Skilled Nursing Near Rochester, NY

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Rochester Skilled Nursing: Search Near You, How to Pay, Licensing, Local Resources, and Questions to Ask

Rochester is the second-largest city in the state of New York and the seat of Erie county. It lies in at the eastern end of Lake Erie on the U.S. border with Canada and has a population of 278,349 according to the 2020 census. Rochester is a beautiful location for those looking at Skilled Nursing services. Skilled Nursing facilities in Rochester could accept State Medicaid, private payers, and long-term care insurance which helps to relieve the financial burden of senior care, and could be more cost effective than home care.

Assisted Living and Skilled Nursing in Rochester, New York

About Skilled Nursing in Rochester

In New York, Social security, Medicare, Supplemental Security Income, and the Senior rent increase exemption are added benefits of being an aging adult in New York. New York’s population is over 8 million, about 15% of which are seniors and retirees, making it a good place to move into an assisted living community. For an individual who requires physical or cognitive care, providing home care can be difficult and costly. Assisted living communities do an incredible job filling that need. Levels of senior care range from minimal, such as providing meals and housing, to advanced care, such as mobility assistance and medication administration. Assisted living facilities provide individualized health management in a comfortable setting and focus on maintaining independence, privacy, and dignity. Adult care homes relieve the burden of home caregivers and offer seniors a more enriching quality of life.

Considerations When Looking for Skilled Nursing in Rochester

Rochester the fourth-most populous in the state, with a population of 211,328 according to the 2020 census. Rochester rose to prominence as the birthplace of some of America’s most iconic companies, by which the region became a global center for science, technology, and research and development. This status has been aided by the presence of several internationally renowned universities. Rochester is also known for its culture, in particular its music culture; hosting one of the most prestigious conservatories in the world and a variety of jazz festivals. These features and more have led to Rochester becoming a preferred location for senior citizens to retire, so the need for senior care in Rochester is significant.

Cities Near Rochester

  • Philadelphia, PA
  • Washington, D.C.,
  • Boston, MA,
  • Baltimore, MD,
  • Atlantic City, NJ,

The Cost of Skilled Nursing in Rochester

The average monthly cost in New York for assisted living is approximately $4,200 which is slightly more expensive than the national average of $4,000. Costs will vary because of the level of care a resident requires, and additional amenities, as well as the city in which you find a community or facility. Benefits of assisted living are being able to provide health services to those who may need assistance with the activities of daily living. Demand is on the rise, and so too is the cost of assisted living facilities. Accordingly, costs have risen an average of 4.65% since 2020, and the national average for a private, one-bedroom with round the clock care was reported to be $54,000 annually in 2021.

New York average cost for assisted living per month: $4,200
New York City: $6,000
Albany: $5,100
Ithaca: $5,000
Syracuse: $4,200
Rochester: $4,400
Buffalo: $4,741

You want to consider your payment options for assisted living, memory care, and care homes. For these services, Medicare is NOT an option for payment.

The most common payment for these services would be out of pocket Private Pay and assessing a combination of retirement funds, personal savings, and pension payments.

Medicaid can also be an option, be sure to see if you or a loved one qualifies.

Long-Term Care insurance is also a possible option in cases of chronic conditions, be sure to see if you or a loved one qualifies.

For our Veterans and spouses of veterans, be sure to assess Veteran Aid and your eligibility for these benefits.

Medicare – NO:

  • Medicare does NOT pay for Assisted Living.
  • People 65 years and older and individuals with end stage renal disease are eligible for Medicare benefits, no matter their income.
  • Coverage is meant for people in need of short-term care.

Private pay – YES:

  • Many families pay for assisted living with private funds.
  • Private pay can be a combination of retirement funds, personal savings, and pension payments.
  • Family members may contribute funds to pay for assisted living or other senior housing and care.

Medicaid – MAYBE:

  • Medicaid provides health coverage to millions of Americans. Eligible participants include: low-income adults, elderly adults and people with disabilities.
  • Medicaid is administered by state, according to federal requirements. The program is funded jointly by each state and the federal government.
  • Every state has their own individual Medicaid assistance program.
  • National guidelines are in place do decipher how states must spend Medicaid money, but with allowances toward the guidelines.
  • The state determines what levels of care will be covered by Medicaid, who is eligible, and how much the state will reimburse the care community.
  • If you are unsure whether you qualify for Medicaid, you should apply. You may be eligible depending on your household income, family size, age, disability and other factors.

Long-term Care Insurance – MAYBE:

Long term care insurance is a great way to pay for assisted living, and planning ahead is important when considering how to pay for senior housing and care. Nearly 75% of people over the age of 65 will require long-term care and services at some point. Buying into long-term care insurance when a person is in their 50s and 60s is the most common time to do so.

  • Long-term care insurance helps cover the costs of chronic medical conditions.
  • Individuals and couples with the ability to pay into long-term care insurance have the advantage of a head start in allocating funds for senior care.

Veteran Aid and Assistance – MAYBE:

This benefit is available to some military veterans and surviving spouses who live in an assisted living community and those who have in-home care.

  • There are specific guidelines, but a veteran may qualify for as much as $2,050 each month.
  • A veteran with a sick spouse may be eligible for $1,600 per month.
  • If a veteran has passed, their surviving spouse can qualify for $1,300 per month.

Questions to Ask

Finding an assisted living community can be overwhelming. Here are some tips on things to be observant of:

  • Make sure the facility is clean and well maintained. You can tell a lot about the operation by noting what is clean and maintained. Are doorknobs loose or damaged? Do you see any frayed carpet or trip hazards?
  • Visit during lunch hour to observe what the residents are eating. Ask questions about the nutrition program. Is there diversity in meals, healthy fruits and vegetables served at all meals, drink options?
  • Speak to residents and/or family members to learn their perspective.
  • Ask about staff and resident engagement. Get a feel for how staff interact with residents.
  • Ask about the life enrichment programs. Activities are crucial when it comes to quality of life and play a key role in care for older adults.
  • And finally (along with a plethora of more things to consider), get to know the leadership in the building. If you feel good around the Executive Director, Head Nurse, Lead Activities Director and even the Chef or Janitor, it is a good sign you can trust them with the care of your loved one.

Local Hospital and Healthcare Providers in Rochester

Rochester General Hospital

1425 Portland Ave

Open 24 hours · (585) 922-4000

Medicare/Medicaid accepted

Unity Specialty Hospital

89 Genesee St

Open 24 hours · (585) 723-7000

Medicare/Medicaid accepted

Highland Hospital

2.8(296) · General hospital

1000 South Ave

Open 24 hours · (585) 473-2200

Medicare/Medicaid accepted

Monroe Community Hospital

435 E Henrietta Rd

Open 24 hours · (585) 760-6500

Medicare/Medicaid accepted

Strong Memorial Hospital

601 Elmwood Ave

Open 24 hours · (585) 275-2100

Medicare/Medicaid accepted

Adult Protective Services The New York State Office for the Aging’s (NYSOFA’s) home and community-based programs provide older adults with access to a well-planned, coordinated package of in-home and other supportive services designed to support and supplement informal care. NYSOFA’s overall goal is to improve access to, and availability of, appropriate and cost-effective non-medical support services for older individuals to maximize their ability to age in their community and avoid higher levels of care and publicly financed care. NYSOFA achieves this through our network of 59 area agencies on aging. This network provides the following core services in coordination with local partners

New York State Office of Children and Family Services Bureau of Adult Services We accomplish these goals by partnering with hundreds of community-based organizations to provide services through older adult centers, naturally occurring retirement communities, case-management and home-care agencies, home-delivered meal programs, mental health and friendly visiting programs, and much more in each borough.

Legal Services NYC Legal Services NYC fights poverty and seeks racial, social, and economic justice for low-income New Yorkers.

Health Insurance Information Counseling and Assistance Program (HIICAP) HIICAP counselors help seniors and their caregivers to understand Medicare and other health insurance options and benefits.

Eldercare Locator This is a great resource to search for specific care in specific counties and cities. This database is a nationwide resource that connects older Americans and their caregivers with trustworthy local support resources. Connect with services such as meals, home care or transportation, or a caregiver education or respite from caregiving responsibilities. The Eldercare Locator is a public service of the Administration on Aging (AoA), an agency of the U.S. Administration for Community Living.

Medicare provides a search feature to find & compare providers near you, most senior housing and care providers are included on CareAvailability.com. Find & compare plans in your area. Determine if you qualify for premium savings

Medicaid offers information on how to apply for Medicaid, eligibility criteria, links to local state offices, and additional resources

The Alzheimer’s Association is the leading voluntary health organization in Alzheimer’s care, support, and research. Whether you are living with Alzheimer’s or caring for someone with the disease, information and resources are available.

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Written by The Care Availability Team
Experts in the senior care & retirement living industries

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