Hurley Elder Care Law - Metro-Atlanta Nursing Home and ......Navigating the long-term care maze:...

Navigating the long-term care maze:Practical solutions on how to find, get and pay for good long-term care.

Miles P. Hurley, JD, CELAHurley Elder Care Law100 Galleria Parkway

Suite 650Atlanta, GA 30339

[email protected]

Metro-Atlanta Nursing Home and Assisted Living Guide

Fifth Edition

Navigating the difficult and complex world of caring for a

loved one can become a full-time job. It becomes even

harder when it is apparent that a family member or loved

one can no longer care for him or herself. Perhaps the

loved one has a progressive disease like Alzheimer’s, or the

person may have had a stroke or a fall.

Difficult choices have to be made, and often those

responsible for making decisions are emotionally and

physically drained. We encourage you to stay hopeful and

understand that good information is available to help you

make the right choices for your family.

Working daily with families who face similar challenges

inspired us to design this booklet. This is meant to act as a

compass, a guide of sorts, with information and answers to

many of the questions you may have.

We hope you find this useful as you determine how to find,

get and pay for good long-term care.

Kindly,

Miles Hurley

© 2017, Hurley Elder Care Law. All rights reserved. Page 1

TABLE OF CONTENTS

Selecting a Nursing Home or Assisted Living Community ........................................................ 2

Evaluating a Nursing Home ................................................................................................................... 3 Nursing Home Admission ................................................................................................................................................ 3 How to Get Good Care in a Nursing Home ................................................................................................................ 3 Care Planning ......................................................................................................................................................................... 4

Evaluating an Assisted Living Community ...................................................................................... 4

Medicaid Planning – Overview ............................................................................................................. 5 Medicaid Planning for Married Couples .................................................................................................................... 6 Will I Lose My Home? ......................................................................................................................................................... 8 Why Plan for Medicaid? .................................................................................................................................................... 8

Veterans Benefits ....................................................................................................................................... 9

Metro-Atlanta Assisted Living Communities, Personal Care Homes and Skilled Nursing Facilities by County

Barrow ................................................................................................................................................................................... 11 Bartow ................................................................................................................................................................................... 11 Butts ........................................................................................................................................................................................ 11 Carroll .................................................................................................................................................................................... 11 Cherokee ............................................................................................................................................................................... 12 Clayton ................................................................................................................................................................................... 12 Cobb ........................................................................................................................................................................................ 13 Coweta ................................................................................................................................................................................... 14 Dawson .................................................................................................................................................................................. 14 DeKalb .................................................................................................................................................................................... 15 Douglas .................................................................................................................................................................................. 16 Fannin .................................................................................................................................................................................... 16 Fayette ................................................................................................................................................................................... 16 Forsyth ................................................................................................................................................................................... 17 Fulton ..................................................................................................................................................................................... 17 Gilmer ..................................................................................................................................................................................... 19 Gwinnett ............................................................................................................................................................................... 20 Hall .......................................................................................................................................................................................... 21 Haralson ................................................................................................................................................................................ 22 Heard ...................................................................................................................................................................................... 22 Henry ...................................................................................................................................................................................... 22 Lumpkin ................................................................................................................................................................................ 22 Meriweather ........................................................................................................................................................................ 22 Newton .................................................................................................................................................................................. 22 Paulding ................................................................................................................................................................................ 23 Pickens ................................................................................................................................................................................... 23 Rockdale ................................................................................................................................................................................ 23 Spalding ................................................................................................................................................................................. 23 Walton .................................................................................................................................................................................... 24 White ...................................................................................................................................................................................... 24

Nursing Home Evaluation Form ....................................................................................................... 25

Assisted Living Community Evaluation Form ............................................................................. 29

Seeking Legal Help .................................................................................................. Inside Back Cover

Page 2 © 2017, Hurley Elder Care Law. All rights reserved.

SELECTING A NURSING HOME OR ASSISTED LIVING COMMUNITY

When someone is faced with the overwhelming job of finding a nursing home or assisted living community for a loved one, the question often asked is, “Where do I begin?” Although this is a job that no one wants to do, it can be done with confidence that the best decision was made for everyone involved.

When placement is necessary, it is crucial that the family and/or potential resident decide what’s most important to them in looking for a facility. Things such as location of the facility, necessity of a special care unit, and source of payment have to be considered when beginning this pro-cess. It is important to first understand the types of com-munities that are available.

Georgia offers three different types of licenses for in-stitutional living for the elderly and for adults with disabilities that need help with activities of daily liv-ing (e.g., bathing, dressing, eating, etc.). These licen-sure levels are: personal care homes; assisted living communities; and nursing homes. All three levels pro-vide three meals a day, 24/7 oversight by staff, and planned activities.

Personal Care Homes – Communities of at least two beds located in a residential home or a larger building where staff helps residents with personal care needs and self-administration of medications.

Assisted Living Communities* – New licensure level in Georgia that allows a Personal Care Home with at least 25 beds to have staff help residents with activi-ties of daily living (including assisted self-preserva-tion from the community in case of emergency) and administration of medications through the use of Cer-tified Medication Aides.

Nursing Homes – Communities that are sometimes called skilled nursing facilities or sub-acute rehab cen-ters and that employ licensed healthcare professionals 24/7 to help residents with activities of daily living, ad-ministration of medication, and nursing needs.

* Georgia adopted the Assisted Living Community license in 2011.

The next step is to identify the facilities in your area that meet the criteria you established above. This guide pro-vides a list of communities in the Metro Atlanta area on pages 11–24. Beyond this guide, listings of facilities in the Metropolitan Atlanta Area can be obtained from:

Medicare’s Nursing Home Compare www.medicare.gov/NursingHomeCompare/

Georgia Healthcare Facility Regulator (404) 657-5700 www.GaMap2Care.info

Georgia Long-Term Care Ombudsman Resource Center (404) 657-5327 www.georgiaombudsman.org

Georgia-SLA (state affiliate of the Assisted Living Federation of America) (678) 990-0081 www.georgiaalfa.org

Georgia Health Care Association (678) 289-6555 www.ghca.info

If placement is “down the road” and you have time, call the assisted living communities and nursing facilities to re-quest an information packet, activity calendar and a menu.

Also, prepare to visit the facilities in person. Plan to visit twice, once scheduled and then another time unsched-uled. For the scheduled visit, contact the Community Re-lations Director or Admissions Coordinator at each facility to set up a time to meet with them. Consider coming dur-ing a mealtime so you can try the food. For the second visit, just show up in the evening or on the weekend to see if there is a drastic difference in the atmosphere of the fa-cility or the care being provided. It is important to tour at least two facilities so you can see the difference in the physical plan and the staff.

When you are touring pay attention to your gut feeling. Ask yourself the following questions: Did I feel welcome? How long did I have to wait to meet with someone? Did the staff member find out my family member’s wants and needs? Was the facility clean? Were there any strong odors? Was the staff friendly? Did they seem to generally care for the residents? Did the staff seem to get along with each other? Listen and observe. You can learn so much just by watching and paying attention. Ask any questions that come to mind. There are no “dumb” questions.

This guide contains evaluation forms you can use when touring facilities. Feel free to make copies of these evalua-tion forms for each place you are visiting. This will help you keep track of your impressions and help you compare each community.

Once a facility has been chosen, there are some definite steps you can take to make the process less traumatic on the resident. First, plan the move carefully. If you know the resident becomes very difficult to deal with in the late afternoon, plan the admission for mid-morning.


Next, complete the admission paperwork before your loved one actually moves into the facility. This will allow you to spend the first few hours there getting settled and making him/her feel secure in the new living environ-ment.

There are some practical things you want to be sure to do, like marking every piece of clothing with a permanent laundry marker. If you are going to do your loved one’s laundry, post a sign on the closet door to notify staff and provide a laundry bag where dirty clothes can be placed. Also, bring in familiar things for the resident so that there is a feeling of home. However, realize that space is limited especially in a semi-private room.

A very important thing for you to remember is that the staff of the facility is just meeting your loved one for the first time. They do not know his or her likes or dislikes, or those little nuances that make caregiving go smoother. The best way you can help your loved one is to tell the staff, in writing, as much information as possible about your loved one (e.g., his/her likes and dislikes, typical daily schedule, pet peeves, and so on).

It is important that you get to know the people who are car-ing for your loved one. Most importantly, stay involved. Let everyone know how much you care and how committed you are to your loved one’s care. Also understand you will not help your loved one by becoming anxious or emotional.

EVALUATING A NURSING HOME

As you visit nursing homes, use the form on page 25 for each place you visit. Don’t expect every nursing home to score well on every question. The presence or absence of any of these items does not automatically mean a facility is good or bad; each has its own strengths and weak-nesses. Simply consider what is most important to your family member and you. Record your observations for each question by circling a number from one to five and then total up the score.

Your ratings will help you compare nursing homes and choose the best one for your situation. But don’t rely simply on the numbers. Ask to speak to family members of other residents. Also, contact the local or state ombuds-man for information about the nursing home and get a copy of the facility’s state inspection report from the nurs-ing home, the agency that licenses (or certifies) nursing homes or the ombudsman. Medicare offers information for nursing homes participating in Medicare. This is called “Nursing Home Compare” and can be found at www.med-icare.gov. Medicare’s Nursing Home Compare includes a five-star rating system for each facility. This rating system is based upon health inspections, staffing and quality measures. The Medicare Nursing Home Compare should be one of the many tools you use when selecting a nursing home. Do not use the Medicare Nursing Home Compare as your only source of information about a facility; always visit the facility in person.

Nursing Home Admission

Generally, individuals are admitted to a nursing home in one of two ways. The first, and most common way, is by be-ing admitted to a nursing home following a three-night stay in a hospital whereupon the doctor feels that the patient needs sub-acute rehabilitation services in order to main-tain or improve functioning. Rehabilitation services can in-clude physical therapy, occupational therapy, speech ther-apy, wound therapy or skilled nursing care. Medicare Part A pays for certain rehabilitation services for a short period

of time. (See page 5 for more information on Medicare.) Ad-mission to a nursing home is generally arranged by the so-cial worker or discharge planner at the hospital in consul-tation with the patient and family.

The second way that individuals enter a nursing home is from home or an assisted living community. This means that the individual is seeking a long-term care bed, not a sub-acute rehab bed. Finding a nursing home that will ac-cept an individual for long-term care (and not for sub-acute rehab) can be difficult. Most nursing homes do not have an abundant supply of long-term care beds, so individuals seeking a bed may be placed on a waiting list. Without hav-ing a social worker or discharge planner to help with the admission, most families have to handle the paperwork on their own. Finding a bed takes time and persistence. Once families have visited nursing homes and have selected their top three to five choices, staying in contact with the Admis-sions Coordinator is very important. Provide them with the forms and medical records they need and explain your loved one’s needs. Here are the forms that families must provide to a nursing home in order for the facility to con-sider an individual for admission: physician order for nurs-ing home care (this will be a written order in addition to two state-mandated forms called the Level-1 and the DMA-6); a current list of medications; a negative TB test; and lat-est medical records, physical, or clinical notes from a healthcare professional. Some facilities may require more information as they are trying to determine if they can ade-quately meet the potential resident’s needs.

How to Get Good Care in a Nursing Home

Once your loved one has entered a nursing home, your key role is as an advocate for your loved one’s care. The best way to accomplish this is to keep in frequent communica-tion with the nursing home staff.

During the initial assessment process, you can help by making a list of your loved one’s needs and giving the list to the nurse. For example, you may have noticed signs of


depression along with symptoms of Alzheimer’s. The nurse may not notice these signs since she does not know your loved one, so your input will be invaluable.

Your loved one will have a period of adjustment when en-tering a nursing home. Not only will he/she need time to get used to new surroundings, it will take time for the staff to get to know your loved one. You may want to make a list of your loved one’s likes and dislikes to assist the staff. Frequent communication with the staff will let you know how your loved one is adjusting.

At some point in time you will have a concern about your loved one’s care. Here are some suggestions to help you.

Familiarize yourself with the complaint process at the facility.

Identify the problem.

Keep notes with specific dates, names and incidents.

Share the problem with appropriate people based on the complaint process.

Suggest some ideas in solving the problem.

Request a care plan meeting if the problem is not re-solved.

Notify your local ombudsman.

Care Planning

The care planning process begins with a baseline assess-ment. This assessment occurs soon after a resident moves into a nursing home, certainly within the first two weeks.

A team from the nursing home which may include a doc-tor, nurse, social worker, dietitian and physical, occupa-tional or recreational therapist uses information from both the resident and the family about the resident’s med-ical and emotional needs to create a comprehensive plan of care.

This baseline assessment then becomes the yardstick against which the caregivers can measure the resident’s progress. A care plan meeting will be held on a quarterly basis or when any significant change occurs. You can re-quest a care plan meeting at any time.

The team asks family members about the resident’s med-ical, psychological, spiritual and social needs. You can also contribute information about your loved one’s prefer-ences and usual routine. For example, you might tell the staff, “Dad likes to listen to the radio as he falls asleep. He’s been doing this since I was a child.”

EVALUATING AN ASSISTED LIVING COMMUNITY

Assisted living communities provide supportive services in a home-like environment in order to meet the needs of residents who are unable to perform, or who need help in performing certain activities of daily living. These commu-nities may provide assistance with meal preparation, household chores, dressing or bathing and managing medications. Most communities provide three meals a day in a dining room. Assisted living communities usually have a wellness coordinator on staff to coordinate resi-dent care and supervise the certified nursing assistants, or CNAs, and other caregivers. Caregivers are available 24/7 onsite for the residents.

In order to be accepted into an assisted living community, a staff member from the community will assess the poten-tial resident to make sure they meet the state require-ments for assisted living communities. To be a candidate for assisted living, a person must not require continuous medical treatment and must be able to self-preserve in an emergency (or require limited assistance to get out of the building in an emergency). The potential resident is re-quired to have a physician statement and a recent nega-tive TB test.

Unlike skilled nursing facilities, which are required to pro-vide 24-hour supervision by a registered or licensed nurse, assisted living communities do not usually have skilled healthcare professionals (e.g., a registered or li-censed nurse) on staff 24/7. If skilled nursing is needed on an intermittent basis, a doctor can write an order for

home health care so that a registered nurse, physical ther-apist, etc., can provide those services to the resident at the assisted living community.

Some communities specialize in serving residents with memory loss, and other communities have designated memory care units. These secure, specialized communi-ties offer services and structure specially designed to ac-commodate those with various dementias. The staff has had specialized training in caring for those with dementia and related diseases. This level of care offers 24-hour su-pervision, secure units (locked), meals, activities, and care services specific to each resident.

When you visit several assisted living communities, use the checklist on page 24 for each community you visit. You will notice that they vary considerably in appearance as well as cost. Some resemble luxury hotels and others ap-pear to be more like private homes. Either environment can deliver exceptional care. Focus on what’s important to the resident and you.

Lastly, as mentioned at the beginning of this guide, Georgia adopted a new level of licensure in 2011 called “Assisted Living Community.” Some assisted living communities may technically still have the old license, which is the Personal Care Home license. A home or small community that has between two and 24 beds must be a Personal Care Home. A home or community with over 24 beds can be a Personal Care Home or an


Assisted Living Community. Ask the staff at the home you are visiting if it is a Personal Care Home or an As-sisted Living Community. Both types offer personal care services, but an Assisted Living Community must employ Certified Medication Aides (CMAs) that can ad-minister medications. Furthermore, an Assisted Living

Community can retain residents who lose the ability to walk or to self-preserve in emergencies. As of the print-ing of this guide, Georgia has 150 Assisted Living Com-munities. Therefore, any home or community you visit or that is listed in this guide could have a Personal Care Home license or an Assisted Living Community license.

MEDICAID PLANNING – OVERVIEW

How to Pay for the Nursing Home?

One of the things that concerns most people about nursing home care is how to pay for that care. There are basically four ways that you can pay for the cost of a nursing home:

1. Use Long-Term Care Insurance – If you are fortunate enough to have this type of coverage, it may go a long way toward paying for the cost of the nursing home.

2. Pay with your own funds – This is the method many people choose first. Quite simply, it means paying for the cost of a nursing home out of your pocket. Unfor-tunately, with nursing home bills averaging between $6,000 and $10,000 per month in our area, few people can afford a long-term stay in a nursing home.

3. Apply for VA Assistance – This type of benefit may be available to someone over sixty-five years of age or disabled who either served in the military or is a sur-viving spouse of someone who served in the military. VA special pensions can help to pay nursing home bills. Hurley Elder Care Law attorneys are accredited with the VA to provide more information on VA spe-cial pensions.

4. Apply for Medicaid – This is a primarily federally funded and state administered program that pays for the cost of the nursing home if certain asset and in-come requirements are met.

What is Medicaid?

Medicaid is a needs-based public benefits program that is primarily funded by the federal government and adminis-tered by each state. The Medicaid program will help pay for long-term custodial care in a skilled nursing facility. It is the resident’s responsibility to contribute his/her monthly in-come toward the cost of care and the remaining charges are paid by Medicaid. Custodial care refers to assistance with the activities of daily living (i.e., activities like dressing, bathing, toileting, preparing meals and so on).

What About Medicare?

There is a great deal of confusion about Medicare and Medicaid.

Medicare is the federally-funded health insurance pro-gram primarily designed for individuals over age 65 or who receive SSDI. There is a limited long-term care component to Medicare. In general, if you have had a

hospital inpatient stay of at least three days, and then you need to go into a skilled nursing facility (often for rehabilitation), then Medicare may pay for a while with a daily co-pay.

If you have met these criteria, Medicare will pay the full cost of the nursing home stay for the first 20 days and will con-tinue to pay the cost of the nursing home stay for the next 80 days, but with a co-pay that’s about $164.50 in 2017 per day. In order to qualify for 100 days of coverage, however, the nursing home resident must continue to meet Medicare criteria. It is never possible to predict how long Medicare will cover the “rehabilitation.” From our experience, it often falls far short of the 100-day maximum. Also be aware that if you have a Medicare Advantage plan or employer-based secondary, your coverage may be even more limited.

Don’t you have to be extremely poor to get Medicaid?

As life expectancies and long-term care costs continue to rise, the challenge quickly becomes how to pay for these services. Many people cannot afford to pay $6,000–$10,000 per month or more for the cost of a nursing home. Even those who can pay for a while may find their life sav-ings wiped out in a matter of months, rather than years. Fortunately, the Medicaid Program is there to help. In fact, in our lifetime, Medicaid has become the long-term care insurance of the middle class.

Eligibility for nursing home Medicaid is based on both your income and assets, and the income cap for Medicaid eligibility is $2,205 per month (as of 2017). Monthly in-come of $3,000 is not enough to pay for the $6,000–$10,000 bill at the nursing home, but it looks like a person cannot qualify for nursing home Medicaid if they make over $2,205 per month. In cases like this, where a resi-dent’s income is more than the income cap, that resident must use a Qualified Income Trust or Miller Trust to be qualified for Medicaid. Contact a Certified Elder Law At-torney to learn more about the Miller Trust.

What about Assets?

To qualify for Medicaid, you must pass some fairly strict tests on the amount of assets you can keep. To understand how Medicaid works, we first need to review what are known as exempt and non-exempt (or countable) assets.


Exempt Assets Exempt assets are those that Medicaid will not include in the asset total to determine eligibility. In Georgia, the fol-lowing are the primary exempt assets:

Home Place: The applicant’s house and all adjoining land and all buildings on the property are excluded from resources if the equity value of the home is $560,000 or less. (No limit if married.)

Household Goods: Household items including furni-ture, decorations, art, and appliances are excluded.

Burial Exclusion: The applicant and his/her spouse can each have up to $10,000 designated for burial ex-penses. This can consist of a prepaid funeral contract with a funeral home or funds designated for burial in a bank account. The face value of life insurance is applied toward the burial exclusion amount first.

Burial Space Items: Burial plots for the applicant and immediate family are excluded as well as certain other items at the burial site. There is no dollar limit on the cost or value of the burial space items.

Life Estate Interests: The applicant’s life estate in-terests are excluded.

Automobiles: One automobile is excluded regardless of value and whether or not it is in use. Note that junked or recreational vehicles are counted as re-sources.

Personal Items: Personal items such as clothing and jewelry are excluded.

Retirement Funds: Retirement funds such as IRAs, 401(k)s, and pensions are excludable resources if they are being distributed in periodic payments that include a portion of principal. These payments are counted as income in the month received.

Non-marketable Assets: Assets are excluded while the applicant is making a bona fide effort to sell the as-set. A bona fide effort may be evidenced by an adver-tisement in the newspaper or a listing with a real estate agent. The property must be listed for no more than its current value, and the applicant must accept an offer if it is at least 2/3 of the current value.

Countable Assets

Basically, all money and property in addition to any item that can be valued and turned into cash is a countable as-set unless it is one of those assets listed above as exempt. This includes the following:

Life Insurance Policies: The cash value of whole life or other life insurance policies is counted as a re-source if the burial exclusion maximum has been reached with other assets.

Investments: Stocks, bonds, mutual funds Checking Accounts Savings Accounts Certificates of Deposit Money Market Accounts

While the Medicaid rules themselves are complicated and tricky, for a single person it is safe to say that he or she will qualify for Medicaid so long as the total assets are either exempt and/or are less than $2,000 (the current limit in Georgia).

Some Common Questions

I have added my kids’ names to our bank account. Do they still count? Yes. The entire amount is counted unless you can prove that some or all of the money was contributed by the other person who is on the account. This rule applies to cash as-sets such as:

Savings and checking accounts Credit union share and draft accounts Certificates of deposit U.S. Savings Bonds

Can I just give my assets away? Giving may be possible; however, it is critically important that you have the advice of an elder care attorney well versed in Medicaid rules.

The law has severe penalties for people who simply give away their assets to create Medicaid eligibility. There is a look-back period of five years. In Georgia, for example, every $6,175 (as of 2016) given away during the look-back period prior to a Medicaid application creates a one-month period of ineligibility.

Though some families do spend virtually all of their sav-ings on nursing home care, Medicaid does not require it. There are a number of strategies that can be used to pro-tect your family’s financial security.

Medicaid Planning for Married Couples

In Georgia, the at-home or community spouse is allowed to keep all countable assets up to $120,900 (as of 2017). The amount of the countable assets which the at-home spouse gets to keep is called the Community Spouse Re-source Allowance (CSRA).

Each state also establishes a monthly income floor for the at-home spouse. This is called the Community Spouse Maintenance Needs Standard (CSMNS). This permits the community spouse to keep a minimum monthly income of up to $3,022.50 (as of 2017).

If the community spouse does not have at least $3,022.50 in income, then he or she is allowed to take the income of the nursing home spouse in an amount large enough to reach the CSMNS (i.e., up to $3,022.50/mo.). The nursing home spouse’s remaining income goes to the nursing home. This avoids the necessity (hopefully) for the com-munity spouse to dip into savings each month, which would result in gradual impoverishment.

To illustrate, let’s assume the community spouse receives $800 per month in Social Security. Let’s also assume that


her spouse who is a nursing home resident has an income of $2,500 per month from Social Security and his pension.

$3,022.50 CSMNS - 800.00 community spouse’s income

$2,222.50 amount to be diverted to community spouse

In this case, the community spouse will receive $2,222.50 per month from the nursing home spouse’s Social Security and pension and the rest of the nursing home spouse’s in-come will then go to pay for the cost of his care. The nursing home spouse does get to keep a monthly personal needs al-lowance: a whopping $50!

Once again, this does not mean that there are no other plan-ning alternatives that the couple can pursue. Consider the following case studies.

Case Study #1: Medicaid Planning for Married People

Ralph and Alice were high school sweethearts who lived in Smyrna, Georgia their entire adult lives. Two weeks ago Ralph and Alice celebrated their 51st Anniversary. Yester-day Ralph, who has Alzheimer’s disease, wandered away from home. Hours later he was found sitting on a street curb, talking incoherently. He was taken to a hospital where he is being treated for dehydration. The family doctor tells Alice she needs to place Ralph in a nursing home. They both grew up during the Great Depression and have always tried to save something each month. Their assets, totaling $182,000 not including their house, are as follows:

Savings Account $30,000 CDs $90,000 Money Market Account $50,000 Checking Account $12,000 Residence (no mortgage) $80,000

Ralph gets Social Security and pension checks totaling $1500 each month; Alice’s Social Security check is $450. If Alice and Ralph have to pay the private pay rate to the nursing home, their entire life savings will be gone in less than two years! What’s more, Alice is afraid she won’t be able to pay her monthly bills, because a neighbor told her that the nursing home will be entitled to all of Ralph’s So-cial Security and pension checks.

There is good news for Alice. It’s possible she will get to keep her income, most if not all of his income and most of their assets and still have the state Medicaid program pay Ralph’s nursing home costs. While the process may take a little while, the end result will be worth it.

To apply for Medicaid, she will have to go through the Geor-gia Department of Family and Children Services (DFCS). If she does things strictly according to the way DFCS tells her, she will only be able to keep her home and $122,900 ($120,900 for the community spouse + $2,000 for the appli-cant spouse) of their assets plus she will be entitled to a min-imum monthly income to pay her expenses.

But the results can actually be much better than the tradi-tional spend-down, which everyone talks about. Alice might be able to turn the spend-down amount of roughly $63,000 into an income stream that will increase her income and meet the Medicaid spend-down right away. In other words, if handled properly, Ralph might be eligible for Medicaid from the first month he goes into the nursing home.

Please note that this will not work in every case. That is why it is important to have an elder law attorney guide you through the system and the Medicaid process to find the strategies that will be most beneficial in your situation.

Alice will have to get advice from someone who knows how to navigate the system, but with proper advice she will be able to keep most of what she and Ralph have worked so hard for. This is possible because the law does not intend to impoverish one spouse because the other spouse needs care in a nursing home. This is certainly an example where knowledge of the rules and how to apply them can be used to resolve Ralph and Alice’s dilemma.

Of course, proper Medicaid planning differs according to the relevant facts and circumstances of each situation as well as the state law.

Case Study #2: Medicaid Planning for a Single Person

Margaret is a 75-year-old widow living on her own in Can-ton, Georgia. She suffered a series of strokes and was hos-pitalized for several weeks. After months of rehabilitation, it became clear that Margaret could no longer live at home. Margaret’s doctor recommended long-term care in a Skilled Nursing Facility. After a meeting with the financial counse-lor at the nursing home, her daughter Susan contacted an elder law attorney to discuss Margaret’s situation.

Income $2,500 Checking Account $6,000 Money Market $40,000 House (no mortgage) $100,000 Car (Chevrolet Impala, no note) Life Insurance $10,000 policy, $17,000 cash value IRA $25,000 Previous Gifts $18,300

Margaret’s daughters met with an elder law attorney and were relieved to find out that, in fact, their mother could qualify for Medicaid. The attorney explained that her house, car and IRA are exempt for Medicaid qualification pur-poses. He also explained that mom would need to establish a Miller Trust because her income of $2,500 per month ex-ceeds Medicaid’s income cap of $2,222. The attorney de-tailed that the previous gifts would create a three-month penalty period for Medicaid qualification and Margaret’s daughters were thrilled to discover that, with proper plan-ning, they could preserve roughly 60% of the $54,000 plus the $18,300 previously gifted.


Case Study #3: Can Financial Gifts to Children Protect Your Assets from Medicaid?

After her 73-year-old husband, Harold, suffers a paralyz-ing stroke, Mildred and her daughter, Joan, need advice. The doctor tells them that Harold needs long-term care in a nursing home. They have some money in savings, but not enough. Mildred doesn’t want to lose her house and all their hard-earned money. She doesn’t know what to do.

Joan has heard about Medicaid benefits for nursing homes, but doesn’t want her mother left destitute in order for Harold to qualify for Medicaid. Joan wants to ensure that her father’s medical needs are met, but she also wants to preserve Mildred’s assets. Joan and Mildred wonder if Mildred can just give her money away to Joan as a gift, so that she doesn’t lose it when Harold applies for Medicaid. Joan asks, “Can’t my mother give away $14,000 a year?” That way Joan could keep the money for Mildred to meet Mildred and Harold’s future needs.

Joan has confused general estate and gift tax laws with the issue of asset transfers and Medicaid eligibility. The Fed-eral Gift Tax provision allows people to give away $14,000 per year without having to file a gift tax return. What they do not know is that this refers to a Gift Tax exemption. It has nothing to do with Medicaid. A “gift” to a child in this case is actually a transfer and Medicaid has very specific rules about transfers.

At the time Harold applies for Medicaid, the state will “look back” five years to see if any gifts have been made. The state does not let you just give away your money or your property to qualify for Medicaid. Any gifts or trans-fers for less than fair market value that occurred during the look-back period will cause a delay in Harold’s eligibil-ity for Medicaid.

So what can Harold and Mildred do? They may be able to institute a gifting program, save a good portion of their es-tate and still qualify for Medicaid. But they have to set it up just right; the rules are very nit-picky. You should con-sult an elder law attorney on how this may be done.

Will I Lose My Home?

Many people who apply for Medicaid benefits to pay for nursing home costs ask this question. For many, the home constitutes much or most of their life savings. Often, it is all the couple has to pass on to their children.

Under the Medicaid regulations, the home is an exempt as-set (so long as the equity value is less than $560,000 [un-limited if married]). This means its value is not taken into account when calculating eligibility for Medicaid benefits. But in 1993, Congress passed a little-debated law that af-fects hundreds of thousands of families with a spouse or el-derly parent in a nursing home. That law requires states to try to recover the value of Medicaid payments made on be-half of nursing home residents. Estate Recovery does not take place until the recipient of the benefits dies (or until both spouses are deceased if it is a married couple). Then, federal law requires that states attempt to recover benefits paid from the recipient’s probate estate and in some cases non-probate estate. Generally, the probate estate consists of assets that the deceased owned in his or her name alone without beneficiary designation. The non-probate assets include assets owned jointly or payable to a beneficiary.

About two-thirds of the nation’s nursing home residents have their costs paid in part by Medicaid. Obviously, the Es-tate Recovery law affects many families. The asset most fre-quently caught in the Estate Recovery web is the home of the Medicaid recipient. A nursing home resident can often own a home and receive Medicaid benefits without having to sell the home. But upon death, if the home is part of the probate or non-probate estate, the state may place a lien on the property in the amount necessary to reimburse the state for the Medicaid payments that were made.

The state of Georgia has a Medicaid Estate Recovery Pro-gram. Fortunately, there are ways to protect your prop-erty in Georgia or to at least minimize your exposure to Estate Recovery. Since Medicaid rules are constantly changing, you will need assistance from an elder law at-torney about these rules.

Why Plan for Medicaid?

As life expectancies and long-term care costs continue to rise, the challenge quickly becomes how to pay for these services. Many people cannot afford to pay $6,000 per month or more for the cost of a nursing home. Even those who can pay for a while may find their life savings wiped out in a matter of months, rather than years.

The eligibility requirements for Medicaid benefits force you to meet certain financial tests. These tests place limits on the amount of income and assets that you can have. The reason for Medicaid planning is simple... you plan so that if you need it, you will be eligible to receive Medicaid benefits.


VETERANS’ BENEFITS Your past service can help you pay for long-term care

Most people think of veterans’ benefits being only for men and women who were wounded or disabled while serving in the armed forces. In fact, benefits are available to veter-ans and their spouses who are now senior citizens and are facing the burden of long-term care costs. To qualify, a vet-eran must have served at least 90 consecutive days’ active duty in the service, at least one of which was during war-time, the veteran is a least 65 years old or disabled and the veteran received a discharge that is other than dishonora-ble. There are income and asset limitations as well and a VA accredited attorney can help families determine if they meet the eligibility requirements.

How can VA benefits help me?

This powerful benefit can provide significant help in pay-ing for long-term care costs, including assisted living com-munity monthly fees, in-home care costs and skilled nurs-ing facility costs. In 2017, the maximum monthly pension with Aid and Attendance added for a veteran with a spouse is $2,127; $1,794 for a veteran with no dependents and $1,153 for a surviving spouse.

The VA has income and asset limitations to qualify for the special pensions. There are even options available to you if your assets exceed current VA limits. Consulting with an elder care attorney who provides you with a thorough analysis can help you determine the best way to qualify given your circumstances.

Case Study: VA Benefits Make Assisted Living Possible!

To best illustrate the power of the VA Aid and Attendance special pension, let’s examine Mike and Betty Martin. Mike and Betty have been living in an apartment in a 55+ independent living community for the past six years. They can’t believe that at this stage of their lives they have made so many new friends, and they are anxious to stay in their community for the remainder of their lives. Mike suffers from COPD and uses oxygen and a walker, and Betty’s vi-sion is deteriorating badly due to macular degeneration. Their care needs require both to receive assistance with the activities of daily living, and after much discussion in the family, Mike and Betty agree to hire a paid caregiver. Mike is a Korean War veteran and learned about the VA Aid and Attendance benefit at a presentation at his com-munity, and he shared the details with his son-in-law.

Combined monthly income $2495.00 Car One Life insurance policies Several Checking, savings and investment accounts $215,000 Caregiver costs for 8 hrs./day $3,800/mo. Health insurance premiums $350/mo.

The Martin’s son-in-law scheduled an appointment with an elder law attorney and explained his in-laws’ scenario, including the fact they were paying $3,800 per month to a home-care agency. During the meeting he discovered that the Martin’s could indeed qualify for an additional $2,127 of income per month from the VA to pay for care in the home. The attorney explained that they could establish an irrevocable trust and place $179,000 of their savings into the trust. In addition, he suggested they cash out the small life insurance policies. These actions reduce their asset to the VA qualifying level. Now the Martins can stay in their community and get the care they need.

Am I eligible?

To determine if a loved one is eligible you must consult with an individual accredited by the VA. There are four types of persons who are authorized to help provide a veteran with assistance in filing a claim: an attorney licensed to practice in your state; a veterans service organization such as the VFW or the American Legion; a state or county official of the Department of Veterans Affairs; or an individual who has gone through the accreditation process. You can file for benefits directly through the VA, however, it is a big task. Be cautious of any free, no strings attached offer to help a vet-eran file a claim for this benefit. Veterans and their families are often targeted by annuity salespeople and other finan-cial planners. This free offer often ends up with a veteran purchasing an annuity that may be loaded with fees and ex-penses and could jeopardize his/her ability to receive Med-icaid. In some cases annuities may be an excellent choice, but always seek independent advice before you purchase.

Official Dates for Periods of War According to Code of Federal Regulations, Title 38, Part 3.2

Mexican Border

May 9, 1916 to April 5, 1917

World War I

April 6, 1917 to November 11, 1918 April 1, 1920 if served in Russia

World War II

December 7, 1941 to December 31, 1946

Korean War

June 27, 1950 to January 31, 1955

Vietnam War

August 5, 1964 to May 7, 1975 February 28, 1961 if served in Vietnam

Persian Gulf War

August 2, 1990 to [date not yet determined]


IN CONCLUSION

As you can see, there are a number of strategies that you can use to qualify for Medicaid and still preserve some or all of the estate you have spent a lifetime building. If you are a veteran there are additional strategies you can em-ploy to help pay for long-term care costs.

These strategies are legal. They are moral. They are ethi-cal. Please be advised, however, that Medicaid and VA planning requires a great deal of knowledge on the ins and outs of the system. Work with an experienced advisor who knows the rules and can advise you accordingly.

In the previous pages we have talked about how to find the right nursing home, how to get good care there, and how to pay for it without going broke. But where do you actually start looking? Where should you begin your search?

To assist you, we have compiled a list of the nursing homes and assisted living communities in Metro- Atlanta, arranged according to county.

The listings contain the name and address of the facility along with the telephone number. We have also included information on whether the nursing home accepts Medi-care (typically for rehabilitation purposes) and Medicaid. Finally, we have noted whether the facility has a special-ized memory care unit (please keep in mind that some fa-cilities accept residents with dementia, but do not have a specialized Alzheimer’s unit and therefore are not in-cluded in this category).

Once you have determined which facilities you want to tour, you can then use the evaluation tool to help you com-pare them.

MC: Medicare | MD: Medicaid | MCU: Memory Care Unit | *Licensed as Assisted Living Community

© Hurley Elder Care Law, 2017. All rights reserved. Page 11

METROPOLITAN ATLANTA ASSISTED LIVING COMMUNITIES, PERSONAL CARE HOMES AND SKILLED NURSING FACILITIES BY COUNTY

Barrow

Assisted Living

Magnolia Estates of Winder (770) 867-4256 624 Gainesville Highway, Winder GA 30680

Mulberry Grove Senior Living (770) 725-6978 343 Price Street, Statham GA 30666

Skilled Nursing Facilities

Winder Health Care & Rehabilitation Center MC | MD (770) 867-2108 263 East May Street, Winder GA 30680

Bartow

Assisted Living

Tranquility of Cartersville (770) 382-5683 60 Massell Drive, Cartersville GA 30121

Felton Manor Personal Care Home (770) 382-8989 16 Roving Road, Cartersville GA 30121

Fite Living Centre (770) 382-2002 5 Fite Street, Cartersville GA 30120

Star Manor (770) 386-8147 241 Nelson Street, Cartersville GA 30120

Waldrop Personal Care (770) 386-4202 89 Burnt Hickory Road, SE, Cartersville GA 30120


Cartersville Heights Care & Rehabilitation Center MC | MD (770) 382-6120 78 Opal Street, Cartersville GA 30120

Maple Ridge Health Care Center MC | MD | MCU (770) 606-8800 22 Maple Ridge Drive, SE, Cartersville GA 30120

Townsend Park Health & Rehabilitation MC | MD | MCU (770) 387-0662 196 North Dixie Avenue, Cartersville GA 30120

Butts

Assisted Living

Autumn Village Assisted Living (770) 775-2050 753 Covington Street, Jackson GA 30233


Westbury Medical Care and Rehab MC | MD | MCU (770) 775-7832 922 McDonough Road, Jackson GA 30233

Carroll

Assisted Living

Ashbrook Village* MCU (770) 459-8061 75 Herrell Road, Villa Rica GA 30180

Brookdale Carrollton (770) 214-1988 530 Northside Drive, Carrollton GA 30117

Cottage Landing Assisted Living* (770) 830-8857 150 Cottage Lane, Carrollton GA 30117

Majestic Senior Living MCU (770) 258-8600 501 Mitchell Avenue, Bowdon GA 30108

The Oaks of Carrollton Assisted Living* MCU (770) 834-2242 921 Old Newnan Road, Carrollton GA 30116

The Stewart House Retirement Living (770) 838-0303 102 South Street, Carrollton GA 30117


Carrollton Manor, Inc. MC | MD | MCU (770) 834-1737 2455 Oak Grove Church Rd., Carrollton GA 30117

Carrollton Nursing & Rehabilitation Center MC | MD (770) 834-4404 2327 North Highway 27, Carrollton GA 30117

The Oaks of Carrollton MC | MD (770) 834-2242 921 Old Newnan Road, Carrollton GA 30117

MC: Medicare | MD: Medicaid | MCU: Memory Care Unit | * Licensed as Assisted Living Community

Page 12 © Hurley Elder Care Law, 2017. All rights reserved.

Pine Knoll Nursing & Rehabilitation Center MC | MD (770) 832-8243 156 Pine Knoll Drive, Carrollton GA 30117

Tanner Medical Center Subacute Care Unit MC (770) 812-9666 705 Dixie Street, Carrollton GA 30117

Cherokee

Assisted Living

Autumn Leaves of Town Lake* MCU (770) 928-2440 1962 Eagle Drive, Woodstock GA 30189

Benton House of Woodstock* MCU (678) 909-4930 3385 Trickum Road, Woodstock GA 30188

Brookdale Canton MCU (770) 720-9669 125 Riverstone Terrace, Canton GA 30114

Brookdale Neese Road MCU (770) 924-2072 756 Neese Road, Woodstock GA 30188

Brookdale Woodstock MCU (770) 926-0119 1000 Professional Way, Woodstock GA 30188

Camellia Place* MCU (770) 296-1513 294 Rope Mill Road, Woodstock GA 30188

Cameron Hall Senior Living Communities* MCU (770) 720-0290 240 Marietta Highway, Canton GA 30114

Insignia of Town Lake (770) 592-4242 1835 Eagle Drive, Woodstock GA 30189

Merrill Gardens at Woodstock MCU (770) 954-7394 12730 Hwy 92 East, Woodstock GA 30188

Provident Village at Canton* MCU (770) 721-2812 1100 Reinhardt College Parkway, Canton GA 30114

The Waterford at Hidden Lake* MCU (770) 224-8000 3100 Hidden Valley Drive, Canton GA 30114

Windsor House Assisted Living* MCU (678) 880-9856 3333 East Cherokee Drive, Canton GA 30115


Brian Center Health & Rehabilitation Center MC | MD (770) 479-5649 150 Hospital Circle, NW, Canton GA 30114

Canton Nursing Center MC | MD (770) 479-8791 321 Hospital Road, Canton GA 30114

Woodstock Nursing & Rehab Center MC | MD | MCU (770) 926-0016 105 Arnold Mill Road, Woodstock GA 30188

Clayton

Assisted Living

Elmcroft of Mt. Zion* MCU (770) 210-6433 7493 Mt. Zion Boulevard, Jonesboro GA 30296

Golden Crest Assisted Living* MCU (770) 961-2200 2160 Lake Harbin Road, Morrow GA 30260

Governor's Glen Memory Care and Assisted Living* MCU (404) 362-0404 5000 Governors Drive, Forest Park GA 30297

Jonesboro Assisted Living* (770) 603-5559 2620 Highway 138 SE, Jonesboro GA 30236

The Palms of Lake Spivey (770) 477-7207 8080 Summit Business Parkway, Jonesboro GA 30236


Arrowhead Health Care Center MC | MD (770) 478-3013 239 Arrowhead Boulevard, Jonesboro GA 30236

Jonesboro Nursing Home & Rehabilitation Center MC | MD (770) 473-4436 2650 Highway 138, Jonesboro GA 30236

Lake City Nursing and Rehabilitation Center MC | MD | MCU (404) 361-5114 2055 Rex Road, Lake City GA 30260

Riverdale Place Care and Rehabilitation Center MC | MD (770) 991-1050 315 Upper Riverdale Road, Riverdale GA 30274



Cobb

Assisted Living

Arbor Terrace Burnt Hickory MCU (770) 691-0050 920 Burnt Hickory Road, Marietta GA 30064

Arbor Terrace of East Cobb MCU (770) 977-4420 886 Johnson Ferry Road, Marietta GA 30068

Atherton Place MCU (770) 421-7300 111 Tower Road, Marietta GA 30060

Atria Johnson Ferry MCU (770) 859-0570 9 Sherwood Lane, Marietta GA 30067

Atria Mableton MCU (770) 450-6535 3829 Floyd Road, Austell GA 30106

Azalea Manor Assisted Living (770) 428-0331 557 Waterman Street, Marietta GA 30060

Benson Manor (704) 356-406 2348 Benson Poole Road, Smyrna GA 30082

Bethel Gardens MCU (770) 943-3620 3805 Jackson Way, Powder Springs GA 30127

Brookdale Kennesaw MCU (770) 514-9966 2800 Jiles Road, Kennesaw GA 30144

Brookdale Marietta MCU (770) 919-7799 1790 Powder Springs Road SW, Marietta GA 30064

Brookdale Vinings MCU (770) 435-4477 2401 Cumberland Parkway, SE, Atlanta GA 30339

Celebration Village Acworth MCU 678-594-3570 4450 Celebration Blvd, Acworth GA 30101

Charter Senior Living of Marietta* MCU (770) 971-0307 840 Lecroy Drive, Marietta GA 30068

Daybreak Village MCU (770) 218-6166 3056 Cherokee Street, Cobb GA 30144

Delmar Gardens of Smyrna (CCRC) (770) 432-4444 404 King Springs Village Parkway, Smyrna GA 30082

Dogwood Forest of Acworth* MCU (678) 831-4999 4461 S. Main Street Suite 101, Acworth GA 30101

Elmcroft of Milford Chase* MCU (678) 309-1220 1345 Milford Church Road, Marietta GA 30008

Gaines Park Senior Living (770) 424-1414 1740 Old 41 Highway NW, Kennesaw GA 30152

The Gardens of Smyrna MCU (770) 319-1000 1418 Spring Street, Smyrna GA 30080

Greenwood Place* MCU (770) 422-7778 1160 Whitlock Avenue, Marietta GA 30064

Heritage of Brookstone MCU (770) 423-0080 5235 Stilesboro Road, Kennesaw GA 30152

Heritage of Sandy Plains MCU (770) 973-7303 3039 Sandy Plains Road, Marietta GA 30066

Northstar Place Senior Living MCU (678) 498-5491 3250 Quickwater Landing, Kennesaw GA 30144

Parc at Piedmont (770) 565-8828 999 Hood Road, Marietta GA 30068

Peachtree Creek Assisted Living* MCU (770) 803-0100 4375 Beech Haven Trail, SE, Smyrna GA 30080

Presbyterian Village (CCRC) MCU (770) 819-7000 2000 East-West Connector, Austell GA 30106

Provident Village at Creekside* MCU (678) 903-0339 4838 S Cobb Drive, Smyrna GA 30080

Femi Marietta Living Centre (770) 726-9630 447 Atlanta Street, Marietta GA 30060

Shady Grove Manor (770) 424-5475 1790 Old Highway 41 NW, Kennesaw GA 30152

Sterling Estates of West Cobb* (770) 255-7000 3165 Dallas Hwy, Marietta GA 30064



Sterling Estates of East Cobb* (678) 946-4454 4220 Lower Roswell Road, Marietta GA 30067

Sunrise of East Cobb* MCU (770) 509-0919 1551 Johnson Ferry Road NE, Marietta GA 30062

Winnwood Retirement Community* (770) 428-6200 100 Whitlock Avenue, Marietta GA 30064

Woodland Ridge Assisted Living* MCU (770) 431-7055 4005 South Cobb Drive, Smyrna GA 30080


AG Rhodes of Cobb MC | MD | MCU (770) 427-8727 900 Wylie Road, Marietta GA 30067

Anderson Mill Health and Rehab MC | MD (770) 941-8813 2130 Anderson Mill Road, Austell GA 30106

Autumn Breeze Health Care Center MC | MD | MCU (770) 422-1755 1480 Sandtown Road, Marietta GA 30008

Delmar Gardens of Smyrna (CCRC) MC | MD (770) 432-4444 404 King Springs Village Parkway, Smyrna GA 30082

Manor Care Rehabilitation Center - Marietta MC | MD (770) 971-5870 4360 Johnson Ferry Place, Marietta GA 30068

Powder Springs Transitional Care and Rehab MC | MD | MCU (770) 439-9199 3460 Powder Springs Road, Powder Springs GA 30127

Presbyterian Village (CCRC) MC | MD | MCU (770) 819-7000 2000 East-West Connector, Austell GA 30106

PruittHealth Austell MC | MD (770) 941-5750 1700 Mulkey Road, Austell GA 30106

PruittHealth Marietta MC | MD (770) 429-8600 50 Saine Drive SW, Marietta GA 30008

Roselane Health and Rehab MC | MD (770) 792-9800 613 Roselane Street NW, Marietta GA 30060

Ross Memorial Health Care Center MC | MD (770) 427-7256 1780 Old 41 Highway, NW, Kennesaw GA 30152

Signature Healthcare of Marietta MC | MD (770) 422-2451 811 Kennesaw Avenue, Marietta GA 30060

Signature Healthcare of Tower Road MC | MD (770) 422-8913 26 Tower Road, Marietta GA 30060

Coweta

Assisted Living

Benton House of Newnan MCU (770) 253-8444 25 Newnan Lakes Blvd, Newnan GA 30263

Brookdale Newnan (770) 252-9007 355 Millard Farm Industrial Blvd, Newnan GA 30263

Insignia of Newnan MCU (770) 251-6639 27 Belt Road, Newnan GA 30263

Plaza Personal Care Center MCU (770) 683-6854 110 Edgeworth Road, Newnan GA 30263

Wesley Woods of Newnan MCU (770) 683-6833 2280 North Highway 29, Newnan GA 30265


Ansley Park Health and Rehabilitation MC | MD (770) 400-8000 450 Newnan Lake Blvd, Newnan GA 30263

Avalon Health & Rehab MC | MD | MCU (770) 253-1475 120 Spring Street, Newnan GA 30263

Newnan Hospital Nursing and Rehabilitation Center MC | MD (770) 253-7160 244 East Broad Street, Newnan GA 30264

Dawson

Assisted Living

North Georgia Assisted Living and Memory Care* MCU (706) 344-1402 181 Memory Lane, Dawsonville GA 30534


Northridge Health & Rehab MC | MD | MCU (706) 335-1000 100 Medical Center Drive, Commerce GA 30529



DeKalb

Assisted Living

Arbor Terrace of Decatur* MCU (404) 292-5910 425 Winn Way, Decatur GA 30030

Bentley Square Health and Rehab (770) 938-7260 3884 LaVista Road, Tucker GA 30084

Benton House of Decatur MCU (678) 292-5985 2711 Lawrenceville Highway, Decatur GA 30033

Berman Commons Assisted Living and Memory Care* MCU (678) 222-7500 2026 Womack Road, Dunwoody GA 30338

Brighton Gardens of Dunwoody MCU (770) 730-9333 1240 Ashford Center Parkway, Dunwoody GA 30338

Brookdale Dunwoody (404) 525-7974 1460 S. Johnson Ferry Road, NE, Atlanta GA 30319

Charter Senior Living of Decatur MCU (404) 299-6600 475 Irvin Court, Decatur GA 30030

Cobblestone at Park Springs (CCRC)* MCU (678) 684-3800 600 Springhouse Circle, Stone Mountain GA 30087

Country Gardens Dunwoody MCU (770) 936-9857 4594 Barclay Drive, Dunwoody GA 30338

Coventry Place (404) 296-0962 2806 N. Decatur Road, Decatur GA 30033

King's Bridge Retirement Center (404) 321-0263 3055 Briarcliff Road NE, Decatur GA 30329

Medlock Gardens Personal Care Home (404) 370-0460 460 Medlock Road, Decatur GA 30030

Montclair Personal Care (678) 686-6171 2100 Clairmont Lake, Decatur GA 30033

Mountain View (404) 508-7593 3675 Kensington Road, Decatur GA 30032

Northlake Gardens* MCU (770) 934-0034 1300 Montreal Road, Tucker GA 30084

Orchard Senior Living – Brookhaven (770) 938-5600 3523 Buford Highway, Brookhaven GA 30329

Orchard Senior Living – Tucker* MCU (770) 938-5600 2060 Idlewood Road, Tucker GA 30084

Overlook at Cedarcrest MCU (770) 715-4460 2351 Cedarcrest Road, Acworth GA 30101

Summer's Landing Tilly Mill (770) 452-9558 4821 N. Peachtree Road, Dunwoody GA 30338

Sunrise of Decatur* MCU (404) 377-6111 920 Clairmont Avenue, Decatur GA 30030

The Phoenix at Dunwoody MCU (770) 676-3540 4484 North Shallowford Road, Dunwoody GA 30338

Wesley Woods Tower (404) 728-6600 1825 Clifton Road, NE, Atlanta GA 30329

Yellow Brick House MCU (770) 482-4044 6903 Main Street, Lithonia GA 30058


AG Rhodes at Wesley Woods MC | MD | MCU (404) 315-0900 1819 Clifton Road, NE, Atlanta GA 30329

Briarwood Health and Rehab MC | MD (770) 938-5740 3888 LaVista Road, Tucker GA 30084

Budd Terrace at Wesley Woods MC | MD (404) 728-6500 1833 Clifton Road, NE, Atlanta GA 30329

Cobblestone at Park Springs (CCRC) MC | MCU (678) 684-3800 600 Springhouse Circle, Stone Mountain GA 30087

East Lake Arbor MC | MD (404) 373-6231 304 Fifth Avenue, Decatur GA 30030

Fountainview Center for Alzheimer's Disease MC | MD | MCU (404) 325-7994 2631 North Druid Hills Road, NE, Atlanta GA 30329

Georgia Regional Atlanta Hospital LTC Unit MC | MD (404) 212-4780 3073 Panthersville Road Bldg. 17, Decatur GA 30034



Glenwood Health and Rehab MC | MD | MCU (404) 284-6416 4115 Glenwood Road, Decatur GA 30032

Grace Healthcare of Tucker MC | MD (770) 934-3172 2165 Idlewood Road, Tucker GA 30084

Manor Care Rehabilitation Center - Decatur MC | MD (404) 296-5440 2722 N. Decatur Road, Decatur GA 30033

Meadowbrook Health and Rehab MC | MD | MCU (770) 491-9444 4608 Lawrenceville Highway, Tucker GA 30084

North Decatur Health and Rehab MC | MD (404) 292-0626 2787 North Decatur Road, Decatur GA 30033

Northeast Atlanta Health & Rehab Center MC | MD | MCU (404) 252-2002 1500 S Johnson Ferry Road NE, Atlanta GA 30319

PruittHealth Brookhaven MC | MD (770) 451-0236 3535 Ashton Woods Drive NE, Atlanta GA 30319

PruittHealth Decatur MC | MD (404) 212-3400 3200 Panthersville Road, Decatur GA 30034

PruittHealth Virginia Park MC | MD (404) 875-6456 1000 Briarcliff Road NE, Atlanta GA 30306

Rosemont at Stone Mountain MC | MD | MCU (770) 498-4144 5160 Spring View Avenue, Stone Mountain GA 30083

Traditions Health & Rehabilitation MC | MD | MCU (770) 482-2961 2816 Evans Mill Road, Lithonia GA 30058

Douglas

Assisted Living

Benton House of Douglasville MCU (678) 383-7546 4999 Prestley Mill Road, Douglasville GA 30135

Brookdale Sweetwater Creek MCU (770) 819-6777 1600 Lee Road, Lithia Springs GA 30122

Grace Senior Living (770) 920-2273 8847 Hospital Drive, Douglasville GA 30134


Douglasville Nursing & Rehabilitation Center MC | MD | MCU (770) 942-7111 4028 Highway 5, Douglasville GA 30135

Fannin

Assisted Living

Blue Ridge Assisted Living and Memory Care* (706) 946-6000 1600 Ballewtown Road, Blue Ridge GA 30513


PruittHealth Blue Ridge MC | MD (706) 632-2271 9908 Ouida Street, Blue Ridge GA 30513

Fayette

Assisted Living

Arbor Terrace Peachtree City (770) 632-5823 201 Crosstown Drive, Peachtree City GA 30269

Ashley Glen Senior Living and Memory Care MCU (770) 631-0205 441 Prime Point, Peachtree City GA 30269

Azalea Estates of Fayetteville (770) 461-0039 105 Autumn Glen Circle, Fayetteville GA 30215

Gardens of Fayetteville MCU (770) 719-9010 1294 Highway 54 West, Fayetteville GA 30214

Heritage of Peachtree (770) 631-3461 1967 Highway 54 West, Fayetteville GA 30214

Hope Center Memory Care – Fayetteville* MCU (678) 817-4672 355 Brandywine Blvd., Fayetteville GA 30214

Somerby of Peachtree City* MCU (770) 487-1900 200 Rockaway Road, Peachtree City GA 30269


Kindred Transitional Care & Rehab - LaFayette MC | MD (770) 461-2928 110 Brandywine Boulevard, Fayetteville GA 30214

Southland Health and Rehabilitation MC | MD (770) 631-9000 151 Wisdom Road, Peachtree City GA 30269



Forsyth

Assisted Living

Antebellum James Burgess* MCU (678) 807-7350 1520 James Burgess Road, Suwanee GA 30024

Arbor Terrace of Johns Creek* MCU (770) 999 9577 3180 Karen White Drive, Suwanee GA 30024

Belmont Village John's Creek MCU (770) 813-9505 4315 Johns Creek Parkway, Suwanee GA 30024

Addington Place of Johns Creek MCU (770) 754-5446 5050 Kimball Bridge Road, Alpharetta GA 30005

Celebration Village Forsyth MCU (800) 724-7714 3000 Celebration Blvd, Suwanee GA 30024

Country Gardens Lanier (770) 889-7889 255 Elm Street, Cumming GA 30040

Gardens of Shiloh Point* MCU (678) 456-8363 7955 Majors Road, Cumming GA 30041

Gracemont Senior Living & Memory Care* MCU (770) 887-2000 4940 Jot Em Down Road, Cumming GA 30041

Lanier Place MCU (770) 888-1114 440 Tribble Gap Road, Cumming GA 30040

The Oaks at Hampton* MCU (678) 965-5700 5610 Hampton Park Drive, Cumming GA 30041

The Oaks at Post Road* MCU (770) 886-2630 3875 Post Road, Cumming GA 30040

The Villas at Canterfield MCU (770) 888-4929 815 Atlanta Highway, Cumming GA 30040

Towne Club Windermere* MCU (770) 604-1710 3950 Towne Club Parkway, Cumming GA 30041


Chestnut Ridge Nursing & Rehabilitation MC | MD (770) 889-0120 125 Samaritan Drive, Cumming GA 30040

Cumming Nursing Center MC | MD | MCU (770) 781-2300 2775 Castleberry Road, Cumming GA 30040

Fulton

Assisted Living

Arbor Terrace at Cascade* MCU (404) 691-0304 1001 Research Center Atlanta Drive SW, Atlanta GA 30331

Arbor Terrace at Crabapple* MCU (770) 649-1009 12200 Crabapple Road, Alpharetta GA 30004

Atria Buckhead MCU (404) 240-2848 2848 Lenox Road NE, Atlanta GA 30324

Atria North Point* MCU (770) 872-0423 100 Somerby Drive, Alpharetta GA 30009

Autumn Leaves of Windward MCU (678) 274-8962 3300 Webb Bridge Road, Alpharetta GA 30005

Belmont Village Senior Living at Buckhead MCU (404) 252-6271 5455 Glenridge Drive, NE, Atlanta GA 30342

Addington House of Alpharetta MCU (678) 319-3000 762 N Main Street, Alpharetta GA 30009

Brickmont Senior Living (678) 765-9882 2925 Webb Road, Milton GA 30004

Brighton Gardens of Buckhead* MCU (404) 846-8335 3088 Lenox Road, NE, Atlanta GA 30324

Brookdale Big Creek MCU (770) 643-9433 655 Mansell Road, Roswell GA 30076

Brookdale Historic Roswell* MCU (770) 645-1900 75 Magnolia Street, Roswell GA 30075

Brookdale Chambrel Roswell MC* (678) 781-1631 2000 Applewood Drive, Roswell GA 30076

Brookdale Sandy Springs MCU (770) 650-8800 1262 Hightower Trail, Atlanta GA 30350



Campbell Stone North Apartments (404) 256-2612 350 Carpenter Drive, NE, Atlanta GA 30328

Canterbury Court (CCRC) (404) 261-6611 3750 Peachtree Road, NE, Atlanta GA 30319

Charter Senior Living of Alpharetta* MCU (678) 366-7700 4125 North Point Parkway, Alpharetta GA 30022

Charter Senior Living of Buckhead* MCU (404) 531-0145 4804 Roswell Road, Atlanta GA 30342

The Cohen Home* (770) 475-8787 10485 Jones Bridge Road, Alpharetta GA 30022

Country Gardens of Union City MCU (770) 969-3130 7175 Lester Road, Union City GA 30291

Morningside of Alpharetta MCU (770) 410-9169 253 N. Main Street, Alpharetta GA 30009

Dogwood Forest of Dunwoody* MCU (770) 350-7833 7400 Peachtree Dunwoody Road, NE, Atlanta GA 30328

Elmcroft of Roswell* MCU (770) 676-1338 400 Marietta Highway, Roswell GA 30075

The Gardens of Roswell MCU (404) 599-7323 9212 Nesbit Ferry Road, Alpharetta GA 30022

The Georgian Lakeside* MCU (678) 367-4744 1070 Hardscrabble Road, Roswell GA 30075

Hammond Glen (404) 256-6300 335 Hammond Drive NE, Atlanta GA 30328

Hearthstone Personal Care Community (770) 552-1091 350 Market Place, Roswell GA 30075

Hollander Senior Living - Sandy Springs MCU (404) 477-3800 5399 Northland Drive, Atlanta GA 30342

Insignia of Sandy Springs MCU (404) 843-8857 690 Mt. Vernon Highway, Atlanta GA 30328

Ivy Hall Senior Living* (770) 814-0114 5690 State Bridge Road, Alpharetta GA 30022

Lenbrook (CRCC) MCU (404) 233-3000 3747 Peachtree Road NE, Atlanta GA 30319

The Mann House* MCU (404) 250-9300 5413 Northland Drive, Atlanta GA 30342

Manor on the Square MCU (770) 993-8040 550 Barrington Drive, Roswell GA 30075

The Oasis at Scholar's Landing (404) 330-0400 134 John Hope Drive, SW, Atlanta GA 30314

The Phoenix at Milton* (678) 212-1550 13943 Highway 9 North, Milton GA 30004

The Phoenix at Roswell MCU (770) 609-3161 11725 Pointe Place, Roswell GA 30076

The Piedmont at Buckhead* (404) 419-7134 650 Phipps Blvd, Atlanta GA 30326

Providence at Alpharetta (404) 824-1008 12775 Providence Road, Alpharetta GA 30009

Providence of Milton (404) 824-1008 17210 Birmingham Highway, Alpharetta GA 30004

Renaissance on Peachtree* (404) 237-2323 3755 Peachtree Road NE, Atlanta GA 30319

Sandy Springs Personal Care Center (404) 255-3534 300 Johnson Ferry Road NE, Atlanta GA 30328

Somerby of Sandy Springs MCU (770) 695-0230 25 Glenlake Parkway, NE, Sandy Springs GA 30328

Sparks Inn* MCU (770) 703-2667 7290 Lester Road, Union City GA 30291

St. George's Village (CCRC) MCU (770) 645-2340 11350 Woodstock Road, Roswell GA 30075

St. Ives Memory Care* MCU (770) 476-1777 5835 Medlock Bridge Parkway, Alpharetta GA 30022



Summerset* MCU (404) 691-4545 3711 Benjamin E. Mays Drive, Atlanta GA 30331

Sunrise at Buckhead* MCU (404) 261-8700 1000 Lenox Park Blvd, NE, Atlanta GA 30319

Sunrise at Huntcliff Summit* MCU (770) 649-1499 8480 Roswell Road, Atlanta GA 30350

Sunrise of Ivey Ridge* MCU (770) 475-6622 2950 Old Alabama Road, Alpharetta GA 30022

Sunrise of Johns Creek* MCU (770) 814-0505 11405 Medlock Bridge Road, Johns Creek GA 30097

Tapestry House* MCU (770) 649-0808 2725 Holcomb Bridge Road, Alpharetta GA 30022

Wellington Court Assisted Living* (678) 987-0404 11350 Woodstock Road, Roswell GA 30075


AG Rhodes of Atlanta MC | MD (404) 688-6731 350 Boulevard, SE, Atlanta GA 30312

Bonterra Nursing Center MC | MD (404) 767-7591 2801 Felton Drive, East Point GA 30344

Brookhaven Health and Rehab MC | MD (404) 256-5131 5470 Meridian Mark Road, Atlanta GA 30342

Canterbury Court (404) 261-6611 3750 Peachtree Road, NE, Atlanta GA 30319

Christian City Convalescent Center MC | MD | MCU (770) 964-3301 7300 Lester Road, Union City GA 30291

College Park Health Care Center MC | MD | MCU (404) 767-8609 1765 Temple Avenue, Atlanta GA 30337

Crestview Health & Rehabilitation MC | MD (404) 616-8100 2800 Springdale Road SW, Atlanta GA 30315

Fairburn Health Care Center MC | MD (770) 964-1320 178 W. Campbellton Street, Fairburn GA 30213

Fox Glove Center MC | MD (404) 762-8672 2850 Springdale Road, SW, Atlanta GA 30315

Legacy Transitional Care and Rehabilitation Center MC | MD (404) 523-1613 460 Auburn Avenue NE, Atlanta GA 30312

Lenbrook (CCRC) MCU (404) 233-3000 3747 Peachtree Road NE, Atlanta GA 30319

Nurse Care of Buckhead MC | MD | MCU (404) 261-9043 2920 Pharr Court South NW, Atlanta GA 30305

Our Lady of Perpetual Help Home (404) 688-9515 760 Pollard Boulevard SW, Atlanta GA 30315

PruittHealth Fairburn MC | MD (770) 306-7878 7560 Butner Road, Fairburn GA 30213

PruittHealth West Atlanta MC | MD (404) 799-9267 2645 Whiting Street NW, Atlanta GA 30318

Reliable Health & Rehab at Lakewood MC | MD (404) 755-4080 1980 Arrow Street, Atlanta GA 30310

Roswell Nursing Center MC | MD | MCU (770) 998-1802 1109 Green Street, Roswell GA 30075

Sadie G. Mays Health & Rehabilitation CenterMC | MD | MCU (404) 794-2477 1821 Anderson Avenue NW, Atlanta GA 30314

Signature Healthcare of Buckhead MC | MD (404) 351-6041 54 Peachtree Park Drive, Atlanta GA 30309

St. George Village NH (CCRC) MCU (770) 645-2340 11350 Woodstock Road, Roswell GA 30075

Westminster Commons MC | MD | MCU (404) 874-2233 560 St. Charles Avenue, Atlanta GA 30308

William Bremen Jewish Home MC | MD | MCU (404) 351-8410 3150 Howell Mill Road NW, Atlanta GA 30327



Gilmer

Assisted Living

Cameron Hall of Ellijay (706) 515-4100 114 Penland Street, Ellijay GA 30540


Gilmer Nursing Home MC | MD (706) 635-7881 1362 S. Main Street, Ellijay GA 30540

Gwinnett

Assisted Living

Annandale Village Center for Continued Care* (770) 945-8381 3500 Annandale Lane, Suwanee GA 30024

Arbor Terrace Hamilton Mill* MCU (770) 999-0421 3581 Braselton Highway, Dacula GA 30019

Arbor Terrace of Johns Creek MCU (770) 999-9577 3180 Karen White Drive, Suwanee GA 30024

Ashton Senior Living* MCU (770) 963-4837 1155 Lawrenceville Hwy, Lawrenceville GA 30046

Atria Park of Tucker MCU (770) 450-6534 5844 Lawrenceville Highway, Tucker GA 30084

Autumn Leaves of Sugarloaf* MCU (678) 990-4580 1475 Satellite Blvd., Suwanee GA 30024

Benton House of Grayson MCU (678) 389-3100 2270 Loganville Hwy, Grayson GA 30017

Benton House of Sugar Hill MCU (678) 835-7852 6009 Suwanee Dam Road, Sugar Hill GA 30518

The Bridge at Lawrenceville (678) 377-8191 220 Collins Industrial Way, Lawrenceville GA 30045

Brookdale Buford MCU (770) 271-2210 4450 Old Hamilton Mill Road, Buford GA 30518

Brookdale Lawrenceville MCU (770) 963-9934 1000 River Centre Place, Lawrenceville GA 30043

Brookdale South Lee Buford MCU (770) 271-0277 4355 South Lee Street, Buford GA 30518

Brookside Stone Mountain MCU (770) 469-8800 1745 Parke Plaza Circle, Stone Mountain GA 30087

Delmar Gardens of Gwinnett (CCRC)* (770) 923-3100 3100 Club Drive, Lawrenceville GA 30044

Discovery Village at Sugarloaf MCU (770) 203-0731 1220 Satellite Boulevard, Suwanee GA 30024

Dogwood Forest of Grayson MCU (678) 496-2319 1792 Grayson Highway, Grayson GA 30017

Eastside Gardens MCU (770) 982-8012 2078 Scenic Highway, Gwinnett GA 30078

Hope Assisted Living and Memory Care Center – Dacula* MCU (770) 963-4673 1200 Winder Highway, Dacula GA 30019

Ivy Springs Manor* MCU (770) 573-9096 3177 Gravel Springs Road, Buford GA 30519

Magnolia Senior Living MCU (770) 338-0493 89 Ozora Road, Loganville GA 30052

Noble Village Senior Living* MCU (770) 416-0502 5701 Spalding Drive, Peachtree Corners GA 30092

Parc at Duluth (770) 622-6880 3315 Peachtree Industrial Blvd., Duluth GA 30096

Peregrine's Landing at Holcomb Bridge* MCU (770) 368-0292 680 Holcomb Bridge Road, Norcross GA 30071

Plantation South-Duluth (770) 623-0617 3450 Duluth Park Lane, Duluth GA 30096

Silverleaf Alzheimer's Care of Snellville MCU (770) 978-9595 2106 McGee Road, Snellville GA 30078



Southern Plantation MCU (678) 436-5350 580 Tommy Lee Fuller Drive, Loganville GA 30052

Sunrise at Five Forks* MCU (770) 381-7733 3997 Five Forks Trickum Road, Lilburn GA 30047

Sunrise at Webb Gin* MCU (770) 736-8293 1375 Webb Gin House Road, Lawrenceville GA 30045


D. Scott Hudgens Center MC | MD (770) 945-8381 3500 Annandale Lane, Suwanne GA 30024

Delmar Gardens of Gwinnett NH (CCRC) MC | MD | MCU (770) 923-3100 3100 Club Drive, Lawrenceville GA 30044

Glancy Rehabilitation Center MC (678) 312-6000 3215 McClure Bridge Road, Duluth GA 30096

Gwinnett Extended Care Center MC | MD (678) 312-3000 650 Professional Drive, Lawrenceville GA 30046

Life Care Center of Gwinnett MC | MD (770) 923-0005 3850 Safehaven Drive, Lawrenceville GA 30044

Life Care Center of Lawrenceville MC | MD (678) 442-0777 210 Collins Industrial Way, Lawrenceville GA 30045

New London Health Center MC | MD | MCU (770) 978-7250 2020 McGee Road, Snellville GA 30078

PruittHealth Lanier MC | MD (770) 614-2800 2451 Peachtree Industrial Boulevard, Buford GA 30518

PruittHealth Lilburn MC | MD (770) 923-2020 788 Indian Trail Road, Lilburn GA 30047

Salude MC | MD (770) 904-3222 601 Northolt Parkway, Suwanee GA 30042

Sceptor Health and Rehab of Snellville MC | MD (770) 972-2040 3000 Lenora Church Road, Snellville GA 30078

Hall

Assisted Living

Ashton Senior Living Gainesville* MCU (770) 287-0714 1012 Enota Avenue Gainesville GA 30501

Autumn Breeze Senior Living MCU (770) 297-1100 2215 Old Hamilton Place Gainesville GA 30501

Beehive Homes of Gainesville (470) 228-8928 1073 S Enota Drive, NE, Gainesville, GA 30501

Dogwood Forest of Gainesville* MCU (770) 531-7800 3315 Thompson Bridge Road Gainesville GA 30506

The Holbrook Gainesville (678) 207-2345 3315 Thompson Bridge Road Gainesville GA 30506

Lanier Lodge Assisted Living and Memory Care* MCU (678) 971-1900 2601 Thompson Bridge Road Gainesville GA 30501

Lanier Village Estates (678) 450-3000 4000 Village View Drive Gainesville GA 30506

Morningside of Gainesville* (770) 531-6100 2435 Limestone Parkway Gainesville GA 30501

Oakbridge Terrace at Lanier* (678) 450-3000 3950 Village View Drive Gainesville GA 30506

The Oaks at Braselton* MCU (770) 965-7003 5373 Thompson Mill Road, Hoschton GA 30548

Summer's Landing Limestone MCU (770) 535-8181 2030 Windward Lane Gainesville GA 30501

The Waterford at Oakwood* MCU (770) 297-6900 4251 Hudson Drive, Oakwood GA 30566


Bell Minor Home MC | MD (770) 532-2066 2200 Old Hamilton Place Gainesville GA 30507

New Horizons Lanier Park MC | MD (770) 533-8600 675 White Sulphur Road Gainesville GA 30501



New Horizons Limestone MC | MD (770) 219-8300 2020 Beverly Road NE Gainesville GA 30501

The Oaks at Limestone MC | MD (770) 536-3391 2560 Flintridge Road Gainesville GA 30501

Willowwood Nursing Center MC | MD (770) 967-2070 4595 Cantrell Road, Flowery Branch GA 30542

Willowbrooke Court at Lanier Village Estates MC (678) 450-3005 4145 Misty Morning Way Gainesville GA 30506

Haralson

Assisted Living

Georgia Living Center (770) 574-2629 182 Head Avenue, Tallapoosa GA 30176

Kelly Foundation for Senior Living* (770) 646-7777 4083 Business Hwy 27, Buchanan GA 30113

Memory Lane of Bremen* (770) 537-9500 524 Gordon Street, Bremen GA 30110


Countryside Health Center MC | MD (770) 646-3861 233 Carrollton Street, Buchanan GA 30113

Haralson Nursing and Rehabilitation Center MC | MD (770) 537-4482 315 Field Street, Bremen GA 30110

Southern Traditions MC | MD (770) 646-5512 144 Depot Street, Buchanan GA 30113

Heard


PruittHealth Franklin MC | MD (706) 675-6674 360 South River Road, Franklin GA 30217

Henry

Assisted Living

Autumn Leaves of Stockbridge* (770) 376-6753 100 Monarch Village Way, Stockbridge GA 30281

Benton Village MCU (770) 288-9334 201 Evergreen Terrace, Stockbridge GA 30281

Eagles Landing Senior Living* MCU (770) 507-5440 475 Country Club Drive, Stockbridge GA 30281

The Gardenias MCU (770) 946-0325 75 Dutchtown Road, Hampton GA 30228

Golden Crest at Eagle's Landing* (770) 389-3118 425 Country Club Drive, Stockbridge GA 30281

Mount Carmel Assisted Living* MCU (770) 824-3385 3084 Mt. Carmel Road, Hampton GA 30228


Laurel Park at Piedmont Henry MC | MD (770) 507-3840 1050 Hospital Drive, Stockbridge GA 30281

Westbury Health & Rehab. Ctr. – McDonough MC | MD | MCU (770) 957-9081 198 Hampton Street, McDonough GA 30253

Lumpkin


Chelsey Park Health and Rehab MC | MD (706) 482-3000 200 Mountain Park Drive, Dahlonega GA 30533

Gold City Convalescent Center MC | MD (706) 864-3045 222 Moore Drive, Dahlonega GA 30533



Meriwether


PruittHealth Greenville MC | MD | MCU (706) 672-4241 99 Hillhaven Road, Greenville GA 30222

Warm Springs Medical Center MC | MD (706) 655-3331 5995 Spring Street, Warm Springs GA 31830

Newton

Assisted Living

Benton House of Covington MCU (770) 788-6660 7155 Dearing Road, Covington GA 30014

Merryvale Assisted Living MCU (770) 786-4688 11980 Georgia 142, Oxford GA 30054


PruittHealth Covington MC | MD (770) 786-0427 4148 Carroll Street, Covington GA 30015

Riverside Health Care MC | MD | MCU (770) 787-0211 5100 West Street Northwest, Covington GA 30014

Paulding

Assisted Living

Aspen Village MCU (770) 635-1780 135 Hillside Trace, Dallas GA 30157

Kimberly Personal Care Home (770) 505-7600 700 West Memorial Drive, Dallas GA 30132

The Overlook at Cedarcrest* MC (770) 715-4460 2351 Cedarcrest Road, Acworth GA 30101

Westminster Memory Care MC (404) 713-1936 3366 Atlanta Highway, Dallas GA 30132


Wellstar Paulding Nursing and Rehabilitation Center MC | MD | MCU (770) 445-4411 600 West Memorial Drive, Dallas GA 30132

Pickens

Assisted Living

Rock Creek Manor (678) 454-2600 50 Cagle Mill Road South, Jasper GA 30143


Grandview Health Care Center MC | MD (706) 692-6323 618 Gennett Drive, Jasper GA 30143

PruittHealth Jasper MC | MD (706) 253-2441 1350 E. Church Street, Jasper GA 30143

Wildwood Health Care Inc. MC | MD (706) 692-6014 184 Pin Hook Road, Talking Rock GA 30175

Rockdale

Assisted Living

Bristol Village* MCU (470) 207-7250 1358 Manchester Drive, NE, Conyers GA 30012

The Magnolias Assisted Living (770) 483-3107 964 South Main Street, Conyers GA 30012

Morningside of Conyers* MCU (770) 922-1654 1352 Wellbrook Circle, Conyers GA 30012

Remington House (770) 761-4888 1504 Renaissance Drive, Conyers GA 30012


Rockdale Healthcare Center MC | MD (770) 483-4480 1510 Renaissance Drive, Conyers GA 30012



Westbury Health & Rehabilitation Center – Conyers MC | MD | MCU (770) 483-3902 1420 Millstead Road, Conyers GA 30012

Spalding

Assisted Living

Brightmoor Senior Living (770) 227-9950 3223 Newnan Road, Griffin GA 30223

The Woods Senior Living Community MCU (770) 412-6005 1401 Macon Road, Griffin GA 30224


Brightmoor Nursing Center MC | MD (770) 228-8599 3235 Newnan Road, Griffin GA 30224

Genesis HealthCare Renaissance Center MC | MD (770) 227-8636 415 Airport Road, Griffin GA 30224

PruittHealth Griffin MC | MD (770) 228-4517 619 Northside Drive, Griffin GA 30223

Walton

Assisted Living

Great Oaks Senior Living* MCU (770) 267-7902 920 Highway 138, Monroe GA 30655

Hollander Senior Living - Monroe (770) 267-7050 171 Highway 78, Monroe GA 30655

Mews Assisted Living of Social Circle MCU (770) 464-4211 621 North Cherokee Road, Social Circle GA 30225


Park Place Nursing and Rehab Facility MC | MD | MCU (770) 267-8677 1865 Bold Springs Road, Monroe GA 30655

Social Circle Nursing and Rehabilitation Center MC | MD (770) 464-2019 671 N. Cherokee Road, Social Circle GA 30025

White


Friendship Health and Rehab MC | MD (706) 865-3131 161 Friendship Road, Cleveland GA 30528

Gateway Health and Rehab (706) 865-5686 3201 Westmoreland Road, Cleveland GA 30528


NURSING HOME EVALUATION FORM

Name of Nursing Home: __________________________________________________________

Date Visited: ___________________________

1 Poor–––Excellent 5

The Building & Surroundings

What is your first impression of the facility? 1 2 3 4 5

What is the condition of the facility’s exterior paint, gutters and trim? 1 2 3 4 5

Are the grounds pleasant and well kept? 1 2 3 4 5

Do you like the view from residents’ rooms and other windows? 1 2 3 4 5

Do residents with Alzheimer’s disease live in a separate memory care unit? 1 2 3 4 5

Does the nursing home provide a secure outdoor area? 1 2 3 4 5

Is there a secure area where a resident with Alzheimer’s disease can safely wander on walking paths?

1 2 3 4 5

Are there appropriate areas for physical therapy and occupational therapy? 1 2 3 4 5

Are facilities for barber or beauty salon services available? 1 2 3 4 5

Does your loved one smoke? Is there a designated area for smokers? 1 2 3 4 5

What is your impression of general cleanliness throughout the facility? 1 2 3 4 5

Does the facility smell clean? 1 2 3 4 5

Is there enough space in resident rooms and common areas for the number of resi-dents?

1 2 3 4 5

How noisy are hallways and common areas? 1 2 3 4 5

Is the dining area clean and pleasant? 1 2 3 4 5

Is there room around tables for both residents and aides assisting with meals? 1 2 3 4 5

Are residents allowed to bring pieces of furniture and other personal items to deco-rate their rooms?

1 2 3 4 5


The Staff, Policies and Practices

Does the administrator know residents by name and speak to them in a pleasant, friendly way?

1 2 3 4 5

Do staff and residents communicate with cheerful, respectful attitudes? 1 2 3 4 5

Do staff and administration seem to work well with each other in a spirit of cooperation?

1 2 3 4 5

Do residents get permanent assignment of staff? 1 2 3 4 5

Do nursing assistants participate in the resident’s care planning process? 1 2 3 4 5

How good is the nursing home’s record for employee retention? 1 2 3 4 5

Does a state ombudsman visit the nursing home on a regular basis? 1 2 3 4 5

Are there any current deficiencies on record? 1 2 3 4 5

What is the kitchen’s health department score? 1 2 3 4 5

How likely is an increase in private pay rates? 1 2 3 4 5

Are there any additional charges not included in the daily or monthly rate? 1 2 3 4 5

Residents’ Concerns

What method is used in selecting roommates? 1 2 3 4 5

What is a typical day like? 1 2 3 4 5

Can residents choose what time to go to bed and wake up? 1 2 3 4 5

Are meaningful activities available that are appropriate for residents? 1 2 3 4 5

If activities are in progress, what is the level of resident participation? 1 2 3 4 5

Can residents continue to participate in interests like gardening or contact with pets?

1 2 3 4 5

Does the nursing home provide transportation for community outings and activities? 1 2 3 4 5

Is a van or bus with wheelchair access available? 1 2 3 4 5

Do residents on Medicaid get mental health services or occupational, speech or physical therapies if needed?

1 2 3 4 5

What is your impression of the general cleanliness and grooming of residents? 1 2 3 4 5

How are decisions about method (bath/shower), timing (AM/PM), and frequency of bathing made?

1 2 3 4 5

How do residents get their clothes laundered? 1 2 3 4 5

What happens when clothing or other items are missing? 1 2 3 4 5


Are meals appetizing and served promptly at mealtime? 1 2 3 4 5

Are snacks available between meals? 1 2 3 4 5

If residents call out for help or use a call light, do they get prompt, appropriate re-sponses?

1 2 3 4 5

Does each resident have the same nursing assistant(s) most of the time? 1 2 3 4 5

How does a resident with problems voice a complaint? 1 2 3 4 5

Do residents, who are able, participate in care plan meetings? 1 2 3 4 5

Does the nursing home have an effective resident council? 1 2 3 4 5

Family Considerations

How convenient is the nursing home’s location to family members who may want to visit the resident?

1 2 3 4 5

Are there areas other than the resident’s room where family members can visit? 1 2 3 4 5

Does the facility have safe, well-lighted, convenient parking? 1 2 3 4 5

Are hotels/motels nearby for out-of-town family members? 1 2 3 4 5

Are area restaurants suitable for taking residents out for a meal with family mem-bers?

1 2 3 4 5

Is an effective family council in place? 1 2 3 4 5

Can family/staff meetings be scheduled to discuss and work out any problems that may arise?

1 2 3 4 5

Total Score ___________

Other Notes/Impressions:



ASSISTED LIVING COMMUNITY EVALUATION FORM

Name of Community: ________________________________________________

Date Visited: _____________________________

1 Poor–––Excellent 5

The Building & Surroundings

What is your first impression of the community? 1 2 3 4 5

What is the condition of the facility’s exterior paint, gutters and trim? 1 2 3 4 5

Are the grounds pleasant and well kept? 1 2 3 4 5

Do you like the view from residents’ rooms and other windows? 1 2 3 4 5

Do residents with Alzheimer’s disease live in a separate memory care unit? 1 2 3 4 5

Does the community provide adequate outdoor area? 1 2 3 4 5

Is there a secure area where a resident with Alzheimer’s disease can safely be outside?

1 2 3 4 5

As you enter the lobby and tour the residence, is the décor attractive and homelike? 1 2 3 4 5

Are different sizes and types of units available? 1 2 3 4 5

Are units for single and double occupancy available? 1 2 3 4 5

Do units have lockable doors? 1 2 3 4 5

Does your loved one smoke? Is there a designated area for smokers? 1 2 3 4 5

What is your impression of general cleanliness throughout the facility? 1 2 3 4 5

Is the residence clean, free of odors, and comfortably heated/cooled? 1 2 3 4 5

Is there enough space in resident rooms and common areas for the number of resi-dents?

1 2 3 4 5

How spacious and noisy are hallways and common areas? 1 2 3 4 5

Is the dining area clean and pleasant? 1 2 3 4 5

Is there room at and between tables for both residents and staff for those who need assistance with meals?

1 2 3 4 5


The Staff, Policies and Practices

Do staff know residents by name and speak to them in a pleasant, friendly way? 1 2 3 4 5

Did you receive a warm greeting from staff welcoming you to the residence? 1 2 3 4 5

Do staff and residents communicate with cheerful, respectful attitudes? 1 2 3 4 5

Do staff and administration seem to work well with each other in a spirit of cooperation?

1 2 3 4 5

Is staff personable and friendly? 1 2 3 4 5

Is trained staff available to assist residents who experience memory, orientation or judgment losses? How are they trained?

1 2 3 4 5

How good is the facility’s record for employee retention? 1 2 3 4 5

Is staff available to provide 24-hour-a-day assistance with activities of daily living (ADLs) if needed? ADLs include dressing; eating; mobility; hygiene and grooming; bathing; toileting; using the telephone; shopping; and laundry.

1 2 3 4 5

How do they coordinate visits from the physician, nurse, hospice, physical therapist, occupational therapist, and others?

1 2 3 4 5

Are there any current deficiencies on record? How about on the health inspection? 1 2 3 4 5

When may a contract/resident agreement be terminated and what are the refund policies?

1 2 3 4 5

How likely is an increase in monthly rent? 1 2 3 4 5

Are there any additional charges not included in the monthly rate? 1 2 3 4 5

Are there different costs for various levels or categories of service? 1 2 3 4 5

How are they determined? 1 2 3 4 5

Are additional services available if the residents’ needs change? 1 2 3 4 5

What are the policies regarding storage of medication, assistance with medication, training and supervision of staff?

1 2 3 4 5

Is self-administration of medications allowed? Can medication be kept in the resi-dent’s room? How is it monitored?

1 2 3 4 5


Residents’ Concerns

Would residents be appropriate neighbors for you or your loved one? 1 2 3 4 5

What is a typical day like? 1 2 3 4 5

Can residents choose what time to go to bed and wake up? 1 2 3 4 5

Are meaningful activities available that are appropriate for residents? 1 2 3 4 5

If activities are in progress, what is the level of resident participation? 1 2 3 4 5

Can residents continue to participate in interests like gardening or contact with pets? 1 2 3 4 5

Are there special programs for those with memory loss? 1 2 3 4 5

Does the community provide transportation for community outings and activities? 1 2 3 4 5

Is a van or bus with wheelchair access available? 1 2 3 4 5

Can residents arrange for transportation on fairly short notice? 1 2 3 4 5

Are pharmacy, barber/beautician and/or physical therapy services offered on site? 1 2 3 4 5

Is there a process to identify and address residents’ needs? 1 2 3 4 5

How do residents get their clothes laundered? 1 2 3 4 5

Are meals appetizing and served promptly at mealtime? 1 2 3 4 5

Can residents dine when they want, or only at certain times? 1 2 3 4 5

Can residents have alcoholic beverages? 1 2 3 4 5

Are snacks available between meals? 1 2 3 4 5

May residents eat meals in their units? Is there an additional charge? 1 2 3 4 5

Is a 24-hour-a-day emergency response system available in the unit? 1 2 3 4 5

When alerted, how long does it take for a staff member to respond? 1 2 3 4 5

What is the procedure for responding to a resident’s medical emergency? 1 2 3 4 5

Does this process include residents, their families and residence staff along with the residents’ physicians?

1 2 3 4 5

How does a resident with problems voice a complaint? 1 2 3 4 5

Are pets allowed in the building? Who is responsible for their care? 1 2 3 4 5


Family Considerations

How convenient is community’s location to family members who may want to visit the resident?

1 2 3 4 5

Are there areas other than the resident’s room where family members can visit? 1 2 3 4 5

Does the facility have safe, well-lighted, convenient parking? 1 2 3 4 5

Can family members visit at any time? 1 2 3 4 5

Are area restaurants suitable for going out with family members? 1 2 3 4 5

Total Score ___________ Estimated Monthly Cost ___________ Other Notes/Impressions:


NOTES


NOTES

Seeking Legal Help

Aging persons and their family members often face unique legal issues, including preservation of assets and Medicaid planning, property disposition, durable powers of attorney, establishing guardianship and conservatorship and so on. The attorneys listed below are members of the National Academy of Elder Law Attorneys, a professional association of attorneys concerned with improving the availability and delivery of legal services to older persons.

Hurley Elder Care Law Miles P. Hurley, JD, CELA

Danielle C. Humphrey, JD, CELA (404) 843-0121

This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is published with the understanding that the publisher is not engaged in rendering legal, accounting or other professional service. If legal advice or other expert assistance is required, the services of a competent professional person should be sought. From a Declaration of Principles jointly adopted by a Committee of the American Bar Association and a Committee of Publishers.

© Hurley Elder Care Law, 2017. All rights reserved.

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