Nearly half of Americans over 65 will pay for some version of long-term health care, the landscape of which is quickly transitioning away from nursing homes and toward community living situations.
Eberline Nugent, left, Johnny Griffin, Jay Cossey and Carrie Dickson play bingo during activity time at The Retreat at Kenwood assisted living facility in Texarkana, Texas on Friday, May 17, 2024. Cossey recalls, My brother came and said he wanted to take me home. ... I told him I am home. Im home because I feel good here.
The result is older Black Americans may be left out of living situations that can create community, prevent isolation and provide help with daily tasks while allowing for a level of personal independence. Lacking a universal definition for assisted living, the federal study created the “residential community care” category to represent settings that serve people who cannot live independently, but also do not require the more comprehensive care provided in nursing homes.
In Palo Alto, California, the nonprofit Lytton Gardens uses funding from the U.S. Department of Housing and Urban Development to subsidize housing costs for low-income assisted living residents. But the cost of care — scheduled meals, help with bathing and taking medications — is still on the individual.
Researchers’ major question as more assisted facilities open up across the U.S. — are they located near Black communities? — is hard to answer, too. “I think the other piece is that expectation that we want to keep people home as long as possible," said Candace Kemp of Georgia State University’s Gerontology Institute."And within families of color, African American communities in particular, there’s this desire to take care of family members.”
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