Washington D.C. Assisted Living Facilities
Cost of Washington D.C. Assisted Living Facilities
According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Washington D.C. is $7,838 per month.
The monthly base rate for Washington D.C. assisted living is typically higher when compared to neighboring states. Washington D.C. is also more expensive compared to the national average.
This cost is the base cost for a one-bedroom assisted living unit in Washington D.C.. Additional fees beyond the base rate may apply.
Monthly Costs Compared to Neighboring States
Assisted Living Regulations
District of Columbia defines assisted living homes as Community Residence Facilities and Assisted Living Residences. CRFs are defined as any facility that provides safe, sheltered living arrangements for one or more people 18 years old or more, who are ambulatory and able to perform day to day living activities with little assistance. This includes facilities that provide living arrangements for those needing supervision or assistance within a protective environment because of physical, mental, familial, or social circumstances. An ALR means an entity that combines housing, health, and personalized assistance for the support of anyone unrelated to the owner or operator of the entity. This does not include a group home for mentally retarded persons or a mental health community residence.
District of Columbia Assisted Living Facility Scope of Care
Both CRF's and Assisted Living Residences in District of Columbia provide 24-hour care and supervision of their residents. Under certain conditions, ALR residents have the right to arrange directly with an outside agency for medical or personal care.
District of Columbia Assisted Living Admission Requirements
For CRF's, residents cannot be admitted when in need of professional nursing care, unable to perform day to day living tasks with minimal assistance, not capable of proper judgment, and disoriented about people and places. For ALRs, residents cannot be admitted after being assessed as a danger to themselves or others, or exhibit behavior significantly and negatively impacting the lives of others; who are in need of more than intermittent skilled nursing; or require treatment of stage III or IV skin ulcers, ventilator services, or treatment for an infectious, and reportable disease or a disease or condition that requires more than contact isolation.
District of Columbia Assisted Living Care Plan Requirements
For CRFs, each resident's personal physician must certify that the resident is free of communicable disease and must provide the facility with a written report, including information health information used to assist the CRF in providing adequate care, including any treatment orders, medications, nutritional needs, and a rehabilitation program. For ALRs, an Individualized Service Plan must be created prior to admission.
District of Columbia Assisted Living Medication Management Requirements
Residents may store medication within the facility, and facility staff may assist residents with the self-administration of medication.
District of Columbia Assisted Living Facility Requirements
The combined total of community space provided by the facility must be at least 25 square feet above the basement per resident. A maximum of four residents are allowed per unit. There must be one commode per every 30 residents.
District of Columbia Assisted Living Staffing Requirements
For CRFs, a residence director must be responsible for the daily management of the facility. There must be a sufficient number of staff to provide for the residents at all times of day and night. Facilities with more than 50 residents must employ a full-time activities specialist. Facilities with more than 20 residents must provide services provided by a social worker a minimum of eight hours a week; facilities with more than 80 residents must provide the services of a social worker at least 20 hours a week; and facilities with 100 or more residents must employ a full-time social worker. For ALRs, an Administrator must be responsible for personnel and services within the facility. The ALR must develop a staffing plan in accordance with the Assisted Living Residence Act to assure the safety and proper care of residents. The residence director of any CRF must be at least 21 years old, and if there are 30 or more residents in the facility the director must have a bachelor's degree or at least three years of experience related to the administration of the program or services of the facility. The Assisted Living Administrator for an ALR must be at least 21 years old and have at least a high school diploma or general equivalency diploma, or have served as an operator or administrator of a licensed CRF in the District of Columbia for at least one of the past three years. An Assisted Living Administrator is required to complete 12 hours of training on cognitive impairments each year. All staff must be trained and demonstrate proficiency in the skills required by the state. Staff members must complete 12 hours of in-service training each year.
District of Columbia Assisted Living Medicaid Policy
The Department of Health, Medical Assistance Administration, is currently reviewing and developing policy and reimbursement rates for a Medicaid waiver to cover the cost of services provided in ALRs.
Washington D.C. Medicaid Coverage of Assisted Living and Related Services
The District of Columbia Medicaid program offers the Elderly and Persons with Disabilities Waiver which now covers assisted living in limited situations.
The Office of Aging in the Washington D.C. area offers a single Medicaid waiver that applies to the aging residents like the Elderly and Persons with Disabilities. This waiver is known as the EPD Waiver and it sanctions beneficiaries who would otherwise require nursing home care to receive elder care services in their homes or communities.
The EDP Waiver program recognizes that there are different care options and support services needed by participants. That's why individuals wanting to participate in the EPD Waiver program will need to obtain approval from a case manager first. The Waiver offers the following forms of assistance:
- Assisted Living
- Chore Services
- Environmental Accessibility Adaptations (Home Modifications)
- Homemaker Services
- Light Housekeeping
- Meal Preparation
- Personal Care
- Personal Emergency Response Services (PERS)
- Respite Services (up to 480 care hours per year)
How to apply: Interested parties should contact the Washington DC Aging and Disability Resource Center at (202) 724-5626.
District of Columbia Senior Citizens Home Repair Programs - seniors living in the District that require assistance with their home may also be interested in the Senior Citizens' Home Repair and Improvement Program.
One program under the administration of the D.C. Office of Aging involves a partnership with the YouthBuild Charter school system. In this program students help elderly District residents with household chores and minor home repairs such as painting and small safety modifications.
The second program offers loans and grants under the administration of the District of Columbia Department of Housing and Community Development (DHCD). It provides monetary assistance to help seniors make home safety and accessibility improvements to their homes and property.
The Benefit Options are:
- Assistance with home repairs
- Assistance with home and yard upkeep
- Financial loans and grants to make home modifications to enable aging in place or to increase a home's safety and weatherization. This includes HVAC, electrical, plumping and indoor / outdoor wheelchair ramps and other accessibility improvements.
Participant may apply for direct assistance with home repair by calling the D.C. Office of Aging at 202-724-5626.
You can also reach out to Department of Housing and Community Development for more information on financial assistance with home repair by visiting the DHCD website at http://dhcd.dc.gov/.
Health Regulation and Licensing Administration Phone (202) 724-8800
Contact: Sharon Mebane Phone (202) 442-4751
What is the best number to call to get started? Call (202) 724-5626 to request services.
Is there a website? http://dcoa.dc.gov/service/information-and-assistance
Washington D.C. Contacts
Washington D.C. Health Regulation AdministrationPhone: (202) 442-5888
Phone: (202) 442-4781
Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.
License information source: District of Columbia Health Regulation and Licensing Administration
Washington D.C. Assisted Living Facilities by City
- What is Assisted Living?
- Who Lives in Assisted Living?
- Services Provided
- Staff and Administration
- Quiz: What type of care is right for me?
- Talking to a Parent
- Assisted Living Costs
- Ways to Pay for Assisted Living
- Putting Together a Financial Plan
- If You Can't Afford Assisted Living
- Planning Your Social Security to Better Pay for Retirement
- Prescription Drug Assistance
- Choosing an Assisted Living Facility
- Moving Out of the Family Home
- Moving Into an Assisted Living Community
- Resident Activities
- Resident Health
- Medication Management and Adherence Education
- How Tech Advanced are Facilities?