100 UNIT ASSISTED LIVING FACILITY (ALF) IN PINELLAS PARK, FLORIDA
This case study describes the development of a 100 unit Assisted Living
Facility (ALF) in Pinellas Park, Florida, one of the first private apartmentstyle
assisted living facilities in Florida designed to serve a low and moderate income
population, with a significant number of the project's residents funded
This 100 unit ALF is successful because of Mia Senior Living Solutions extensive years of experience in the affordable assisted living arena, network of relationships, and ability to identify and involve key individuals who bring needed expertise to the project. As a result of this successful development, lower-income individuals who might otherwise be placed in nursing homes can receive the care they need in private apartments located in a quality residential setting.
We hope that telling this story will convince others interested in developing additional affordable assisted living projects to do so with Mia Senior Living Solutions as your development partner and operation manager.
This 100 unit ALF was developed in 2003 under a tax free bond with the purpose of expanding the supply of affordable assisted living in underserved communities. The vision of this program is to provide, within private apartments, assisted living services using 24-hour staff to seniors with modest incomes in affordable yet luxurious settings. The project was designated as a Robert Wood Johnson Coming Home Program.
This 100 unit ALF is a one-story residential building configured in a honeycomb with the dining room overlooking landscaped courtyards. The facility includes a mix of studio, one-bedroom, and two-bedroom units. Each private apartment includes a kitchenette with a refrigerator and microwave; walk-in closet; and a bathroom with a large roll-in shower. In addition, each unit has individually controlled heating and air conditioning, cable television, telephone availability, and a personal emergency response system.
The following services are available at this 100 unit ALF:
• Supportive services – meals, housekeeping in resident units, laundry services, and arranging access to medical services
• Personal services – daily assistance with all activities of daily living including dressing, eating, bathing, grooming, toileting, transferring and ambulation or mobility; and medication management
• Building services – property repair and maintenance and building regulation adherence
• Business office services – expense and capital budgeting and management, accounts payables and receivables, vendor contracting and group purchasing
• Government service funding – assist with the securing of service funding, including Medicaid, for eligible residents, bill government for services provided, claim dispute and resolution
The assisted living fees at this 100 unit ALF are based on a flat rate for a basic
service package with additional services available on an a-la-carte basis.
Service fees for eligible residents are reimbursed by either the local Medicaid
agents/providers or the Veteran's Administration with the remaining residents
paying privately. The strong relationships that the 100 unit ALF has developed
through Mia Senior Living Solutions aging network have been critical to the success
of the project. Mia Senior Living Solutions expertise in admission of residents that
qualify for government funding has ensured facility profitability.
The average age of the residents are 85 years of age
and seventy percent of the residents have a mobility
need. Of the current assisted living residents, 90%
receive assistance with medications, 30% receive
assistance with one or more Activity of Daily Living
(ADL), and 70% receive assistance with three or
more ADLs. A number of the 100 unit ALF's residents
were successfully relocated from nursing homes.
When first contracted in 2008, Mia Senior Living Solutions conducted an audit of the operation and submitted a lengthy plan of correction within a week that was subsequently approved. Two of the largest problems at the facility were its occupancy rate of 80% and only 20% of the residents had government service funding, even though most of them were eligible for the funding. In addition, the facility had high expenses and a demoralized workforce.
Making Affordable Assisted Living a Reality
Most families who have had a parent or
grandparent in a nursing home know
that individuals usually prefer residential
alternatives to institutions when unable to
remain at home. Unfortunately, with rates
averaging more than $100 per day, most
assisted living facilities are not an affordable
option for the majority of older Americans.
Mia Senior Living Solutions was developed to fill this
gap, creating models of assisted living that
serve seniors with modest incomes.
Mia Senior Living Solutions has contributed to the development of more than 1,000
affordable assisted living units. Mia Senior Living Solutions has provided direct technical
assistance to organizations and extensive resource development (including
manuals and best practice guidelines). In addition, Mia Senior Living Solutions is working
with states and federal agencies to implement or modify policies and programs
essential to the creation of affordable assisted living facilities.