New Hampshire Nursing Home Costs and Star Ratings Updated

New Hampshire’s population is aging at a rapid pace. In fact, NH is the state with the third fastest aging population in the U.S. By the year 2020, the number of elderly New Hampshirites will peak. And by 2030, the Granite Staters will experience a “silver tsunami,” almost one-third of the population will be 65 or older. Since it is estimated that 70% of people turning age 65 can expect to use some form of long-term care during their lives, seniors should acquaint themselves with the cost of nursing homes in their state. New Hampshire is in the top 10 most expensive states for nursing home care.

New Hampshire senior care planning includes understanding costs of nursing homes in the chosen area, along with their overall ratings. Many times, hospitals will discharge the senior to a nursing home for post-hospital stay rehabilitation. If the senior’s stay is longer than the Medicare-covered 100 days, those costs becomes out-of-pocket.

Nursing homes are costly — and it’s a topic many families don’t discuss until the need is imminent. Avoiding the long-term care conversation doesn’t make it go away. That’s why our mission is to educate the consumer. We are always updating our nursing home cost database and have released the latest costs and ratings for New Hampshire nursing homes.

Below is a snapshot of New Hampshire nursing home costs and ratings:

Total Number of Nursing Homes: 80
Average Single Price: $301
Average Double Price: $285
Average Rating: 3.1 (out of 5)

Star Rating Snapshot:
5-Star: 9
4-Star: 32
3-Star: 29
2-Star: 6
1-Star: 4

New Hampshire’s Bureau of Elderly and Adult Services (BEAS), has published their State Plan on Aging, which became effective on October 1, 2015. The Plan will remain in effect through September 30, 2019.

You can also see an at­-a­-glance snapshot of our latest findings with our New Hampshire nursing home cost infographic.

Seniors and their family caregivers can research nursing home costs and ratings in any state nationwide through the Caregiverlist Nursing Home Directory, the only resource with this trademarked information. A good place to start anticipating for those future long-term care costs is consulting with a professional who can come up with a financial action plan that includes an assessment of your family’s assets and future spending needs. Caregiverlist can also provide a care plan to find senior home care agency options in New Hampshire and help you learn about the costs for senior care.


Hawaii Daily Nursing Home Costs Close to Highest in the U.S.A.

Seniors must pay for their long-term care needs in the U.S.A. and those seniors living in Hawaii are paying more for the luxury of island living when it comes to nursing home care. Let's hope all of their rooms come with an ocean view as the average cost in the Aloha state for a shared nursing room is $350 per day. Seniors and their families can pay research their local senior care options ahead of time in order to better plan for senior care. Transamerica offers a complimentary financial consultation regarding retirement care costs as Medicare does not pay for ongoing senior care and Medicaid, for low-income seniors, has certain spend-down requirements in order to qualify.



"Nothing Left Unsaid" Documentary about Gloria Vanderbilt's 90+ Years Showcases How Families Benefit from Sharing their Stories

Seniors, caregivers and families can learn how sharing a senior's life story can benefit everyone in the family. Gloria Vanderbilt, socialite, heiress, artist, entrepreneur, actress and mother shares how she began the conversation about her life with her son, newsman Anderson Cooper in this new documentary.

Nothing Left Unsaid profiles Gloria's life and how she has navigated being in the spotlight since the day she was born. Her life story will leave you inspired to stay positive and keep on living, as she is doing, as you are aging, while appreciating the lessons learned along the way.

You can catch this documentary tonight, April 29th, at 9 p.m. Eastern Time on CNN and it also will continue to air on HBO. You will not be disappointed.

Anderson Cooper, one of her 4 sons, shares that there were many things he did not know about his Mother until they began the deeper conversation.  Begin to ask your senior loved ones about their life stories and go deeper to ask "why" to learn more about who they really are and how they became the person you know.

One really interesting item Anderson shared was that his mother earned more money than she inherited. He chooses to not inherit any money as he says he sees that many are not motivated to develop their passions when they do not have to earn a living. Gloria Vanderbilt continues to develop her passions and we compliment her for promoting this documentary and sharing her story with us at age 92. And also thank her for bringing us designer jeans with a little bit of stretch in them!


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Anderson Cooper with his Mom, Gloria Vanderbilt

Alzheimer's Disease Strikes Chris Graham at Age 39

A rare form of Alzheimer's disease is passed on via a faulty gene, which strikes much before retirement years. Chris Graham's father died when he was just 42 years old and his aunt passed away at age 38. His brother now lives in a nursing home, at the age of 43. Now, Chris knows he is carrying the faulty gene too and will develop Alzheimer's disease.

Chris has decided to make the most of his life now, and has began a 16,000 mile bike ride across the U.S.A. and Canada to fund raise for dementia research. He started the bike ride in April, 2015, after discovering he had the faulty gene in 2010. He has lost four relatives from this disease, all passing away in their 40's.

One of four kids, he knew he had a 50-50 chance of inheriting the gene. He and his brother did inherit the gene while his two sisters did not. You read Chris Graham's blog posts on Alzheimer's Research UK.

As the number of seniors with memory loss continues to increase, as more seniors are living longer, having more professional senior caregivers has become a concern. Learn about how you can become a part-time or full-time caregiver or refer-a-friend to a caregiving job.


Lewey Body Dementia Found in Robin Williams' Autopsy

Memory loss has many forms and there are several types of memory loss and dementia. Seniors and their family members should visit a geriatric medical doctor in order to have a proper diagnosis of the type of memory loss in order for it to be treated in the most effective way.

Alzheimer's disease is just one type of memory loss, although it receives the most attention. I have always said that Lewey Body Dementia was the most difficult to care for, when I organized care for a senior home care agency. It would be especially difficult to live with Lewey Body dementia when you do not know this is what is causing the changes in your brain and behavior.

Late actor Robin Williams

One of the seniors we cared for when I worked at a senior home care agency had Lewey Body dementia and he would sometimes think he was somewhere other than in his living room. If the news on the television was reporting on a robbery, for instance, he might think he was at the scene of the crime and become violent. Out of caring for more than 500 seniors, he was one of the most difficult to safely care for and to staff a trained caregiver who could handle the changes in his personality.

Visual hallucinations and delusions are part of Lewey Body dementia.

Caregivers for seniors should always advocate for diagnosis for the type of dementia the senior is experiencing and this diagnosis should be by an experienced and trained professional - not just the family doctor the senior has been visiting for 30 years, unless they have been trained in testing and diagnosis of memory loss. 

Robin Williams death is a reminder to us that it can make a difference to know which type of memory loss a senior suffers from as then everyone can better make sense of the behavior changes. Family caregivers can also take caregiver training courses to learn how to care for a senior as even in senior care there are many skills to learn that can make the aging experience better for everyone.

Finding Quality Senior Care: First Understand Medicare vs. Medicaid

Seniors usually do not plan ahead for senior care.  Anyone in the senior care industry already knows this fact and I remember one time a larger senior home care franchise group shared with me that they had paid a significant amount of money to an advertising agency to research how seniors plan for senior care.  The answer? They don't plan for it at all! 

This means that the loved ones of a senior - their spouses, children and relatives, are quickly searching for the right senior care option after a medical emergency happens. Where should the senior go for rehabilitation after a stroke? What option is right for them? A nursing home? Assisted living community? Senior home care?

The very next question that is asked is what does Medicare cover? 

Family members must first understand the difference between Medicare and Medicaid and learn which option their parents or another relative they are assisting to find care currently has a coverage plan.

All seniors in the U.S.A. go onto Medicare health insurance but, if they qualify, on the basis of having a very low income and few assets (usually under $2,500), then they will receive Medicaid health insurance.

The biggest difference between Medicare and Medicaid is that Medicaid WILL PAY FOR ONGOING CARE IN A NURSING HOME. Medicare DOES NOT PAY for ongoing senior care.

Learn about the differences between Medicare and Medicaid and plan ahead for your senior care option.


A New Kind of Assisted Living

The term “Assisted Living” is the most one of the most Googled senior living search trends. Although aging at home is the preference of many seniors, if there are no family caregivers available and no in-home caregivers, that solitude can be an awful thing. Those who have chosen assisted living report a high degree of satisfaction with their senior living choice.

However, Baby Boomers, those born post World War II — between 1946 and 1964, are defining a new way of aging. They are living longer and more actively so it makes sense that they would seek to establish a new kind of senior living dynamic. When living alone and aging in place is no longer a viable or preferred option, they are choosing to age in communities of their own design.

Marianne Kilkenny is one such advocate leading the charge in bringing forth a new aging community model. She created and founded Women Living in Community (WLIC) in 2007. What began as a simple website has grown into a movement. WLIC brings together individuals, families, and professionals who are changing the face of senior housing options. The vision is to move from the standard aging elder institutional settings like assisted living housing and nursing homes to communities where neighbors care for each other.  

“Aging in Community is more than shared housing. It’s refocusing our outlook on aging from one that is medical and healthcare-centric to one that focuses upon community," Ms. Kilkenny writes on her website. "Wellbeing is more than healthcare; it’s emotional care and that kind of care comes from being surrounded by people we know, love and trust, not just by nurses and planned activities.”

Ms. Kilkenny has also authored Your Quest for Home: A Guidebook to Find the Ideal Community for Your Later Years. The workbook details the options for resident-created communities that might include co-housing and “pocket communities” where residents look after each other, care about each other, and support each other.

As with all senior living options, there are challenges to the model as well. Traditional assisted living provides planned activities. Unless a resident is proactive about getting yoga instructors to come to a central community location, or hire a van or bus to take groups on cultural outings, those perks won’t be available to those seniors who are unable to get out and enjoy these experiences on their own. More importantly, what sort of medical attention is available onsite?

I also think one of the keys to the success of these communities is to make sure they are multi-generational. If everyone in the community is aging together at the same time, how good is your brother’s (or sister’s) keeper when you are both in your 90s and need the same level of attention and help with the activities of daily living? And one of my biggest beefs with institutional aging settings is the age-segregation that naturally occurs.

I’ve always liked the idea of a Golden Girls kind of living arrangement where I wind up co-housing and cracking wise with a group of girlfriends (women generally outlive their male spouses.) Of course, these alternate retirement communities are not just for the ladies. NBC Nightly News filmed a shared housing model in Asheville, NC. featuring four women and one “Golden Guy”.



What do you think of this alternative to existing assisted living and nursing home models? Do you think this might just be the future of an aging society? What do you think would make this interesting atypical retirement community work even better?

Celebrating Earth Day with Seniors

Here in Chicago, we awoke on Earth Day to a light dusting of snow on rooftops. This is April in the Midwest. Consider my plans to garden with my mother dashed. But not to worry — there are still plenty of ways to celebrate Earth Day with seniors and support the environment along with its protection.

Earth Day is celebrated on April 22nd around the world, and has been since United States Senator Gaylord Nelson held the first environmental teach-in on April 22, 1970   It is now, according to one of the original organizers Denis Hayes, “the largest secular holiday in the world, celebrated by more than a billion people every year.”

Senior caregivers are always on the lookout for special activities for their care recipients. I’ve culled some great ideas from around the web (along with a few suggestions of my own) and come up with some Earth Day undertakings to commemorate the day.

Plant Something
My original plan for today was to plant a tree. There are lots of reasons why planting and maintaining trees are especially good for our environment, not the least of which is that trees can help combat climate change by absorbing carbon dioxide while releasing the oxygen back into the air. Added bonus: trees conserve energy. According to Tree People, three trees placed strategically around a single-family home can cut summer air conditioning needs by up to 50 percent.

Eat Sustainably
Shop locally for produce. Farmer’s markets will not only have great seasonable fruits and vegetables, you’re saving the greenhouse gasses it takes to transport food by truck and industrial agriculture causes massive topsoil erosion. Also, just for today, keep dairy and meat consumption to a minimum. According to the United Nations Food and Agriculture Organization, meat production accounts for about 18% of the world’s greenhouse gas emissions, and the grains used to feed the livestock require an incredible amount of fuel and water. So just for today, consider going vegetarian (or close to it.)

Recycle
Today would be an ideal day to go through accumulated stuff — you know, the clothing, appliances and goods that are no longer used and donate them to a worthy group. Just make sure you double-check with family before you schedule a pick-up or drop-off. You don’t want to make the mistake of getting rid of a beloved family heirloom or valuable item.

Senior caregivers connect the elderly to their environment every day. A great caregiver will look for opportunities to celebrate special days like Earth Day. Look to your local Areas on Aging for ideas and events to celebrate the health of our planet.

5 Special Mother's Day Gifts for Family Caregivers

Mother’s Day is fast approaching and there may be people in your household deciding on a gift for mom — some are even treating their mothers early. If you are one of the many American woman who provide essential senior care for an aging parent, care for your own children, and work outside the home, now is the time to start dropping hints about what gifts would rock your May 10.

I’ll say it — I think those of us who spend the entire year caring for others deserve at least one day of some thoughtful appreciation. Numbers culled by the Family Caregiver Alliance  estimates 33.9 million adult caregivers, or 16 percent of American adults provide unpaid care to a recipient aged 50 and older. That informal care is valued between $148 billion and $188 billion annually and an estimated two-thirds of those family caregivers are female. Mother’s Day is the perfect time for some serious payback.

While flowers and jewelry are always appreciated, if asked, consider giving these suggestions for special Mother’s Day gifts.

Mommy's Day Out
About 75 percent of caregivers who report feeling stressed emotionally, physically, or financially are women. When you are making less at work and spending more at home, the last thing you have is expendable income for movies, plays, or concerts. Those important outings are food for the soul. Tickets or gift cards good for nights out (dinner and a movie? cocktails and the opera?) for two makes a great present.

Indulge Me
I know spa treatments are are pretty typical Mother’s Day gifts. But how about treatment for two? Mom and grandma can get a home visit from a mobile spas. It's especially decadent as they can bring massages, facials, and mani-pedis right to the home for no muss, no fuss pampering.

Help Around the House
Spring cleaning for family caregivers might mean cleaning two homes. What would make a great gift? How about a cleaning service, just once, for one or, what the heck? both places! Getting a break from my most tedious, back-breaking, time-consuming job would certainly make it to the best-of-the-best gifts list.

A Gift That Keeps Giving
Mother’s Day comes and goes and life gets back to it’s usual routine, but a “gift of the month” membership will make someone feel appreciated for 3, 6, and 12 months. The most popular of the gift clubs is the Wine of the Month Club, of course, but there is a Coffee of the Month Club, Cheese of the Month Club,  even a Hot Sauce of the Month Club. Gift of the Month Clubs let the recipient know their contributions are acknowledged for more than just one day.

Can Somebody Else Do This?
Respite care can be for a weekend, a day, or even an hour. Family, friends, or neighbors can certainly provide respite care, but a quality home care agency can provide a fully vetted professional caregiver to step in and relieve some of that caregiver stress and help prevent caregiver burnout by providing support for a senior's Activities of Daily Living.

We at Caregiverlist® wish all the mothers and grandmothers out there a happy Mother’s Day. If you have some special gift suggestions, we’d love to hear about them in the comments.

Honor System Hopes to Marry In-Home Senior Care with Technology

In-home senior care is one of the fastest growing industries in the United States. I know because I'm constantly looking at senior care industry trends. This week, there was a new name on the in-home senior care landscape: Honor.

Honor (www.joinhonor.com) recently received $20 million in funding to roll out it’s new service—a high tech way to connect seniors with senior caregivers. Honor is launching Contra Costa County, California this month and then plans to spread to the rest of the Bay Area. San Francisco is the fifth largest metro area for senior care employment.

Helping seniors age in place, at home, is at the core of CEO and co-founder Seth Sternberg’s mission. Like many of us, Mr. Sternberg was confronted with the challenge of long-distance care for his aging mother. He would fly into Connecticut, where his mother lives, hire a caregiver, and be clueless about the care his mother was receiving once he left for home. The idea behind Honor is that, not only could a senior (or their family) hire a caregiver Uber-fashion, but the app would help families monitor that care.

The Honor Frame is a device that sits in the senior’s home and allows a senior or their family to request a caregiver for as little as one hour per week, to help with the activities of daily living, including meal preparation, transportation, or simple companionship. Families can download the Honor app onto their smartphones in order to monitor the caregiver’s time, activities, and to provide feedback.

It will be interesting to watch how Honor approaches the challenges inherent to in-home senior care. We agree that technology can facilitate the connection between senior and caregiver, but building a team of caregivers is different than hiring in any other field because seniors who live alone are especially vulnerable to all sorts of elder abuse. The creators of Honor believe they can build a strong team of professional caregivers by offering them an hourly rate well above the industry standard—$15 per hour instead of the current average of $9.50.

In order to understand the challenges Honor is facing, perhaps we should take a look at just what an in-home care agency provides to a caregiver, their senior client and their family that a direct hire doesn’t necessarily offer. At Caregiverlist, we make sure our quality home care agencies:

  • posess a business license and required state licensure
  • fully vet all employees by performing a thorough criminal background check
  • offer and maintain training for caregivers
  • are responsible for paying all employee payroll taxes, as required by law. That includes unemployment insurance tax, Social Security tax, Medicare tax and State and Federal withholdings
  • provide Worker’s Compensation Insurance
  • carry Professional Liability Insurance and Fidelity Bond Insurance (aka “theft” insurance)
  • supply active management of the senior caregiver through a direct supervisor and a plan of care

As the population ages, their technology comfort level will increase. Until then, I’d love to take a look at Honor’s interface, knowing that seniors themselves will be using the software to request their caregiver.

We at Caregiverlist wish Honor the most success. We certainly believe in their philosophy, one that Sternberg recently told Forbes. “We do not honor care professionals in today’s world,” he said. “We should. And we should honor our parents.” We couldn’t agree more.

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