"I have passed the word along to anyone who will listen about A Place For Mom and how wonderful you have been. I cannot thank you enough. You were there for me when my own family was not, even though you and I have never met. And you were just doing your job. Thank you again. Your caring and kindness touched me. You have made a HUGE difference in someone's life, mine -- and Dad's too."

-- Lori M.
West Allis, WI

"You made things so much easier for my mother and me. You just don't know how much you eased my anxiety and apprehension about finding just the right environment for my mom. I just loved Edna! The introductions that you facilitated made it so much easier for me to gain knowledge and information about each of the options of housing that were available."

-- June F.
Wichita, KS

"We have been extremely busy working on my mother's move to Country Club Heights in Woburn where she settled in yesterday. Her new apartment is just beautiful and she and her cat are doing their best to make new friends and enjoy their new home. We all feel very good about this choice as the location and personality of the place really fulfills both her needs and those of her friends and family. I can't tell you how much your calm advice and support helped me to work on this search with enough focus and information to feel confident in the decisions that had to be made."

-- Ellen S.
Woburn, MA

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Comparing Assisted Living Costs to Staying at Home

When shopping for an assisted living community for your loved one, sticker shock is a common condition.

A Place For Mom’s Eldercare Advisors frequently hear the refrain “That’s so much more expensive than just living at home.” But is it true that assisted living costs more than living at home?

“The key difference is quality of life. Not only is assisted living financially equal to living at home, it’s such a dramatically different way of life,” explains Pam Talon, A Place For Mom’s Market Development Coach for the Northeast region.

Most people underestimate how much money they spend on food each month, and forget about all the miscellaneous expenses that crop up, Talon says. Mentally, they simply add up rent or the mortgage and utilities, guess on how much they spend on eating, and come up with a figure that’s not accurate.

Assisted living costs include all basic living expenses such as rent, utilities, and food, but also includes 24-hour security services, housekeeping, health monitoring services, lawn care, property taxes and insurance, trash removal, repairs and maintenance, and the most frequent things people forget to include—social activities and entertainment.1

In fact, many seniors living at home cut back on entertainment as a way to save money.

“With a senior living at home, the monthly budget usually has a blank space next to social and entertainment,” Talon says. “We point out and say, ‘Look at what your mom or dad are spending on socialization and entertainment—nothing—and that’s not a good thing.’”

Those senior social activities are important for all seniors to keep them physically and mentally sharp, and are the difference between surviving and thriving. But they may be especially important for many women whose retirement isn’t very relaxing because their workload actually increases with their retired husbands or partners at home all the time.

Talon says sons and daughters need to take a hard look at their parents’ current lifestyle: “Do both people get to retire in this house? How did mom’s life change when Dad retired? Did it get better or did it get worse? We’re still dealing with an age group where moms didn’t get to retire, so we’re dealing with quality of life.”

After dealing with the initial sticker shock and touring an assisted living facility, most of her clients change their minds and realize assisted living is a great value, Talon says.

“These are the golden years, but they aren’t always so golden,” Talon says. “At an assisted living facility, people can have a quality of life where other people cater to them so they can enjoy life.”

A Place For Mom has created this useful spreadsheet to help you figure out whether assisted living costs more or less than living at home. The sample figures cited below represent national averages, so please fill in your loved one’s actual monthly costs in the spaces provided, as well as figures for a specific community you may be considering:

Amenities/Services/ Expenses

Monthly Costs At Home (average)

Assisted Living Costs (average)

Costs At Home (actual)

Assisted Living Costs (actual)

Monthly mortgage or rent

$7342

$2,714.003

Property tax

$1492

N/A

Property insurance

$644

N/A

Condominium maintenance fee

5

N/A

24-hour security services

$1006

included

Three meals a day

$4942

included

Utilities

$2652

included

Housekeeping services

$1182

included

Daily health aide visitations

$4506

included

Personal care

$452

included

24-hour emergency call system

$506

included

Landscaping/snow removal

$1006

included

Home maintenance

$1472

included

Trash removal

$256

included

Social and entertainment

$07

included

$2,741.00

$2,714.00

1 Be sure to ask each facility what is included in the basic rate and for a list of any extra fees.

2 2005 U.S. Dept. of Labor Consumer Expenditure Survey

3 2007 Genworth "Cost of Care" Research. The survey included feedback from more than 25,000 providers in order to complete more than 9,000 surveys of nursing homes, assisted living facilities, and home care providers in all 50 states and the District of Columbia.

4 2007 National Association of Home Builders Residential Real Estate Tax Rates in the American Community Survey

5 These fees vary widely and may not be applicable. Actual costs will increase if they are included.

6 A Place For Mom, Inc. “best guess” estimates.

7 Many seniors at home remain house-bound, not spending any money on entertainment.

Mom is a surviving spouse of WW11 Vet.

I have her investments well secured and sold her home and invested in her name (with me as her exec) to draw interest allong with her husband retirement income to pay for assisted car. Any extra cost (which is a lot) I pay for out of my pocket each month.

The key is to keep the investment to make interest to pay for her car.....take it out to pay the huge increase and you defeat the purpose. At 10K per month (120K per year) it won't take long. Yes we are over the 80K limit by a bunch as well.

Posted by Toms GT on 5/2/2008 7:48:37 AM

Word of Caution on these "qualfications", based on personal experience:

Assets - the max amount of money the VA allows is $80k; a lot of applicants trip up on this factor, and some advisors (attorneys, CPA's, relatives) have given incorrect advice resulting in the applicant not qualifying for the benefit, or, having an asset enter into the ownership of the applicant, thereby, booting them out of the program when the annual EVR is performed. i.e. the Vet owns a house, then decides to "sell" the house, the proceeds then enter into their bank account - there is a good chance they'll be disqualified from the benefit.

Also, several families we have worked with will gift the money assets to the kids; we had one family whose daughter/POA was "gifted" $60,000, as the POA; the POA was liened by the IRS, and they took the money. 

Another case - the son was the POA, an annuity was used to reposition the money, the son had full access to the annuity; the annuity did not have an amendment preventing the son, as owner, from taking the money. The son bought a new house, a new car, and took a cruise.  The agent confronted the son, and charges of fraud and elder abuse have been filed, the son is being prosecuted as I write this.  

How the assets are held and structured is vitally important, to protect the assets of the VET is the primary reason for proper structuring.

 One last case - a family was referred to us for the benefit; an out of state rental property was owned by dad; the advice they had been given was to simply transfer the house into a trust, and dad could still "qualify" for the benefit.  The intent was to sell the house as the costs for the dad's care increased.  We prevented the loss of the benefit, due to the proposed income from the house sale.  We saved them a lot of heartache.

 Facilities - it has been our experience that applicants have the best chance of getting the benefit with one of two conditions are present:1) they are in a Facility that provides medical assistance for at least of the Assisted Daily Living skills; 2) a Vet living at home with a paid, outside caregiving agency providing the daily medical assistance needed.

 This can be a complicated benefit to obtain, always get your information from a few different sources.  In the last 2 1/2 years our organization has successfully secured benefits for 460 Vets / Spouses / Surviving Spouses.  No brag, just fact.

 Take care, hope this helps.

Posted by Jim Buchanan on 4/30/2008 6:51:30 PM

It is amazing how things happen. I was blessed to be invited to a meeting on this very topic. I did find out qualifications do have to do with four main facts

1. 65 and disabled

2. serverd at least 90days active duty, with one day during war time(do not have to be in the war), with anything but dishonarable discharge.

3 out of packet medical expenses have to be 5% above what the veterans income is

4 soluable assets(not including houses, cars or property)

The gentelman that led the meeting was from the veterans coalition who does the leg work and interviews to determin if the veteran is approved for this benefit. He gave me his business card and I am going to pass his contact info on:

Glenn Osborne

Based in Nashville TN

615-227-5808, 1-877-814-8387(toll free)

This is a free service and he is quoted as saying " the staff will be able to tell you with a 99.9% accuaracy if you will qualify.

It is definitly worth your time, care is very expensive. Good Luck

Posted by Audra on 4/28/2008 9:14:38 PM

Toms GT,

The veteran did not have to serve in a war zone or overseas. The requirement is that they served "during a period of war". I strongly recommend you contact the VA at (800) 827-1000 (this number rings the VA Regional Office for the state you are in regardless of where you are) for specific information.  For help in completing the application you should really see an accredited service officer in one of the organizations recognized, and accredited, by the VA. They have a list on their web site, although it is a bit old. These service officers and organizations do not charge a fee for this service.  Although these applications can be completed by yourself it can be daunting, especially when you need to reply to requests for additional information or encounter problems.

Posted by Charles_G_Baxter on 4/28/2008 1:52:34 PM

Unfortunatly durring WWII he was in the army but did not go over sea's he was office bound here state side. I guess the part I am amzed at is from 4,500-7,500 per month in 18 months and now 24 months they want around 10,000 oer month. Her care has not increased other than she is 2 years older.

 But the amazing part is all I hear is "We are a caring family" "We want to serve" "We want to help" And then its well we are a big company and there is nothing we can do about how they charge. Frustrated.  Am I that poor ? I guess most people can afford $120,000.00 cash per year just not me. Yeah I know its tax deductible but then I would tell you I have to earn $200,000.00 B/4 taxes to pay $120,000.00[:'(]

 My only complaint it is the cost. Sunrise Shelby Michigan has a fantastic group of care givers and managers. If money is no object then I would say by all means I have seen many of them and this place is like a cruise ship on land.Wink

Posted by Toms GT on 4/22/2008 7:16:57 AM

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