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Because of the specialized staff training and resources required to provide high-quality memory care, memory care typically costs more than other types of residential care. On average, memory care will cost 20-30% more than assisted living.
In Maine, the average cost of assisted living is $5,169 per month, which is over $1,100 higher than the national monthly median of $4,051. Costs in the neighboring states of Vermont, Massachusetts and New Hampshire range from $5,339 to $7,021, while the average rate in Rhode Island is relatively comparable, at $5,199 per month. Using an anticipated 25% increase in cost for memory care, residents of Maine who need this type of care can expect to pay an average of $6,461 per month.
The cost of assisted living care in Maine can vary considerably when location and facility choice are factored in. The average cost is $6,600 per month in Portland, the state’s largest metropolitan area. In nearby Lewiston, the monthly average drops to $5,385. Further northeast in Bangor, seniors pay an average of $4,753 per month. These are rates for assisted living, and the monthly cost of memory care may be $600 to $900 higher.
The Maine state Medicaid plan, MaineCare, offers an Elderly and Adults with Disabilities Waiver that may provide some financial aid for eligible seniors who need memory care services. This waiver is designed to postpone or prevent admission to a nursing home by helping seniors remain in a community setting, such as an assisted living program, residential care facility or private nonmedical institution. The waiver does not pay for room and board or dementia-specific services, but it may help a senior lower their overall cost of care through the benefits it covers. These may include care coordination; financial management assistance; speech, occupational and physical therapy; personal care; skills training and nonmedical transportation.
The Maine Office of Aging and Disability Services administers the Affordable Assisted Living Program to help individuals on fixed incomes pay for assisted living services in certain state-approved facilities. The program does not pay for specialized dementia care, but it can help offset some of the costs a senior would otherwise incur on a monthly basis. Approved participants pay a co-pay and an income-based share of the cost of provided services and supports, which may include meals, personal care, medication administration, housekeeping and emergency response systems.
The Maine Department of Health and Human Services provides eligible residents with a monthly state supplement payment that may be used to help pay for day-to-day necessities or put toward the cost of memory care facility room and board or provided services. The amount of the benefit varies depending on the recipient’s living arrangement.
In addition to the state programs mentioned above, those looking for resources to finance memory care may consider:
The Maine Department of Health and Human Services, Division of Licensing and Certification, is responsible for licensing and overseeing assisted housing facilities that offer memory care. The DLC conducts periodic licensing and safety code inspections and responds to complaints. In Maine, memory care services may be offered in assisted living programs (ALPs), Level IV residential care facilities (RCFs) and private nonmedical institutions (PNI), which may contain a separate, secured memory care unit. The state has specific licensing requirements for memory care units to ensure that residents receive personalized care in an environment that promotes their quality of life, dignity and independence.
The services offered by ALP, RCF and PNI facilities must include assistance with activities of daily living, meals, recreational and social activities, care management and supervision, medication management and nursing services. Memory care units are also required to provide appropriate weekly therapeutic activities that may lessen residents’ anxiety, restlessness and wandering, aid their eating and sleeping patterns, improve their cooperation and socialization and delay the deterioration of cognitive skills. Activities must be chosen according to the needs of each resident and incorporated into their personal care plan.
ALPs, RCFs and PNIs in Maine may admit individuals with a wide range of care needs and conditions, including those with memory loss, Alzheimer’s disease and dementia. Facilities that provide memory care must have a written policy in place regarding preadmission screening and procedures for the admission and discharge of residents. State regulations place certain admission and discharge restrictions on memory care units, as shown in the following table.
|Residents Who May Be Admitted||Adults and seniors who:|
|Residents Who May NOT Be Admitted or May Be Discharged||Individuals who:|
Memory care unit residents who exhibit symptoms of dementia but were not formally diagnosed must receive a diagnostic evaluation within 45 days of admission. Care plans must be developed for each new resident detailing specific services, therapies and treatments that will be provided to promote their self-care abilities, encourage independence and maintain their dignity and privacy while ensuring their safety and comfort and taking their preferred manner of living into consideration. ALP residents must be reassessed every six months, while residents of RCFs and PNIs must be reassessed every 12 months.
Residents of licensed facilities must be evaluated upon admission to determine whether they can self-administer medications or need assistance. Staff in memory care units may provide medication administration assistance to residents. They may read medication labels for residents, check dosages and remove prescribed dosages from a container, observe while residents take their medications and maintain medication records. Unlicensed staff members who have completed a DLC-approved training program may administer certain medications that require injection.
Maine regulations stipulate that memory care units should provide a safe environment that enhances the quality of life of residents and reduces agitation, tension and behavior problems. Memory care units in ALFs must feature individual apartments with a kitchen or kitchenette, a bathroom and a living area. RCFs and PNIs may offer private and shared rooms for a maximum of two occupants. In addition to meeting specific facility requirements, memory care units must also provide:
State-licensed ALPs, level IV RCFs and PNIs must employ an administrator who holds an appropriate professional license to oversee day-to-day operations. Level IV RCFs and PNIs must also employ or contract with a registered nurse to observe resident signs and symptoms, recommend staff training and make regular reviews of resident and medication records. Level IV facilities with more than 10 beds must also contract with a pharmacist to perform quarterly consultations, at a minimum.
There are no minimum staff ratios required in assisted living programs. Level IV RCF and PNI facilities with fewer than 10 beds must have one responsible staff member awake and on duty at all times, while those with 10 beds or more must have two awake staff members on duty around the clock. Additionally, facilities with 10 or more beds must maintain minimum direct care staff-to-resident ratios of 1:12 on day shifts, 1:18 during evening shifts and 1:30 on overnight shifts.
Memory care units in licensed Maine facilities must employ staff who have received specialized dementia care training. Facilities are required to have sufficient staff on duty during the day, evening and overnight shifts to meet the needs of residents and provide the services outlined in their care plans.
New memory care unit staff members must complete 16 hours of combined classroom and clinical orientation on specific topics pertaining to dementia care. In addition to an overview of Alzheimer’s disease and dementia, an orientation must cover communication basics, activity-focused care, creating a therapeutic environment and dealing with difficult behavior and family issues.
The Maine state Medicaid plan offers the Elderly and Adults with Disabilities Waiver, which may help eligible seniors pay for a variety of services in licensed facilities that provide memory care.
Anyone who has concerns about the neglect or abuse of a resident or the living conditions in a Maine memory care unit may file a complaint with the Division of Licensing and Certification. Complaints may be made by emailing the division at [email protected], calling 800-383-2441 or mailing a completed complaint form to:
Division of Licensing & Certification Complaint Intake
Department of Health and Human Services
Maine Center for Disease Control and Prevention
41 Anthony Avenue
11 State House Station
Augusta, Me 04333-0011
Staff of the Maine Long-Term Care Ombudsman Program are also authorized to investigate complaints and may be reached by calling 800-499-0229.
|Alzheimer’s Association – Maine Chapter|
|Call the AA helpline at 800-272-3900, or contact the local chapter at 207-772-0115||The Maine Chapter of the Alzheimer’s Association offers a wide range of support services and educational resources for individuals living with dementia and their families. Seniors can receive personalized assistance by calling the toll-free 24-hour helpline or by visiting, emailing or calling the chapter’s Scarborough office.|
|Maine Low Cost Drugs for the Elderly or Disabled Program|
|To apply, call the Maine Department of Human Services prescription drug information line at 866-796-2463||The DEL program provides discounts of 80% on prescription drugs and may help eligible individuals lower their costs for medications used to treat dementia. The program is open to disabled adults and those aged 62 and older who cannot qualify for MaineCare. Income and asset limits apply.|
|Find the contact details for the nearest Memory Cafe|
|There are memory cafes located throughout Maine that offer seniors and their loved ones a chance to socialize in a welcoming atmosphere, find mutual support and share information. Each cafe is unique and may offer education, reminiscing exercises, music and dance, along with other enjoyable activities.|
|Maine Legal Services for the Elderly|
|Call the helpline at 800-750-5353 for information and assistance||LSE is a nonprofit organization with offices across Maine that provides free legal advice and services for seniors aged 60 and older. Help is available on various issues that seniors with dementia may face, such as guardianship and conservatorship defense, financial exploitation and access to public benefits.|
|For more information call 207-797-7891||MemoryWorks is a Maine-centric online resource for seniors who have dementia and their families. The nonprofit site offers screening tests, listings for local events and services, information on a variety of relevant topics and links to other dementia-related resources.|