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ACTIVITIES OF DAILY LIVING – A person’s daily routine of basic functions, for example, bathing, dressing, eating, walking and other personal care activities.

ADULT DAY CARE - Adult day care provides a protective setting that is as noninstitutional as possible. Adult day care centers offer therapeutic programs of health services and social activities such as leisure activities, self-care training, rest, nutritional services, and respite care for a portion of a day. Some nursing homes provide adult day care services. Adult day care centers are required to be licensed and inspected by the state of Florida.

ADULT FAMILY-CARE HOMES - An adult family-care home provides a full-time, family-type living arrangement in a private home for up to five aged or disabled people who are not related to the owner. The owner lives in the same house as the residents and provides housing, meals, and personal services; however, services vary. Adult family care homes are required to be licensed and inspected by the state of Florida.

AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) - Agency for Health Care Administration champions accessible, affordable, quality health care for all Floridians. The agency is responsible for the administration of the Medicaid program, for the licensure and regulation of health facilities and for providing information to Floridians about the quality of the health care they receive in Florida.

ASSISTED LIVING FACILITY (ALF) – An assisted living facility (ALF) provides housing, meals, and personal services. ALF services vary greatly in the types of residents served. For example, some accept residents who need assistance in bathing, others do not. They normally have Levels of Care that offer a variety of extra services. The Levels of Care indicate an additional monthly fee from the base price. All ALFs are required to be licensed and inspected by the state of Florida. Some ALFs are specially licensed to provide extended congregate care (ECC). This allows the ALF to care for residents as they become frailer in order for the resident to age in place. Some ALFs are specifically licensed to provide limited nursing services and/or limited mental health services.

CONTINUING CARE RETIREMENT COMMUNITY (CCRC) – Continuing Care Retirement Communities, also called Life-Care Communities, offer different levels of care based on the needs of the individual or couple. The care level ranges from an independent living apartment or house to skilled nursing in an affiliated nursing home. CCRC residents are guaranteed care for the rest of their lives. The CCRC residents move from one setting to another based on their needs but continue to remain a part of their CCRC community. Many Continuing Care Retirement Communities have an entrance fee prior to admission as well as a monthly charge. AHCA licenses and inspects the nursing facilities, assisted living facilities, or home health agencies that may be part of a CCRC. The Department of Financial Services regulates the CCRC contracts.

CUSTODIAL CARE – This is supervision and/or assistance of activities of daily life offered in the home environment. This typically is a 24-hour program for an individual who does not desire to live in a congregate home.

EXTENDED CONGREGATE CARE LICENSE (ECC) – Supplementary licensing available to assisted living facilities which permits them to render a larger range of services to their residents as their level of care expands, as long as the resident does not need skilled 24-hour nursing care.

HOME HEALTH AGENCIES - Home health agencies deliver health and medical services and medical supplies through visits to private homes, assisted living facilities (ALFs), and adult family care homes. Some of the services include nursing care, physical therapy, occupational therapy, respiratory therapy, speech therapy, home health aide services, and nutritional guidance. Medical supplies are restricted to drugs and biologicals prescribed by a physician. Along with services in the home, an agency can also provide staffing services in nursing homes and hospitals. Home health agencies are required to be licensed and inspected by the state of Florida.

HOMEMAKER AND COMPANION AGENCIES - Homemaker and companion agencies provide individuals to aid elderly and disabled individuals with general tasks. Homemakers provide assistance with routine household activities, such as cooking and cleaning. Companions provide assistance during trips and outings and may prepare and serve meals. By law, homemakers and companions may not provide hands-on personal care to a client, such as assistance in bathing or undergarment changing. They may not dispense medications. Homemaker and companion agencies must be registered by the state of Florida and include their registration number in public advertisements. Individual homemakers and companions are required to undergo criminal history checks. Complaints against the agencies may be investigated by the state of Florida, but the individuals are not licensed or inspected by the state.

HOSPICE – Hospice services emphasize comfort measures rather than aggressive curative treatment. Hospice provides a coordinated program of professional services, including pain control and counseling for patients who have a prognosis of six-months or less to live. Counseling and support for the family members and friends of the terminally ill patient are also provided. Hospice services are predominately provided in the patient's home. However, the services are also available in ALFs and nursing homes. Hospice providers are required to be licensed and inspected by the state of Florida.

LICENSED NURSE REGISTRIES - Nurse registries act as employment agencies between an individual patient and nurses, nursing assistants, home health aides, companions and homemakers for services in the patient's home. Each individual health care worker is contracted with the registry. Nurse registries provide nursing care services, but they are not licensed to provide physical therapy or other therapy services or medical equipment services. Unlike home health agencies, licensed nurse registries are not required to carry liability insurance. As the name implies, all licensed nurse registries must be licensed by the state of Florida and must include the nurse registry license number in public advertisements.

MEDICAID – The health insurance program financed by Federal and State Governments for qualifying low income persons age 65 and over. Eligible individuals can receive payment of their Medicare deductibles, co-payments and nursing home care. Medicaid waiver allows for an individual to remain in an assisted living facility, who would otherwise require a nursing home setting. The program provides Medicaid reimbursement to the assisted living facility.

MEDICARE – This is the national healthcare insurance program for eligible people 65 and older and in some cases disabled individuals. Medicare Part A covers hospital costs while Part B cover’s physician bills and other medical expenses.

NURSING HOMES - A nursing home provides nursing care, personal care, and custodial care to people who are ill or physically infirm. Nursing homes are freestanding, which means that they are not part of a hospital. Some nursing homes are part of a continuing care retirement community (CCRC) and are governed through special contracts.
OMBUDSMAN COUNCIL – This is an advocacy service that protects the rights of residents in assisted living facilities by researching complaints and resolving disputes by initiating corrective action.

OPTIONAL STATE SUPPLEMENT (OSS) – Financial assistance provided through Social Security Administration for people who require assisted living.

PERSONAL CARE FACILITY (P/C) – This community specializes in caring for the memory impaired resident. This Extended Care Community commands an additional license from the state as the medical personnel are trained for the special needs of dementia.

RESPITE CARE – The purpose of respite care is to furnish the primary caregiver a short-term relief from their day-to-day responsibility. This care is available in or away from the home.

SKILLED NURSING UNITS (SNU) – Skilled Nursing Units (SNUs) are based in hospitals. They typically provide only short term care and rehabilitation services. Some SNUs are located inside the hospital, and some are located in a separate building. The skilled nursing unit is licensed as part of the hospital. They are regularly inspected by AHCA.

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