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Independent Living


Independent Living is also known as Active Adult Communities, Senior Apartments, and Retirement Communities.  In our database you'll find them divided this way: Independent Living-owned and Independent Living-rented. Although most Independent Living communities such as senior cooperatives and senior condominiums do not offer nursing services, they do have many other amenities for the active adult. Most communities offer recreational activities, field trips, and meal plans. Most of these communities are designated as "senior housing" because there's a minimum age for entry. The minimum age ranges from 50, to 55, to 62.  It's not uncommon for residents of Independent Living communities to bring in home health services and housekeeping services to help them with some daily chores.  

Older adults move into Independent Living for lots of different reasons. It may be so they can travel more, for more opportunities to socialize, so they don't have to worry about house maintenance, or just to be closer to children and grandchildren.

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Assisted Living and Housing with Services


Senior housing is becoming as varied as the clients it serves. As seniors become more educated about housing and demand more choices, the senior housing industry is responding.

We used to think there was a clear-cut line between what we call "independent living" and "assisted living." You either lived in a community where services were offered, or you didn't. That simply isn't the case anymore. Many "independent living" buildings offer transportation, house keeping services, and even meals.

Minnesota legislation that went into effect on January 1, 2007 established a base-line of services that must be offered in order to use the term "assisted living."  They include:

  • Two meals each day
  • Housekeeping and laundry service available at least once a week
  • Help in arranging transportation to medical and similar appointments
  • Help in arranging social services and in accessing other community resources
  • Opportunities for socializing
  • Either assistance with self-administration of medications or administration of medications
  • Assistance with at least three of the following activities of daily living: bathing, dressing, grooming, eating, transferring, continence care and toileting
  • A system to check on each assisted living client at least daily
  • A system that enables assisted living clients to request and receive assistance with health or safety needs round-the-clock

  • An awake person, available round-the-clock to respond to assisted living clients' requests for assistance.In small settings with 12 or fewer clients, the person responsible for responding to requests is allowed to sleep if adequate safeguards are in place.
  • Staff in an assisted living building must be able to reach a registered nurse 24 hours per day, seven days a week, regarding any health issue that may arise for a resident.

Assisted living is a great choice for someone who needs some assistance with daily activities, but does not require 24 hour a day nursing services. As a consumer, you don't need to use all of these services. This also means you need to have a good understanding of what is included in the base rent. Some services are "bundled" together and sold as a package, and sometimes you are able to purchase a single service. These hybrid types of senior communities are answering consumer demand, but as a result it has gotten very difficult to  compare one community against the next effectively because of the details of the services, and the way in which they are offered.

Once you choose a senior community, you'll be asked to sign a lease. The lease covers your stay in the building. Depending on the landlord, you may also be asked to sign a separate contract for the provider of the services you've chosen. Read those contracts carefully, they're legally binding.


Subsidized Senior Rentals


To be eligible for subsidized senior housing, there are a number of criteria that must be met-one of those being the amount of yearly income. The Department of Housing and Urban Development (HUD) determines the income limits. Each building has a designation that determines income eligibility as follows:  

Designation    1 Person 2 People
Low Income (LI)    $41,700 $47,700
Very Low Income (VLI) $27,500 $31,400
Extremely Low Income (XLI) $16,500 $18,500


These income limits are from the HUD website and are for the Minneapolis metropolitan area. See the website if you live in a different Minnesota County.

These income eligibility requirements are based on the "gross adjusted annual income." Use the worksheet below to determine if you meet the income limits for subsidized housing.

1. List your yearly gross income. This is the amount you recieve from all sources (retirement, employment, welfare, Social Security, etc.). List the amount you receive before any taxes or deductions are taken from your paychecks.  $_____________________       
2.  List your yearly income from all other assets. This includes money coming in from intrest on CDs, savings accounts, annuity payments, rental properties, stocks, etc.  Include this money even if you re-invest it.  $_____________________  
3.  List your total assets. Include the total value of your CDs, house, other properties, stocks, savings, etc.  If your total assets are less than $5,000 skip question 4, and go on to question 5.  $_____________________  

4.  If your total assets are greater than $5,000: Multiply line 3 x.02 and place the answer on line 4.

 

 $_____________________  

5.  Add lines 1 and 2 and place the answer here.

 

 $_____________________  

6.  Add lines 1 and 4. If you skipped the 4th question, enter 0 here.

 

 $_____________________  

7.  Compare lines 5 and 6, and write the larger number here. This is your adjusted gross income.

 

 $_____________________  
8.  If line 7 is less than the income limits provided in the table above, you would be eligible for the subsidized housing with the designation that matched your adjusted gross income (line 7).  $_____________________  

 

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Public Housing for Seniors


Public Housing includes publicly owned and publicly managed rental properties that are available to those who qualify as low income, disabled or elderly. With subsidized housing, you apply at the building itself. With public housing you apply to the Public Housing Authority (PHA) in your area. Applying with the PHA gets you on the waiting list for a large number of units. The application process includes verifying your name, address phone and income eligibility. Be assured, you'll likely find a waiting list.

Public housing that is designated as either 55+ or 62+ means that elders are considered first for vacancies. However, if there isn't a suitable applicant in that age group at the time, another younger applicant will be considered.

The public housing listings are not all considered "senior only" buildings. You're encouraged to check with the Public Housing Authority or the building to find out individual entrance requirements.

Here is a list of local Public Housing Authority offices.  If you don't see an office near you on this list, see the Public Housing Authority website.

Bloomington HRA    
1800 W Old Shakopee Road
Bloomington, MN 55431
952-563-8937 

Cambridge EDA 
121 Fern Street South
Cambridge, MN 55008
763-689-3883

Carver County HRA  952-448-7715
705 Walnut Street
Chaska, MN 55318

Columbia Heights HRA  763-706-3670
965 40th Avenue NE
Columbia Heights, MN 55421

Dakota County CDA 
1228 Town Centre Drive
Eagan, MN 55123
651-675-4400

Hopkins 
22 5th Avenue South
Hopkins, MN 55343
952-548-6325

Minneapolis PHA 
1001 Washington Avenue N
Minneapolis, MN 55401
612-342-1400 

Plymouth HRA 
3400 Plymouth Road
Plymouth, MN 55447
763-509-5414

Richfield HRA 
6700 Portland Avenue South
Richfield, MN 55423
612-861-9700

St. Paul PHA 
555 N Wabasha Street
Suite 400
St. Paul, MN 55102
651-298-5664

Scott Carver Dakota Cap Agency
712 Canterbury Road
Shakopee, MN 55379
952-496-2125

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Continuing Care Retirement Communities


In Minnesota we don't have a lot of regulations requiring how many services should be provided to residents (other than the requirements for what must be offered to call yourself an "assisted living" community). The benefit to consumers is the large variety of amenities offered by assisted living communities.  However, like any other benefit, there's a downside to it. It can be quite a challenge to compare one senior housing community to another because of the differences in the services they offer.

Traditionally, Continuing Care Retirement Communities (CCRCs) provided the entire continuum of care-everything from independent living to 24 hour skilled nursing care. In exchange for a somewhat hefty entrance fee, the resident is guaranteed care for the rest of his/her life, no matter how much or how little his/her health needs change. CCRCs are a great alternative for those who are looking for some extra added security. In traditional CCRCs it's important to understand the financial stability of the company. You don't want to invest a large amount in an entrance fee to have the company go belly-up when you really need them.

Today, there is a growing trend for senior community campuses to offer a large range of services and they are calling themselves CCRCs, even though the cost for care does not remain fixed as it does with the traditional CCRCs. This is another case where it pays to ask lots of questions and understand the services you get and the associated costs.

CCRCs offer a variety of services including the following:

Residential Services

Health Care Services

    • Care is covered for contracted services 
    • Personal care and help with daily activities
    • Nursing care
    • Rehabilitative care respite & hospice care
    • Alzheimer's & special care
    • Clean, furnished room

 

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Residential Care Home


Residential care homes are a nice alternative to those who need care, companionship, security and 24-hour supervised living in a safe environment. Compared to larger assisted living communities, the residential care home generally cares for less than 20 residents at a time.

Residential care homes are the quiet caregivers in the senior health care industry. You won't see them in large full-page ads in the senior magazines, or hear radio advertising about them. Drive by one of these houses in your community, and you likely wouldn't be able to differentiate it from any other house on the block.

These care settings hold a wide variety of licenses that may include adult foster care, lodging with services, or assisted living home care provider.

Because of the differing licensures and character of each of these homes, you'll want to visit them before making a decision.

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Skilled Nursing Facility


Nursing homes or skilled nursing facilities offer 24 hour a day nursing care. You'll find Registered Nurses, Licensed Practical Nurses and Nursing Assistants offering patients help with bathing, eating, dressing, toileting, etc. There are often Physical, Occupational and Recreational Therapists on staff as well. In addition to nursing services, nursing homes offer meal plans, housekeeping, and religious services.

 

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