Frequently Asked Questions (FAQs)
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
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.
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
|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.
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.
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
- 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?
- Is there a written plan
for the care of each resident?
- Does the
residence have a process for assessing a potential
resident’s need for services and if so how often are
those needs addressed?
- Is staff available to
provide 24-hour assistance with activities of daily
living if needed
- Are there organized
activities and if so is their a posted daily
schedule, events in progress and reading materials?
- Does the residence provide three nutritionally
balanced meals a day, seven days a week
are the different costs at each level of care or
categories of services?
- Does the residence
have specific policies regarding storage of
medication, assistance with medications, training
and supervision of staff, and record keeping?
- Does the residence have sprinklers and clearly
- Does the residence have a means
of security if a resident wanders?
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 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.
These facilities provide independent living
apartments for seniors in good health who want
independence and companionship.
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.
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.
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
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.