Barbara Holmes and Associates



Home Options For Seniors

Phone: 707-566-8738  /  Email:

Barbara Holmes, Senior Services Director

Frequently Asked Questions (FAQs)  

Why do I need your services?

Barbara Holmes & Associates has performed hours of research on assisted living, board and care homes, and skilled nursing facilities in this area. We make it a priority to consistently check back on these facilities to ensure that their residents are receiving the best care possible over time. This background saves our clients the considerable time they would have to expend doing this research for themselves. Since we have been serving the senior community for many years, we know the questions to ask of each residence and we are consistently updated on the rules and regulations affecting such facilities.

What are your fees for your placement and referral services?

Our clients receive our placement services at no charge. We can be, but are not always, compensated on a one-time basis by a given facility at the time a client moves in. We do not hesitate to recommend a facility for which we receive no compensation whatsoever, and do so regularly.

Why should I use your real estate services?

We specialize in working with seniors and their families. Barbara Holmes & Associates is certified as SRES® (Senior Real Estate Specialist). We have the training and experience to understand the emotional stress of transitioning to a new lifestyle. Most importantly, we have the patience, respect, and caring that are essential in working with seniors and their families.
We go above and beyond in helping to prepare a home for sale: take all the appropriate steps to make it a smooth transaction: and thoughtfully organize and set up a new living environment.

Where do I start in planning for my loved one’s transition to a new place?

First, determine your loved one’s needs and be able to explain the type of care they need to those who are helping you in the process. Be prepared to explain their needs when touring the various living environments you are considering.

Second, determine what your loved one can afford. A couple of factors need to be kept in mind; Your loved one’s income needs will increase from month-to-month due to inflation. The cost of long-term care has been increasing 4.5% per year, faster than inflation in general. 2. You need to decide how many years the income should last. Work with a trusted Financial Advisor for Seniors to assist you in converting each financial asset into a stream of monthly payments.

Third, Once you have determined how much your loved one can afford to pay, select the city or region where their new living environment should be. It is important to include your loved one in the selection process. The goal is to allow the person to retain as much independence as circumstances permit.

What are some key questions I should be asking of the staff at the various facilities I am considering for my loved one?

  1. Is a contractual agreement available that discloses health-care and supportive services, all fees, as well as admission and discharge provisions? What are the policies for refunds and transfers?
  2. Is there a written plan for the care of each resident?
  3. Does the residence have a process for assessing a potential resident’s need for services and if so how often are those needs addressed?
  4. Is staff available to provide 24-hour assistance with activities of daily living if needed
  5. Are there organized activities and if so is their a posted daily schedule, events in progress and reading materials?
  6. Does the residence provide three nutritionally balanced meals a day, seven days a week
  7. What are the different costs at each level of care or categories of services?
  8. Does the residence have specific policies regarding storage of medication, assistance with medications, training and supervision of staff, and record keeping?
  9. Does the residence have sprinklers and clearly marked exits?
  10. Does the residence have a means of security if a resident wanders?

What are the different types of senior care available?

  • Home Care Companion
    These are homecare workers who are trained caregivers who provide companionship, custodial care, and are also for keeping a safe physical environment for the person receiving care in their own home. They are non-medical companions who care at the place of residence.
  • Adult Day Care & Adult Day Health Care
    Adult Day Care provides day care services out of the home, focused mostly on social and custodial care. Adult Day Health Care provides a more skilled level of care like physical rehabilitation therapy, some nursing & nutrition. Both have programs individually designed for the needs of the adult, as some may be physically, mentally or functionally impaired. Many also offer specialized programs For Alzheimer’s care.
  • Retirement Homes, Independent Living or Senior Community
    These facilities provide independent living apartments for seniors in good health who want independence and companionship.
  • Assisted Living Facility, Residential Board & Care
    Also known as Congregate Living Health Facility (CLHF), each provides a combination of housing, personalized supportive services and health care. These residential facilities provide care for individuals who cannot live independently, but who do not yet require 24 hour skilled nursing.
  • Nursing Homes or Skilled Nursing Facility
    Skilled Nursing Facilities are also known as Nursing Homes and also Convalescent Homes. These live-in facilities provide physician prescribed medical treatment to those who are unable to care for themselves. These nursing care homes focus on patients who have health problems requiring convalescent and/or restorative services. Some patients require short-term physical rehabilitation while recovering from surgery, others in the skilled nursing facility may require long-term nursing and medical supervision.
  • Alzheimer’s – Dementia Care
    Some Alzheimer’s or Dementia care can be provided by Homecare – Medical Nursing Agencies. Often, care for the senior with Alzheimer’s or Dementia is available in a dedicated Alzheimer’s facility, or within a separate area of Assisted Living or Skilled Nursing Facilities.

What is the role of Hospice?

Hospice was originally a type of care given during the final stages of a terminal illness. But today, hospice plays a larger role in helping people with temporary pain and suffering. In many cases, people can go off and on with hospice for a period of years before becoming terminally ill. Hospice care can be provided in the patient’s residence, in a singular Hospice Facility, or within either an Assisted Living or Skilled Nursing Facility. All Hospice Agencies are Medicare certified.

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Barbara Holmes and Associates
REALTOR®  CA DRE # 01401416
1535 Farmers Lane, Suite # 155
Santa Rosa, California 95405
707-566-8738  |

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