When Home Is Where The Healthcare Is, How Good Is The Care in Virginia?

Affordable long term careMore than eight of every 10 people who need long-term supports and services receive this care at home rather than in nursing homes or other institutional facilities. And nearly all the assistance they receive at home is provided by family members, not paid aides or nurses.  Yet, we know nothing at all about the quality of that family help.

Receiving medical care in old age or securing it for a loved one is a difficult and often expensive choice to navigate. There are many options, paths and plans, to be sure. In the end, however, the choice can easily come down to finding that care at home or in a facility. How does the quality of care compare? Specifically, how good is the care at home?

The answer seems to range from “we don’t know” to an unhelpful “it depends.” With so many people receiving care at home, either by default or by design, it is an important option to understand. A recent article in Forbes, titled “We All Want To Live At Home In Old Age, But Know Nothing About the Quality of Care We'll Get There,” to a look under the hood on this subject.

Most problems are the result of a knowledge-vacuum. There are many levels of oversight for skilled nursing homes or other care facilities. On the other hand, there are few levels for care received in the home.  In-home care may be delivered by a loved one, but it may also be delivered by a paid aide through Medicare home-based long-term services or some other program. There has been large expansion in the kinds of services available, but most of us have a hard time figuring out the quality of care available. Be sure to consult an experienced elder law attorney who is “plugged into” the network of care providers.

You can learn more about this topic as well as other strategies on our website under the tab entitled: elder law planning in Virginia. Be sure you also sign up for our complimentary e-newsletter so that you may be informed of all the latest issues that could affect you, your loved ones and your estate planning.

Reference: Forbes (March 19, 2014) “We All Want To Live At Home In Old Age, But Know Nothing About the Quality of Care We'll Get There



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We've been putting together as many resources as possible so that we can continue to help:

  • If you’re a current client with a signing appointment or a prospective client with a consultation and would prefer that meeting take place in your own home, we can accomplish that with a little bit of pre-planning on our part and with the addition of a laptop, smartphone, tablet or other computer in your home to facilitate this virtual meeting. For those of you that need to sign legal documents, that too can be accomplished with the use of a webcam (FaceTime etc.), so that we can witness and electronically notarize all of your important legal documents.
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Thank you, Walt and the Zaremba Team

Update to our Process

The unprecedented coronavirus pandemic has taken our entire country by surprise. We understand how difficult this time is for America’s businesses and families.  However, we believe it is vitally important that we make every effort possible to continue to offer solutions that avoid disrupting our important partnership with you, your family and friends.  As you know, estate planning is not something that should wait for a more convenient time, therefore the opportunity to address your important goals both during and after this crisis should not wait.  To that end, we have added the option of a ‘virtual consultation’ to our office process.  You will now have a choice of either meeting with us in our office or in the comfort of your own home.