The Commission on Accreditation of Rehabilitation Facilities, known as CARF, is a nonprofit organization providing accreditation of health and human services, particularly aging services and facilities. Their purpose is to develop, maintain, and implement industry standards that will continuously improve the value of programs that provide life enhancement services. CARF currently recognizes and accredits: Independent and Assisted Living Communities, Continuing Care Retirement Communities (CCRCs), Adult Day Services, Long-Term Care Communities, Dementia Care, Home and Community Services.
Continuing Care Retirement Communities (CCRC) encompass independent-living apartments, assisted living apartments, and sometimes memory care units, while also offering various social, recreational, and cultural activities similar to those of other retirement communities. The most notable aspect of continuing care is that all the needs of the residents can be met in one place. Family members can be assured that if their loved one's health status changes, there’s no need to relocate, all the tools and resources are already in place. Their loved one can transition in to the assisted-living community, long-term nursing care, or whatever tier of care is necessary. With these communities providing so many levels of support, they can be expensive; but for many families it’s well worth it. Independent Living (IL) is a community for active, healthy seniors that can and want to live on their own. They either live in single family homes, townhouses, condos, including mobile homes and RV’s. They either own or rent these homes or they may choose to live as part of an adult neighborhood community with age restrictions such as 55 and older. These communities offer amenities like any luxury, high end apartment community, such as offices, gyms, clubhouses, yard maintenance, regular maintenance, housekeeping, security and overall property management. Active Adult (AA) /Senior Apartments are traditionally apartment communities where resident seniors have their own, private space and are able to live with people their own age, and engage in various community activities. Senior apartments are ideal for those who may want to downsize from a large home or who may no longer be able to maintain daily property management and maintenance. Senior apartments can either be rented or purchased and are usually high-end properties with modern updates and amenities. Assisted Living (AL) communities give older adults individualized care and treatment in a residential setting. They are for seniors that require a higher level of personal care, which is determined through a health assessment given by the community, due to state regulations. Staff is available 24/7 to help with safety, care and support. AL’s mainly help seniors with medication management and assistance with the activities of daily living, such as dressing, grooming, bathing and showering, as well as going to the bathroom. They provide and help with meal prep, laundry, housework and transportation. To help residents feel more at home, they are also encouraged to bring their own furniture and personal items. The goal of Memory Care (MC) is to slow the progression of memory loss and diseases such as Alzheimer’s or dementia. These facilities provide a safe and secure place with professional staff available 24 hours a day that are trained to care for those with dementia. These facilities include structured, environments with set schedules and routines in place to create a stress-free lifestyle. Memory care units provide private or semi-private rooms, and secured, alarmed locations to assure that no one wanders out of the building. There are common areas that are utilized for meals, and other activities that encourage socialization and engagement. Lots of activities are planned daily that aide residents with their memory, such as trivia games, puzzles, exercise, baking, aromatherapy, music therapy, and even nature programs. In-Home Senior Care Is a type of service where the senior receives all or part of their care from the comfort of their own home. Home care aides or teams can deliver almost the same services as a hospital. They can provide medical treatment, basic caregiving needs, such as assistance with ADL’s, or provide respite for the regular care provider or spouse of the person needing assistance. Adult Day Care is essentially a haven where seniors can be cared for and safe during the day while their regular care providers, such as family members, go to work or take a hiatus from caretaking. There are mainly two kinds of adult day care services: adult day care and an adult day health care, which includes more treatment. Traditional adult day care places seniors under skilled supervision within a structured environment with social and recreational activities, meals, and basic health services can be administered. Adult day health care facilities can also administer the same services, but offer a higher level of health care services such as medication administration, IV meals, care for memory loss or dementia, or other health conditions. Compared to the costs of other care methods, adult day care is one of the more affordable options. Skilled Nursing Facilities (SNF) are healthcare facilities that have at least one full-time registered nurse as well as a doctor, providing care 24 hours a day, along with a place to store and dispense patient medication. The staff at skilled nursing facilities also help with ADL’s. Normally, skilled nursing facilities are occupied by patients after they’ve been released from the hospital to provide recovery from an injury, illness, or surgery under medical supervision. Most residents remain SNF’s until they are well-enough to return home. Skilled nursing facilities are also approved and paid for by Medicare and Medicaid, making this type of care available for many patients. SNF’s also provide different types of therapy such as physical therapy, occupational therapy, speech therapy and even stroke recovery. Hospice care provides end-of-life care for a terminal individual. The approach to hospice care is holistic meaning that it involves a team of professionals to provide this type of service. Physicians, nurse practitioners, home health providers, social workers, ministers, and family members are all typical to a hospice team. The goal of hospice is to provide compassionate care that meets a variety of needs when a person has less than six months to live. With the team's coordination hospice offers spiritual and emotional support, in addition to pain management and medical treatment. Ultimately, hospice is intended to give individuals the right to die with dignity and without pain. Therefore, when a senior elects to receive hospice services they forgo the right to receive further treatment or cures for their condition.
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