Adult Day Health Care
Lomita Health Management, Inc.
For-profit - Corporation
This daytime-only setting provides clients with limited health monitoring, mind and body exercise, social activities, meals, transportation, and support services. It offers a safe, supervised environment for adults with physical or mental disabilities, as well as respite for the regular caregivers from their daily duties. About 900 licensed providers offer services in a cost range of $60 to $120 per day. Typically insurance does not cover this cost.
This daytime-only setting provides limited medical care, social activities, and support services for adults with multiple or chronic health conditions. It gives the regular caregivers some respite from their duties. It is ideal for a patient moving home after a hospital or nursing home stay, and for those who want to avoid moving into a long term care facility. ADHC services from one of California’s 330 agencies can cost from $65 to $150 per day. Typically private insurance does not cover this cost; however, Medi-Cal does cover adult day health care for Medi-Cal beneficiaries.
A number of community-based programs offer various forms of help, camaraderie, and comfort to enable the elderly and disabled to remain as independent as possible. With a full range of services, from help with grooming, to meal services, to medical care, these programs all have specialized requirements for participants to qualify.
While some are able to get help with basic tasks such as grocery shopping and transportation informally through neighbors, friends, and family members, many others simply have no one nearby to lend helping hands -- or they may hesitate to ask for the fear of becoming burdensome.
Hospice provides comfort care for terminally ill patients. Hospice caregivers can help with the patient’s daily activities and medical needs and also help the patient and family deal with the psychological and spiritual needs when facing the end of life. Hospice care can be received at home or in a facility. Family and friends often provide what comfort care they are able, with skilled help from the hospice staff tailored to their needs. Hospice providers do not necessarily provide round-the-clock care and the length of time for services (for example nursing, social work, etc.) varies.
There are over 250 hospice programs in California. While the costs can run to thousands of dollars per month, the services are commonly covered by insurance. In addition, many hospice programs offer services to those in need regardless of their ability to pay.
Home health care provides patients with chronic health conditions or those recovering from an illness or hospitalization with the help they need to remain living at home, as independently as possible. Care ranges from skilled nursing, such as giving injections, changing bandages, and rehabilitation, to help with daily activities, such as bathing and preparing meals. Home health care from one of California’s 1,200 agencies can be one of the least expensive types of long term care. Monthly costs can range from $300 to $900 for part-time help to $8,000 for full-time help. Medicare and private insurance commonly pay for most of these services for a designated period of time; be sure to check your eligibility and authorizations.
Skilled nursing facilities (also known as nursing homes) provide housing, meals, skilled and intensive medical care, personal care, social services, and social activities to people who have physical or behavioral conditions that prevent them from living alone. Medicare and private insurance typically cover short term nursing home stays for skilled care needs, but they do not cover long term stays. Cost of care in one of California’s 1,300 nursing facilities averages $6,700 per month, but is often covered by indigent care programs such as Medi-Cal.
Residential care is a broad term that encompasses many types of facilities serving all ages: children (under age 18), adults (ages 18 to 59), and the elderly (ages 60 and older). This setting offers 24-hour care and supervision for those who need assistance with basic activities such as dressing and bathing, but do not require skilled nursing care. Residential care includes medication management, social activities, housekeeping, meals, and transportation. The 14,000 residential care facilities in California range in size from 2 to over 100 beds. The costs vary widely and average $3,500 per month, with extra fees for pre-admission and special services. Most people pay out of pocket for residential care, since public funding is very limited.
These facilities, commonly called “intermediate care facilities for the developmentally disabled,” or ICF/DDs, provide housing and meals to people of all ages who, because of their mental or physical conditions, need 24-hour care and supervision.