Assisted living residences in Nevada are called “residential facilities for groups” and offer room and board, help with activities of daily living (ADLs), protective supervision, meals and snacks, and housekeeping for people who are older or have physical disabilities. In order to admit people with dementia in what’s often called “memory care,” a residential facility for groups must have been inspected and approved by the state’s Division of Public and Behavioral Health. Significantly more training is required for staff in memory care than in assisted living without dementia residents. (For more on staff training, see below.)
The average cost of memory care per month in Nevada is $4,467, which breaks down to about $112 per day and $53,604 annually. Nevada assisted living homes must provide a written statement to all potential residents that includes charges and fees, including for optional services. Assisted living, without the additional services required for memory care, costs Nevada residents about $3,414 per month and $40,968 annually.
The state’s most expensive city for memory care is Carson City, where the average cost is $4,786 monthly and $57,432 annually. The least expensive city is Reno, for $4,268 monthly and $51,216 per year. The state’s biggest city is Las Vegas, where memory care costs about $4,308 per month and $51,696 annually.
New residents must be assessed for tuberculosis signs and symptoms, as well as their need for help with activities of daily living (ADLs) upon admission. Additionally, a referral agency must complete a needs assessment and financial assessment of new residents, and submit a copy to the memory care home.
Anyone considering a Nevada assisted living home is entitled to the following information in writing:
– Rates for services and schedule for payment
– All services included in the basic rate
– Any additional or optional services not included in the basic rate
– The policy on refunds
Someone with the following issues may not be admitted into assisted living in Nevada (without a medical exemption):
– Is bedridden
– Requires physical or chemical restraints
– Requires skilled 24-hour nursing care
– Requires gastronomy care
– Has a serious infection
The residence may evict someone who does not pay a bill within five days of the due date. Someone whose needs exceed the care provided in an assisted living home may not live there.
An apartment or living unit must be at least 80 square feet if it’s a single, and 60 square feet per person if there are multiple occupants. Three is the maximum number of roommates allowed. There must be one toilet for every four residents and a tub or shower per every six.
Nevada has specific staffing ratios for memory care: no more than six residents for every direct-care staff member during waking hours, with at least one person awake and on duty through the night. Within 40 hours of hiring, memory care staff members must have two hours of training in providing care, including in an emergency, specifically to a person with dementia. Within three months of hiring, they must receive at least eight hours of further training on providing care to someone with dementia. At least eight hours of continuing education is required annually. Administrators in Nevada memory care homes must have at least three years of experience caring for populations with Alzheimer’s or a related dementia.
Nevada Medicaid’s HCBW-FE program is for non-medical care services like case management, meal preparation and housekeeping costs for people who want to remain in their home or assisted living or memory care community rather than moving into more expensive nursing care. For more information, click here. To apply, contact your local office of the Nevada Aging and Disability Services Division.
Nevada Medicaid’s HCBS-PD is another waiver similar to the HCBW-FE above, but provides services for people of all ages, with benefits including covering costs of assistance with activities of daily living (ADLs). For more information and to apply, contact the Division of Healthcare Financing and Policy.
Veterans are statistically more likely to develop dementia. Relevant in all states including Nevada is the VA’s Aid & Attendance pension program for veterans and surviving spouses, which is an amount of money added to veterans’ and survivors’ basic pensions. Applicants must be at least 65 years old (or disabled) and require assistance with activities of daily living (ADLs) like eating, bathing, and mobility. The cash assistance from these pensions can be used as the recipient wishes, meaning it can go toward the cost of memory care. In addition, the cost of residential care can be deducted from one’s income, effectively reducing the amount of calculable income used to determine the benefit amount. The latest (2020) maximum amount a veteran can receive through A&A is $27,194 per year, and surviving spouses can receive as much as $14,761. Learn more here.
There are also veterans’ homes in Nevada, which are residential care facilities that provide long-term care for veterans. In addition to nursing home care, assisted living and memory care may be provided. Payment is made directly from the VA to the facility. State veterans’ homes are typically reserved for veterans whose need for care stems at least 70 percent from their military service. Because there is often a waiting list, contact a home before visiting to see if your loved one is eligible to live there.
Other ways to help pay for memory care include tax credits and deductions like the Credit for the Elderly and the Disabled, or the Child and Dependent Care Credit (if you can claim your elderly loved one as a dependent). Remember also that medical and dental expenses can be deducted, and that may include some assisted living costs.
A reverse mortgage may be a good option for a married person moving into memory care, if their spouse continues to live in the home. Should the spouse move from their home, the reverse mortgage would become due.
Elder care loans are for families to cover initial costs of moving into memory care, if you need a little help at first but can afford costs after the initial payments. For example, if one is waiting for a VA pension to be approved or waiting to sell a home.