday each month, 5:30-7:00 pm, 23 Medical Park Drive, Brevard 828-435-2850 | MountainCareServices.org

Working Wheels Transforming donated cars into Working Wheels for working families in WNC. Support the mission by donating your vehicle or by making a financial contribution to the Parts and Repair Fund.

Caring for People Education and Support (CAPES) Class topics include dementia, legal issues, coping with stress, self-care, community resources and making difficult life choices. Second Tuesday monthly from 5:00-6:30pm. Please contact for schedule updates. Mountain Area Health Education Center (MAHEC) 121 Hendersonville Road, Asheville Contact Juanita Igo at 828-277-8288 ext. 1307 MemoryCare.org/Caregiver-Information/ Support-Groups

Below is a selection of safety measures they have taken across their services and functions: • Office open by appointment only • Masks and social distancing required at all times • Increased hand washing and sanitizing protocols •T ouchless car donation process to make donating a vehicle easy and safe for all •C omplete sanitization of all cars upon arrival, between mechanics, and before being placed in the vehicle program •O utdoor car sales at their state-of-the-art picnic table •A ll board and staff meetings are virtual instead of face-to-face

CHARITABLE GIVING Four Seasons Foundation Use philanthropy as an estate planning tool to make award winning levels of hospice and palliative care possible into the future. 211 North Main Street, Hendersonville 828-513-2440 FourSeasonsFDN.org SEE PAGE 87 Hospice Home Store When you donate to or purchase an item from the Hospice Home Store, you are supporting the efforts of Four Seasons and providing invaluable support to families facing serious illness. 215 North Main Street, Hendersonville 828-696-0625 SEE PAGE 53 HospiceHomeStore.org MemoryCare A non-profit community-based program offering specialized medical care and support for patients and families affected by Alzheimer’s and other memory disorders. A referral is necessary. 100 Far Horizons Lane, Asheville 828-771-2219 | MemoryCare.org

76 Weaverville Road, Asheville 828-633-6888 WorkingWheelsWNC.org

SEE PAGE 29

COMPANIONS Senior Companion Program Senior volunteers provide assistance with daily tasks to other seniors. Land of Sky Regional Council Ann Whisenhunt, Senior Companion Manager 828-251-6622, ext. 1126 Buncombe, Transylvania, Henderson and Madison LandofSky.org CONGREGATE MEALS & MEALS ON WHEELS Buncombe County

Senior Opportunity Center Congregate lunch, Monday-Friday Members have to be 60 years old or more and need to register for meals a week in advance, donations accepted for the meal. 36 Grove Street, Asheville | 828-350-2062 Henderson County

Mills River Life Enrichment Center (MRLEC) Senior fellowship with a program and lunch every Thursday. Programs begin at 10:00 am and are held in the Mills River United Methodist Church Fellowship Hall. Lunch Reservations are required. Please call by 12:00 pm the Tuesday before each program. Mills River United Methodist Church 137 Old Turnpike Road, Mills River 828-808-5581 | MillsRiverUMC.org

Aging Resources 2020–2021

Polk County

The Meeting Place Congregate lunch 11:30, Monday-Friday, activities 10:00-1:00pm. 25 Shield Drive, Green Creek 828-863-2795 | PolkNC.org The Meeting Place Congregate lunch 11:30 am, Monday-Friday, activities 8:30 am-4:00 pm 75 Carmel Lane, Columbus 828-894-0001 | PolkNC.org Saluda Senior Center Monday-Friday, home-delivered meals, recreation and education programs 64 Greenville St., Saluda 828-749-9245 | PolkNC.org Transylvania County

Quebec “Lunch Plus” Program (WCCA) Congregate lunch, Monday-Friday, 10:00 am12:00 pm. A socialization/nutrition program for Transylvania County residents 60 years old and better that includes daily activities and lunch. Transportation may be available depending on where you live. Pre-enrollment is required. Quebec Community Center 11846 Rosman Highway/Hwy 64, Lake Toxaway 828-862-4466 | WCCA.net Silvermont “Lunch Plus” Program (WCCA)— Congregate lunch, Monday-Friday 9:30 am-12:00 pm A socialization/nutrition program for Transylvania County residents 60 years old and better that includes daily activities and lunch. Transportation may be available depending on where you live. Preenrollment is required. Silvermont Opportunity Center 364 East Main Street, Brevard 828-884-3166 | WCCA.net

Meals on Wheels Hot meals delivered Monday-Friday to homebound adults who are unable to prepare meals. Buncombe County—828-253-5286 Henderson County—828-692-6693 Polk County Columbus—828-894-0001 Green Creek—828-693-2795 Transylvania County Brevard—828-883-3743 Quebec Communities—828-884-2255 MOW@COAHC.org Mobile Meals Provides free meals to the elderly community (60 years or older) who are homebound in locations where Meals on Wheels doesn’t go in Transylvania County. Donations are accepted. 828-884-2255 | WCCA.net EDUCATION & CULTURAL CENTERS Blue Ridge Center for Lifelong Learning Classes, “EdVentures,” brown bag lunches and other learning opportunities for those 50 years of age and better. Visit the website for schedule updates. Blue Ridge Community College 180 West Campus Drive, Flat Rock 828-694-1740 | BRCLL.com Life@Western Carolina Noncredit Lifelong Learning courses for adults 50+. Topics include history, culture, health, science, geo-political and legal issues. Visit the website for schedule updates. Biltmore Park, Asheville 828-227-7397 | Life.WCU.edu Osher Lifelong Learning Institute A learning community dedicated to promoting lifelong learning, leadership, community service and research. Visit the website for updates. University of North Carolina-Asheville One University Heights, Asheville 828-251-6140 | OLLIAsheville.com

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Sammy Williams Center Lunch at the Sammy 11:45 am Monday-Friday, activities 9:00 am-1:00 pm. Donation-based lunch, activities and fellowship. 301 North Justice Street, Hendersonville 828-692-3320 COAHC.org/sammy-williams-center

AGING RESOURCES DIRECTORY

FINANCIAL PLANNING Katherine C. Morosani - Edward Jones Have your retirement plans changed lately? Do you know how much money you’ll have available to spend each month in retirement? Are you considering a part-time job? Have you thought about your insurance needs? As an Edward Jones financial advisor, Katherine can help you refine your retirement strategy and take an in-depth look at all your retirement accounts. 1185 Charlotte Highway, Suite 1, Fairview 828-628-1546 SEE PAGE 10 EdwardJones.com HANDYMAN, CLEANING & LAWNCARE SERVICES TruBlue Total House Care TruBlue offers a wide range of services to Seniors who want to “age in place” by staying in their homes. As your Total House Care Manager, they are equipped to handle everything you may need both inside and outside of your home. In addition to general home maintenance services and cleaning needs, they are also happy to install safety and accessibility features such as stair railings, easyturn faucets, and more. They want you to enjoy worry-free living for many years to come. 303 Brightwater Heights Drive, Hendersonville 828-595-2289 TruBlueHouseCare.com/ SEE PAGE 49 Hendersonville/ HEALTH AND WELLNESS AdventHealth Hendersonville Nationally recognized for quality and safety with the CMS Hospital Compare 5-Star rating, AdventHealth is committed to provide whole-person care – body, mind and spirit to every person across WNC. 100 Hospital Drive, Hendersonville 855-774-LIFE (5433) SEE INSIDE BACK COVER AdventHealthNC.com St. Luke’s Hospital Senior-focused services for inpatient and outpatient behavioral health, state-of-the-art orthopedics and rehabilitation and 24/7 ER. 101 Hospital Drive, Columbus 828-894-3311 SEE PAGE 3 SaintLukesHospital.com

YMCA of Western North Carolina The Y offers programs that build healthy spirit, mind, and body for all. From group exercise and diabetes management to hunger relief and volunteer opportunities, the Y connects community in meaningful ways. Ask about special rates for seniors and Medicare Advantage members. Financial assistance is available. With multiple locations in Buncombe, Henderson, and McDowell counties. The YMCA is committed to community health and safety. It continues to meet or exceed public health guidance to keep members, staff, volunteers and program participants safe during the pandemic and beyond. Its precautions include: • Frequent cleaning • Upgraded air filtration • Health screenings • Social distancing • Mask requirements • Outdoor and virtual classes • Limited capacity • Reservations for some services 828-251-5910 YMCAWNC.org

SEE PAGE 10

WNC Fall Prevention Coalition Heather Bauer, Fall Prevention Programs Manager 828-450-6698 FallPreventionCoalitionWNC@gmail.com Sites.Google.com/View WNCFallPreventionCoalition/Home

Aging Resources 2020–2021

HEARING SERVICES

Hendersonville Community Co-op As an owner operated cooperative, their mission is to provide organic and wholesome, natural foods, supplements and health care products, and to encourage informed choice through education and exceptional service to their customers and community.

Biggert’s Hearing Instruments Established in 2000, Biggert’s licensed audiologists provide comprehensive hearing evaluations and work with you to choose customized hearing aid solutions, including rechargeability and bluetooth wireless connectivity.

The Hendersonville Community Co-op is doing everything they can to respond to the COVID-19 virus threat while still providing you with the provisions you need. Here is what they are doing: • Still smiling and being patient • Listening • Washing their hands • Sanitizing all surfaces • Regular store hours • Maintaining 6 feet distance • Plexiglas barriers at main customer service centers • Wearing masks • Following the Governor's proclamations and CDC recommendations • Monitoring and protecting their staff safety at all times 60 South Charleston Lane, Hendersonville 828-693-0505 SEE PAGE 11 Hendersonville.Coop HEALTH INSURANCE Asset Protection Network, Inc. For over 26 years APN has worked with seniors and others throughout the Southeast to navigate Medicare and Long Term Care insurance questions. The insurance products and services they offer include Medicare supplements, life insurance and annuities, Medicare advantage and prescription drug plans, life settlements, long term care, travel insurance, dental and vision, and final expense. 900 Hendersonville Road, Suite 201A, Asheville 828-274-7655 AssetProtectionNetwork.net

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ere are the safety measures Biggert's Hearing H has taken to ensure staff and patient continued health and well being: •A ll patients and staff are required to wear a mask covering the mouth and nose at all times • Anyone entering the office will be required to use hand sanitizer • Frequent hand washing and/or hand sanitizer use by staff • All surfaces, pens, door knobs, etc. are sanitized between patients • Appointments are staggered, so there is limited overlap in the waiting area • Patients are asked to wait in their cars while they work on their hearing aids during their walk-in clinic time 303 South Church Street, Hendersonville 828-692-0353 SEE PAGE 21 BiggertsHearing.com CaptionCall CaptionCall is a captioned telephone service that lets you talk on the phone while reading captions of what the other person is saying. This service helps many people with hearing loss understand conversations more easily and effectively. You can enjoy talking with friends and family, plus making your everyday phone calls. It is available at no-cost to people with hearing loss. Simply order a no-cost caption phone online and CaptionCall will reach out to confirm your eligibility and schedule your redcarpet delivery. Kristen Buchanan 828-400-4526 SEE PAGE 15 CaptionCall.com

SEE PAGE 37

AGING RESOURCES DIRECTORY

HEALTH FOOD/GROCERY STORES

AGING RESOURCES DIRECTORY

HOME CARE/HOME HEALTH CARE Always Best Care Senior Services Providing in-home personal care, meal preparation, medication reminders, household assistance, light housekeeping, companionship, shopping, transportation, recovery care and Alzheimer’s and dementia care. Care is available 24/7. 828-676-2939 SEE PAGE 13 AlwaysBestCareWNC.com CareHeartedly Not just home care, their clients thrive with their integrated care approach. And their families have peace of mind knowing they’re getting the attention and stimulation they deserve. Call or visit them online to learn more about their packages and special offers. Their exceptional care now includes additional safety measures in order to keep their staff and clients safe and healthy as recommended by the CDC, State Department of Health, local authorities, and other resources. They are following updates and procedures from these organizations and their plans will be adjusted according to their recommendations. 109 S. Main Street, Suite 3, Hendersonville 828-595-5734 SEE PAGE 39 CareHeartedly.com Four Seasons Home Care In-home assistance with personal care, meals, housekeeping, shopping, transportation and more. Available 24/7. 513 North Justice Street, Suite B Hendersonville SEE PAGE 87 FourSeasonsHomeCare.org Griswold Home Care Dedicated to referring compassionate caregivers who help people stay at home and stay independent. Providing in-home assistance with personal care, medication reminders, shopping, transportation, and more. Hourly or live-in rates. 828-348-0988 GriswoldHomeCare.com/Asheville SEE PAGE 27

Kindred at Home (formerly Gentiva) At Kindred at Home, care is defined by clinical expertise and the compassion delivered every day— one patient at a time. COVID-19 is presenting significant challenges especially for older adults and people with chronic conditions. Their in-home care makes it possible for them to practice social distancing, as advised by the CDC and still receive the care they need right at home. Safety precautions include: •A ll in-home clinicians are screened daily and provided extensive training on infection control and the use of protective equipment. •T hey are conducting risk assessments on patients referred to their care and in their care. •T hey are taking every precaution to protect their clinicians and their patients and prevent the spread of the virus. 9 Olde Eastwood Village Boulevard, Asheville 828-298-1370 SEE PAGE 41 KindredatHome.com Pardee Home Health Providing the quality medical care you need in the comfort of your own home. Offering a full range of in-home services. Pardee UNC Health Care is here for you and committed to caring for their community. As always, Pardee remains focused on delivering patient-centered, safe care throughout their hospital and health care facilities. You can find up-to-date COVID-19 resources such as current restrictions, testing, frequently asked questions, tips, symptoms and more by visiting PardeeHospital.org/Coronavirus. 800 North Justice Street, Hendersonville 828-692-1846 SEE PAGE 17 PardeeHospital.org Licensed Home Health/Home Care Providers List of licensed home-health and home-care providers. NCDHHS.gov/DHSR/Data/HHList.pdf Medicare Compare for Home Health Information on and patient survey results for home health agencies by location and ability to compare services offered. Medicare.gov/HomeHealthCompare

Aging Resources 2020–2021

MobileLife Providing home medical equipment and adaptive mobility access solutions. Visit their showroom to "test ride" a mobility scooter and discuss your mobility and accessibility needs. 73 Airport Road, Arden 828-676-2760 SEE PAGE 30 WNCMobileLife.com HOSPICE & PALLIATIVE CARE

HOME/ESTATE & MOVE MANAGEMENT Mail, Box & Pack When it comes to downsizing, handling a loved one’s estate, or just sending a gift to the grandkids, you can trust Mail, Box & Pack to safely pack and ship your items wherever they need to go. Call to schedule a free estimate. Mail Box and Pack is taking extra precautions to ensure the health and safety of our customers and staff during the COVID-19 pandemic, including: • Wearing masks • Providing free masks to customers • Providing hand sanitizer at all registers • Sanitizing surfaces throughout the day • Limiting store occupancy • Floor markings for social distancing • Providing curbside services • Following CDC guidelines 224 Thompson Street, Hendersonville 828-693-1700 SEE PAGE 51 MailBoxandPack.com OME MODIFICATION & H ASSISTIVE DEVICES Helping Wheels Their goal is to provide quality wheelchair accessible vans, driving controls, mobility equipment, automotive wheelchair lifts, scooter lifts, stairlifts, vertical platform lifts, wheelchairs, scooters and other personal mobility equipment. Offering contactless transactions and minimal contact for service and installation. Staff members are fully equipped with Personal Protective Equipment (PPE) and provide safety cleanings to minimize risks.

1078 Tunnel Road, Suite F, Asheville 866-443-3101 SEE PAGE 47 HelpingWheels.com

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Compassionate Care Western North Carolina Their name is their mission - Compassionate Care for the seriously ill. They are the right choice for patients and families in Western North Carolina who want to experience the best quality of life possible for as long as possible. Compassionate Care Western North Carolina is taking several additional precautions to protect patients and staff during this challenging time, including their staff being screened daily for symptoms of, or potential exposure to, COVID-19; employees with positive screens are not allowed to work. •T hey are calling ahead to ask screening questions before every visit. If answer is “yes” to these questions, they can work out a solution for providing appropriate care to them, which will include using appropriate personal protective equipment (PPE). taff are required to adhere to a strict PPE policy •S of temperature checks, wearing gloves and surgical masks for all patient visits and full PPE (eye protection, gowns and N95 masks) for anyone that is suspected to have COVID-19.

856 Georges Fork Road, Burnsville 828.682.9675 CompassionateCareWNC.org

SEE PAGE 89

Want to Access This Resource Directory Online? Aging Resources has an online directory, providing access to resource information, websites and featured listings. Visit AgingResourcesWNC.com/ Marketplace to learn more.

AGING RESOURCES DIRECTORY

North Carolina Department of Health & Human Services Division of Health Service Regulation Office: 919-855-3750 Adult Care Licensure: 919-855-3765 For information about inspections, penalty and star rating on Adult Care facilities visit NCDHHS.gov/DHSR/ACLS/Index.html.

AGING RESOURCES DIRECTORY

Four Seasons Independent, non-profit providing national award-winning levels of care to families living with serious illness.

Ardenwoods Independent and assisted living in an intimate, close-knit atmosphere. Offering HealthyLife Services program and extraordinary dining.

They take the CDC’s recommendations regarding Personal Protective Equipment (PPE) seriously. In addition to adhering to the CDC’s guidelines, they also adhere to NC Governor Cooper’s Safer at Home Phase requirements. As a leading healthcare organization, they believe it is imperative to encourage not only their staff and volunteers to follow by the 3 W’s but also the community. To help prevent the spread of COVID-19, they encourage others to: • Wear a cloth face covering over the nose and mouth • Wait six feet apart from others when in public places • Wash hands or use hand sanitizer often

Ardenwoods has implemented safety protocols to keep their residents safe. Staff and guests are screened in daily when they arrive at the community. They are allowing family visitation with social distancing on their outdoor patio and in an indoor clean room. Their dining room is opened at 50% capacity per state mandates. Masks are required in all public spaces and they are following all of the state guidelines for social distancing.

571 South Allen Road, Flat Rock 828-692-6178 or 866-466-9734 FourSeasonsCFL.org

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HOUSING Arbor Terrace Gracious apartments in a lovely setting with many amenities and services for assisted living and memory care. They offer their great services and amenities at Arbor Terrace of Asheville with increased safety precautions to keep residents and staff healthy. They wear masks and personal protective equipment, practice social distancing, and follow a rigorous and thorough cleaning schedule along with their electrostatic sprayer. They are accepting new residents, and follow a procedure to welcome them safely. By closely monitoring local guidelines, they adjust as needed to allow residents a healthy and engaging lifestyle. 3199 Sweeten Creek Road, Asheville 828-681-5533 SEE PAGE 57 AT-Asheville.com

2400 Appalachian Boulevard, Arden 828-684-7330 SEE PAGE 55 ArdenwoodsRetire.com Brooks-Howell Home Brooks-Howell offers skilled care and respite care in private rooms with a stellar clinical staff to resident ratio and resident-centric care. Independent Living is for members of the United Methodist Church with affordable accommodations. Nestled on 10 acres of landscaped grounds near downtown Asheville, residents enjoy a caring community that values each individual. Brooks-Howell has implemented numerous safety precautions to protect their beloved residents. They have fully embraced the 3 W’s both inside and outside of work. They looked at every aspect of their campus and workflow to achieve this in the workplace. From dividing their staff up into inside and outside the resident areas, to creating separate workstations for every employee on duty, to having an individualized safe space to remove their mask and eat a safe distance from others. 266 Merrimon Avenue, Asheville 828-253-6712 Brooks-Howell.org

SEE PAGE 45

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Aging Resources 2020–2021

As a health care provider, Carolina Villageâ&#x20AC;&#x2122;s top priority is the well-being of their residents and employees. Together, as a community, they've worked together in new ways to protect their community from COVID-19 and to care for one another. They have been delivering meals, groceries, prescriptions, and other essential items to residents, providing PPE, sanitizing around the clock, updating residents daily, and so much more. Read more about their complete COVID-19 response at CarolinaVillage.com/News/Coronavirus-Preparedness/. 600 Carolina Village Road, Hendersonville 828-692-6275 CarolinaVillage.com SEE BACK COVER Deerfield Life at Deerfield: connecting with your passions, embracing fun, fitness, friendships and being well cared for in Independent Living, Assisted Living, and Skilled Nursing. 1617 Hendersonville Road, Asheville 828-274-1531 SEE PAGE 71 DeerfieldWNC.org Fletcher Park Inn Independent Retirement living on an alcohol/ tobacco-free campus across from AdventHealth. Daily vegetarian buffet lunch with vegan and meat options. Caring Christian atmosphere. 150 Tulip Trail, Hendersonville 828-209-6930 or 800-249-2882 SEE PAGE 9 FletcherParkInn.com Givens Estates As a resident of Givens Estates, a progressive life plan community, you'll enjoy a lifestyle that nurtures mind, body, and spirit, all in harmony with their splendid mountain setting. Choose from 51 floor plans in eight distinct neighborhoods. 2360 Sweeten Creek Road, Asheville 828-274-4800 SEE PAGE 58 GivensEstates.org

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Givens Highland Farms Nestled on 75 beautiful acres, just minutes from downtown Black Mountain and a short drive to Asheville, our walkable and pet-friendly Life Plan Community encourages an active and natural lifestyle. 200 Tabernacle Road, Black Mountain 828-357-3621 SEE PAGE 68 GivensHighlandFarms.org Heather Glen Heather Glen Assisted Living allows you to live independently while also offering personalized attention to your health needs. A part of Ardenwoods CCRC, Heather Glen is an active, 48-residence community with services that include round the clock assistance with bathing, grooming and dressing, and medication management. Heather Glen has implemented safety protocols to keep their residents safe. Staff and medical professionals are screened daily when they arrive at the community. There is a family visitation area set up outside for residents to visit with family members with social distancing, screening and masks. Their dining room is open for two meals a day with tables set for two and their Community Life Services Department has been working hard to keep the residents active while following state guidelines. 103 Appalachian Boulevard, Arden 828-687-7321 ArdenwoodsRetire.com/ HeatherGlen

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Heritage Hills An independent living facility with a dedicated, professional team supporting each resident with dignity and respect through compassionate, personalized care services. 828-698-3866 SEE PAGE 59 PacificaSeniorLiving.com Legacy at Mills River A sustainably-designed Continuing Care Retirement Community in development that will offer an equity ownership model. Members of Legacy at Mills River will hold the deed to their own property, customize their residence, and live in it as they please. 582 Jeffress Road, Mills River 828-696-1554 SEE PAGE 71 LegacyAtMillsRiver.com 99

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Carolina Village Henderson Countyâ&#x20AC;&#x2122;s only Type-A Life Plan Community with a focus on active, healthy, purpose-driven living, providing higher levels of quality care when needed.

AGING RESOURCES DIRECTORY

NC State Veterans Home Providing around the clock skilled nursing care, rehabilitation services and memory support to North Carolina Veterans. A state of the art facility offering private rooms. 62 Lake Eden Road, Black Mountain SEE PAGE 60 828-257-6800 Pisgah Valley Retirement Licensed continuing care retirement community, independent and assisted living and skilled care. 6 Rhododendron Way, Candler 828-418-2333 PisgahValleyRetirement.com SEE PAGE 69 Senior Care Authority Expert advice navigating the care choices your loved one deserves. 2131 Woodruff Road, Suite 2100, Greenville, SC 864-673-8293 SeniorCare-Carolinas.com SEE PAGE 67 Silverbell Homestead Live where you can listen to the birds in the morning and crickets at night. Small residential living with assistance tailored to your needs minutes from Asheville, Hendersonville and locally known hospitals. Enjoy views of Cane Creek Valley, all private rooms with accessible bathroom, farm-totable meals and many more personalized amenities. Call them today for a tour and gift. 765 Cane Creek Road Fletcher 828-844-4634 SEE PAGE 61 SilverbellHomestead.com Trinity View Amenities and services including housekeeping, fine dining, recreational activities, transportation, and on site physician & clinic without the commitment of an entrance fee. 2533 Hendersonville Road, Arden 828-687-0068 SEE PAGE 65 TrinityView.net

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Tryon Estates A 215-acre senior community in Polk County providing the most desirable aspects of retirement living in North Carolina. CCRC offering Acts' Type A Life Contract to residents ages 62 and up. 617 Laurel Lake Drive, Columbus 888-523-8961 SEE PAGE 63 AboutActs.com/AgingResources Continuing Care Retirement Community Guide Information from the NC Department of Insurance to assist in the search of a CCRC in North Carolina. NCDOI.gov/Insurance-Industry/ Continuing-Care-Retirement Communities-CCRC Medicare Compare for Nursing Homes Ratings and services comparison for Nursing Homes. Medicare.gov/NursingHomeCompare/ Search.html North Carolina Dept. of Health & Human Services Inspection results, licensing, ratings, violations, and penalties for adult-care facilities in North Carolina. 919-855-3765 NCDHHS.gov/DHSR/ACLS/Index.html LEGAL/ELDER LAW/ESTATE PLANNING Edward L. Harrelson, Attorney Romeo, Harrelson & Coiner, P.A.

Providing experienced financial and healthcare planning, wills, trusts, estate administration and real property transactions. 136 South King Street, Hendersonville 828-698-2345 SEE PAGE 85 EdwardHarrelson.com

Aging Resources 2020â&#x20AC;&#x201C;2021

Especially during this difficult time, they are ready to assist you. Their team of professionals is prepared to meet with you virtually to discuss your needs and assist in the areas of estate planning, estate administration, care management, Medicaid applications and assistance with fiduciary responsibilities. In addition, Board-Certified Elder Law Attorney, Caroline Knox, has shared her thoughts on care management and planning for peace of mind during this pandemic on their website at www.CKnoxElderLaw.com. 16 Towne Place Drive, Suite 100, Hendersonville 828-513-1600 SEE PAGE 73 CKnoxElderLaw.com Van Winkle Law Firm Developing plans to address the unpredictability of living longer. Powers of attorney, long-term care, Medicaid & VA benefits planning, asset preservation, & estate planning. Asheville & Hendersonville: 828-258-2991 SEE PAGE 81 VWLawFirm.com North Carolina Living Will and Healthcare Advance care directives and health-care power of attorney forms and registry. SOSNC.gov Pisgah Legal Servicesâ&#x20AC;&#x201D;Protect Seniors End-of-life planning, advanced directives and other legal services for low-income seniors and their families. Serving Buncombe, Henderson, Polk, Transylvania, Madison & Rutherford Counties. 828-253-0406 or 800-489-6144 PisgahLegal.org MEDICAL EQUIPMENT LOAN CLOSETS Durable medical equipment available for loan at no cost. Asheville Buncombe Community Christian Ministries (ABCCM) 20 Twentieth Street, Asheville, NC, 28806 828-259-5300 | ABCCM.org

MEDICARE HELP Medicare For assistance understanding and navigating the Medicare system visit: SEE PAGE 73 Medicare.gov PHARMACY Ingles Pharmacy Ingles Pharmacies care for your health. Offering an on-site licensed pharmacist and open 7 days a week, they are your one stop shop for food and pharmacy. Ingles makes prescriptions easy by allowing you to refill prescriptions, check their status and set up reminders online. Use your Ingles Advantage card at the Pharmacy counter for fuel points. Most Insurance is accepted. Visit their website to find a pharmacy location near you. Ingles continues to refine their COVID-19 response to provide the safest environment for their team members, customers and vendors. According to the CDC wearing facial coverings has proven to reduce the spread of COVID-19. Each day is bringing new challenges that they are working hard to find the best possible solution for all concerned. Pharmacies will open at 8am on Tuesdays only. Other days will open at the regular time of 9am. Ingles-Markets.com/ Store-Locations

SEE INSIDE FRONT COVER

PRIVATE CARE MANAGEMENT Aging Life Care Association Information on selecting and a locator for finding aging life-care experts. AgingLifeCare.org REHAB/SKILLED NURSING Carolina Village Rehabilitation Located within the campus of Carolina Village, the Medical Center is available to the community for short term rehab when space is available. 600 Carolina Village Road, Hendersonville 828-692-6275 ext. 214 SEE BACK COVER CarolinaVillage.com

Medical Loan Closet 1225 Seventh Avenue East, Hendersonville 828-692-9005 | MedicalLoanCloset.org

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Knox Law Approaching elder law holistically by offering help with estate planning, asset preservation, guardianships, fiduciary services, and a wide variety of personal support services.

AGING RESOURCES DIRECTORY

The Laurels of GreenTree Ridge Specializing in short-term rehab from injury, surgery, stroke, and illness. Providing highest levels of clinical care for a multitude of diagnoses.

The Laurels of Summit Ridge Providing a complete range of services for patients unable to return home after a hospitalization and care for individuals with a wide range of illnesses.

The goal at the Laurels is to provide their guests and families quality and compassionate care that exceeds their expectations. In this unprecedented time they are following the direction of the local Health Department, State Regulations and CDC guidelines. In order to keep their guests and staff safe, they wear masks, personal protective equipment, practice social distancing and follow strict housekeeping guidelines in their cleaning schedule. They continue to accept new guests with the goal of discharging them home stronger and safer.

70 Sweeten Creek Road, Asheville 828-274-7646 LaurelsofGreenTreeRidge.com

100 Riceville Road, Asheville 828-299-1110 LaurelsofSummitRidge.com

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The Laurels of Hendersonville Offering therapy 7 days a week by the dedicated in-house therapy staff. Their goal is to get you home sooner, safer and stronger. The goal at the Laurels is to provide their guests and families quality and compassionate care that exceeds their expectations. In this unprecedented time they are following the direction of the local Health Department, State Regulations and CDC guidelines. In order to keep their guests and staff safe, they wear masks, personal protective equipment, practice social distancing and follow strict housekeeping guidelines in their cleaning schedule. They continue to accept new guests with the goal of discharging them home stronger and safer. 290 Clear Creek Road, Hendersonville 828-692-6000 SEE PAGE 31 LaurelsofHendersonville.com

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RESPITE CARE Brooks-Howell Home Offering respite care for 3 to 30 days in a holistic caring environment with a stellar clinical staff to resident ratio. Your loved one will receive a personcentered approach to care while benefiting from a private room with views of our landscaped grounds. Brooks-Howell offers a resident-centric culinary and recreational experience with medical and therapy services. Brooks-Howell has implemented numerous safety precautions to protect their beloved residents. They have fully embraced the 3 Wâ&#x20AC;&#x2122;s both inside and outside of work. They looked at every aspect of their campus and workflow to achieve this in the workplace. From dividing their staff up into inside and outside the resident areas, to creating separate workstations for every employee on duty, to having an individualized safe space to remove their mask and eat a safe distance from others.

266 Merrimon Avenue, Asheville 828-253-6712 Brooks-Howell.org

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SAFETY General Safety

NC Silver Alert Program NC Department Public Safety disseminates information and issues alerts about missing seniors. 3320 Garner Road, Building 17, Garner 800-522-5437 | NCDPS.org Aging Resources 2020â&#x20AC;&#x201C;2021

Home Management, Errands & Repairs

Seniors Safe at Home Program Council on Aging of Buncombe County Programs include Minor Home Repair, Heat Relief, Call-ARide, and food delivery and food assistance. 46 Sheffield Circle, Asheville 828-277-8288 | COABC.org Telephone Check-In

Henderson County Sheriff’s Office Nixle Emergency Alerts Updates residents in real-time for localized emergencies and relevant community advisories. Nixle alerts allow the Sheriff’s Office to send important and valuable public safety and community information directly to residents who subscribe to the free service. Residents can customize their account and decide if the information is delivered via text message, email or over the web. Text the word HENDERSON to 888777 from your mobile phone to sign up or visit Nixle.com. Henderson County Sheriff Reassurance Program Senior Check-In Program Enrolled seniors call the Sheriff's Office each day to verify their well-being. If a call is not received, the Sheriff's Office checks on the senior. To see if you are located in an area that is covered by the program or to sign up, call 828-697-4912. HendersonCountyNC.org/Sheriff Transylvania County Sheriff Reassurance Program Sheriff’s office calls enrolled seniors daily to check welfare. Call for application. 828-884-3168 TCSONC.org/Community/Senior-Programs

AgingResourcesWNC.com

SENIOR CENTERS Buncombe County

Harvest House Community Center – Asheville Parks and Recreation Physical and social activities for adults and seniors. Woodshop, weaving studio, clay studio, mosaic glass, dance and exercise classes, social games, billiard tables, day trips and luncheons. 205 Kenilworth Road, Asheville 828-350-2051 | AshevilleNC.gov/parks Senior Opportunity Center A full schedule of activities and senior dining program. Lunch reservations required a week in advance. 36 Grove Street, Asheville 828-350-2062 AshevilleNC.gov/Parks Henderson County

Mills River Life Enrichment Center (MRLEC) Senior fellowship with a program and lunch every Thursday. Please contact for updates. Mills River United Methodist Church 137 Old Turnpike Road, Mills River 828-808-5581 | MillsRiverUMC.org Sammy Williams Center A full schedule of activities and classes for seniors, weekdays, 9:00am-1:00pm. Lunch available for seniors who qualify; meal served at 11:45am. Please visit the website for updates. 301 North Justice Street, Hendersonville 828-692-3320 COAHC.org/Sammy-Williams-Center Polk County

The Meeting Place A safe, comfortable place to meet friends and enjoy activities. Please visit the website for schedule updates. 75 Carmel Lane, Columbus 828-894-0001 | PolkNC.org 25 Shield Drive, Green Creek 828-863-2795 PolkCountyMeetingPlace.com | PolkNC.org Saluda Senior Center Open weekdays with classes and activities for seniors. Please visit the website for schedule updates. 64 Greenville Street, Saluda 828-749-9245 | PolkNC.org

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AGING RESOURCES DIRECTORY

Smart 9-1-1 - Henderson County Sheriff Online sign up to provide first responders with medical and other important information in advance of an emergency. To sign up, you must register online. The sheriff’s office provides a computer in the lobby for those that want to sign up, but do not have access to a computer at home. 828-697-4596 | Smart911.com

AGING RESOURCES DIRECTORY

Polk County—Anyone Can Ride Silvermont Opportunity Center Rides by appointment, as well as regularly Providing services and activities to invigorate scheduled shopping trips. and enhance the quality of life for adults greater 828-894-8203 than the age of 60 in Transylvania County. PolkNC.org/Departments/Transportation Silvermont Opportunity Center provides a range of services, activities, programs, and opportunities to Transylvania County encourage active aging and improve the health and Senior Adult Transportation & Med-Drive well-being of our older adults. Please visit website Rides to nutrition sites, shopping, recreational for schedule updates. centers, and medical appointments. 364 East Main Street, Brevard 828-884-3203 828-884-3166 TransylvaniaCounty.org/Departments/ TCPR.RecDesk.com/Community/ Transportation Page?PageId=19058 Transylvania County

SENIORS REAL ESTATE SPECIALISTS®

Chris Scruggs, We Sell WNC Team of Keller Williams Mountain Partners, SRES® Chris Scruggs is a certified Seniors Real Estate Specialist® and retired building contractor. They are taking all necessary precautions when meeting with clients and showing properties. Your safety is their priority. For the smoothest real estate transaction call a professional today! 404 S. Main Street, Hendersonville 828-772-6437 SEE PAGE 51 WeSellWNCTeam.com TRANSPORTATION, APPOINTMENTS AND ERRANDS Call-A-Ride Council on Aging of Buncombe County, Inc. Volunteer transportation for eligible Buncombe County seniors who lack access to other forms of transportation. Transportation is limited to within Buncombe County. 828-277-8288 | COABC.org Henderson County—Apple Country Transit Transportation Assistance for any Henderson County resident based on ability. Regularly scheduled shopping/grocery trips for people 60 and over. 828-698-8571 WCCA.net/WCCA-Services/ Apple-County-Transit.html

TELEHEALTH

CareHeartedly Virtual Care Instead of paying for expensive caregiving service, consider virtual care. Safety checks, 24/7 monitoring, companionship and conversation, medication reminders, and so much more. Tablet and vital signs kit provided or bring your own. Monthly pricing as low as $195/mo. Easy to use. Safe, effective and seniors love It! Their exceptional care now includes additional safety measures in order to keep their staff and clients safe and healthy as recommended by the CDC, State Department of Health, local authorities, and other resources. They are following updates and procedures from these organizations and their plans will be adjusted according to their recommendations. 109 S. Main Street, Suite 3, Hendersonville 828-595-5734 SEE PAGE 39 CareHeartedly.com

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Aging Resources 2020–2021

A primary care provider is your partner in lifelong whole health. Your familyâ&#x20AC;&#x2122;s health needs may change over time, but your primary care provider (PCP) family medicine, pediatrics and internal medicine, AdventHealth Hendersonville PCPs are welcoming new patients, with same-day and next-day appointments available. With locations throughout Western North Carolina, you can find a trusted family doctor close to home.

NEW PATIENTS | SICK VISITS | TELEHEALTH Call 828-554-2316 to get started, or visit AdventHealthNC.com/PCP to learn more.

Aging Resources Magazine 2020-2021

Articles inside

Palliative and Hospice Care

Senior Housing Checklist

End-of-life Planning

Understanding Different Types of Senior Housing

Downsizing

Home Care, Home Health and Hospice Providers

Customized Home Care That Eases Social Isolation

Home Care and Home Health Care

Living with Dementia

Geriatric Care Managers

Donate a Car, Change a Life

Fall Prevention

Hearing Well

Celebrating Our Aging Care Heroes

Lifelong Learning

SUCCESSFUL AGING