The three levels of care, and what each covers
Three levels, one rate each. Every level includes the same meals, housekeeping, laundry and overnight staffing. The level reflects only how much hands-on help someone needs day to day.
How the level gets decided
Before anyone moves in we assess in person, usually at the hospital, the rehab facility or wherever they are now. You get the level and the rate before you commit to anything.
We would rather spend an hour getting this right than place someone at the wrong level and revisit it in a month.
- Mobility
- Can they walk, and with what. Do transfers take one person or two. What the fall history looks like.
- Medication
- How many, how often, and whether they need reminding, assisting or administering.
- Daily routines
- Bathing, dressing, grooming and the bathroom: what they still manage alone, and where a caregiver has to be hands-on.
- Memory and safety
- Short-term memory loss, confusion or forgetfulness, and what supervision that calls for, particularly overnight.
- Diet
- Diabetic, low-sodium, soft or pureed, allergies, and religious requirements. This does not change the level; we just need to know.
What each level actually looks like
Level 1
Minimal assistance
Largely independent, but safer with supervision and prompting. Usually someone who was managing at home until a fall, a hospital stay, or a slow decline made living alone unwise.
- Daily supervision and safety monitoring
- Medication reminders and light assistance
- Stand-by help with bathing, dressing and grooming
- Meals, housekeeping and laundry
- Monitoring for low to moderate fall risk
Level 2
Moderate assistance
Where most of our residents start
Regular hands-on support and closer oversight through the day. Once a caregiver has to be physically present for daily routines, this is the level.
- Hands-on bathing, dressing, grooming and toileting
- Full medication administration and management
- Mobility support, walking assistance and transfers
- Increased fall-risk supervision
- Continence care when needed
- Support with short-term memory loss and confusion
- Coordination with home health, therapy and hospice
Level 3
Higher assistance
Consistent supervision and frequent assistance, at the top of what we provide.
- Full assistance with all activities of daily living
- Two-person assist for mobility and transfers
- Close supervision for high fall risk or weakness
- Medication management with strict compliance monitoring
- Support for residents needing frequent daily care
- Routine external ostomy care, following a nurse's assessment
- Enhanced physician, home health and hospice coordination
Awake overnight staff is included at every level. It is a floor here rather than a feature, and it is worth asking about anywhere you tour.
If the level needs to change
Care needs move. Here is exactly what happens when they do, so none of it arrives as a surprise on an invoice.
- You hear it first
- We raise it with you and talk it through before anything changes. A level is never adjusted quietly and then billed.
- What it costs
- You move to the published rate for the new level, and nothing else. Level 1 to Level 2 is $500 a month. Level 2 to Level 3 is $1,100 a month. There is no re-assessment fee and no separate charge for making the change. Every rate is published on the pricing page.
- It can go down
- People recover. After a hip or a stroke, someone who arrives at Level 3 may settle at Level 2. The rate follows the care in both directions.
- Where the ceiling is
- Level 3 is the top of what we provide. If needs progress past it, meaning total skilled nursing, 24-hour licensed nursing supervision, or a resident who is permanently bedfast, we start that conversation early and help you plan, rather than handing you a notice in a crisis.
Which level is right?
A rough guide. The honest answer usually comes out of a ten-minute phone call.
Usually Level 1. They can dress and wash largely on their own, but need prompting with medications, someone nearby in case of a fall, and meals they are not managing to cook. Supervision is the main value here.
Usually Level 2. Once a caregiver has to be physically present and hands-on for daily routines, or once medications need administering rather than reminding, this is the right level. Support with short-term memory loss and confusion also sits here.
Usually Level 3. Full assistance with daily activities, two-person transfers, close supervision for significant fall risk, and strict medication compliance. This is the top of what we can safely provide.
Not sure which level fits?
Call and describe the situation. We will tell you which level applies, what it would cost with nothing left out, and whether we are genuinely the right home, in about ten minutes.
Tours available daily, 10:00 AM – 6:00 PM · Book at least one day ahead