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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.
The average monthly cost for assisted living in Wyoming is $3,780, which is somewhat lower than the national monthly average of $4,051. Going with the estimate that memory care costs 20-30% more than assisted living, seniors can expect to pay $756-$1,134 per month extra for memory care in Wyoming.
Costs vary within the state, with the largest cities having higher rates than the state average. Cheyenne, the largest city in Wyoming, has an average monthly cost of $4,540 for assisted living, while the second largest city, Casper, has an average cost of $4,425 per month. Bearing in mind that these costs are for standard assisted living, seniors should be prepared to pay more for memory care in any part of the state.
Wyoming’s Community Choices Waiver program includes several previously separate waivers that provided financial assistance to Medicaid-eligible seniors, including the Assisted Living Facility Waiver, Long Term Care Waiver, Comprehensive Waiver and Supports Waiver. This expanded Medicaid Home and Community-Based Services program allows the state to waive certain Medicaid requirements to offer additional services to eligible applicants, because Medicaid doesn’t pay for the cost of room and board in assisted living. Covered services may include daily care services, personal care, skilled nursing and other services, such as those needed for memory care.
In addition to the state programs mentioned above, those looking for resources to finance memory care may consider:
The Department of Health, Office of Healthcare Licensing and Surveys regulates and licenses assisted living facilities, including facilities with secured units and those dedicated to the care of people with Alzheimer’s disease or other forms of dementia. State surveyors conduct an unannounced health survey as part of the licensing process, and perform periodic surveys for license renewal and as needed to investigate complaints. The department may also place a monitor at the facility, at the owner’s expense, to ensure residents’ health and safety aren’t at risk. To operate a secure dementia unit, assisted living facilities must be licensed as a Level 2 facility and meet additional requirements.
Level 1 assisted living facilities must provide core services, including:
Level 2 facilities must meet health care occupancy requirements and provide services in addition to Level 1 core services, including:
Assisted living facilities in Wyoming can admit a wide range of residents as long as they’re able to fulfill all the needs of each resident, but certain restrictions apply to individuals admitted into a secure dementia unit. New residents must have a medical history and physical performed in the 90 days prior to admittance. The following table provides an overview of the Alzheimer’s sufferers who may and may not be admitted to a Level 2 assisted living facility.
|Residents Who May Be Admitted||Older adults and people with:
|Residents Who May NOT Be Admitted||Individuals who score more than 20 or less than 10 on the Mini-Mental State Exam or require:
A registered nurse must complete a preadmission assessment to determine each new resident’s needs, and Level 2 facilities also must complete a Mini-Mental State Exam for individuals being considered for a secure unit. Additional assessments and MMSEs must be completed at least annually, and anytime there’s a significant change in a resident’s physical or mental condition. Assessments are used to develop, review and revise individualized care plan requirements. Plans must include what, when and how care will be provided, who will provide care and the expected outcome. Facilities must include residents in the development of their own care plans. A relative or another interested party may also participate, especially if the resident has limited participation abilities.
A registered nurse must always be responsible for the supervision and management of all residents’ medication administration, including a review of medications every two months and when medications are prescribed or changed. The nurse must also document whether a resident is capable of self-administering medications. Only registered nurses or licensed practical nurses can administer medications to residents who can’t self-administer. However, non-licensed staff may assist with oral medication, but only by helping to remove container caps or medication from a container for residents with functional disabilities, or by providing reminders and watching while residents take their medications.
Apartment-style units aren’t required in Wyoming. Half of the beds in a facility must be in private rooms, and private residency rooms must be at least 120 square feet in size. A maximum of two residents may share one unit by choice, and shared units must provide at least 80 square feet of space per resident. Two residents are permitted to share a room with one bed by mutual consent, if the bed is a double or larger. A facility must provide at least one sink and flush toilet for every two residents, and at least one tub or shower for every 10 residents.
In Level 2 facilities, a licensed nurse must always be on duty to perform ongoing resident evaluations and administer medications, as needed. If this nurse is an LPN, an RN must be available on the premises or by phone. Also, the facility must always have at least one on-duty staff member with specialized training in providing care and supervision of residents with severe cognitive impairment. All assisted living facility staff must pass a Department of Family Services central registry screening and Wyoming Division of Criminal Investigation fingerprint background check before having direct contact with residents. Level 2 facility staff must complete at least 12 hours of dementia care-related continuing education on a yearly basis.
Medicaid doesn’t pay for room and board in assisted living facilities; However, Wyoming’s Assisted Living Facility Waiver, which is now part of the Community Choices Waiver program, may help qualified residents cover certain costs. This waiver may provide financial assistance for services received while in a licensed assisted living facility, including daily care services, memory care services, case management and others benefiting residents with Alzheimer’s or other forms of dementia.
Wyoming is a mandatory reporting state, so anyone suspecting abuse of a memory care, assisted living or nursing facility resident must legally report it. This includes any type of abuse, including injuries of unknown source, plus mistreatment, neglect or misappropriation of resident property. Suspicions of abuse may be reported to one of these three agencies:
The Office of Healthcare Licensing and Surveys, located in Suite 510 of the Wyoming Department of Health offices at 2300 Capitol Avenue in Cheyenne, which can be reached by calling 307-777-7123 and asking to speak with a health surveyor.
|Wyoming Dementia Care||307-232-3385||Wyoming Dementia Care is dedicated to helping families and caregivers of anyone with Alzheimer’s disease and dementia-related illnesses. The organization offers a range of free services, including care planning, one-on-one counseling, support groups, outreach programs, dementia-focused art classes and caregiver support.|
|Wyoming Chapter of the Alzheimer’s Association||1-800-272-3900||The Wyoming Chapter of the Alzheimer’s Association acts as an advocate on the state and national levels, while offering a 24-hour helpline, community education programs and support groups for caregivers and individuals living with Alzheimer’s disease and other forms of dementia. The chapter also offers classes for caregivers and health care professionals who want to learn more about Alzheimer’s disease and dementia in general.|
|Dementia Friendly Wyoming||307-461-7134||Dementia Friendly Wyoming offers support to individuals living with dementia and their caregivers through education, facilitated discussions with SHARE counselors, care consultations, workshops, coaching and future care planning assistance. DFW also offers a non-traditional referral program focused on physically or socially isolated individuals living with or at risk of dementia, and a friendly visitors program that provides social interaction, support and mental stimulation to enhance the quality of life of individuals living with dementia.|
|Here and Now: Dementia Focused Art Classes||307-265-4678 ext. 106||The Nicolaysen Art Museum partners with Wyoming Dementia Care to offer free recreational art classes on the third Thursday of each month. The classes give people suffering from dementia and their loved ones opportunities to make art together in various medias, such as paint, clay, collage and printmaking.|
|Wyoming Center on Aging, Dementia Support Center||307-766-2829||The Dementia Support Center strives to meet the specific needs of people with dementia and their family members through care-planning programs, support services, memory screenings and caregiver support groups.|
|Alzheimer’s Support Group||307-272-3621 or 307-578-2512||The Alzheimer’s support group meets the second Tuesday of each month at Cody Regional Health as part the Wyoming Chapter of the Alzheimer’s Association efforts to provide community education, support and one-on-one counseling for those affected by Alzheimer’s disease.|