Alzheimers, Dementia & Memory
Care Facilities in Delaware

When you are dealing with a parent or loved one who is showing signs of dementia or Alzheimer's, it can be tough to take the first step to get them the care that they need. Memory care facilities in Delaware are a great way to allow your family members to receive care in a specialized dementia care unit, but it may be difficult to know where to start looking.

Well, we can help. There are many memory care homes that are great options for loved ones in Delaware, you just have to know where to look to find them. This article is here to help you navigate this process so that you can find dementia and Alzheimer's care homes for your loved one living with these diseases, and they can receive the care that they need.

Memory Care Costs in Delaware

Memory care in Delaware is relatively expensive compared to the national average, primarily because of its comprehensive dementia-specific services and high demand. Below is a summary of approximate costs across the state and its largest cities.

Summary and Regional Comparison

• Delaware: The state’s average monthly memory care cost is $6,413, higher than the national average of $5,792. Prices vary slightly depending on city and facility quality.
• Nearby States: Memory care costs in nearby states vary:
  • Maryland: $6,400 monthly on average, with cities like Annapolis at $6,940.
  • New Jersey: Higher overall, averaging $8,507 monthly.
  • Pennsylvania: Generally lower, averaging $5,931 monthly, with Philadelphia at $7,434.

Delaware's costs are moderately high compared to neighboring states, but still lower than New Jersey's. These rates reflect the comprehensive services and specialized care provided to those with Alzheimer’s and other forms of dementia.

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

The costs of memory care services in Delaware vary widely based on location, influenced by factors such as facility quality, local demand, and living costs. Below is a summary of the five most and least expensive zip codes for memory care in the state.

Insights

• Most Expensive: The highest costs are found in affluent or highly developed areas like Wilmington (19803, 19806) and beach towns such as Rehoboth Beach and Lewes. These areas are known for premium facilities and services.
• Least Expensive: Newark (19702) and Milford (19963) offer more budget-friendly options, often with slightly fewer amenities but still providing essential memory care services.
• The overall trend shows that facilities near Delaware's coastal or urban areas tend to be more expensive, while those inland or in less populated regions are more affordable.

Memory Care Costs vs. Other Types of Senior Living in Delaware

Memory care is among the more specialized and higher-cost types of senior living in Delaware, reflecting the additional services tailored to individuals with dementia or Alzheimer’s. Below is a comparison of costs for different senior living options in Delaware.

Delaware Costs vs. Nearby States

When comparing Delaware's senior living costs to nearby states, memory care in Delaware is higher than some, but comparable to others:

Insights

• Delaware Memory Care: Costs are slightly above Maryland and Pennsylvania but below New Jersey.
• Nursing Home Costs: Delaware nursing home rates are close to national averages but lower than New Jersey.
• Independent and Assisted Living: These options are more affordable than memory care due to less intensive service levels.

Memory care bridges the gap between assisted living and nursing home costs due to its specialized nature, particularly in Delaware’s higher-cost areas.

Who are Delaware Dementia and Alzheimer's Care Facilities For?

Alzheimer's care facilities in Delaware offer special care to those who need it, but not every aging person will need this level of care. There are many elderly patients that unfortunately develop a form of dementia, which is a degenerative brain disorder, and will require the specialized care that is provided at memory care communities.

Delaware dementia care homes are designed for those patients who require care that cannot be attained at other facilities. So, they are specifically made to accommodate the patients who have unique challenges caused by their diseases and help to prevent any further deterioration in a way that other types of facilities don't. 

Memory Care Regulations in Delaware

Memory care facilities in Delaware are regulated to ensure the safety, health, and well-being of residents living with Alzheimer's disease, dementia, or other cognitive impairments. These regulations are enforced by the Delaware Division of Health Care Quality, which oversees licensing, compliance, and standards for long-term care facilities, including memory care units.

Licensing and Certification Requirements

Memory care facilities in Delaware must obtain a specific license as assisted living communities or long-term care facilities. To qualify, facilities must demonstrate compliance with state standards for staffing, safety, and care services tailored to residents with cognitive impairments. Facilities are subject to periodic inspections to ensure adherence to licensing requirements.

Staff Training and Qualifications

Delaware mandates specialized training for staff working in memory care units. This training focuses on understanding dementia-related conditions, communication techniques, behavior management, and providing individualized care. Staff must also complete ongoing education to stay updated on best practices for memory care.

Resident Assessment and Care Planning

Facilities are required to conduct a thorough assessment of each resident before admission. This assessment evaluates the individual’s physical, mental, and emotional needs, including their cognitive functioning. Based on the assessment, a personalized care plan is developed, addressing medication management, daily living activities, and therapeutic interventions.

Security and Safety Measures

Memory care facilities in Delaware must implement enhanced security measures to prevent wandering, a common concern for residents with dementia. This includes secured exits, alarm systems, and appropriate supervision levels. Facilities are also required to have safety protocols for emergencies, such as fire or natural disasters, with staff trained to assist cognitively impaired residents.

Environmental Design

Delaware's regulations emphasize creating a supportive environment for memory care residents. Facilities are encouraged to have spaces designed to reduce confusion and promote comfort, such as clearly marked areas, circular hallways to avoid dead ends, and sensory-friendly decor. Outdoor spaces, if provided, must be secure and accessible.

Medication Management

Strict guidelines govern medication administration in memory care settings. Only licensed healthcare professionals are permitted to handle and administer medications. Additionally, facilities must maintain accurate records of all medications, dosages, and administration times.

Family Involvement

Delaware encourages memory care facilities to involve families in the care process. This includes regular updates on the resident's condition, access to support services, and participation in care planning when appropriate.

Inspections and Compliance

The Division of Health Care Quality conducts routine and unannounced inspections to ensure memory care facilities comply with state laws and regulations. Facilities found in violation may face penalties, including fines, license suspension, or revocation, depending on the severity of the infraction.

By adhering to these regulations, memory care facilities in Delaware aim to provide safe, compassionate, and effective care for individuals with cognitive impairments.

Amenities Offered in Delaware Memory Care Facilities

If you are looking for dementia or Alzheimer's care communities for the very first time, then it can feel daunting to look at all of the different places and options that are available. But there are a few things that should tell you if a facility is a good option for your loved one. The main thing that you should look at is the amenities that are offered at the home. This can set some facilities apart from others. You can make sure that your family member is getting everything they need once you go through the full list of amenities offered.

Dementia care communities are not all the same, but they often offer similar amenities that make them unique from other types of senior care facilities. Services like laundry assistance, transportation, and 24/7 staff supervision and medical care are offered to residents of homes that offer dementia care because patients will likely need help in all these areas.

With brain diseases, daily tasks can become too difficult for senior citizens to complete themselves, so laundry services and supervision can make things much easier. There may also be group activities led by staff, or trips for residents to leave the facility for a special event that is provided that allow the residents to feel more at home and a part of a community.

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

Medicare, a federal health insurance program primarily for individuals aged 65 and older, offers limited coverage for memory care services. In Delaware, as in other states, Medicare does not cover the cost of long-term residential memory care facilities, such as assisted living or nursing homes, specifically for individuals with Alzheimer's disease, dementia, or other memory-related conditions. However, Medicare may help with certain medical expenses related to these conditions. Here’s a detailed breakdown:

What Medicare Covers for Memory Care in Delaware

Medicare provides coverage for medical services related to diagnosing and managing memory-related conditions. These include:

1. Medical Care and Doctor Visits
   Medicare Part B covers outpatient visits to doctors and specialists for the diagnosis, treatment, and management of dementia-related conditions.

2. Inpatient Hospitalization
   If hospitalization is needed due to complications from dementia or related illnesses, Medicare Part A covers inpatient hospital stays, including care in a psychiatric hospital for up to 190 days in a lifetime.

3. Short-Term Skilled Nursing Care
   After a qualifying hospital stay (typically three days), Medicare Part A may cover short-term skilled nursing care for up to 100 days. This is not intended for long-term memory care but rather for rehabilitation or recovery after an acute medical event.

4. Home Health Services
   For eligible individuals, Medicare may cover intermittent home health care services such as nursing care, physical therapy, or occupational therapy. This could be beneficial for Delaware residents seeking limited in-home support related to memory care needs.

5. Medicare Part D Prescription Drug Coverage
   This plan covers prescription medications used to manage symptoms of dementia or other related conditions.

6. Cognitive Assessments
   Medicare provides coverage for cognitive assessments during annual wellness visits, helping identify early signs of memory-related issues.

What Medicare Does Not Cover

Medicare does not cover the following services, which are typically part of residential memory care facilities in Delaware:

• Room and board at memory care facilities
• Assistance with activities of daily living (ADLs) such as bathing, dressing, and eating
• Non-medical custodial care in memory care units

Memory Care Admission Requirements in Delaware

Admission to memory care facilities and communities in Delaware requires meeting specific criteria, ensuring the appropriate level of care and safety for residents. Below is an overview of memory care admission requirements in Delaware:

1. Medical Diagnosis

• A formal diagnosis of Alzheimer’s, dementia, or other cognitive impairments is typically required for admission.
• This diagnosis must be documented by a licensed physician or healthcare professional.
• Facilities often request medical records detailing the individual's condition and history.

2. Care Needs Assessment

• Memory care facilities in Delaware conduct pre-admission assessments to determine the level of care required.
• These assessments evaluate cognitive function, mobility, behavior, and the ability to perform activities of daily living (ADLs), such as dressing, eating, and bathing.
• Some facilities also assess the individual’s medication needs and any co-existing medical conditions.

3. Residency and Age Requirements

• Most memory care facilities in Delaware cater to adults aged 55 and older, though age requirements may vary by facility.
• Residents are generally expected to be Delaware residents, but out-of-state admissions may be accepted depending on the facility's policies.

4. Financial Considerations

• Payment options, including private pay, long-term care insurance, or Medicaid, must be arranged before admission.
• For facilities accepting Medicaid, applicants must meet the financial and functional eligibility criteria set by the Delaware Medicaid program.

5. Behavioral Criteria

• Memory care facilities assess whether prospective residents exhibit behaviors that could endanger themselves or others.
• Residents with significant aggression or behaviors requiring intensive mental health interventions may need alternative care arrangements.

6. Documentation Requirements

• Applicants must provide essential documents, such as:
  • Identification (e.g., driver’s license or birth certificate)
  • Health insurance information
  • Power of attorney or guardianship documents (if applicable)
  • Advance directives or living wills (if available)

7. Immunization and Health Records

• Proof of current vaccinations, including flu and COVID-19, may be required.
• A physical examination report, often conducted within 30 days prior to admission, is needed to ensure the applicant meets the health standards of the facility.

8. Facility-Specific Criteria

• Some memory care facilities in Delaware may have additional requirements, such as restrictions on mobility or medical equipment use.
• It is essential to check directly with the facility to understand their specific policies.

Preparing for Admission

To streamline the admission process, families should:

• Schedule a tour and meet with the facility’s admissions coordinator.
• Compile necessary medical and legal documents in advance.
• Discuss the individual’s care needs and preferences with the facility staff.

By understanding these requirements and preparing accordingly, families can ensure a smoother transition for their loved ones into a memory care community in Delaware.

Questions to Ask Delaware Memory Care Facilities

Choosing the right memory care facility in Delaware is an important decision that impacts the well-being and quality of life of a loved one with dementia, Alzheimer’s, or other memory-related conditions. To ensure you make an informed choice, it’s essential to ask detailed questions about the facility's services, policies, staff, and environment. Here’s a guide to help you gather the information you need:

General Facility Information

• What is the facility’s overall philosophy of care for residents with memory loss?
• Is the facility licensed and accredited for memory care in Delaware?
• How many residents live in the memory care unit, and what is the staff-to-resident ratio?
• What is the monthly cost of care, and what services are included in that price? Are there additional fees for specific services?
• Is there a waiting list, and if so, how long is the expected wait?

Safety and Security

• What measures are in place to ensure the safety of residents prone to wandering?
• Is the facility secured 24/7? How are visitors screened?
• Are there emergency response systems in the resident rooms and communal areas?
• What protocols are in place for handling medical emergencies or natural disasters?

Staff and Training

• What qualifications and training do staff members have in memory care?
• Are staff members trained to handle aggressive or challenging behaviors associated with dementia?
• What is the staff turnover rate?
• How does the facility ensure staff are updated on the latest advancements in memory care techniques?

Care and Services

• How is an individualized care plan developed and updated for each resident?
• What types of therapies and activities are offered to engage residents and support their cognitive and physical well-being?
• Does the facility provide assistance with daily living tasks, such as bathing, dressing, and eating?
• How does the facility handle changes in a resident’s condition, such as increased care needs?

Medical and Health Support

• Are there on-site medical professionals, such as nurses or doctors, and how often are they available?
• Does the facility offer medication management? If so, how is it handled?
• What healthcare providers or specialists visit the facility regularly (e.g., physical therapists, occupational therapists)?
• How are hospital visits or transitions to other care levels coordinated?

Dining and Nutrition

• Are meals tailored to meet the dietary needs and preferences of residents?
• How are residents with specific eating difficulties, such as dysphagia, supported?
• Can family members join residents for meals?
• Is assistance available during meal times, and how is it provided?

Environment and Amenities

• What features of the facility are designed specifically for individuals with memory loss (e.g., color-coded hallways, memory boxes outside rooms)?
• Are outdoor spaces available, and are they secure for residents?
• What are the private and communal living arrangements like?
• Are residents encouraged to personalize their rooms?

Family Involvement and Communication

• How does the facility involve family members in the care planning process?
• What are the visitation policies?
• How are families kept informed about changes in their loved one’s condition or care plan?
• Are there support groups or educational programs for family members?

Testimonials and Reviews

• Can you provide testimonials from current or former residents’ families?
• What do past state inspections or reviews reveal about the facility?
• Are there opportunities to speak with current residents’ families about their experiences?

Transition and Trial Period

• Is there an adjustment or trial period for new residents?
• How does the facility support families during the transition process?
• What happens if the resident’s needs exceed the facility’s capabilities?

By asking these questions, you can gain valuable insights into whether a Delaware memory care facility is a good fit for your loved one. Make sure to visit potential facilities in person and observe the environment, staff interactions, and overall atmosphere to ensure it meets your expectations.

Memory Care in Delaware Compared to Assisted Living and Nursing Homes

In Delaware, there are many different types of facilities that can house elderly patients. However, not all homes offer the same type of care. Places like assisted living and nursing homes may have memory care units and may offer some of the same amenities, but they do not provide the same specialized dementia care. So, what is the biggest difference between Delaware memory care, assisted living and nursing homes?

The main thing is the level of care that is provided to the facility’s patients. The elevated form of memory care is not provided at these other facilities because the need is not there. Those who struggle with dementia and Alzheimer’s may not remember their own name, or their family members, and need special care to cope with this issue so that they can live longer and possibly prevent the worsening of symptoms.

Dementia care facilities in Delaware have specially designed floors or rooms that aid in the prevention of further deterioration. These designs are created to help patients retain more of their memories, and allow them to be able to walk the facility without feeling frustrated or confused. This high level of care provided to keep patients well is the most important thing that separates memory care homes in Delaware from all other senior facilities.

Free Resources for Seniors in Delaware

Delaware offers a variety of free and low-cost services to help seniors maintain independence, access healthcare, and improve their quality of life. Here are key resources available statewide:

1. Healthcare and Prescription Assistance

• Medicare and Medicaid Assistance: Seniors can receive help applying for Medicare and Medicaid through the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD). Programs such as the Medicare Savings Program assist with premiums and deductibles for eligible individuals.
• Senior Prescription Drug Assistance: Programs like Medicare Part D and state-specific initiatives provide help with medication costs.

2. Food and Nutrition Programs

• Meals on Wheels: Home-delivered meals ensure that seniors have access to proper nutrition.
• Food Stamps (SNAP): Low-income seniors can apply for benefits to buy groceries.

3. Transportation Services

• DART Paratransit Services: This program offers discounted or free door-to-door transportation for seniors, focusing on medical appointments and essential errands.

4. Legal Assistance

• Elder Law Program: The Community Legal Aid Society, Inc. provides free legal advice and representation on issues like housing, guardianship, and public benefits.

5. Housing and Home Support

• Nursing Home Transition Program: Services to help seniors move from nursing facilities to community-based living environments.
• Home Repairs and Modifications: Assistance is available for safety and accessibility improvements.

6. Information and Referral Services

• Delaware Aging and Disability Resource Center (ADRC): A comprehensive resource for guidance on aging services and support programs, offering self-help tools and personalized assistance.

7. Community and Social Programs

• Senior Centers: Provide activities, fitness programs, and opportunities to foster social connections.
• Caregiver Support Services: Includes respite care and counseling for families caring for elderly loved ones.

8. Financial Assistance

• Energy Assistance Programs: The Low-Income Home Energy Assistance Program (LIHEAP) helps seniors manage heating and cooling costs.
• Tax Relief: Seniors may qualify for property tax credits or reductions.

These services are designed to meet the diverse needs of Delaware's senior population. To access these resources or learn more, contact the Delaware Division of Services for Aging and Adults with Physical Disabilities or the ADRC. Both serve as gateways to state and local support programs.