No abstract

Delaware has over 80 long-term care providers, including skilled nursing, intermediate care, and assisted living facilities. That number is growing. The state is fortunate to have providers specializing in pediatric care and others caring solely for individuals with intellectual and developmental disabilities. Skilled nursing facilities, staffed by licensed healthcare professionals, provide post-acute care including specialized therapies, medications, and medical equipment. Assisted living facilities (ALF) designed to provide personalized assistance with activities of daily living are state-licensed and increasing across the country. Some ALFs specialize in care for individuals with memory issues. Assisted living services can be provided in stand-alone buildings or in a separate wing of a larger facility offering additional types of care. Residents in assisted living maintain contact with their primary care physicians and medical specialists.In Delaware, an additional level of care is available, providing flexibility for residents and families. Intermediate nursing care provides regular nursing care to residents who do not require hospitalization or skilled nursing care but need services above the level of room and board. Delaware's providers are a unique mix of non-profit and for-profit, regional leaders and single building facilities; some are family-owned. Many of the providers have long histories of caring for the elderly and disadvantaged. Nationwide, approximately 60% of nursing home residents rely on Medicaid to help pay for their care. The long-term care industry is highly regulated, and there are numerous state and federal rules about what long-term-care providers can and cannot do.