Assisted Living Options for People with Vision Impairment
One in six seniors have some degree of vision loss, so it’s a common problem that makes living alone a challenge for many older adults. Between treacherous staircases, tedious housekeeping tasks, cooking, and personal care, it can be difficult for many to complete daily tasks on their own.
When living at home alone becomes difficult, loved ones search for alternative housing options. However, many seniors with vision impairments are still active, healthy individuals who don’t require the round-the-clock care provided by nursing homes. Fortunately, assisted living communities can be an excellent housing solution for seniors with vision impairment.
What is Assisted Living?
Assisted living facilities are planned communities that are developed with people who have disabilities or need minor assistance in mind and feature both private living areas and community spaces. The level of care in these communities differs from place to place – some may only offer assistance with the activities of daily living, while others have community directors who orchestrate group events and outings.
Assisted living facilities are intended for residents with low to moderate levels of physical dependence, unlike nursing homes which are able to accommodate bedridden and seriously ill residents. Support services at assisted living facilities are generally elective, allowing residents to opt into the care they need while saving them money by giving them the option to opt-out of unnecessary services. For residents who need regular care, home health aids can be hired to supplement the care provided by the facility’s staff.
The Cost of Care
According to the 2018 Genworth Cost of Care Survey, the median cost for assisted living in the United States is about $48,000 per year. While that breaks down to about $4,000 per month, the location and size of the facility, the number of services needed, and additional features can all impact the price. Additionally, some facilities require residents to pay extra fees for transportation, fitness center use, and other optional amenities.
Benefits of Assisted Living for People with Vision Impairment
While most assisted living facilities don’t directly advertise their ability to accommodate people with vision impairment, many common aspects of these communities do help those individuals live safely and comfortably.
Some of these features include:
Safe and Accessible Spaces: Safety is a priority for everyone, but for those with vision impairments, safe spaces to live and get around in are even more important than usual. Assisted living facilities are designed for individuals who may have limited mobility, with floor plans that are open and easy to navigate and staff members are available to provide help when it’s needed.
Personal Care: Individuals with a vision impairment may find it difficult to complete some activities of daily living, such as showering and grooming, on their own. Trained staff members are available to assist residents and reduce the stress of living with a vision impairment.
Housekeeping: Many facilities offer housekeeping services, either included with rent or as an additional fee, for individuals who are unable to do their own laundry and other chores.
Social Spaces: Individuals with vision impairments are sometimes prone to isolating themselves and shying away from social interactions. Organized social events can give these residents a boost of confidence and help eliminate loneliness.
Transportation: For people with vision impairment, driving can be impossible and other modes of transportation can be difficult to access. At assisted living facilities, transportation services are available to residents and often included in the monthly cost. This makes it far easier for residents to get to appointments or run errands without worrying about the logistics of getting from one place to another.
Built-In Aids: Accessibility aids are often available to assisted living residents at no additional cost. Grab bars, personal emergency alert systems, and wall-mounted emergency call systems make it safer and less stressful for individuals to get around.
Physical Activity: Remaining physically active can be difficult for many individuals with a vision impairment. In addition to having safe places to walk and exercise, many assisted living facilities employ on-site physical therapists and activity specialists to help residents stay active and healthy.
What to Consider Before Choosing Assisted Living for Loved Ones With Vision Impairment
While there are many similarities between assisted living facilities, each one is a bit different from the next. You should visit several different facilities and weigh their strengths and quirks before you decide which community is right for your loved one.
Take your time to thoroughly visit each community, getting a good feel for how it’s run and what life is like there. Don’t be afraid to ask staff members any questions you might have. Be on the lookout for things like:
- Is the signage large print or written in braille? Residents rely on signs around the facility to tell them where they are and how to get from one place to the next. You should also take a look at bulletins and printouts placed around the community and make sure that they’re easy to read.
- Are walkways free of clutter or furniture that could be a fall hazard? In order to minimize the risk of falls, floor plans should be open and free of fall hazards like area rugs. Look at the floor plans for individual rooms as well as the public spaces to make sure your loved ones can safely maneuver throughout the community.
- Are enrichment activities available for those with vision loss? One of the best things about assisted living communities is that they offer residents activities for socializing. Find out what kind of activities are offered and if any assistance is offered to residents for the activities to make sure your loved one will be able to participate in things they can enjoy.
- Has the staff had training specifically for seniors with vision loss? Ask if the staff has been trained to help individuals with vision loss. Seniors with vision impairment have unique needs, and it is important that staff members can provide all residents with a safe and enjoyable day-to-day experience and provide the proper assistance if an emergency does occur.
- Is the dining room set up for vision loss? Take a look at the dining room to see if it’s set up to accommodate those with vision impairment so your loved one can safely maneuver around the room. The menus should also be available in large print and/or braille.
- Are staff members available to escort residents from one location to the next if they don’t know the way? Getting around can be difficult for seniors with a vision impairment, especially in a new environment. Find out if staff members are available to help your loved one get used to their new space – some facilities require higher levels of independence than others.
Who Should Use Assisted Living?
Since assisted living facilities are intended for individuals who need minimal to intermediate amounts of assistance, ideal candidates with vision impairment will still be fairly independent.
Residents will have access to assistance with tasks such as:
- Transportation to errands and medical appointments
Who Shouldn’t Use Assisted Living
Individuals who need extensive levels of assistance or 24-hour supervision are not candidates for assisted living facilities as these communities do not have the staff or resources to offer that level of care.
Specifically, assisted living isn’t for individuals who:
- Are unable to perform the majority of their personal care tasks
- Are permanently bedridden
- Can not safely maneuver in emergency situations
- Rely on medical equipment that they can’t maintain themselves
- Have active tuberculosis
- Have late-stage Alzheimer’s or dementia
Those who are in relatively good health and are capable of taking care of themselves without any additional assistance also aren’t good candidates for assisted living, since they’ll be facing high fees for care that they do not need. There are adult living communities that may be better suited for these individuals.
Assisted Living Facility Accessibility Regulations
Generally speaking, assisted living facilities are regulated on a state level. Inspections are conducted on a regular basis, typically annually, and the state issues each facility a license. Depending on the state, these inspections are overseen by the Department of Health, the Department of Social Services, or a combination of the two.
These regulations that each facility must meet typically revolve around certain services that each facility must provide. This includes assistance with activities of daily living, providing meals, and housekeeping. In some states, facilities must also meet regulations regarding services such as helping residents get to medical appointments and accessibility to shopping and other activities.
Additionally, assisted living facilities are subject to federal laws in place to protect the rights and wellbeing of people with disabilities. Below are the major protections in place that affect assisted living facilities:
The Americans with Disabilities Act: The Americans with Disabilities Act was enacted in 1990 to protect individuals from discrimination in employment, public services, and housing. Most prominently for assisted living facilities, the act lists structural requirements that new and remodeled buildings must adhere to. In order to comply with the ADA, buildings must meet requirements regarding flooring surfaces, accessible routes, stairs, ramps, elevators, doors, and bathrooms that make the space accessible to people with disabilities. For people with vision impairments, this means access to safe spaces that are easy to navigate.
Section 504 of the 1973 Rehabilitation Act: Section 504 was the precursor to the Americans with Disabilities Act. It prohibits discrimination against people with disabilities in any program that receives federal funding.
The Architectural Barriers Act: Architectural barriers are physical features of a space that prevent individuals with disabilities from utilizing the space. In 1968, this act requires buildings that are designed, built, funded or leased with federal funds to be accessible.
Financial Support Options for Assisted Living
All too often, assisted living is too expensive for seniors and their loved ones to comfortably afford. Thankfully, there is financial support available in various forms such as Medicaid, Medicare, the Department of Veterans Affairs, and Social Security.
Medicaid is a combined federal and state program that provides individuals with limited income and resources with healthcare coverage. Across the country, Medicaid waivers are available to help eligible individuals to cover the cost of long-term care.
Applying for Medicaid can be a long process, but individuals who may be eligible for assistance should begin by applying at healthcare.gov. There, you’ll be able to create an account and apply through the Health Insurance Marketplace. Unlike typical health care, you can apply for Medicaid at any point in the year.
Each state has its own individual laws regarding eligibility and regulations for waiver programs, so the application process will vary depending on your location. Home and Community-Based Services (HCBS) Waivers and 1915 Waivers are the most common form of waivers used for assisted living funds and are currently available in 44 states with plans in place to expand to the rest of the country. To learn more about what programs are available in your state and how to apply, contact your state’s Medicaid office.
Regardless of where you live, you should be prepared to provide documentation regarding your finances as well as a report from your physician indicating your medical need for assisted living.
Typically, Medicare does not directly cover the costs of an assisted living or other long-term care facilities. The tax-funded program is more commonly used to cover the costs of skilled nursing facilities or in-home health care. It is available to people over the age of 65 or people who have qualified disabilities that give them access to early coverage.
However, Medicare will cover any qualified healthcare costs an individual incurs while residing in an assisted living facility. While the funds won’t cover the cost of rent, using them for qualified expenses can free up money to pay for assisted living.
Those who qualify as low-income or those who were previously employed but unable to continue working due to a disability may be eligible to receive Social Security benefits. The benefits will continue to be paid until the individual is able to work again or until they reach full retirement age. This supplemental income can be used to cover the cost of living in an assisted living facility.
Determining whether or not you or your loved one is eligible for Social Security can be a confusing and intensive process. This resource breaks down the qualification process and provides helpful contact information for Social Security representatives.
When is Vision Loss a Disability?
Individuals with vision impairment are considered legally blind if their vision cannot be corrected to surpass 20/200 in their better eye. When applying for benefits, other factors such as medical history and the capacity of remaining eyesight are taken into consideration. Individuals who are applying for benefits because of a vision impairment should be prepared to provide a medical history along with evidence that shows that treatments have been ineffective.
Support for Veterans
The U.S. Department of Veterans Affairs offers several benefits to help veterans alleviate the financial burden of long-term care in an assisted living facility.
For veterans over the age of 65 who financially qualify as low-income or meet other special requirements, a basic pension can help cover the cost of residing in an assisted living facility. Basic pensions are not awarded specifically to cover long-term care costs, but the recipient can use the funds for whatever they need.
To apply for Veterans pension benefits online, you can complete the VA Form 21P-527EZ, “Application for Pension”. Once the paperwork is completed and the required documents are collected, mail the application to your local Pension Management Center.
If you prefer to collect or submit forms in person. you can visit your local regional benefit office. To find your local office, use the VA Facility Locator.
Aid & Attendance
Aid and Attendance is a monthly, needs-based payment above and beyond the VA pension that can help cover the costs of long-term care. It is available for veterans who need the aid of another person to safely complete the activities of daily living. The need for this benefit does not need to be related to a veteran’s service, but a physician must attest to the individual’s need.
While Aid and Attendance funds aren’t awarded specifically to cover the cost of living in an assisted living facility, they can be used for that purpose. Depending on factors like marital status, this benefit can provide up to $2,000 per month in assistance. The forms required to apply for A&A benefits can be found on the official VA website. Once you’ve completed the forms and compiled the required documents, you can apply by writing the Pension Management Center that serves your state.
The VA is available to help veterans locate and learn more about the long-term care options that are available. Additionally, the VA operates its own state-run veterans homes that can provide the assistance needed for vision-impaired individuals.
To find out more about residential care options in your state, contact your local VA Regional Benefits Office or call the VA Health Care Benefits number at (877) 222-8387.
Finding the right assisted living facility for your loved one can be a daunting task, but you don’t have to do it alone. An experienced team of senior care advocates is available at the Caring.com call center to help seniors and those with vision impairment all over the country find the best local options. To find the right residence in your area, reach a Caring.com Family Advisor toll-free at (800) 973-1540.