The Cost of Care and Residency at Legacy Gardens is Based on the Level of Care Needed.
Please review our 5 Levels of Care below, to see where your loved one’s care needs are best described. Please note, we are a Private Pay only facility and we do not accept Medicaid payments. If you have a Long Term Care Insurance Policy, it may pay a portion, or all of your monthly payment. We are definitely not the least expensive Adult Family Home in town, but we are well worth the cost for the quality of care and services provided!
If your loved one is at a stage of needing more “eyes and hands on care”, is a fall risk or has had a bad fall already, doesn’t have the patience to wait for their call light to be answered, or they don’t remember to use a call button, then you will love our care. Has their current Assisted Living or Skilled Nursing facility called you in for a care conference, requiring you to hire a one on one caregiver to sit and keep your loved one safe? If so, we are a great option for you.
In order to move into any Adult Family Home in Washington State, you will need to obtain a Comprehensive Assessment for your loved one prior to moving in. This report will detail all of their care needs, medications, and previous health issues we may be facing. It must be updated on an annual basis and kept with their medical records in our home. We can refer you to several companies who do Comprehensive Assessments. The initial assessment will cost between $250-350, and annual reassessments will range from $100-250 depending on how much their level of care has changed.
Nurse Delegation is also required when living in an Adult Family Home. This is where a nurse oversees your loved one’s medications, and delegates our staff to administer them properly. They have a $250-350 fee to open the file, and a $75-100 fee for 90 day reviews, based on the amount of medications being administered. They charge in 15 minute increments, based on $50 per hour, when your loved one has a medication change. It’s a small price to pay for the peace of mind knowing you have another set of eyes overseeing all medications!
5 Levels of Care
Retirement: Independent Living
This is the TRUE independence level. The Resident simply needs a place to live, laundry and room cleaning with meal service. There is very little that we need to provide for the Resident other than these three services.
Personal Care: Attended Independence
This level is for Residents who are ambulatory, continent and oriented to date and place, they simply need a minimal level of assistance. These are individuals who are fairly independent and have no significant medical problems. They may need some assistance with medication reminders, nutrition, hygiene and activities of daily living.
Services include the basic services plus medication management oversight, monitoring for general health and well being, monthly blood pressure monitoring, weight and nutritional assessment. Occasional light lifting or personal assistance may be needed.
Personal Care: Helpful Assistance
Residents with moderate medical problems who are able to perform some self care but may require reminding and general assistance. This client may have some memory and/or orientation loss and require assistance with dressing and grooming tasks.
Services included assistance with bathing twice a week, supervision of hygiene and grooming, nutritional intake and some occasional incontinence management. This Resident might need occasional redirecting.
Personal Care: (1) Extended and (2) Intensive Assistance
(1) Extended Care: Includes Residents with incontinence of both bowel and bladder, more assistance is needed in medication management, eating, bathing, toileting, dressing, transferring and more advanced dementia and Alzheimer’s Residents.
(2) Intensive Care: Includes care for catherization, dressing changes, diabetes and other care needs requiring the services of a Registered Nurse and other heavy care needs such as being bedridden, lifting (one or two person lifting or Sit to Stand/Hoyer lift required), or total non-ambulatory or advanced Alzheimer’s disease which requires more staff time. (Night wanderers, abusive or violent Residents, or those who need two person assistance in transfer may be beyond the realm of care we can provide.)
Also included are special diets, low sodium, low cholesterol, high fiber, mechanical soft, etc., as prescribed by Resident’s attending Physician.
Hospice Care: Death with Dignity
Residents who are facing a life threatening illness without a cure are included in this category. Hospice provides for the special care needs of the dying with emphasis on pain management to allow the Resident to live each day to the fullest. The Hospice program follows the Doctor’s orders by skilled, compassionate Nurses utilizing pain control and comfort. Hospice works with the family, friends, relatives, responsible parties and professional caregivers in the Adult Family Home.
Services include feeding, positioning every two hours, changing briefs, bed baths, etc. as needed for the Residents well being and comfort until the end of life.
What's Included
We believe in setting our pricing to included nearly all of our services, so you don’t need to worry about reviewing a long list of add-on fees every month.
All meals and snacks, briefs and hygiene supplies, laundry, linens, lotion, hand and foot massages, 20 minute weekly massage by a geriatric specialist, all ADL’s, medication assistance, in-house haircuts by Kenda, fingernail painting, daily hair curling and makeup assistance, arts, crafts and activities are included. We also hire an RN who specializes in foot care, to come trim and shape all of our residents toenails, and give them a foot massage every 5-6 weeks.
We also provide each resident with their own power lift chair in the living room, and a power bed in their room to assist with keeping them comfortable and making transfers easier. Comcast Xfinity X1 cable TV & Netflix are provided at each bed, as well as in the living room and activity room. All long distance phone calls within the Continental US are also included.
We Do Have Extra Monthly Fees if Your Loved One Needs
One on One Feeding (we will have a compassionate caregiver sit for over an hour feeding your loved one if need be)
Catheter Care
Two person, Sit to Stand or Hoyer Lift transfers
Incontinence care on a regular basis
Reserving a Bed
If a bed is not currently available for your loved one, or if they are not quite ready to move yet, we do have a Bed Reservation program, where you can pay a non refundable deposit, which will be applied as a credit upon moving in, to reserve the next available bed.