Aging Resources Magazine 2021-22 by Hulsey Media

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

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SUCCESSFUL AGING

Living Well While Living Longer

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 Checklist

Pets and Aging 18 HEALTHY AGING AND WELLNESS

Maximizing Your Time with Your Doctor

Get Moving for Better Health

Fall Prevention

Hearing Well

Living with Dementia

CAREGIVING AND COMMUNITY HELP

When to Seek Help

Transitioning from Driving

Community Resources

Geriatric Care Managers

Home Care and Home Health Care

Caring for the Caregiver

INSURANCE AND FINANCES

How to Pay for the Care You Need

Avoid Being Scammed

Understanding Medicare

Medicare Help

END-OF-LIFE PLANNING

Planning Ahead for Peace of Mind (Legal Advance Directives)

End-of-life Planning

Palliative and Hospice Care

AGING RESOURCES DIRECTORY

FEATURES

Aging Life Care Managers™ Provide Guidance & Solutions

Home Care, Home Health and Hospice Providers

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Senior Housing Options

Expertise with the Sale and Repurposing of Fine Family Jewelry

President & Publisher

ON THE COVER

Brett Hulsey

David and Janice Garver moved from Ohio to Asheville upon retiring. They are residents of Deerfield and love living in this community. Having both had careers in academia, they now dedicate their time to volunteering. Janice had a full career as a teacher before working for a conservation land trust. David was a Professor of Psychiatry and Pharmacology and conducted research, grant writing, and publication. Since then, he jokes that he has “failed retirement 8 times” and has continued to work in related fields. David’s volunteer work spans across Habitat for Humanity, Red Cross, OLLI, and tutoring. Janice is involved with her church and started “regathering groups” during the pandemic to offer connection. At Deerfield, she serves on the environmental and sustainability committee. In addition, they both volunteer at MANNA Food Bank. Their dog Hunter is also featured on the cover, who is a delightful five-year-old golden retriever. They enjoy playing frisbee, ball, and taking him on long walks.

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.

Writer

Kathleen O’Nan Brown Advertising

Katie Cornwell Operations Manager

Alissa Fuller

Design/Production

Lyndsey Simpson

We would like to thank our advertisers; their contributions help us bring you an attractive and informative publication. If you have a business or provide a service that would benefit from exposure in Aging Resources, call to reserve a space in the next edition.

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Living Well While Living Longer 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 6

Aging Resources 2021–2022

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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.

Make check-ups a priority. Key to keeping illness and physical problems at bay is having regular screenings and checkups from healthcare providers. In addition to in-person visits, telehealth consultations by phone or video chat are a good option. If and when a physical or mental health change occurs, don’t assume it’s “just part of aging” – 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 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.

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

STAY ACTIVE LIVE WELL

Staying active is the key to a healthy life. The Y offers 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! » ymcawnc.org « YMCA OF WESTERN NORTH CAROLINA

Aging Resources 2021–2022

where you can make new acquaintances as well as get involved with new activities and 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 LiveUnitedHC.org/Volunteer United Way of Rutherford County UnitedWayofRutherford.org United Way of Haywood County UWHaywood.org Haywood Jackson Volunteer Center HAJAVC.org VolunteerMatch VolunteerMatch.org

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The Right Care at Every Age and Every Stage of Life Marianna Benson, DO

How a Geriatrician meets our changing health needs as we grow older. The number of people making up the 65+ population in our country is growing. In 2020, the US Census Bureau reported in the previous decade, this population group grew by more than 34-percent. That is a major change and for the people who make up this group, change is a dominant theme. It’s no secret that as we age, our bodies change — and so do our health needs. Things don’t seem to work quite as they used to in our youth. Another complicating factor comes into play when we reach the age when we also see our parents begin to experience changes in their own health and need help managing more than one chronic health condition. In both situations we can discover how a geriatrician can help. Geriatric medicine is a specialty that focuses on senior health, and in preventing and treating disability and disease as you age. Geriatricians go through special training and are typically board-certified in internal medicine or family medicine. This background gives geriatricians a unique understanding — and appreciation — of the challenges you or your parents may be facing. AdventHealth Medical Group Geriatrician, Marianna (Tina) Benson, DO made the choice to focus on caring for older people early in her medical career. She was working as a nurse assistant while in college. “I worked in the hospital and my patients were all geriatric. That’s when I realized I wanted to be in a nurturing element of medicine. I knew I liked working with people and caring for older people.”

AdventHealthNC.com | 855-774-LIFE (5433)

Dr. Benson joined AdventHealth in 2020. Like other geriatricians, Dr. Benson takes all aspects of her patients’ health into account, including their medical history, current diagnosis and health care goals. More importantly, she looks beyond the physical health to assess spiritual, mental and social health. “Each patient is different. I enjoy the first patient visit a lot because that’s when I spend the most time with them and I always ask them questions.” Dr. Benson says it’s important to learn about their background and what they do or did for a living. She also takes time to learn about their family, their hobbies, if they have pets – all the details that add up to making them who they are. “I really like to get to know the non-medical things about them. That is so important.” That approach to whole-person care carries over to the patients’ families and caregivers as well. Dr. Benson points out the importance of keeping caregivers informed and empowered to be advocates for their loved ones. She helps make sure they all understand what matters to the patient and shapes the care plan around that. “I spend extra time educating the family and caregivers so they can have a plan ahead of time. I ask, ‘if this happens what would your loved one want?’” Choosing to see a geriatrician doesn’t necessarily mean you have to give up your primary care provider. Dr. Benson is board-certified in both family medicine and geriatric medicine, so she offers primary care for older patients, but she also works in partnership with some of her patient’s primary care physicians to help meet their specific age-related health needs.

If you would like to learn more about Age-Friendly Care or request an appointment, please visit AdventHealthNC.com/Geriatrics call 828-761-7221, or scan QR code below.

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Lifelong Learning Enriches Mind, Body and Soul Local Entities Offer a Variety of Programming

As people live 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 75 years for men and 80 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.

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 Located on Blue Ridge Community College’s Flat Rock campus, Blue Ridge Center for Lifelong Learning offers a full slate of enrichment and Aging Resources 2021–2022

educational programming. Participants can select from courses on a wide variety of topics including US, international and Appalachian history, current affairs, technology, literature 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, the mission of LIFE@Western is to establish a community of lifelong learners age 50 and older by offering participant-determined topics of interest that promote learning and community-university engagement.

OSHER LIFELONG LEARNING CENTER AT UNCA ASHEVILLE (828) 251-6140 OLLIASHEVILLE.UNCA.EDU 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, including its Creative Retirement Exploration Weekend (CREW). OLLI’s College for Seniors (CFS) program offers more than 350 courses in four terms every year, including some online programs.

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Embracing Technology Helps You Stay Independent How Using 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 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 with libraries, senior centers, colleges and others often offering related training and helpful information. 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 12

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, order household items, food, meals, medical supplies and more, and stay connected with friends and family through social networking sites like Facebook. These devices also can be used to monitor home-based security systems and view video surveillance footage. Through video chatting platforms like Zoom, WhatsApp, Skype and Google Hangouts, people can combat loneliness and isolation. These platforms also help individuals take Aging Resources 2021–2022

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. 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

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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.

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SCAN ME

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 about 20 a day and spend on average 18 minutes with a patient during a typical 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 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 consulting with you. Arrive Early but Be Prepared to Wait Arriving about 15 to 20 minutes before your 14

in-person appointment will give you adequate time to fill out paperwork, use the restroom 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 and 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 and how much and how frequently you are taking them, you reduce the chances of negative drug interactions. Summarize Your Medical History Have in hand a summary of your allergies, surgeries, vaccinations, family medical history and diagnosed conditions. Aging Resources 2021–2022

Be Specific and Bring a Written List of Your Medical Concerns Before your visit, write down 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 on paper or through your healthcare provider’s secure online patient portal if one is available. 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 if 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.

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Get Moving for Better Health How Staying Physically Active Helps As You Age

Exercising at any age has great benefits but as we grow older, staying physically active offers unique rewards, including countering agerelated weight gain, building stronger bones, fighting off diseases, helping with balance and even slowing the aging process itself. As we age, our bodies typically experience slower metabolism, a loss of muscle and bone mass, a decline in cardiovascular health and a slowdown of reaction times and reflexes. 16

To attain the most health benefits from physical activity, the U.S. Dept. of Health and Human Services recommends participating in at least 150 minutes – or two-and-a-half hours – of moderate-intensity aerobic activity each week and muscle-strengthening activity at least two days a week. “Moving more and sitting less” is key, according to the federal government agency, since increased sedentary behavior is Aging Resources 2021–2022

correlated with an increased risk of heart disease, high blood pressure and all causes of death. Fortunately, any type of physical activity – even 10-minute sessions at a time – helps offset these risks. Ailments that regular physical exercise and strengthening help prevent include many types of cancer, dementia, heart disease, stroke, high blood pressure, type 2 diabetes and depression. Being more active also strengthens bones, lowers the risk of falls and helps combat weight gain. For older adults, the National Institute on Aging says four types of exercise are especially beneficial: • Endurance exercises or aerobic activities • Strength or resistance training • Balance training and • Flexibility exercises The National Council on Aging recommends exercise routines that blend aerobic exercise, strength and resistance training, and stretching and flexibility exercises. Yoga, pilates, aerobic exercise such as walking, swimming and using the stationary bike are all good choices for older adults. Simple, low-impact strength-training exercises such as wall push-ups, stair climbing, squats and single-leg stands or routines using light hand weights or resistance bands are effective for building muscle and bone strength. When getting started with an exercise program, the National Institute on Aging

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recommends the following to be safe and reduce the risk of injury: • Begin slowly with low-intensity exercises. • Warm up before and cool down afterward. • Pay attention to your surroundings when exercising outdoors. • Drink water before, during and afterwards even if you don’t feel thirsty. • Wear appropriate fitness clothes and shoes. • If you have specific health conditions, discuss your exercise and physical activity plan with your health care provider. No matter what you choose to do to stay active, the bottom line is that exercising and working toward being physically strong helps with all aspects of aging and being healthy for years to come.

AGING AND EXERCISE RESOURCES Healthy Aging NC HealthyAgingNC.com/ External-Programs National Council on Aging NCOA.org/Article/The-LifeChanging-Benefits-of-ExerciseAfter-60 National Institute on Aging NIA.NIH.gov/Health/Four-TypesExercise-Can-Improve-Your-Healthand-Physical-Ability North Carolina Office of State Human Resources OSHR.NC.gov/State-EmployeeResources/Benefits/Wellness/Fitness

Pets as Companions What to Consider as an Older Adult When it Comes to Animal Care

Adding a pet to your household can be a wonderful way to combat the loneliness and isolation that sometimes comes with aging. Pets can fill voids in our lives, giving us joy, companionship and purpose. And while there are many benefits to having a pet, adopting an animal is an important decision with different factors to consider at any age but especially as you get older. How Pets Are Good For Your Health As we age, our level of interaction with friends and families can dwindle with the relocation or death of loved ones. Bringing a pet into your life can help counter the sadness, anxiety and depression that can come with being alone. Studies have shown 18

that having a pet can help reduce your blood pressure and ease stress. Pets also help fulfill the basic human need for touch and give people happiness through their playfulness and mere presence. Having an animal gives you a purpose in life beyond just yourself and can help you get your mind off your own issues. The care of a pet that comes, for instance, with taking a dog for a walk or playing with a cat, also can help you stay more physically active. Pet owners – particularly those with dogs they take on walks – often have more social interaction with others, another part of animal companionship that helps counter loneliness.

Aging Resources 2021–2022

Considerations for Older Pet Parents Many pets – particularly dogs and cats – have average lifespans of a decade or more. Adopting pets is for life – both theirs and yours. As you yourself age, it’s important to think about the impact that potential changes in your health situation and living arrangement may have on an animal companion. If you are adopting as an older adult, make a plan for who will take your animal friend should you no longer be able to give your pet the care he or she needs. Prior to adoption, assess whether or not you are currently able to take care of a pet’s needs, such as its feeding, grooming, litter box care and other clean-up, daily walks and visits to the veterinarian. Consider enlisting the help of a friend, loved one or someone you can hire to help at times with the care of your animal. Think, too, about the financial cost of having a pet. As pets themselves become elderly, there is the potential that they will have increased healthcare needs which may come with higher costs. When choosing a pet, give consideration to the size and age of the animal. For example, a large, high-energy puppy has the potential to tug hard on a leash and possibly pull you down. A small kitten can easily get underfoot and could cause you to trip. Younger animals are typically more energetic and require more training and attention. Consider adopting an older, senior pet who may have a calmer demeanor and be more settled into a routine. And while dogs and cats are popular pets, consider other animals such as birds, fish, rabbits and reptiles which can offer companionship, too.

AgingResourcesWNC.com

Keep in mind that just because friends and family members may think you need a pet in your life, the decision – and responsibilities that come with having a pet – are yours alone. Prior to considering animal adoption, take time to carefully evaluate if having an animal to care for fits with your lifestyle, your physical abilities and your living arrangement.

LOCAL RESOURCES FOR PET ADOPTION Asheville Humane Society AshevilleHumane.org 828-761-2001 Blue Ridge Humane Society BlueRidgeHumane.org 828-692-2639 Foothills Humane Society FoothillsHumaneSociety.org 828-863-4444 Transylvania Animal Alliance Group TAAGWags.org 828-966-3166 Rutherford County Humane Society RutherfordCountyHumaneSociety.org 828-287-7738 Madison County Animal Shelter MadisonCountyNC.gov/ Animal-Shelter.html 828-649-3190 Yancey Humane Society YanceyHumaneSociety.org 828-682-9510 Haywood County Animal Services HaywoodCountyNC.gov/ 154/Animal-Services 828-456-5338

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. 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. 20

Falling is not a normal part of aging. And fortunately, falls can often 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. continued on page 22

Aging Resources 2021–2022

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•B e particularly mindful when visiting places outside your home since you may not be as familiar with their layouts.

• 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.

•S tay active and walk every day. Consider taking exercise classes, balance classes, yoga or tai chi to build physical strength and improve balance.

• Ask for your overall risk level for falling and for recommendations on how to prevent a fall.

•S chedule a doctor’s appointment to discuss fall prevention and be evaluated for conditions that can lead to increased falling, such as cardiovascular issues, arthritis, neuropathy and dementia. • 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. •B e careful when drinking alcohol since it can impair perception. • Discuss with your doctor any numbness, aches, foot pain or shortness of breath you experience as you go about your daily routine. •G et tested for balance, strength and gait. •B e treated for low blood pressure and vitamin D and calcium deficiencies as all are risk factors for falls. •E nsure 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. • I mpaired 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.

• Talk with your healthcare provider about whether mobility assistance devices such as canes or walkers might help if you have impairments. • 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 s or clothes, 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, 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 , near toilets and anywhere else they could be helpful. Place a seat in the shower or use a transfer bench in the tub.

Aging Resources 2021–2022

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 in your home, especially 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 steps or having someone else 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.

FALL PREVENTION RESOURCES Organizations throughout Western North Carolina and Upstate South 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 https://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 Land of Sky Regional Council Programs and Classes LandofSky.org/FallPrevention.html High Country Falls Prevention Coalition HighCountryAging.org/Resources/ Fall-Prevention Healthy Aging NC HealthyAgingNC.com/ A-Matter-of-Balance-Fall-Prevention Fifty Upstate Landrum Aging Well Center FiftyUpstate.org/Centers

AgingResourcesWNC.com

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: •D epression due to isolation; •F aster cognitive decline resulting in dementia due to isolation; •S ignificant 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;

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

• Asking people to repeat things;

•P aranoia due to inability to hear environmental sounds and cues; and

• Having trouble understanding conversations on the phone;

• I ncreased 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 24

• 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 2021–2022

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.

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

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•A n 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 97.

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Serving Hendersonville Since 2000

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Living with Dementia Identifying and Managing Symptoms of Alzheimer’s and Other Dementias 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 continue but currently, dementia is progressive and has no cure. 26

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 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.

Aging Resources 2021–2022

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.

a plan of action to care for the patient and manage life as the disease progresses. 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.

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.

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.

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

continued on next page

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A resource for patients and caregivers • • • • • •

24/7 Helpline Expert consultation and referrals Content-rich website Diagnostic and treatment options Updates of research advancements Online community - alzconnected.org

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Customized action plan alz.org/alzheimersnavigator Support Groups Clinical study matching - alz.org/TrialMatch Education programs

24/7 Helpline Assistance in 140 languages 1.800.272.3900 www.alz.org/northcarolina

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Find More Resources Online!

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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,

With dementia, moving to an assisted living facility, using adult day care or needing roundthe-clock care — may become necessary as the disease progresses. With a plan, these transitions can 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 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.

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. Prioritize Support for the Caregivers Part of every plan for dementia care must be to care for the caregivers. This means ensuring caregivers don’t overcommit themselves and that their needs and desires also are considered. They should take time to join Aging Resources 2021–2022

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 individual receiving care. Advances in Treatment With increased scientific research being devoted to Alzheimer’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 continues to live longer. There is nothing easy about the often long course of dementia. But 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.

AgingResourcesWNC.com

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/Alzheimers-Dementia/ Treatments, ALZ.org/Research and ALZ.org/Help-Support/I-HaveALZ/Treatments-Research. 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 41. Caring for the Caregiver Find resources and tips for caregivers on page 48. Local Help Learn about local community resources including Councils on Aging on page 34. Find local help in the Alzheimer’s/ Dementia and Caregiving Support sections of the Aging Resources Directory on pages 92 & 93.

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 •D o they stand up straight or are they bent over? Are they leaning to one side or having trouble with balance? •A re they maintaining their normal weight? •D o 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

•W hen 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?

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

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

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

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

•A re their buttons buttoned properly? Are zippers zipped?

The Car and Driving

•D o they seem fatigued, sad, frustrated, upset or confused? •A re there any signs of substance abuse? Inside the Home • I s the home kept the way it always has been or do you see a change? 30

• 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 2021–2022

•D o they drive too slowly? How is their reaction time? Do they tailgate? •W hen 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

•C an 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 32. Area Councils on Aging, Geriatric Care Managers and other professionals on pages 34-41. Home Care and Home Health Care options on page 46. Aging Resources Directory beginning on page 92.

Mom’s yard is an acre of grandkids playing, a patio with decades of celebrations, and a garden overflowing with memories. We give people the help they need to live in the place they love. ™

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.

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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.

Observe and Evaluate Driving Skills

Talk About Driving Abilities and Transportation Options

• Running lights or stop signs.

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.

• Exhibiting lane drifting or having trouble changing lanes.

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 if someone is having challenges with driving. According to the AARP, signs to look for include: • Being easily distracted. • Having a delayed response to unexpected situations. • Clipping the curb.

• Misjudging distance. • Showing a loss of driving confidence • Getting lost in familiar places. • Driving too fast or too slow. • Having trouble moving the foot from the

Aging Resources 2021–2022

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. Broaching the Subject of Ceasing to Drive Because driving is often equated with independence, having a conversation about no 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.

AgingResourcesWNC.com

DMV and Public Transportation Information In North Carolina, motorists age 66 and older are required to renew their driver’s licenses every five years. Others generally must renew their licenses every eight years. Learn more at NCDOT.gov/DMV/License-ID/RenewalReplacement/Pages/Default.aspx. 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. In South Carolina, drivers 65 and older must renew their driver’s licenses every five years. Renewing for 10 years may be possible if the driver is younger than 65. More information can be found at SCDMVonline.com/DriverServices/Renewals. If there are concerns about a person’s ability to drive, doctors and law enforcement officials can request that a motorist’s driving skills be assessed by a SCDMV examiner. For details on area public transportation services, turn to the Transportation, Appointments and Errands section of the Aging Resources Directory on page 104.

HELPFUL RESOURCES AAA’s SeniorDriving.AAA.com American Occupational Therapy Association’s Driving and Community Mobility AOTA.org/Practice/ProductiveAging/Driving/Practitioners.aspx

Find the Help You Need in Your Community Local Professionals Offer Range of Assistance with Aging Issues

If you’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 and the South Carolina Department on Aging, 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 or Upstate South Carolina, the Council on Aging or Area Agency on Aging serving the county you live in may offer different services 34

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 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. continued on page 36

Aging Resources 2021–2022

We make sure... NO ONE AGES ALONE.

Caregiver Services • Community Resource Coordination • Heat Relief Liquid Nutrition • Meals on Wheels • Senior Companion Lunch at the Sammy Center (Congregate Meals) • Volunteer Opportunities

COAHC.org @hcountycoa | @coahc

You can help by shopping & donating items at our thrift stores in Hendersonville and Etowah.

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

COABC offers informational assistance about Medicare and health insurance and also assists older adults with the Affordable Care Act. 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. COABC partners with a variety of local agencies and connects clients with other assistance in the community, such as help with ramp installations. 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. SThe Senior Dining and Wellness program offers eligible adults the opportunity to receive free hot meals. Monthly food boxes are delivered by volunteers with COABC to at-risk, homebound elders. 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. 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. 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 been providing and coordinating services that engage, connect and support local adults as they age. COAHC strives to ensure that no one ages alone through programs that include Meals on Wheels (delivery of meals to homebound seniors), “Lunch at the Sammy” congregate dining and activities liquid nutrition, caregiver services, senior companions and community resource coordination. The Council on Aging also offers seasonal services including a heat-relief assistance program and shelf-stable meals for inclement weather. Caregiver support specialists are 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. continued on page 38

Aging Resources 2021–2022

Aging Life Care™ Managers Provide Guidance & Solutions During the Challenging Times of Aging As advocates for aging adults, Mountain Area Premier Care Navigation (MAP CN) care managers are compass creators for seniors and their families. Tapping into several decades of experience with extensive knowledge of local and national resources, Aging Life Care™ Managers create a successful care map for each client based upon their unique needs. MAP CN operates in a village capacity and finds solutions for seniors’ needs. They serve as translators between health systems and clients, facilitators of conversation with family members, as well as collaboration with blended families of second marriages.

Navigation Assistance

After an initial assessment, clients are matched to a care manager best suited to their needs. • MAP CN conducts an initial assessment. This can be as light touch as a one-time phone consultation, or as involved as an assessment in the home or facility. Support can continue indefinitely as is directed by the client. • MAP CN communicates with health care providers, serving as a medical advocate for the care the client wishes to receive. • MAP CN arranges for in-home care or alternative living assistance, helping the senior and/or family choose the best option for them and determine how much care is needed. • MAP CN provides a “Just in Case” Safety Net for healthy, solo seniors. In the event of an emergency, the MAP CN team is on call to help advocate and navigate the health care system. Annual check-in allows all parties to remain up to date on any changes in health or their wishes for care. • MAP CN provides A La Carte Services, assisting with as little or as much help as needed.

Above the Rest

MAP CN care managers are clinically focused, well-versed in senior care and possess comprehensive skill sets. Staff have a minimum of Masters' level of education in their subject areas, from social work to nursing to physical therapy. MAP CN serves all of WNC. Owner, Lisa Laney states "Care management's priority is stellar communication and with this comes desired quality results."

Meet Lisa Laney, Owner

MSW, CMC Aging Life Care Professional Lisa has worked with the aging

population in the healthcare system in WNC since 1988. Her MSW is from UNC-CH with dual concentrations in Aging and Health. Lisa has been a leadership member of the Asheville Parkinson's Support Group for over 12 years. She also served many years as a Director on the Board of Aging Life Care Association (ALCA). “ ...been working with Lisa and her team for over 5 years. Caring for my mom from NY would have been impossible without their support and expertise. Their deep roots in the Asheville area, compassion, sensitivity, sound advice and--when needed--loving sense of humor have been important to me. Mom is surrounded by people who genuinely care about her, and are they are there for me too.” - A.Holder, NYC “ As my wife's dementia progressed, I was floundering with ever-increasing responsibilities. It was my good fortune to be introduced to Lisa Laney and her company. I value Lisa’s expertise, knowledge, and commitment to premium quality care for her clients.” - Paul Nelson, Asheville

Meet the Team: Robin Fox, Kirsten Kern, Lisa Laney, Beth Cummings, Tina Lipscomb

828-772-0002 • PremierCareNavigation.com

COAHC also offers support, advice and guidance related to aging, housing assistance, medical appointments, assisted living options and more. 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, health and wellness promotion 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. 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 Foothills Regional Commission serves as the Area Agency on Aging for Polk and Rutherford Counties, in addition to Cleveland and McDowell. The Southwestern Commission Area Agency on Aging covers Haywood County, as well as Cherokee, Clay, Graham, Jackson, Macon and Swain Counties and the Eastern Band of Cherokee Indians. The High Country Area on Aging serves Yancey 38

County in addition to Alleghany, Ashe, Avery, Mitchell, Watauga and Wilkes Counties. In South Carolina, the Appalachian Council of Governments serves as the Area Agency on Aging for Spartanburg County as well as Anderson, Cherokee, Greenville, Oconee and Pickens Counties. All of these Area Agencies on Aging 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 legislation and resources for 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 continued on page 40

Aging Resources 2021–2022

Services Include:

• Short-term Nursing • Respite Care and Rehabilitation •P alliative Care • Long-Term Care & Hospice • Outpatient Therapy • Veterans' Services

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70 Sweeten Creek Road, Asheville, NC 28803 (828) 274-7646 LaurelsOfGreenTreeRidge.com 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 (828) 692-6000 LaurelsOfHendersonville.com

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.

100 Riceville Road, Asheville, NC 28805 (828) 299-1110 LaurelsOfSummitRidge.com

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assistance related to geriatrics including extended care rehabilitation, psychogeriatric care, general nursing home careand caregiver support. The VA Medical Center also has a community-based outpatient clinic in Rutherford County. 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.

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The Veterans Administration operates medical clinics for veterans in Upstate South Carolina, including in Spartanburg and Greenville. The South Carolina Dept. of Veterans Affairs offers a variety of resources related to claims assistance, health care, mental health, consumer affairs, military service member and family programs and more. Each county has a veterans affairs office. South Carolina also has three state veterans nursing homes. State Agencies 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. In South Carolina, the Long Term Care Ombudsman Program, the Vulnerable Adults Investigation Unit of the SOuth Carolina Law Enforcement Division and the Adult Protective Services Program of the Dept. of Social Services investigate allegations of abuse, neglect and exploitation. 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 DIRECTORY Turn to page 92 for more helpful resources in our Aging Resources directory.

Aging Resources 2021–2022

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: • Assessing a loved one’s social, emotional and medical status including problems with memory loss and related dementia. • Interacting with and facilitating communication with a healthcare team.

• Evaluating, recommending and helping coordinate moves to appropriate long-term care housing. • Supporting and helping loved ones and families cope with care options and concerns and helping them reach a consensus about long-term care planning. • Connecting with community resources available for older adults. • Intervening when a crisis occurs such as an emergency room visit and overseeing a hospitalization or rehabilitation stay. • Reviewing 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 as an online searchable database for finding a professional in your area at AgingLifeCare.org.

Because You Deserve The Best

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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 44

Aging Resources 2021–2022

because she has a few more moves to teach me

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Start the conversation. 828-255-0231 | missionhealth.org/hospice AgingResourcesWNC.com

• I s bonded and insured for up to $1 million; and •C onducts 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: •W hat happens when the individual caregiver is ill or unavailable; •W ithholding taxes, Social Security and Workers’ Compensation Insurance; •H omeowner’s insurance that would cover if a caregiver is hurt on the job; •H iring an individual caregiver with flexibility to change with your needs; and •W hat 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 44

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 46.

Aging Resources 2021–2022

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

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24/7 Care Availability

Home Care (Non-Medical)

Home Health Care (Medical)

Minimum hours per shift

PAGE

11 Always Best Care Senior Services

41 Best Care Home Care

Serving Buncombe, Henderson, Polk & Transylvania Counties

40 Choice Care Your Way

Serving Buncombe, Henderson, Polk & Transylvania Counties

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

60 Four Seasons Home Care

Serving Buncombe, Henderson, Polk & Transylvania Counties

Four Seasons

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

Griswold Home Care

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

47 Kindred at Home

Serving Buncombe, Henderson, Polk & Transylvania Counties

Pardee Home Health

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

Aging Resources 2021–2022

AgingResourcesWNC.com

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 48

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. 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. Aging Resources 2021–2022

•D rink plenty of water and don’t overdo caffeinated beverages.

• Realize that a range of emotions come with caregiving.

•D on’t postpone your own regular medical check-ups.

• Participate in caregiving support groups. Communities of caregivers can be found both online and throughout our region.

•A void abusing tobacco, alcohol or drugs, including prescription medications. Ask for Hands-on Help From Others •A dopt 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.

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.

•C reate a plan for respite care so you can have breaks from caregiving. •E nlist 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. •E xplore the possibility of contracting home care or home health care for your loved one. •C onsider 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 •A t 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. •C arve out some time every day to sit quietly by yourself. Include meditation, prayer or inspirational readings if those activities are enjoyable and fulfilling for you.

AgingResourcesWNC.com

CAREGIVING RESOURCES Caregiver Action Network CaregiverAction.org Family Caregiving Alliance Caregiver.org National Alliance for Caregiving Caregiving.org Caregiving Advice AARP.org

LEARN MORE ABOUT How technology can help on page 12. Home Care and Home Health Care on page 42. Area Home Care and Home Health Care providers and their services on page 46. Caregiver Support resources in the Aging Resources Directory on pages 93 & 94.

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 and 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, 50

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 2021–2022

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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

• Non-slip, low-maintenance floors in bathrooms • Kitchen, bedroom, bathroom and laundry on one floor • Side-by-side refrigerator/freezer • Raised or lowered dishwasher • Counter-height microwave • Flat cooktop with front controls • Stoves and sinks with open space underneath for someone seated • Separate, comfort-height wall oven • Varied counter heights so cooks can sit or stand • Beveled corners on counters, furniture and walls • Raised, 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 • Enhanced, Searchable 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 52

Aging Resources 2021–2022

Take advantage of all Mars Hill Retirement Community has to offer—beautiful views of the Blue Ridge Mountains along with easy access to lectures, sporting events, and a host of cultural opportunities at Mars Hill University. It is a way of life that is focused on your needs and desires while maintaining your independence. A community that is just the right size with options for care: 4 floor plans across 56 residential apartments featuring full kitchenettes, mountain views, and all utilities and amenities in a monthly fee. Short term Respite Care is also available. Get temporary relief from caregiving responsibilities, use it for a loved one to “try out” community-living, or make arrangements while going on vacation or other travel.

Contact Us for Info or Call Today to Schedule Your Personal Visit. 170 South Main Street Mars Hill, NC 28754 828.689.7970 MarsHillRetire.com Brooke.Muller@MarsHillRetire.com

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.

Professional organizers include Senior Move Managers who are members of the National Association of Senior & Specialty 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.

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.

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 designated 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.

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.

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

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

Aging Resources 2021–2022

to your home to pick up furniture and other household items that you want to give away as long as they are in good condition.

• Going through paperwork, digitizing important documents and shredding files that are outdated or no longer needed

Areas to Start With Your Downsizing Include:

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.

•G etting rid of clothing and accessories you haven’t worn in years •P urging collections of books, magazines, CDs, albums, DVDs and VHS tapes •C learing out multiple pieces of furniture, especially ones that are large and bulky •D isposing of unused exercise equipment, tools, kitchen appliances and other devices •W eeding out holiday and other decorations •P assing on keepsakes, old photos and mementos to family members

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.

•E mptying off-site storage facilities

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HOSPICE HOME STORE

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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 56

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 58

Aging Resources 2021–2022

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

AgingResourcesWNC.com

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. 57

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. In South Carolina, these types of living facilities also are referred to as Community Residential Care Facility, or CRCFs. Adult care homes, which typically have fewer beds than assisted living facilities, offer 24hour supervision and assistance to residents. Licensed by the North Carolina Division of Health Service Regulation and the South Carolina Bureau of Health Facility Licensing, 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 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. These facilities often 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. Many 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. However, 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. 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 and the South Carolina Bureau of Health Facility Licensing. They offer the highest level of residential care and are the right choice for short-term inpatient continued on page 60

Aging Resources 2021–2022

That's why we make your loved one our top priority. We provide a home-like atmosphere and a vibrant social calendar. Our team of committed professionals is devoted to keeping your loved one engaged and maximizing the health and well-being of each resident.

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rehabilitation for people recuperating from an accident or illness or for those who are chronically ill and need long-term 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 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: continued on page 62

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

The Care You Trust

Aging Resources 2021–2022

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

•E xtensive 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. • Modified contracts obligate the CCRC to 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. •F ee-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. Health-related services with these contracts differ. • Rental contracts provide for housing, services and guaranteed access to healthrelated services in exchange for monthly rent and service fee. Regardless of how well you believe you understand these CCRC contracts and agreements, it is recommended that you take them to an elder law attorney and/or a CPA who can review them with you.

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

Aging Resources 2021–2022

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 Info.NCDHHS.gov/DHSR/ACLS/ Star/Search.asp#Info. In South Carolina, visit the S.C. Department of Health and Environmental Control’s Bureau of Health Facility Licensing at SCDHEC.gov/BHFL. Visit Medicare’s Nursing Home Compare at Medicare.gov/ NursingHomeCompare/Search.html.

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 •M emory Care, 24/7 Nursing Care, Wound Care, Pain Management, Medication Management and Hospice

AgingResourcesWNC.com

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

Senior Housing Regulation For licensed assisted living facilities, care homes and nursing homes in North Carolina, to check on any violations and penalties and to see their star ratings from the N.C. Division of Health Services Regulation, visit Info.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. For comparable information about South Carolina facilities, visit SCDHEC.gov/Health-Regulation/ Healthcare-Facility-Licensing.

CCRCs in the Carolinas According to the North Carolina Dept. of Insurance, entrance fees for CCRCs can range from a few thousand

dollars to more than $1 million with a typical entrance fee ranging from $68,000 to $370,000. Monthly fees for CCRCs can range from $1,000 to more than $8,000 but typically fall within the $2,000 to $4,000 per month range. The N.C. Dept. of Insurance publishes a CCRC reference guide that can be accessed at NCDOI.gov/Media/1833/ Open. A list of licensed facilities in North Carolina and their related disclosure statements can be found at NCDOI.gov/Documents-Disclosures. Information from the S.C. Dept. of Consumer Affairs about CCRCs in South Carolina can be found at Consumer.SC.gov/Sites/Default/ Files/Documents/CCRC.pdf and Consumer.SC.gov/BusinessResourcesLaws/Licensing/CCRCs. A list of licensed facilities in South Carolina can be found at Consumer. SC.gov/Licensee-Lookup.

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 2021–2022

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

Life Plan (CCRC)

Asheville

Ardenwoods

Asheville

Deerfield Retirement Community

Asheville

Heather Glen Assisted Living

Arden

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

Western North Carolina Baptist Homes

Asheville

HENDERSON COUNTY

Carolina Reserve of Hendersonville

Hendersonville

Carolina Reserve of Laurel Park

Laurel Park

106 Carolina Village

Hendersonville

Elmcroft

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

MADISON COUNTY Mars Hill Retirement Community

AgingResourcesWNC.com

Mars Hill

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 re the grounds attractive? Is the building A 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? Does it have a pleasant smell?

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?

Do you like its layout? Is it easy to find your way around?

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Aging Resources 2021–2022

AgingResourcesWNC.com

I s every staff member at every post – front desk, maintenance, housekeeping, healthcare, dining room – appropriately dressed, pleasant and attentive?

hat foods are available every day? W Get sample monthly menus to review.

re your phone calls and emails A responded to promptly?

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 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? Is the dining room full at dinner?

re meals for people with special A dietary requirements available?

I s there a private dining room if you wish to host a special event? Are special meals offered on holidays? Services and Amenities 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? 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 page 70

Aging Resources 2021–2022

Senior living means spending

more quality time with family & friends.

It can be difficult to have conversations with your aging loved one about senior living options. Many have walked this path before and found senior living to be the right solution to help everyone live life better – so why wait?

Dining

Transportation Housekeeping

Activities

Assisted Living | All-Inclusive* Memory Care 3851 Howard Gap Road Hendersonville, NC 28792 828.383.8281 | elmcroft.com ©2021 Eclipse Senior Living License# HAL-045-130 *Valid for qualifying new leases signed between 6/1/2021 and 6/30/2021. Must take financial responsibility by 6/30/2021. Does not apply to rates associated with levels of care. Automatic payment withdrawals required. Cannot be combined with other offers. Terms and restrictions apply. Talk with our sales director for details.

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 control your own heat and C air conditioning? I s the bathroom walker and wheelchair accessible? 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?

re pets allowed? If so, A what are the restrictions? Healthcare Services

an you stay in an apartment overnight C or longer to see how you like it?

For Independent Living

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?

I s medical staff on site? If so, what are their hours? hat healthcare services – such as W medication management, care during illness and physical therapy – are offered onsite? What is the cost? 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? continued on next page

TAKE THE PATH TOWARD YOUR DREAM LIFESTYLE. Find the future you’ve always wanted at Legacy at Mills River, the first senior community in beautiful WNC where you can own your home with the security of private healthcare.

OPENING IN 2024.

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

TAKING RESERVATIONS TODAY! Call 828-600-5261 to learn more.

N E X T- GE N E RATION RE TI RE M E N T L I VI NG.

Asheville, NC 800-284-1531 deerfieldwnc.org

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LEGACYATMILLSRIVER.COM 582 Jeffress Road, Mills River, NC 28759

28017-06rla-2021_AgingResources_325x45.indd 1

9/17/21 10:57 AM

For Assisted Living

I s it a licensed assisted living facility or multi-unit assisted housing with services?

Peace of mind always

& all ways

At Pisgah Valley, residents find ease of living, and peace of mind. Not only can they be as active as they choose, residents and their families love the emphasis on whole-person wellness and the peace of mind knowing that a continuum of healthcare including Assisted Living, Rehab and Skilled Nursing are available if needed.

hat healthcare and daily-living W support services are available? 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?

To schedule a visit today call 828.554.7702.

For Skilled Care

I s the facility licensed by the state? Does it have any violations? Can you choose your own doctor? 6 Rhododendron Way, Candler, NC 28715

PisgahValleyRetirement.com

hat healthcare and daily-living W support services are included in the fee? What is extra? hat is the staff-to-resident ratio W and staff turnover rate?

A Life Plan Community offered by Liberty Senior Living

121148 pisgah valley all ways ad-arm.indd 1

9/13/21 4:35 PM

Aging Resources 2021–2022

MARTHALER JEWELERS OFFERS COMPASSIONATE EXPERTISE WITH THE SALE AND REPURPOSING OF FINE FAMILY JEWELRY In the midst of caring for a loved one or handling estate matters, it can be particularly daunting to know what to do with fine family jewelry. Perhaps selling a precious piece could help with a loved one’s caregiving or healthcare costs or maybe an inherited item has sentimental value but isn’t current in style or is something that more than one family member would like to enjoy.

Knowing how to go about selling or repurposing a valuable piece of jewelry can be overwhelming. As a first-generation business serving customers in Western North Carolina since 2010, Marthaler Jewelers understands these challenges and helps customers navigate these decisions with compassion and expertise. “Our goal is for people to feel comfortable,” said Tonya Marthaler, who, along with her husband, Andy, owns Marthaler Jewelers. “It can be a very trying time when you are taking care of a parent or loved one or settling a family member’s estate so our goal is to be extremely supportive.”

Marthaler Jewelers also offers appraisals of jewelry to determine market value as well as to validate the existence and condition of pieces for insurance coverage purposes.

Marthaler Jewelers works throughout Western North Carolina with team members happy to meet wherever it’s convenient, including at banks and attorneys’ offices. As full service jewelers, Marthaler Jewelers also offers restoration and redesign work such as ring sizing and resizing, diamond and gemstone setting, lost stone replacement, cleaning and jewelry maintenance, prong retipping, resoldering necklaces and bracelets, and antique refurbishing.

In addition to their custom design work, Marthaler Jewelers also features a variety of notable jewelry lines including Marthaler Made, Oscar Heyman, JB Star and Fana.

Appreciating the value of people’s possessions, Marthaler Jewelers is committed to helping customers receive a good return on the sale of their family jewelry – whether a piece is worth several hundred or several million dollars.

With a team that has more than 100 years of combined jewelry craftsmanship experience, Marthaler Jewelers also can transform a wellloved family heirloom into updated, redesigned custom piece or into several items.

43 Town Square Blvd #130, Biltmore Park Town Square in Asheville marthalerjewelers.com | 828-676-1625 | tonya@marthalerjewelers.com

Open Mondays, Tuesdays, Thursdays and Fridays from 10 a.m. to 6 p.m., Wednesdays and Saturdays from 10 a.m. to 5 p.m. Closed Sundays.

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. ACL.gov/LTC Managed by the U.S. Department of Health & Human Services, this website can help you answer questions about: •T he costs of long-term care. •D isability 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. •H ow 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 79-81.

Community Resources

Read on page 34 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 2021–2022

“Our Team Works Together to Give You Peace of Mind”

Estate Administration

Estate Planning

Case Management

Fiduciary Management

Medicaid

Caroline Knox is a Board-Certified Elder Law and Special Needs Attorney. She has surrounded herself with dedicated professionals to assist clients in planning for their future and addressing immediate needs as changes in life occur. Caroline recognized a significant need in the community for a comprehensive approach to assisting aging adults, and the Knox Law team specializes in estate planning and administration, asset preservation, fiduciary management, Medicaid applications, and geriatric case management. At the request of clients or the court, Caroline serves as power of attorney or guardian. In this capacity, Knox Law provides a range of services that include arranging medical appointments, managing healthcare and household services, paying bills, setting up an emergency contact network, making funeral arrangements, assisting with moves to care facilities and organizing home cleanouts.

Caroline says: “Everyone at Knox Law cares, and there’s a feeling of family that carries into the work we do.”

16 Towne Place Drive, Suite 100 | Hendersonville | (828) 513-1600 | cknoxelderlaw.com Based in Henderson County, Knox Law serves clients throughout North Carolina with in-person or virtual meetings.

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 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. 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

Aging Resources 2021–2022

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 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, home test kits and cures. 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. • 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. continued on next page

AgingResourcesWNC.com

•M ake 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. •N ever 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. •T rust 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 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/ Protecting-Consumers/ProtectingYour-Identity/Free-SecurityFreeze/. Visit at NCDOJ.gov/ProtectingConsumers and the South Carolina Dept. of Consumer Affairs at Consumer.SC.gov/ConsumerResources/Consumer-FAQs/ Scam-Education for more tips about avoiding being defrauded. Contact the Consumer Protection Division of the North Carolina Dept. of Justice at 877-5-NO-SCAM or the South Carolina Dept. of Consumer Affairs at (844) TELL-DCA. 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.

Aging Resources 2021–2022

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. 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. Because this information is subject to change, your best source for information about Medicare is the federal Centers for Medicare & Medicaid Services. 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 AgingResourcesWNC.com

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. Medicare Part B pays for medically necessary services, mental health services, physician’s services, outpatient care, medical supplies, 79

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 and B. Medigap policies help pay some of the health care costs that Medicare doesn’t cover, like copayments, coinsurance and deductibles. 80

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.

STATE MEDICARE RESOURCES In North Carolina, learn more about Medicare, supplemental policies and more at the N.C. Dept. of Insurance at NCDOI.gov/Consumers/Medicareand-Seniors-Health-InsuranceInformation-Program-SHIIP. In South Carolina, learn more at the S.C. Dept. on Aging at Aging. SC.gov/Programs-Initiatives/ Medicare-and-Medicare-Fraud.

Aging Resources 2021–2022

MEDICARE HELP Medicare.gov

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.

800-MEDICARE

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

Seniors’ 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: Buncombe County COABC.org/Benefits 828-277-8288 (ask for SHIIP help) Council on Aging of Buncombe County Haywood County MountainProjects.org/Senior-Services 828-356-2800 (ask for SHIIP help) Mountain Projects, Inc./ Senior Resource Center Henderson County COAHC.org/Resources LandofSky.org/SHIIP.html 828-692-4203 (ask for SHIIP help) Council on Aging for Henderson County

AgingResourcesWNC.com

Madison County MadisonCountyNC.gov/ Events-and-Resources.html 828-398-7700 Madison County Department of Community Services Polk County PolkNC.org/ The_Meeting_Place_Senior_Center.php 828-894-0001 (ask for SHIIP help) The Meeting Place/ Polk County Senior Services Rutherford County RutherfordCountyNC.gov/Departments/ Senior_Center/index.php 828-287-6409 (ask for SHIIP help) Rutherford County Senior Center Transylvania County Transylvania.CES.NCSU.edu/ SHIIP-The-Seniors-Health-Insurance-InformationProgram 828-884-3109 (ask for SHIIP help) Transylvania County Cooperative Extension Yancey County Main.NC.US/Yancey/YCSC.htm 828-682-6011 (ask for SHIIP help) Yancey County Committee on Aging /Yancey County Senior Center

State Health Insurance Assistance Program (SHIP) G e t C a r e S C . c om /G u id e/ I n s u r a n c e Counseling-MedicareMedicaid 800-868-9095 (toll-free) South Carolina has implemented the State Health Insurance Assistance Program (SHIP) – also called the Insurance Counseling Assistance and Referrals for Elders (I-Care) program – to help people applying for Medicare and Medicaid. SHIP is a free health benefits counseling service for Medicare beneficiaries and their families or caregivers. Spartanburg County SCACOG.org/Aging-Services 864-242-9733 (ask for SHIP help) Appalachian Council of Governments-Area Agency on Aging

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. Aging Resources 2021–2022

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

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. 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.

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. 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. continued on next page

Aging Resources 2021–2022

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

Who Should Have the Power? 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. 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. 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. 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. 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 your circumstances and desires.

Aging Resources 2021–2022

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 and in the cloud, too, and register your advance directives online.

ADVANCE DIRECTIVES Instructions and forms for North Carolina living wills and healthcare powers of attorney are available at SOSNC.gov/AHCDR. 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. South Carolina advance directive instructions and forms can be found at Aging.SC.gov/Programs-Initiatives/ Legal-Assistance-Seniors. To find Elder Law & Estate Planning Attorneys in your area, visit our Resource Directory on page 101.

Medical or Physician Orders for Scope of Treatment Medical Orders for Scope of Treatment (MOST), , physician orders for scope of treatment (POST) or portable 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, POST 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 depending on your particular condition. 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-LifeResources and the National POLST Paradigm at POLST.org.

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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 about 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 2021–2022

•A fter 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 82-87.

• 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

Aging Resources 2021–2022

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.

AgingResourcesWNC.com

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 46 and in the Aging Resources Directory on page 98 & 99.

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. 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. Programs include: Caregiver Services, Community Resource Coordination, Heat Relief, Liquid Nutrition, Meals on Wheels, Senior Companion, Lunch at the Sammy Center (Congregate Meals), and Volunteer Opportunities. 105 King Creek Boulevard, Hendersonville 828-692-4203 COAHC.org SEE PAGE 35 Foothills Regional 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 ALZ.org/NorthCarolina SEE PAGE 27 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 2021–2022

ALZHEIMER'S/DEMENTIA 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 MCI Support Group Support group specifically for persons with Mild Cognitive Impairment (MCI). Caregivers are welcome to join their loved ones, but these meetings are primarily focused on persons experiencing MCI. 1st and 3rd Wednesdays at 11am, hybrid format. Grace Covenant Presbyterian Church 789 Merrimon Avenure, Asheville Contact Richard Coble at RCoble@gcpusa.org. Memory Caregivers Network Group Third Tuesday Monthly from 1:00-3:00pm. Please contact for schedule updates. New Hope Presbyterian Church 3070 Sweeten Creek Road, Arden Contact Mel Kelley at Avant_Garden@msn.com and email Network@MemoryCare.org for Zoom meeting information. Memory Loss Caregivers of East Buncombe Second Tuesday 9:30-11:30 am. Please contact for schedule updates. Highland Farms Retirement Community 200 Tabernacle Road, Black Mountain

AGING RESOURCES DIRECTORY

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

Support Group for Dementia Spouses Third Tuesday each month, 1:00-2:30pm. A care receiver and activity program is provided for loved ones. First United Methodist Church 204 Sixth Avenue West, Hendersonville Contact Lisa Kaufman at 828-696-9799 (office) or 561-371-9410 (cell). Support Group for Dementia Family Members Third Tuesday each month, 3:00-4:30pm. A care receiver and activity program is provided for loved ones. First United Methodist Church 204 Sixth Avenue West, Hendersonville Contact Lisa Kaufman at 828-696-9799 (office) or 561-371-9410 (cell). 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 SaintLukesHospital.com SEE PAGE 3 CAREGIVER SUPPORT Family Caregiver Support Program 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. Land of Sky Regional Council Area Agency on Aging 828-251-7341 LandofSky.org/FCSP SEE PAGE 76 MountainCare Caregiver Support Groups First and Third Monday of each month, 2:303:30pm. Email for schedule updates and online meeting format, if applicable. No pre-registration required. 68 Sweeten Creek Road, Asheville 828-277-3399 | Connect@MtnCare.org

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

Contact Mary Donnelly for more information at 828-239-4143 or MaryDDSnow@gmail.com.

AgingResourcesWNC.com

AGING RESOURCES DIRECTORY

MountainCare Adult Day Centers Buncombe: 828-277-3399 Henderson at Pardee: 828-697-7070 Transylvania: 828-435-2850 MountainCareServices.org Caring for People Education and Support (CAPES) Session topics include caring for people living with dementia, legal issues, coping with stress, self-care, community resources and making difficult life choices. Second Tuesdays monthly, 5:00-6:30pm and third Tuesdays monthly via Zoom, 5:006:30pm. 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 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 60 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 HospiceHomeStore.org SEE PAGE 55 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

COMPANIONS Senior Companion Program Senior volunteers provide assistance with daily tasks to other seniors. Land of Sky Regional Council Dee Heinmiller, Senior Companion Manager 828-251-6622 Buncombe, Henderson, Madison,

and Transylvania Counties

LandofSky.org/scp.html

CONGREGATE MEALS & MEALS ON WHEELS Congregate Meals - Buncombe County

Senior Opportunity Center Congregate lunch, Monday-Friday. Services are available to persons 60 years of age and older and their spouses. Congregate dining is Monday-Friday, 9:00am-1:00pm. 36 Grove Street, Asheville | 828-350-2062 Shiloh Community Center Congregate nutrition services promote the health and well-being of older adults through the provision of a nutritious meal and programs. Services are available to persons 60 years of age and older and their spouses. Congregate dining is on Fridays, 11:00am-2:00pm. 121 Shiloh Road, Asheville | 828-274-7739 Weaverville First Baptist Church Congregate nutrition services promote the health and well-being of older adults through the provision of a nutritious meal and programs. Services are available to persons 60 years of age and older and their spouses. Congregate dining is Monday-Friday, 10:00am-1:00pm. 63 N Main St, Weaverville | 828-645-6720 Lakeview Senior Center Congregate nutrition services promote the health and well-being of older adults through the provision of a nutritious meal and programs. Services are available to persons 60 years of age and older and their spouses. Congregate dining is Monday-Friday, 10:00am-1:00pm. 401 Laurel Circle Drive, Black Mountain 828-669-2035

Aging Resources 2021–2022

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 Sammy Williams Center Lunch at the Sammy is donation-based lunch, activities and fellowship. Lunch is Monday-Friday starting at 11:45am and activities are scheduled throughout each month. Visit website for the current schedule. 301 North Justice Street, Hendersonville 828-692-3320 COAHC.org/Sammy-Williams-Center Congregate Meals - Polk County

The Meeting Place - Columbus Congregate lunch 11:30am, Monday-Friday, activities 10:00am-1:00pm. 25 Shield Drive, Green Creek 828-863-2795 | PolkNC.org The Meeting Place - Green Creek Congregate lunch 11:30 am, Monday-Friday, activities 8:30am-4:00pm 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 Congregate Meals - Transylvania County

Quebec “Lunch Plus” Program (WCCA) Congregate lunch, Monday-Friday, 9:30 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

AgingResourcesWNC.com

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 Mobile Meals

Meals on Wheels Hot meals delivered Monday-Friday to homebound adults who are unable to prepare meals. Buncombe County: 828-253-5286 | MOWABC.org Henderson County: 828-692-6693 | COAHC.org/Meals-on-Wheels Polk County: 863-299-1616 | MealsOnWheelsPolk.com Transylvania County / Brevard: 828-883-3743 | MealsOnWheelsBrevard.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

AGING RESOURCES DIRECTORY

Congregate Meals - Henderson County

AGING RESOURCES DIRECTORY

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 GRIEF AND LOSS CarePartners Hospice Bereavement Services CarePartners Hospice Bereavement Services are available to you or your family as you adjust to a loss. They offer support in a variety of ways for individuals and families: Semi-annual memorial services, individual and group sessions for adults and children available at some locations, and other groups and workshops may be offered through your regional office. For more information, contact your regional CarePartners Hospice Bereavement coordinator. Buncombe County/Asheville: 828-251-0126 Macon County/Franklin: 828-369-4206 McDowell County/Marion: 828-659-7068 Transylvania County/Brevard: 828-883-5254 Compassionate Friends: WNC Chapter A self-help organization offering friendship, understanding, and hope to bereaved families that have experienced the death of a child. First Thursday of each month at 6:30pm; please contact for schedule updates. Long’s Chapel United Methodist Church (Dugan Classroom) 133 Old Clyde Road, Waynesville Contact John at 828-400-6480 CompassionateFriends.org HEALTH INSURANCE NC SHIIP/SMP A consumer information division of the N.C. Department of Insurance that assists people with Medicare, Medicare Part D, Medicare supplements, Medicare Advantage, and long-term care insurance questions. They also help citizens recognize and prevent Medicare billing errors and possible fraud and abuse through NCSMP Program. 1-855-408-1212 NCSHIIP.com SEE PAGE 45

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) AdventHealthNC.com

SEE PAGE 8

CarePartners PACE (Program of All-Inclusive Care for the Elderly) PACE promotes the independence of seniors 55+ who want to live at home. A team of professionals coordinate an array of services for each participant. 286 Overlook Road, Asheville 828-213-8442 CarePartners.org SEE PAGE 43 Mission Health Recognized as one of the nation’s Top 15 Health Systems, Mission is dedicated to improving the health and wellness of the people of WNC. 509 Biltmore Avenue, Asheville 828-213-1111 Mission-Health.org SEE PAGE 43 St. Luke’s Hospital Senior-focused services for inpatient and outpatient swing bed (Steps to Home), orthopedics, state-ofthe-art 3D mammography, contemporary urology, rehabilitation and 24/7 ER. 101 Hospital Drive, Columbus 828-894-3311 SaintLukesHospital.com SEE PAGE 3 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. 828-251-5910 YMCAWNC.org

SEE PAGE 6

Aging Resources 2021–2022

HEALTH FOOD/GROCERY STORES 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. 60 South Charleston Lane, Hendersonville 828-693-0505 Hendersonville.Coop SEE PAGE 7 HEARING SERVICES 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. 303 South Church Street, Hendersonville 828-692-0353 BiggertsHearing.com SEE PAGE 25 HOME CARE/HOME HEALTH CARE Always Best Care Senior Services Providing In-Home Care assistance including personal care, medication reminders, household assistance, light housekeeping, meal preparation, transportation / shopping, recovery care, companionship, Alzheimer’s & Dementia care and skilled nursing care. We also offer a proprietary Balance Tracking / Fall Risk Assessment program and Remote Patient Monitoring system to allow for more preventative and preemptive healthcare and increased safely for our clients. Care is available 24/7. 828-676-2939 AlwaysBestCareWNC.com SEE PAGE 11

AgingResourcesWNC.com

Best Care Home Care Dedicated to providing leading home care services to our local communities, Best Care Home Care is a local family-owned choice for quality in-home care. Types of care include Companion Care, Personal Care, Respite Care, Dementia Care and Specialized Care. They provide quality training to their aids and believe in only providing the best services to clients. Medicaid and private pay accepted. 230 North Main Street, Rutherfordton 828-395-2245 BestCareHC.org SEE PAGE 41 CarePartners Home Health For patients who are aging, ill, or recovering from an illness or an injury, we offer the care you need, from nursing to therapy to social work, right in the comfort of your own home. Home Health: 800-627-1533 Private Duty: 828-277-4777 CarePartners.org SEE PAGE 43 Choice Care Your Way Locally owned in-home care registry serving WNC that strives to match every client with caregivers for that perfect fit. Owners Lisa and Beth have years of experience in Home Health Care, Palliative Care, Hospice Care, and Dementia Care. They are uniquely qualified to guide, advocate and support individuals and families who need in-home care. 828-772-4714 ChoiceCareYourWay.com SEE PAGE 40 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 FourSeasonsHomeCare.org SEE PAGE 60 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 31

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WNC Fall Prevention Coalition The WNC Fall Prevention Coalition is committed to reducing the number of falls and fall-related injuries in Western North Carolina. Ongoing programs and meetings, please email for county-specific information. FallPreventionCoalitionWNC@gmail.com Sites.Google.com/View WNCFallPreventionCoalition/Home

AGING RESOURCES DIRECTORY

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. 9 Olde Eastwood Village Boulevard, Asheville 828-298-1370 KindredatHome.com SEE PAGE 47 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. 800 North Justice Street, Hendersonville 828-692-1846 PardeeHospital.org SEE PAGE 15 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 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/Assistance/Adult-Services. HOME/ESTATE & MOVE MANAGEMENT Carolina Professional Organizers Carolina Professional Organizers helps you achieve an organized, functional space. They specialize in organizational services for every space in your home and office. Services range from closet design, space planning, filing, clutter, storage design & installation, downsizing, packing, unpacking, estate sale preparation, to post-renovation clean up. They also work with your policies, procedures, process flows.

828-558-3090 CarolinaProfessionalOrganizers.com

Marthaler Jewelers Marthaler Jewelers is a jewelry store in Asheville that focuses on designing custom fine jewelry. Expertise includes custom design, restore and redesign, repair & maintenance, jewelry appraisals, and the sale and repurposing of fine family jewelry. 43 Town Square Blvd #130, Asheville 828-676-1625 MarthalerJewelers.com SEE PAGE 73 HOME MODIFICATION & 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.

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 WNCMobileLife.com SEE PAGE 6 HOSPICE & PALLIATIVE CARE CarePartners Hospice We offer physical, emotional and spiritual support to patients with terminal illnesses. We are dedicated to treating our patients and their loved ones with respect and compassion, and to providing the highest level of comfort and quality of life possible. 21 Belvedere Road, Asheville 828-255-0231 CarePartners.org SEE PAGE 43 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.

1078 Tunnel Road, Suite F, Asheville 866-443-3101 HelpingWheels.com SEE PAGE 51

856 Georges Fork Road, Burnsville 828.682.9675 CompassionateCareWNC.org

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Aging Resources 2021–2022

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

SEE PAGE 60

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 North Carolina Dept. of Health & Human Services - Division of Adult Care Licensure Inspection results, licensing, ratings, violations, and penalties for adult-care facilities in North Carolina. NC Division of Adult Care Licensure 919-855-3765 Info.NCDHHS.gov/dhsr/acls HOUSING Arbor Terrace Gracious apartments in a lovely setting with many amenities and services for assisted living and memory care. 3199 Sweeten Creek Road, Asheville 828-681-5533 AT-Asheville.com SEE PAGE 61

Brooks-Howell Home Nestled on 10 acres near downtown Asheville, Brooks-Howell offers skilled care and respite care in private rooms with a stellar clinical staff to resident ratio with resident-centric care. Independent Living offers a range of affordable accommodations with no entrance fee and is open to not only members of the United Methodist Church, but also members of other denominations. 266 Merrimon Avenue, Asheville 828-253-6712 Brooks-Howell.org Carolina Reserve of Hendersonville Carolina Reserve of Hendersonville is passionate about creating exceptional communities for older adults. With decades of service in the senior living industry, their family-owned business is committed to improving residents’ experiences through superior living options, expanded services, and new technologies. 1820 Pisgah Drive, Hendersonville 828-633-4688 CarolinaReserveofHendersonville.com SEE PAGE 59

Carolina Reserve of Laurel Park Carolina Reserve of Laurel Park is redefining senior living with an innovative approach that connects individuals with people, places, and activities that bring purpose and meaning to life. Residents enjoy high-quality care in a top-notch living environment. 1825 Pisgah Drive, Hendersonville 828-633-4694 CarolinaReserveofLaurelPark.com SEE PAGE 59

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

Carolina Village Henderson County’s only Type-A Life Plan Community with a focus on active, healthy, purpose-driven living, providing higher levels of quality care when needed.

2400 Appalachian Boulevard, Arden 828-684-7330 ArdenwoodsRetire.com SEE PAGE 57

600 Carolina Village Road, Hendersonville 828-692-6275 CarolinaVillage.com SEE BACK COVER

Looking for Veteran-Specific Resources?

Aging Resources has an online directory, providing access to resource information, websites and featured listings. Visit AgingResourcesWNC.com/ResourceDirectory to learn more.

AgingResourcesWNC.com

AGING RESOURCES DIRECTORY

Four Seasons – The Care You Can Trust Independent, non-profit providing national award-winning levels of care to families living with serious illness.

AGING RESOURCES DIRECTORY

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 DeerfieldWNC.org SEE PAGE 71 Elmcroft of Hendersonville Elmcroft of Hendersonville is an all-inclusive memory care community that provides exceptional Assisted Living, Independent Living, Alzheimer's and Dementia Care for seniors. Elmcroft is committed to promoting compassionate care and kindness among their residents and employees. 3851 Howard Gap Road, Hendersonville 828-383-8281 Elmcroft.com SEE PAGE 69 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 FletcherParkInn.com SEE PAGE 5 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. 103 Appalachian Boulevard, Arden 828-687-7321 ArdenwoodsRetire.com/ HeatherGlen

SEE PAGE 57

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 PacificaSeniorLiving.com SEE PAGE 67

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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 LegacyAtMillsRiver.com SEE PAGE 71 Mars Hill Retirement Community Offering assisted living and respite care in a vibrant college community. Studio, 1 & 2 bedrooms available. Reputable care provided by tenured staff. 170 South Main St., Mars Hill 828-689-7970 | Info@MarsHillRetire.com MarsHillRetire.com SEE PAGE 53 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 828-257-6800 SEE PAGE 63 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 72 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 SilverbellHomestead.com SEE PAGE 62

Aging Resources 2021–2022

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 Western North Carolina Baptist Home Senior living community that provides top-notch health care services for residents in Assisted Living, Short-Term Rehabilitation and Skilled Nursing Care. Offers several financial options, including Medicaid for Assisted Living. 213 Richmond Hill Drive, Asheville 828-254-9675 BaptistHomesAsheville.org SEE PAGE 21 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 EdwardHarrelson.com SEE PAGE 89 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. 16 Towne Place Drive, Suite 100, Hendersonville 828-513-1600 CKnoxElderLaw.com SEE PAGE 75

AgingResourcesWNC.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 VWLawFirm.com SEE PAGE 83 North Carolina Living Will and Healthcare Advance care directives and health-care power of attorney forms and registry. SOSNC.gov Pisgah Legal Services—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 20th Street, Asheville, NC, 28806 828-259-5300 | ABCCM.org Medical Loan Closet 1225 Seventh Avenue East, Hendersonville 828-692-9005 | MedicalLoanCloset.org MEDICARE HELP Medicare For assistance understanding and navigating the Medicare system visit: Medicare.gov SEE PAGE 81 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-Markets.com/ Store-Locations

SEE INSIDE FRONT COVER

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PRIVATE CARE MANAGEMENT Aging Life Care Association Information on selecting and a locator for finding aging life-care experts. AgingLifeCare.org Mountain Area Premier Care Navigation Serving all WNC, Mountain Area Premier Care Navigation matches Aging Life Care™ Managers to seniors requesting guidance for the navigation of the complexities of aging and/or health care services. One-time consultation to ongoing support are offered. 828-772-0002 PremierCareNavigation.com SEE PAGE 37

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. 290 Clear Creek Road, Hendersonville 828-692-6000 LaurelsofHendersonville.com SEE PAGE 39 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. 100 Riceville Road, Asheville 828-299-1110 LaurelsofSummitRidge.com

REHAB/SKILLED NURSING

SEE PAGE 39

RESPITE CARE

CarePartners Outpatient Rehabilitation With CarePartners, you’ll find a team of compassionate, highly credentialed experts (physical and occupational therapists and speechlanguage pathologists) with experience unmatched by other outpatient rehabilitation providers, and a comprehensive array of outpatient services to help you increase strength, mobility, range of motion and balance. 828-274-6100 CarePartners.org SEE PAGE 43 CarePartners Rehab Hospital An 80-bed inpatient facility for acute rehabilitation, we offer rehabilitation programs for a multitude of illnesses, injuries and conditions, from stroke to traumatic brain injury to amputation. 68 Sweeten Creek Road, #A, Asheville 828-274-6151 CarePartners.org SEE PAGE 43 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 CarolinaVillage.com SEE BACK COVER

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 46 Sheffield Circle, Asheville 828-277-8288 COABC.org/Programs/Caregiver-Support Council on Aging of Henderson County 105 King Creek Boulevard, Hendersonville 828-692-4357 COABC.org/Caregiver-Services 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.

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

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. 70 Sweeten Creek Road, Asheville 828-274-7646 LaurelsofGreenTreeRidge.com 102

SEE PAGE 39 Aging Resources 2021–2022

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 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 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

Buncombe County Sheriff Reassurance Program Senior Check-In Program The Sheriff's office calls enrolled seniors daily to check welfare. Call to sign up. 828-250-6670 BuncombeCounty.org/Sheriff 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 AgingResourcesWNC.com

NCBAM Hope Line The Hope Line of North Carolina Baptist Aging Ministry (NCBAM) offers a free, friendly phone service to help with social isolation and loneliness. Incoming calls are received daily 9:00am-9:00pm at 866-578-4673. Or, request outbound calls at OneHopeNCBAM.org/Call. SEE PAGE 13 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 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 Haywood County

Haywood County Senior Resource Center Provides older adults in Haywood County with resources, activities, and assistance. View website for calendar of events and resource links. 81 Elmwood Way, Waynesville 828-356-2800 HaywoodSeniors.org 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

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SAFETY

AGING RESOURCES DIRECTORY

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

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 within Buncombe County. 828-277-8288 | COABC.org

25 Shield Drive, Green Creek 828-863-2795 PolkCountyMeetingPlace.com | PolkNC.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-Transporation

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

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 Rutherford County

Rutherford County Senior Center Provides senior adults opportunities to help maintain and enhance quality of life, including activities and lunch. View website for calendar. 193 Callahan-Koon Road, Suite 132, Spindale 828-287-6409 RutherfordCountyNC.gov/ Departments/Senior_Center

Mountain Mobility Mountain Mobility offers no-cost transportation services to seniors age 60 and older in Buncombe County. Their vehicle operators are highly trained professionals who offer door-to-door service and can assist with most mobility needs. 828-250-6750 BuncombeCounty.org/ Transportation SEE PAGE 70 Polk County—Anyone Can Ride Rides by appointment, as well as regularly scheduled shopping trips. 828-894-8203 PolkNC.org/Departments/Transportation

Transylvania County

Transylvania County Silvermont Opportunity Center Senior Adult Transportation & Med-Drive Providing services and activities to invigorate and Rides to nutrition sites, shopping, recreational enhance the quality of life for adults greater than the age of 60 in Transylvania County. Silvermont centers, and medical appointments. Opportunity Center provides a range of services, 828-884-3203 activities, programs, and opportunities to encourage TransylvaniaCounty.org/Departments/ active aging and improve the health and well-being Transportation of our older adults. Please visit website for schedule updates. 364 East Main Street, Brevard Connect With Us on Facebook! 828-884-3166 TCPR.RecDesk.com/Community/ Follow us at @AgingResourcesMagazine Page?PageId=19058 to get the latest from Aging Resources. Find links to helpful tips and articles and keep up with events for seniors through Western North Carolina.

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Aging Resources Magazine 2021-22

Articles inside

Palliative and Hospice Care

End-of-life Planning

Planning Ahead for Peace of Mind Legal Advance Directives

Medicare Help

Avoid Being Scammed

Expertise with the Sale and Repurposing of Fine Family Jewelry

How to Pay for the Care You Need

Understanding Medicare

Understanding Different Types of Senior Housing

Downsizing

Caring for the Caregiver

Home Care, Home Health and Hospice Providers

Home Care and Home Health Care

Aging Life Care Managers™ Provide Guidance & Solutions

Geriatric Care Managers

Community Resources

Transitioning from Driving

When to Seek Help

Living with Dementia

Maximizing Your Time with Your Doctor

Embracing Technology

Living Well While Living Longer

Hearing Well

Lifelong Learning

Fall Prevention

Get Moving for Better Health