What is a Personal Care Home?
A personal care home is a private residences most often within a subdivision that offer personal care services, assistance and supervision to four or more persons. They offer a smaller, more intimate setting, ideal for persons who might not do well with the larger assisted living facilities. They typically provide meals, laundry, housekeeping, medication supervision, assistance with activities of daily living and activity programs.
Before a Home and Community-based Services (HCS) or Texas Home Living (TxHmL) program provider applicant can submit an application packet to the Texas Department of Aging and Disability Services (DADS), they first must complete all the requirements of the Pre-Application Orientation (PAO).
Texas Licensing Requirements
As with assisted living facilities, the cost of personal care homes varies from location to location. On average the cost ranges between $1500 and $3000 per month for room and board. This often includes three meals a day, but each facility designates its own costs.
Medicare does not cover the cost of personal care homes. As an example, if your mother requires skilled care, Medicare will cover rehabilitation and nursing home care. However, it won't cover custodial or intermediary care. For example, it won't cover an at-home health aide unless one is determined to be medically required. Custodial care is nonmedical assistance -- either at home or in a nursing or assisted-living facility -- with the activities of daily life (such as bathing, eating, dressing, using the toilet) for someone who's unable to fully perform those activities without help.
The biggest difference is that some personal care homes accept Medicaid to help cover the costs of residency but typically have long wait lists. In addition to private funds, other programs such as the Veteran Aid and Attendance Benefits (part of an Improved Pension Benefit), may be available to help pay for room and board.
The Texas Department of Aging and Disability Services (DADS) licenses and inspects personal care homes to ensure compliance with state regulations. Through these regulatory activities, DADS protects Texas citizens who receive long-term care services.
In summary, when choosing a personal care home for a loved one, keep in mind that in Texas they are licensed according to size, type and building safety features. Therefore, it's always a good idea to ask what type of license they have.
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DISCLAIMER: Links to other websites or references to products, services or publications do not imply the endorsement or approval of such websites, products, services or publications by Elder Options of Texas. The determination of the need for senior care services and the choice of a facility is an extremely important decision. Please make your own independent investigation.