Alzheimers, Dementia & Memory
Care Facilities in Pennsylvania

Seeing the effects of dementia or Alzheimer’s in a parent or loved one can be a difficult sight for any family member. On top of that, if you see their cognitive abilities declining, you may have to think about putting them into special memory care facilities.

This can be a tough choice to make for many families, but for many patients, it may be necessary. Luckily, Pennsylvania offers many memory care homes that will take great care of your family members and provide the special treatments that they need.

Memory Care Costs in Pennsylvania

Memory care in Pennsylvania, which offers specialized care for individuals with Alzheimer's disease and dementia, typically costs 20-30% more than standard assisted living. Below is an overview of costs for the state and its ten largest cities, along with a comparison to neighboring states.

Average Memory Care Costs in Pennsylvania

• State Average: $5,375 per month.

Memory Care Costs in Major Pennsylvania Cities

Summary and Regional Comparison

Memory care costs in Pennsylvania generally align with the national average of around $5,625 per month but vary significantly by city. Urban centers like Philadelphia and Pittsburgh tend to have higher costs due to demand and facility availability, whereas smaller cities like Erie and Scranton offer more affordable options.

Compared to nearby states:

• New Jersey: Average costs are higher, often exceeding $7,000 per month.
• New York: Costs in urban areas like New York City reach $8,000 or more, though smaller cities are comparable to Pennsylvania.
• Ohio: Slightly lower overall, with averages closer to $5,000 per month in most cities.

Memory care affordability depends on location, facility services, and specific needs. Families should explore multiple facilities and financial assistance programs to find the best fit for their loved ones.

Cost of Memory Care in Most and Least Expensive Zip Codes in Pennsylvania

The cost of memory care in Pennsylvania varies greatly by region, often influenced by factors like population density, the number of facilities available, and local demand. Below is a table showing the most expensive and least expensive zip codes for memory care in the state.

The most expensive memory care is typically found in larger cities like Philadelphia and Pittsburgh, where demand is higher and facilities offer more specialized services. In contrast, smaller cities like Erie, Scranton, and Chambersburg offer more affordable options, reflecting lower living costs and less competition among facilities.

Comparison of Memory Care Costs to Other Types of Senior Living in Pennsylvania

Memory care tends to be more expensive than other types of senior care due to the higher level of assistance and security it provides. Below is a table comparing the cost of memory care with other common types of senior living options in Pennsylvania.

Memory care costs in Pennsylvania are typically higher than assisted living due to the specialized care provided, but generally lower than skilled nursing homes. On average, it costs about $5,375 per month, which is more affordable than nursing homes, which can surpass $8,000 monthly, especially in larger cities. Assisted living, being less intensive, is more affordable than memory care, with a typical cost of $4,200 per month. Independent living is the least expensive of the options, catering to seniors who do not need daily assistance

Can you use Medicare to pay for memory care in Pennsylvania?

Medicare, the federal health insurance program for those over 65 or with certain disabilities, generally does not cover memory care services in Pennsylvania or other states when it comes to custodial care. However, there are specific circumstances where Medicare can help pay for certain aspects of memory care, depending on the level of care needed and the individual’s condition. Here’s a breakdown of how Medicare works in relation to memory care in Pennsylvania:

1. Medicare and Skilled Nursing Facilities (SNFs)

If your loved one requires skilled nursing care or therapy as part of their memory care treatment, Medicare may cover the costs under certain conditions. This is typically provided in a Skilled Nursing Facility (SNF) after a hospital stay of at least three days, and only if the care needed is considered skilled care (such as physical therapy or nursing services).

In Pennsylvania, like in other states, Medicare Part A covers up to 100 days of care in a skilled nursing facility, but only if it is medically necessary and the person meets the eligibility criteria. After the first 20 days, Medicare beneficiaries may be required to pay a daily co-payment. However, custodial care, which is the assistance with daily living activities (such as bathing, dressing, and eating), is not covered by Medicare. Memory care is often a combination of custodial care and specialized services, so it is unlikely to be covered under Medicare for long-term stays.

2. Medicare Advantage Plans

Some Medicare beneficiaries in Pennsylvania may have Medicare Advantage (Part C) plans, which are offered by private insurance companies. These plans often provide additional benefits that Original Medicare doesn’t cover, such as some in-home care or benefits related to long-term care. While these plans may have more flexibility in terms of covering memory care services, they still typically won’t cover long-term memory care in facilities if the care needed is custodial.

However, it’s worth exploring the details of specific Medicare Advantage plans available in Pennsylvania to see if they offer any extra coverage for memory care or related services like adult day care or in-home support.

3. Medicare and Home Health Care

If a person with memory impairment requires specific medical care at home, Medicare Part A and Part B may cover home health care services, such as visits from a nurse or a physical therapist. To qualify, the individual must be homebound, and the care must be medically necessary.

For instance, in Pennsylvania, if the individual with memory loss has specific needs like physical therapy or skilled nursing care, Medicare may cover those home visits. However, non-medical services, such as personal care or assistance with daily activities like bathing, dressing, or meal preparation, will not be covered by Medicare.

4. Medicaid as a Potential Option

While Medicare is limited in covering memory care, Medicaid, a joint federal and state program, might be an option for low-income individuals in Pennsylvania. If someone meets Medicaid’s eligibility requirements, they may qualify for additional long-term care services, including memory care in specialized facilities. Medicaid covers a broader range of custodial care, and in Pennsylvania, it can help cover the costs of staying in a long-term care facility or a memory care unit for individuals who meet financial and medical eligibility requirements.

In Pennsylvania, Medicaid can also cover some home and community-based services (HCBS) that may include memory care services in the home. Medicaid is income-dependent, and its eligibility requirements vary by state, so you would need to contact the Pennsylvania Department of Human Services to learn more about eligibility and coverage for memory care services.

Who Are Perfect Residents for Pennsylvania Dementia & Alzheimer's Care Facilities?

Pennsylvania dementia and Alzheimer's care homes are specially-designed facilities that assist patients who have been diagnosed with a form of dementia cope with the symptoms and side effects that they experience. Residents at these facilities often have major declines in cognitive function, and physical functions, that limit what they are able to do on their own. This may keep them from being able to handle meal preparation, proper physical care, and other daily activities.

PA Alzheimer's care homes provide a safe place for them to receive the intensive treatment they need to help fend off the worsening of these degenerative diseases and prevent their severe symptoms from progressing any further, while getting the personal care that they need to maintain a healthy life. 
Amenities Offered in Pennsylvania Memory Care Facilities

Pennsylvania dementia care homes must meet all the needs of patients in their facilities, and to do that they must offer residents the amenities they need to live a comfortable and healthy lifestyle. These homes that offer dementia care offer various personal care services like bathing assistance, meal preparation, and feeding help, as well as cleaning services for their rooms and linens. These amenities keep the facility in good shape while allowing patients to have all that they need for proper personal care. 

Other amenities may include social activities and events that help foster a sense of community between the residents. Getting patients to interact with each other and communicate will not only help their social skills, but it may also help them to not feel alone or isolated while being in these homes. With families unable to stay with their loved ones, they can often feel left out.

However, with social stimulation on a regular basis through crafts, movies, and birthday celebrations for other residents, patients can feel begin to feel more at home.

Some Pennsylvania dementia care facilities may also offer transportation for patients to go on outings with staff and other residents. Trips to the park, the movies, or other special events can be arranged on a regular basis to allow patients to leave the facility grounds.

Memory Care Admission Requirements in Pennsylvania

In Pennsylvania, admission requirements for memory care facilities are guided by both state regulations and individual facility policies, but there are several common requirements that prospective residents and their families should be aware of.

1. Diagnosis of a Cognitive Impairment

The primary admission requirement for memory care in Pennsylvania is a formal diagnosis of a cognitive impairment such as Alzheimer's disease, dementia, or another neurocognitive disorder. This diagnosis must typically come from a physician, neurologist, or geriatric specialist. Some facilities may require recent medical documentation or confirmation of the condition to ensure that the facility is equipped to meet the individual’s care needs.

2. Physical and Medical Assessment

In addition to a cognitive diagnosis, memory care facilities in Pennsylvania usually require a comprehensive medical assessment to determine the overall health of the individual. This assessment may include evaluating physical conditions, such as mobility, chronic health issues, and the need for medical treatments. The goal is to ensure that the facility can provide appropriate care for the person’s medical needs.

3. Functional Assessment and Care Plan

A functional assessment is also typically part of the admission process. This assessment evaluates the person’s ability to perform daily activities such as eating, bathing, dressing, and managing medications. The facility will create a care plan based on this assessment, which details the individual’s needs and how the staff will provide support. This plan can be adjusted as the person’s condition changes over time.

4. Level of Care Needs

Memory care facilities in Pennsylvania often have different levels of care, depending on the severity of the individual’s condition. Some facilities may specialize in more intensive care for those with advanced stages of dementia, while others may cater to those who are in the early stages. A resident's specific needs will determine the level of care, and in some cases, a higher level of care may necessitate a transfer to a facility better suited to their condition.

5. Safety and Security Considerations

Since memory care residents are at risk of wandering and experiencing confusion, safety and security are critical in the admission process. Pennsylvania’s regulations require memory care facilities to have security systems in place, such as locked units or secure outdoor spaces, to prevent residents from wandering unsupervised. Admissions staff will assess whether a facility is equipped with the necessary safety features to meet the needs of each resident.

6. Social and Psychological Evaluation

Memory care facilities in Pennsylvania may also consider a psychological evaluation to understand the resident’s social needs and emotional state. This helps in creating a more holistic care plan that includes not only physical needs but also emotional and social support. Activities designed to engage the mind and promote socialization are common in memory care units, and understanding a resident’s preferences helps tailor those activities.

7. Financial and Insurance Documentation

Admission to a memory care facility in Pennsylvania often requires documentation of financial resources, including the ability to pay for services. Many families rely on long-term care insurance, Medicaid, or personal funds to cover the costs of memory care. Some facilities may accept Medicaid, while others may not, so it is important to confirm the facility’s payment policies in advance.

8. Behavioral and Psychiatric Health Considerations

If the person has a history of severe behavioral issues or psychiatric conditions (such as aggression, anxiety, or depression), the facility may assess whether it can meet those needs. Pennsylvania’s regulations require memory care facilities to provide an environment that minimizes risks to residents and staff, and facilities may need to ensure they have specialized staff or strategies in place to handle difficult behaviors.

9. Visitation and Family Involvement

Family involvement is encouraged in Pennsylvania’s memory care facilities, and prospective residents may be required to designate a family member or legal representative who can participate in decision-making. Some facilities may also conduct interviews with family members to better understand the resident’s history, preferences, and needs. This collaborative approach helps ensure that the care plan is aligned with the resident’s values and background.

10. Facility-Specific Requirements

In addition to the state regulations, each memory care facility in Pennsylvania may have its own specific admission criteria. These can include age restrictions, capacity limitations, or particular medical conditions they are equipped to handle. It is important to contact the specific facility to confirm their admission requirements and policies, as they can vary from one location to another.

Questions to ask Pennsylvania memory care facilities

When considering a memory care facility in Pennsylvania for a loved one, it's essential to ask questions that will help you assess the quality of care, safety, and overall environment. Memory care facilities specialize in supporting individuals with dementia or other cognitive impairments, so understanding their approach to care and services is crucial. Here are several detailed questions you should ask when evaluating potential memory care facilities:

1. What is your staff-to-resident ratio, and how does that affect care?

A low staff-to-resident ratio is vital in memory care, as it ensures personalized attention and prompt assistance when needed. Ask about how many caregivers are present at different times of the day, especially during evenings or weekends when staffing may be thinner. The facility should have trained staff available around the clock to attend to medical needs, provide supervision, and offer emotional support.

2. How are your staff trained to handle residents with memory loss or dementia?

Memory care requires specialized training to understand the complexities of conditions like Alzheimer's disease and other forms of dementia. Ask about the qualifications and ongoing training programs for staff, especially those related to dementia care. Facilities should offer comprehensive training in communication techniques, managing challenging behaviors, and understanding the needs of residents with memory impairments.

3. What type of care plans do you create for residents, and how often are they updated?

Each resident in memory care should have an individualized care plan tailored to their specific needs. Ask how the facility develops and customizes care plans for residents and how often they are reviewed and updated. It's important to ensure that care plans are adaptable as residents’ conditions change over time.

4. How do you handle emergencies and medical needs?

Emergencies, such as falls or medical issues, require immediate and efficient responses. Inquire about the facility's emergency protocols and how they handle urgent medical situations. Ask if they have registered nurses (RNs) or medical professionals on staff, or if they coordinate with external healthcare providers. Additionally, ask about their policies for managing medication and monitoring health conditions like diabetes or hypertension.

5. What activities are offered to promote mental stimulation and engagement?

Memory care should not only focus on physical health but also on maintaining cognitive function and emotional well-being. Ask about the types of activities the facility offers, such as memory-enhancing exercises, creative therapies (art, music, or dance), group outings, and social events. It's also important to learn how the facility tailors activities to the abilities and preferences of individual residents.

6. What security measures are in place to ensure the safety of residents?

Safety is a top concern in memory care, as individuals with cognitive impairments may wander or be at risk of accidents. Ask about the security measures in place, including locked doors, alarms, surveillance cameras, and staff monitoring of residents who may wander. Facilities should also be designed to minimize the risk of falls and have clear emergency evacuation plans.

7. How do you involve family members in the care process?

Involvement in the care of a loved one is crucial for families, and a good facility should welcome family participation. Ask how often and in what ways family members are updated on a resident’s progress and care needs. Some facilities offer regular family meetings, care plan reviews, or caregiver support groups. It’s essential to feel like an active partner in your loved one's care.

8. What is your policy on visitation and socialization?

Check if the facility has any restrictions on visiting hours or guidelines for family members and friends. Many families appreciate the opportunity to spend time with their loved ones outside of regular visiting hours. Additionally, ask about the social opportunities available for residents and how the facility encourages social interactions among residents to prevent isolation.

9. What are the costs, and what is included in the pricing?

Understanding the financial aspects of memory care is crucial. Ask for a breakdown of the costs, including any hidden fees for additional services, such as transportation, medical care, or special therapies. Make sure you understand what’s included in the monthly fee, and inquire about payment options, such as long-term care insurance or Medicaid eligibility in Pennsylvania.

10. How do you ensure dignity and respect for residents?

Memory care facilities should prioritize the dignity and respect of their residents. Ask about their approach to managing challenging behaviors and how they ensure residents feel valued. This can include using person-centered care techniques, providing choices, and offering autonomy within the limits of each resident's abilities. It’s also important to ask how staff members are trained to communicate respectfully with residents.

11. Can you provide references or testimonials from current or past families?

Hearing from other families can provide valuable insights into the facility’s overall quality and reputation. Ask for references or testimonials from current or past residents' families. It can also be helpful to check online reviews or request information on any accreditations or ratings from organizations such as the Pennsylvania Department of Aging or the Better Business Bureau.

12. Are there any specific memory care certifications or accreditations your facility holds?

Some memory care facilities pursue accreditation from professional organizations, which ensures they meet high standards of care. Ask if the facility has any certifications, such as those from the Alzheimer’s Association or the Commission on Accreditation of Rehabilitation Facilities (CARF). This can indicate that the facility follows best practices in dementia care.

13. What is the procedure for transitioning to higher levels of care if needed?

As dementia progresses, a resident’s care needs may change, and they may require additional support. It’s important to understand how the facility handles transitions if higher levels of care are necessary, such as moving to a skilled nursing facility. Ask about their policies and whether they have partnerships with nearby healthcare providers to ensure a smooth transition.

14. What is the facility’s approach to end-of-life care?

While it's a difficult subject, understanding the facility's approach to end-of-life care is important. Inquire about their palliative care services, the involvement of hospice care, and how they ensure comfort and dignity for residents at the end of life.

Memory Care Regulations in Pennsylvania

In Pennsylvania, memory care services are primarily regulated under the Department of Human Services (DHS), which oversees licensing and safety standards for long-term care facilities, including those that offer specialized memory care services. These regulations ensure that individuals with Alzheimer's disease or other types of dementia receive the appropriate care in a safe and supportive environment.

Licensing Requirements

Memory care facilities in Pennsylvania are required to obtain a license from the Department of Human Services. The facilities must comply with both state and federal regulations that govern long-term care, such as the Health Insurance Portability and Accountability Act (HIPAA) for privacy and confidentiality, and specific rules for dementia care.

Memory care facilities can operate under different types of licenses, including:

• Personal Care Homes (PCHs): Facilities that provide care and supervision to adults who need assistance with daily activities but do not require nursing care. These facilities are often equipped to offer memory care services.
• Nursing Homes: These facilities are licensed to provide skilled nursing care and typically serve individuals with more severe cognitive impairments.
• Assisted Living Residences (ALRs): These facilities can provide specialized care, including memory care, but are required to meet certain standards for safety, care plans, and staffing.

Each facility must meet specific criteria related to staffing, safety, and care procedures, ensuring that residents with memory loss receive services tailored to their needs.

Staffing and Training

Memory care facilities are required to employ trained staff capable of providing specialized care for individuals with memory loss. This includes staff members who are familiar with dementia care techniques and can handle the challenges that often arise, such as managing behavioral symptoms or preventing wandering.

Staff training programs in Pennsylvania memory care facilities must cover topics such as:

• Recognizing the signs of different types of dementia.
• Communication techniques specific to dementia care.
• Behavior management and de-escalation strategies.
• Safety protocols, including preventing falls and wandering.

Additionally, Pennsylvania regulations require that memory care facilities maintain appropriate staff-to-resident ratios to ensure that residents receive adequate attention and supervision.

Care Plans and Assessment

Each resident admitted to a memory care facility must undergo an individual care assessment. This assessment is used to develop a personalized care plan that addresses the individual's specific cognitive, medical, and personal needs. The care plan must be updated regularly, particularly if the resident's condition changes.

The regulations specify that:

• Care plans must be developed by licensed professionals, including nurses or social workers, and must involve input from family members and other caregivers.
• Facilities are required to provide ongoing evaluations to ensure that care plans remain aligned with the resident's needs.

Memory care providers must also document residents' progress and any incidents of concern, such as changes in behavior, health, or safety.

Environment and Safety Standards

The physical environment in memory care facilities is also regulated to promote safety and comfort for residents. This includes ensuring that:

• The facility is secure to prevent residents from wandering, a common concern in memory care.
• The layout is designed to be easy to navigate, with clear signage and well-lit spaces.
• Hazardous materials are kept out of reach, and any safety risks (such as slippery floors or sharp corners) are minimized.
• Outdoor spaces are secure and accessible to allow residents to enjoy fresh air safely.

Memory care areas are often distinct from other areas of the facility to reduce confusion, and there may be additional features, such as alarmed doors and fenced-in areas, to ensure residents cannot wander unnoticed.

Resident Rights and Oversight

Residents in memory care facilities in Pennsylvania have specific rights protected by state law, including the right to:

• Be treated with dignity and respect.
• Receive appropriate medical care and treatment.
• Maintain personal privacy and confidentiality.
• Participate in social, recreational, and religious activities.
• Be free from abuse, neglect, and mistreatment.

The state monitors these rights through periodic inspections and complaint investigations. The Department of Human Services conducts regular inspections to ensure that memory care facilities comply with safety, staffing, and care requirements. Families and residents can file complaints if they believe their rights are being violated or the facility is not meeting regulatory standards.

Financial Assistance and Medicaid

Memory care services can be expensive, but Pennsylvania provides some financial assistance options. Medicaid, through the Department of Human Services, offers coverage for long-term care services, including memory care, for eligible individuals. However, to qualify for Medicaid, applicants must meet financial and medical eligibility criteria.

Additionally, Pennsylvania's Choices program provides funding for older adults in need of long-term care, which includes memory care. This program may help cover the costs of care in various settings, including personal care homes and nursing homes.