A separate living unit inside a single-family home. This is a popular senior housing option for people who want to stay in their homes, and a potential source of caregiving between an older person and a friend, neighbor or relative, providing the convenience of physical closeness while maintaining privacy. It provides additional income for the landlord, and low rent for the tenant.

A seal of approval given by a governing body to a housing or service provider. To be accredited, the provider must meet requirements set by the accreditation body and undergo a thorough evaluation to ensure it meets certain standards of quality. Accrediting organizations are not government agencies or regulatory bodies. Examples of some accreditation bodies for the senior housing and care industry include CCAC (Continuing Care Accreditation Commission), CARF (Commission on Accreditation of Rehabilitation Facilities) and JCAHO (Joint Commission on Accreditation of Healthcare Organizations).

Everyday activities such as bathing, grooming, eating, using the toilet, and getting dressed.

1. To provide older adults an opportunity to get out of the house and receive both mental and social stimulation
2. To give caregivers a much-needed break in which to attend to personal needs, or simply rest and relax

There are three types of adult day cares:

1. Social adult day care - provide social activities, meals, recreation and some health related services.
2. Adult day health centers - often provide physical, occupational, and speech therapy, and are usually staffed with an RN and other health professionals.
3. A center that provides social and health services specifically for seniors with Alzheimer's or a related type of dementia.

The cost of per day of adult day care centers ranges from $25 to $70 or more per day depending on where you live and the services provided.  Some centers may offer a sliding fee scale or long term insurance may also pay depending on the policy.  Medicaid will pay most or all of the costs in licensed adult day care settings and Alzheimer's focused centers.

www.helpguide.org/elder/
independent_living_seniors_retirement.htm

Name of Center

Address

City

Phone

Services

Davidson County

Catholic Social Services AD

30 White Bridge Rd.

Nashville

352-3087

Transportation within 5 miles
Socialization, activities, exercise
Suitable for stroke survivors and frail seniors.
Sliding fee based on income
Hours M-F 8:00-2:30

Centennial Adult care Center

1808 8th Ave S

Nashville

383-3399

Transportation available; Structured program
RN on staff, personal care available
Financial Assistance maybe available through Veterans Administration; Hours M-F 7-6
Sat 10-4 by appointment only

J.B. Knowles Home

1010 Camilla Caldwell Ln.

Nashville

862-6450

Transportation available; Hours M-F 8-4

Rochelle Center Memory Works

1020 Southside Ct.

Nashville

254-0673

Socialization, activities, and work therapy for those with memory loss. Hours M-F 7:30 - 5

Rochelle Center Senior Service

1020 Southside Ct.

Nashville

254-0673
ext.- 266

Day program for older adults with mental retardation. Hours M-F 9 - 3

Senior Citizens, Inc. @Westminster Presbyterian Church

3900 West End Ave.

Nashville

463-2266

Transportation available; Hours M-F 7 -5

Waterford Adult Day Care

8118-B Sawyer Brown Rd.

Nashville

646-2544

Half day option; Hours M-F 8 - 5

Dickson County

Dickson Senior Citizens Center

206 W. Walnut St.

Dickson

615-446-9350

Hours M-F 7 - 5; Adult Daycare Center

Montgomery County

Ajax Turner Sr. Citizens Center

953 Clark St.

Clarksville

Hours M-F 7 - 4

Robertson County

Robertson County Sr. Citizens Center

601 Locust St

Springfield

384-2273/6367

Structured Activity program Hours M-F 8:30-4:30

Rutherford County

Azalea Court

207 Commerce Dr.

Smryna

355-9900

Assisted living; Hours M-F 8:00-4:00

Peachtree Center Nursing & Rehab

202 Enon Springs Rd

Smryna

459-5600

Adult day program and nursing home; social, respite care; Hours M-F 8:00-4:00

St. Clair Street Sr. Center

325 St Clair Street

Murfreesboro

848-2550

Hours M-F 8:00-5:00
www.murfreesborotn.gov/government/dept_index.htm

848-2551

Stones River Manor

205 Haynes Dr.

Murfreesboro

893-5617

Assisted living; Hours 7 days 7:00-5:00

Adams Place

1925 Memorial Blvd

Murfreesboro

904-7100

independent and assisted living and nursing center
www.adamsplace.org

Sumner County

Outlook Pointe at Hendersonville

1020 Carrington Place

Hendersonville

264-2440

Assisted living; work therapy for seniors with memory loss; Hours 7 days 8:30-5:30

21st Century Day Services

122 E. Franklin St.

Gallatin

230-1588

Hours M-F 8:00-4:00

Williamson County

Beacon Pointe

303-A S Royal Oaks Blvd.

Franklin

599-7701

Assisted living; serves older adults who have memory impairments; Hours 7 days 7:00-7:00

Benton House

303-B S Royal Oaks Blvd

Franklin

794-6693

Assisted living; Hours 7 days 7:00-7:00

Wellington Place of Brentwood

209 Ward Circle

Brentwood

377-1221

Assisted living; Hours 7 days 7:00-6:00

NHC Place at Cool Springs

211 Cool Springs Blvd.

Franklin

778-6800

Assisted living and health care center;
www.nhcplace.com

The Heritage at Brentwood

900 Heritage Way

Brentwood

507-2686

Retirement Community; independent and assisted
www.theheritageatbrentwood.com

A brain disease, characterized by lesions that gradually destroy cells in the brain.  As nerve cells die, affected areas of the brain wither and become smaller.  The areas of the brain that control memory, logical thinking, and personality are generally the most affected.  As areas in the brain become smaller, cavities within the brain containing fluid become enlarged.  Symptoms of Alzheimer's disease include:

• Loss of recent memory
• Problems with language, calculation, abstract thinking and judgment
• Depression, anxiety and personality changes may occur
• Late in the disease, delusions and hallucinations are common
• Trouble knowing time, date, or place

Alzheimer's disease is not curable and is not a normal process of aging.

• Central nervous system conditions
• Parkinson's disease; Huntington disease
• head injury; brain tumor; stroke
• Systemic conditions
• poor nutrition, dehydration, lack of sleep
• high fever, infection, poisoning
• hormone imbalances; vitamin deficiencies
• Substance-induced conditions
• side-effects of medications, drug interactions
• alcoholism or drug abuse
• Psychological stresses and psychoses
• emotional trauma or stress
• clinical depression
• schizophrenia or delirium  

A law passed by Congress in 1990, which established a clear and comprehensive prohibition of discrimination on the basis of disability. The law requires equal access to public buildings and places of employment for people with disabilities. Subsequent amendments have extended the access requirement to telecommunications, information on the Internet, etc.

Generally, these are state-licensed programs offered at residential communities with services that include meals, laundry, housekeeping, medication reminders, and assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). The exact definition will vary from state to state, and a few states do not license assisted living facilities. Assisted living is generally regarded as a step or two below skilled nursing in level of care. Approximately 90 percent of the country's assisted living services are paid for with private funds, although some states have adopted Medicaid waiver programs.
Assisted living may also be referred to as Personal Care, Board and Care, Residential Care, Boarding Home, etc., although some states differentiate between their definition of "Assisted Living" and these other terms (e.g., Washington state recognizes and licenses "Assisted Living" facilities as well as "Boarding Homes;" although licensed by the State of Washington, a Boarding Home does not meet the higher physical plant and service requirements necessary to be considered an Assisted Living facility).

See Independent Living (may be also referred to as Supportive Housing).

Housing planned and operated to provide a continuum of accommodations and services for seniors, including but not limited to independent living, congregate housing, assisted living, and skilled nursing care. A CCRC resident contract often involves either an entry fee or a buy-in fee in addition to the monthly service charges, which may change according to the medical services required. Entry fees may be partially or fully refundable. The fee is used primarily as a method of privately financing the development of the project and as payment for future health care. CCRCs are typically licensed by the state.

The loss of memory and other cognitive skills due to changes in the brain caused by disease or trauma.  Memory loss alone is not always a sign of dementia, but memory loss along with other forms of cognitive impairments is an indicator that dementia may be occurring.

Different types of Dementia:

• Vascular Dementia is a degenerative cerebrovascular disease that leads to a progressive decline in memory and cognitive functioning.  It occurs when the blood supply carrying oxygen and nutrients to the brain is interrupted by a blocked or diseased vascular system.
•  Some possible symptoms of Vascular Dementia:
• Wandering or getting lost in familiar surroundings
• Moving with rapid, shuffling steps
• Loss of bladder or bowel control
• Laughing or crying inappropriately
• Difficulty following instructions
• Problem handling money
• Multi Infarct Dementia (MID) is the most common form of vascular dementia.  It is caused by a series of small strokes or mini strokes that often go unnoticed and cause damage to the cortex of the brain- the area associated with learning, memory, and language.
• Pick's Disease affects personality, orientation and behavior.  It may be more common in women and occurs at an early age.
• Creutzfeldt - Jakob disease is caused by an infectious organism.  Symptoms include memory and behavioral problems and a loss of coordination.  The disease progresses rapidly along with mental deterioration and involuntary movements.
• Huntington's disease is an inherited, degenerative disease.  The disease causes involuntary movement and usually begins during mid-life.  Other symptoms include disorientation, personality changes, impaired judgment, memory and speech problems.
• Parkinson's disease is a progressive disorder of the central nervous system.  The symptoms include tremors, speech problems, stiffness of limbs and joints and physical movement.  In later stages of Parkinson's disease, some patients develop dementia.
• Lewy Body Disease symptoms are similar to Alzheimer's disease, and include memory problems, confusion, language problems and difficulty with current events.  Individuals with Lewy Body Disease experience hallucinations and can become fearful.

www.helpguide.org/elder/
independent_living_seniors_retirement.htm

The Barton House

Belmont Village of Green Hills

Blakeford At
Green Hills

Brighton Gardens of Brentwood

Carestone at Brentwood

Carestone At Rivergate

Christian Care Center of Cheatham County

Elm Croft Assisted Living

Hillcrest Health Care Center

Homewood Residence at Brookmont Terrace  

Mariner Health Care of Lebanon

Mitchell Manor

Mt. Juliet Health Care Center

Richland Place

Terrace at Bluegrass

A small, temporary home installed on the same site as a single-family residence, usually that of an adult child or other relative. ECHO units allow seniors to remain close to family members and receive the support they need while retaining a great deal of independence.

The value of a home minus any debt against it.

Medical and nursing services are provided in a person’s home by a licensed provider.

Care and comfort provided to those with a terminal illness and their families. It may include medical, counseling, and social services. Most hospice care is furnished in-home, while specialized hospices and some hospitals also provide such care.

Often referred to as Retirement Communities, Congregate Living or Senior Apartments, are designed specifically for independent senior adults who want to enjoy a lifestyle filled with recreational, educational and social activities with other seniors. These communities are designed for seniors who are able to live on their own, but desire the security and conveniences of community living. Some communities offer an enriched lifestyle with organized social and recreational programs as a part of everyday activities (Congregate Living or Retirement Communities), while others provide housing with only a minimal amount of amenities or services (Senior Apartments).

Day-to-day tasks such as preparing meals, shopping, managing money, taking medication, and housekeeping.

A Continuing Care Retirement Community (CCRC), which offers an insurance type of contract and provides all levels of care. It often includes payment for acute care and physician's visits. Little or no change is made in the monthly fee, regardless of the level of medical care required by the resident, except for cost-of-living increases.

A facility that provides rehabilitative, restorative, and/or ongoing skilled nursing care to patients or residents in need of assistance with activities of daily living. Long-term care facilities include nursing homes, rehabilitation facilities, inpatient behavioral health facilities, and long-term chronic care hospitals.

Provides for a person's care in cases of chronic illness or disability. Policies for LTC provide insurance coverage for times when an individual cannot independently manage the essential activities of daily living (ADLs). These are universally known as feeding, dressing, bathing, toileting, and walking, as well as moving oneself from a bed to a chair (transferring). However, disabilities are not confined to these physical situations; they can be mental as well. The key element is that they limit the individual's ability to perform any of these functions.

This Web site allows you to compare the inspection records of nursing homes that receive medicare and medicaid funds.
www.medicare.gov/nhcompare/home.asp

The JCAHO Web site will allow you to see if an agency is accredited.
www.jcaho.org

You can get information on a variety of different topics ranging from housing to long-term care insurance
www.medicare.gov/LongTermCare/Static/Home.asp

AHIP has brochures and other information you can request about long-term care insurance.
www.ahip.org

Available for certain low-income individuals and families who fit into an eligibility group that is recognized by federal and state law.  The money goes directly to your health care provider and in some states you may be asked to pay a copay for services.

Our country's health insurance program for people age 65 or older.  The program helps with the cost of health care, but doesn't cover all medical expenses or the cost of long-term care.  There are four parts to Medicare:

1. Hospital insurance (Part A) that helps pay for inpatient care in a hospital or skilled nursing facility (following a hospital stay), some home health care and hospice care.
2. Medical insurance (Part B) that helps pay for doctors' services and many other medical services and supplies that are not covered by hospital insurance.
3. Medical Advantage (Part C) formerly known as Medicare + Choice plans is available in many areas.  People with Medicare Parts A and B can choose to receive all of their health care services through one of these provider organizations under Part C.
4. Prescription drug coverage (Part D) that helps pay for medications doctors prescribe for treatment.

A facility licensed by the state that provides 24-hour nursing care, room and board, and activities for convalescent residents and those with chronic and/or long-term illnesses. The availability of regular medical supervision and rehabilitation therapy is required, and nursing homes are eligible to participate in the Medicaid program. This alternative may be referred to as a Nursing Facility or Convalescent Home.

Temporary relief for caregivers, ranging from several hours to days. This may be provided in-home or in a residential care setting such as an assisted living facility or nursing home.

A loan against home equity providing cash advances to a borrower and requiring no repayment until a future time.

Three types of Reverse Mortgage Loans:

1. Single-purpose reverse mortgages: Loans that can be used for only one specified purpose—for example, to repair your home or to pay your property taxes. Loans of this type are generally the lowest-cost reverse mortgages you will find. Most often, they are offered by state or local government agencies.
2. Federally insured reverse mortgages: The only reverse mortgages insured by the Federal Housing Administration (FHA). These loans are the lowest-cost multipurpose reverse mortgages available, and in most cases they provide the largest total cash benefits. This is also known as Home Equity Conversion Mortgages (HECMs).
3. Proprietary reverse mortgages: A reverse mortgage product owned by a private company. If you live in a home that is worth a lot more than the average home value in your county, a proprietary loan may give you greater loan advances than a federally insured reverse mortgage

Federal Trade Commission
Reverse Mortgages:
Get the Facts Before Cashing In On Your Home’s Equity

Age-restricted multiunit housing with self-contained living units for older adults who are able to care for themselves. Usually no additional services such as meals or transportation are provided.

State, Local, and National Resources

tnaarp@aarp.org

www.aarp.org/drive

www.aarp.org/lsn

http://www.socialsecurity.gov