Provider Type: Nursing Home
Owner Name: Casa Bonita Convalescent Hospital, Inc.
Ownership Date: 1/10/2002
Ownership Type: For-profit - Corporation
Multi-facility Organization: No
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.
Nursing homes (also known as skilled nursing facilities) 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 $6,600 per month, but is often covered by indigent care programs such as Medi-Cal.
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.
This home-like setting offers 24-hour skilled nursing care that generally is more intensive than in nursing facilities. Clients may be terminally ill or have severe physical or mental disabilities and are not able to care for themselves. Congregate living health facilities (CLHFs) generally have fewer than a dozen beds and might specialize in particular types of care, such as brain injuries. There are only about 40 such providers in California. The cost varies widely and they generally accept payments only from individuals or private insurance. Common sources of help, such as Medicare, Medigap, and Medi-Cal, typically do not cover this care.
This setting provides room and board as well as limited nursing and personal care, along with cooking and cleaning services. It is commonly called community care, board and care, independent living, or residential care. The 14,000 assisted living facilities in California range in size from 6 to 100 beds. The cost averages $2,500 to $3,000 per month, with extra fees for pre-admission, hospice, and dementia care. Most people pay out of pocket for assisted living; in rare cases, long term care insurance and a special Medi-Cal program may help with the costs.
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.
Continuing care retirement communities (CCRCs) provide a combination of housing and health care services to people 60 and older who can live independently, as well as to those who need full-time nursing care. This setting provides activities, help with meals, housekeeping, and other support services. It has varied levels of medical services that allow individuals to “age in place” rather than relocate as their health changes.
Sometimes called “life care” or “continuing care,” about 80 such communities in California house anywhere from 100 to 1,000 residents. The cost can range from about $10,000 for a studio apartment to $500,000 for a two-bedroom home with a yard. Residents may either transfer their assets to the facility or pay a large monthly fee. Neither insurance nor government programs provide financial help for the direct costs of a CCRC.