Of course, short-notice availability in a desired facility is a major consideration in postponing an actual move.The CCRC we visited on Monday has over 400 people/couples on the waiting list. At any given time, only a relatively small percentage are actively desiring to move, so the CCRC simply skips over them and goes to the next person who has indicated that they are ready to move. The current estimated wait for someone who wants to move immediately and who just got on the waiting list is about 5 years. The most expensive residences take a little less time. They don't take direct admits to assisted care or skilled nursing. Based on my reading and personal experience with family members and parents of close friends, the waiting time to get into a nicer assisted care or skilled nursing place is at least a year, sometimes 2 or 3 years. The Medicaid only skilled nursing homes have a much shorter waiting time, but many/most of those places aren't exactly nice places to visit, much less live. The bottom line is that it's very hard to make quick moves when an acute event takes place, thus making it necessary for someone to provide 24-7 home care until an appropriate slot opens somewhere. For those who haven't looked into the costs, it costs a fortune to have 24-7 home care, and it's not easy to arrange so as to have reasonable quality caregivers. Many folks simply can't afford to move into any type of place, so planning in advance might not be worth the effort. It's a hard world out there, so good luck to us all.
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