Affordable Assisted Affordable Assisted LivingLiving

in Rural Alaskain Rural Alaska

Honoring Honoring

Traditions by Traditions by

Keeping Our Keeping Our

Elders Close to Elders Close to

HomeHome

Definition of Assisted Definition of Assisted LivingLiving

A congregate residential setting with A congregate residential setting with personal and health care services, personal and health care services, including 24-hour supervision and including 24-hour supervision and assistance.assistance.

Helps frail and cognitively impaired Helps frail and cognitively impaired Elders and people with disabilities Elders and people with disabilities maintain independence and dignity.maintain independence and dignity.

Goals of Assisted LivingGoals of Assisted Living

Not InstitutionalNot Institutional

Cost-EffectiveCost-Effective

High-Quality, Safe EnvironmentHigh-Quality, Safe Environment

Maximum IndependenceMaximum Independence

Dignity and RespectDignity and Respect

Involve Family and FriendsInvolve Family and Friends

Eating/Eating/DrinkingDrinking

BathingBathing

ToiletingToileting

DressingDressing

Core Services: Assistance Core Services: Assistance with Activities of Daily with Activities of Daily Living (ADL’s)Living (ADL’s)

GroomingGrooming

TransferTransfer

MobilityMobility

Other Required Services in Other Required Services in Assisted Living HomesAssisted Living Homes

MealsMeals HousekeepingHousekeeping Furnishings/Towels and LinensFurnishings/Towels and Linens Medication AssistanceMedication Assistance Emergency ResponseEmergency Response Health Promotion and MonitoringHealth Promotion and Monitoring Social and Recreational ActivitiesSocial and Recreational Activities

Licensing RequirementsLicensing Requirements

AdministratorAdministrator

StaffStaff

Physical StructurePhysical Structure

InsuranceInsurance

Business PracticesBusiness Practices

How is assisted living good How is assisted living good for our families and for our families and communities?communities?

Helps keep the family together.Helps keep the family together.

Honors tradition and culture.Honors tradition and culture.

Elders remain in the community .Elders remain in the community .

Provides a cost-effective Provides a cost-effective

alternative to nursing home care.alternative to nursing home care.

Economic Opportunity

Employment - construction and Employment - construction and

operation.operation.

Keeps dollars circulating in community.Keeps dollars circulating in community.

Operations are self-sustaining.Operations are self-sustaining.

May be private or public.May be private or public.

May be for-profit or not-for-profit.May be for-profit or not-for-profit.

Timing is ImportantTiming is Important

Aging population is growing.Aging population is growing.

Health services are improving.Health services are improving.

Increased interest statewide, Increased interest statewide,

nationwide.nationwide.

Grants and loans available.Grants and loans available. State budget crisis make cost-saving State budget crisis make cost-saving

measures extremely important.measures extremely important.

First StepsFirst Steps

Develop community interest and support.Develop community interest and support.

Conduct market analysis.Conduct market analysis.

Determine financial feasibility.Determine financial feasibility.

Obtain site control.Obtain site control.

Develop management and business Develop management and business

plans.plans.

Development Funding Development Funding SourcesSources

AHFC GOAL Program (HOME, LIHTC, AHFC GOAL Program (HOME, LIHTC, SCHDF)SCHDF)

Community Development Block GrantCommunity Development Block Grant

ICDBGICDBG

NAHASDANAHASDA

HUD Rural Housing and Economic HUD Rural Housing and Economic

DevelopmentDevelopment

Funding Sources, Funding Sources, Continued Continued

Alaska Mental Health Trust AuthorityAlaska Mental Health Trust Authority

Federal Home Loan BankFederal Home Loan Bank

USDA Community Facilities/515USDA Community Facilities/515

Denali Commission Denali Commission

Rasmuson and Other Private Rasmuson and Other Private

FoundationsFoundations

Funds for OperationsFunds for Operations

Services: Medicaid, private pay, Services: Medicaid, private pay,

insurance.insurance.

Room: resident pays, may have rental Room: resident pays, may have rental assistance.assistance.

Board: resident pays.Board: resident pays.

Is Your Community Ready?Is Your Community Ready?

Demonstrated NeedDemonstrated Need

Site AvailabilitySite Availability

InfrastructureInfrastructure

WorkforceWorkforce

Coordination/CooperationCoordination/Cooperation

Is Your Community Ready? Is Your Community Ready?

LeadershipLeadership

Planning Planning

Strong Network of Home and Strong Network of Home and

Community Based ServicesCommunity Based Services

Strong Community Commitment and Strong Community Commitment and

SupportSupport