Care Options for Seniors |
NEW YORK STATE HOUSING DEFINITIONS 
ACTIVE-ADULT COMMUNITY An age-restricted (often aged 55 and over) community of single-family homes, condominiums or cooperative units. It includes lifestyle amenities such as a tennis court, swimming pool, golf course, fitness center, clubhouse and / or restaurant. This housing is NOT licensed by a government agency. ACCESSORY APARTMENTS An accessory apartment is created when a single-family home is modified to include a complete, private apartment for use by an older person, typically a relative. Or, as a source of additional income and security, elders may convert their own home to include an apartment.
ADULT HOME (New York State Licensed) Housing for adults of all ages that provides private or shared rooms, meals, housekeeping, laundry, linen service, transportation, social activities, some personal care and 24-hour supervision to five or more adults. This housing is licensed and regulated by the New York State Health Department.
ASSISTED LIVING PROGRAMAn assisted living program, which is available in some adult homes and enriched housing programs, combines residential and home care services. It is designed as an alternative to nursing home placement for individuals who historically have been admitted to nursing facilities for reasons that are primarily social, rather than medical in nature. The operator of the assisted living program is responsible for providing or arranging for resident services that must include room, board, housekeeping, supervision, personal care, case management and home health services.
ASSISTED LIVING AND ASSISTED LIVING RESIDENCE An entity which provides or arranges for housing, on-site monitoring, and personal care services and/or home care services (either directly or indirectly) in a home-like setting to five or more adult residents unrelated to the assisted living provider. They must also provide daily food service, twenty-four hour on-site monitoring, case management services, and the development of an individualized service plan for each resident. An operator of assisted living shall provide each resident with considerate and respectful care and promote the resident's dignity, autonomy, independence and privacy in the least restrictive and most home-like setting commensurate with the resident's preferences and physical and mental status. Some assisted living residences may have extra certification for “special needs” or “enhanced” living. These facilities have certain guidelines to follow that help keep a person living there longer than they might otherwise.
CONTINUING CARE RETIREMENT COMMUNITIESContinuing care retirement communities (CCRCs) and fee-for-service continuing care retirement communities (FFSCCRCs) are residential alternatives for adults that offer, under one contract, an independent living unit (an apartment or cottage), residential amenities and access to a continuum of long term care services, as residents' health and social needs change over time. Residential and health care services include:
DEMENTIA CARE FACILITY OR WING/UNIT This housing is specifically for people with dementia. It can be a discrete facility or can be a special wing in a housing development or a residential care facility. The physical layout, programmatic aims, staffing and care plans are specially designed to address the needs of people with Alzheimer's disease or other dementia conditions. This housing is licensed and regulated by the New York State Health Department as Enriched Housing or as an Adult Home.
ENRICHED HOUSINGThis is a program that provides senior residents in apartment-housing with a package of services that includes: meals, housekeeping, homemaking / chores, shopping, transportation, social activities and some personal care assistance. Some Enriched Housing Programs operate in a discrete building for ALL residents in the building, and these facilities and services are licensed and regulated by the New York State Health Department. Other Enriched Housing Programs provide the package of services for a limited number of residents in a senior or age-integrated apartment building; these buildings are not licensed, but the Enriched Housing Program operating in them is licensed and regulated by the New York State Health Department.
ENRICHED HOUSING or ADULT HOME with LIMITED LICENSED HOME CARE AGENCY This housing provides the services and staffing of the State's licensed Enriched Housing or Adult Home programs and also provides residents with additional personal care and health-related services. The Limited Licensed Home Care Agency is licensed and regulated by the New York State Health Department.
INTERGENERATIONAL HOUSING Housing that includes a specified number of units / apartments that are restricted to seniors, together with a specified number of units / apartments that are available to younger-aged persons / families. Often, the younger-aged persons belong to a special-needs population. Intergenerational housing may or may not include activities and supportive services for tenants. This housing is typically NOT licensed or regulated by a government agency. Subsidized versions may be supervised by a government housing agency.
SENIOR HOUSING (WITH NO SERVICES) Housing that is restricted to seniors (and possibly younger adults with disabilities). It includes NO supportive services or staffing to address the special needs of aging residents. This housing is NOT licensed by a government agency. Subsidized versions may be supervised by a government housing agency.
SHARED LIVING RESIDENCE Housing for two to ten people who live together as a family. Residency may be restricted to seniors or may be intergenerational. This housing may be a shared single-family home or a shared apartment. Tenants share the finances and upkeep of the residence. Each has a private bedroom and bath. All share a common living room, dining room and kitchen. Shared living may or may not include activities, supportive services or personal care services for tenants.
SUPPORTIVE SENIOR HOUSING This is senior housing that includes one or more of the following non-licensed supportive services: meals / dining program, housekeeping / homemaking, transportation, socialization activities, laundry / linen services, various amenities and a resident advisor or services coordinator who helps tenants access other services and programs from community-based agencies. This housing is NOT licensed by a government agency. Subsidized versions may be supervised by a government housing agency.
SINGLE ROOM OCCUPANCY (SRO) This is multi-unit housing for very-low-income persons that typically consists of a single room and shared bath and also may include a shared common kitchen and common activity area. SROs may be restricted to seniors or be available to persons of all ages. This housing is typically NOT licensed or regulated by a government agency. Subsidized versions may be supervised by a government housing agency.
SUBSIDIZED HOUSING Housing in which tenants pay less than the going market rate for rent or for rent and services. Subsidized housing receives financial assistance from a government or other public entity to build or operate the development, or to help pay for some of the rent and utility costs or for the provision of services. Rent prices are typically set or approved by the entity that provides the financial support. People who meet specified household-income guidelines are eligible to live in subsidized housing.
PRIVATE PAY (MARKET RATE) HOUSING Housing in which tenants pay the going rate for rent, utilities and services. Financial assistance is not received from a government or other public entity. Rents and service charges are determined by the development's operator. There are no income-eligibility guidelines. People willing and able to pay the specified rates and charges are eligible to live in private pay housing.
Source: New York State Office for the Aging May 3, 2007
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