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Wandering has become a concern

When staying home stops being viable, and what a secured memory care unit actually requires in your state.

Quick answer

When staying home stops being viable, and what a secured memory care unit actually requires in your state.

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Home›By Situation›Wandering has become a concern

Exit-seeking changes the calculation more than almost any other symptom, because it converts a supervision problem into a safety one.

Short answer

When staying home stops being viable, and what a secured memory care unit actually requires in your state.

What to do, in order

  1. Recognise what has changed. Exit-seeking converts a supervision problem into a safety one.
  2. Take practical steps immediately. Door alarms, secured exits, and enrolment in a wandering-response program.
  3. Understand your state's requirement. New York requires SNALR certification for a community to be licensed for dementia-specific memory care -- ask to see it by name.
  4. Ask specific questions on tours. How are exits secured, what happens when a resident tries a door, what is the overnight staffing ratio inside the secured unit specifically.

Questions families ask

What is an Enhanced Assisted Living Residence (EALR) and when would my parent need one?

An Enhanced Assisted Living Residence (EALR) is an additional certification an Assisted Living Residence can obtain to let residents age in place despite higher physical needs, specifically those who chronically need physical help walking or using stairs, depend on medical equipment requiring frequent professional assistance, or have chronic, unmanaged bowel or bladder incontinence. EALR care is delivered per an Individualized Service Plan and is regulated under the same 10 NYCRR Part 1001 rules as standard ALR and SNALR certifications.

Is there a local New York State office that oversees senior care facilities specifically on Long Island?

Yes. Long Island Adult Care Facilities fall under NYSDOH's Metropolitan Area Regional Office - Long Island (MARO-LI), located at 320 Carleton Avenue, Suite 5000, Central Islip, NY 11722, phone 631-851-3098. This regional office handles licensing oversight and inspections for Nassau and Suffolk County facilities rather than families needing to go through a statewide-only office.

Do I have to enroll in an MLTC plan for home care in Nassau or Suffolk County?

Yes - Managed Long Term Care (MLTC) enrollment is mandatory in both Nassau and Suffolk counties for dual-eligible Medicaid recipients age 21 and older who need community-based long-term care services for more than 120 days. NYSDOH extended mandatory MLTC enrollment to Nassau, Suffolk, and Westchester counties beginning in the 2013 transition period, and that mandatory enrollment structure remains in effect. MLTC plans coordinate home care, adult day care, nursing home care, and related services through a single managed care plan rather than fee-for-service Medicaid.

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