This resource listing is being provided to assist you and your loved ones with some ideas as to services available in The Greater Grand Rapids area.
As we continue networking and building relationships we will add to the listing.
It should be noted that there are many additional fine services / resources available which may be found on-line, in the yellow pages, or
by calling any of your local senior service organizations.
This listing is intended to be useful information. We highly suggest you be an informed consumer and always advise you to interview and review multiple options before choosing the services you will utilize.
We also encourage you to remember that you do have a choice in which services you select (As the consumer you need to always ask what your choices are.). Although sometimes your insurance may limit you to certain options. It is always best to ask your insurance company directly BEFORE utilizing services which are to be billed to your insurance. Finally, be sure to verify with the services you choose to use that they accept and are prepared to bill your insurance BEFORE you start services. Always verify your costs ahead of time.
Senior Service /Resource Organizations
Senior Service Organizations are those who provide resource services / information, case / care management, Medicare information etc. You should be able to call and ask questions of any Senior Service Organization without a charge.
Senior Neighbors Inc.
Front Avenue NW Suite 205
Grand Rapids, MI 49504
Area Agency on Aging of Western Michigan
3215 Eaglecrest Dr. NE
Grand Rapids, MI 49525
Crossroads Eldercare Planning
2311 East Beltline SE Suite 103
Grand Rapids, MI 49546
Medical Supplies and Equipment (DME or Durable Medical Equipment)
Medical Supplies and Equipment consist of hundreds of items including diabetic meters and strips, wound care supplies, CPAPs / CPAP supplies, oxygen, wheel chairs, walkers, canes, and more. Some items are covered under Medicare, Medicaid, and Medical Insurances and some items are paid for out of pocket. Items that are to be covered by insurance will need a doctor’s prescription. Verify ahead of time with your Insurance and the Supplier of your choice what your cost will be for what you may need.
All Things Medical
820 Forest Hills Avenue Suite A
Grand Rapids, MI 49546
Apria Home Health Care
4513 Broadmoor Ave SE Suite D
Grand Rapids, MI 49512
Senior Centers are places where seniors can go during the weekdays and participate in activities, programs, and can often share a meal together (examples: bingo, educational presentations, lunch, and more). Generally, seniors who attend these centers are fairly independent in their ability to care for themselves and to secure their own transportation to / from the center. Senior Centers usually provide many activities without cost although some of their activities and special events may have a cost associated with them. It is best to ask if an activity you desire to participate in has a cost yet The Centers are usually good about letting everyone know ahead of time.
Georgetown Township Senior Center
7096 8th Ave
Georgetown Twp, MI 49428
Kentwood Senior Center – Ask for Katelyn Bush
355 48th St SE
Grand Rapids, MI 49548
Senior Neighbors Sparta Center
100 Ida Road
Sparta, MI 49345
Senior Neighbors Grand Rapids Center
333 Division Avenue S. Suite 100
Grand Rapids, MI 49503
Senior Neighbors Grandville Center
Grandville, MI 49418
Senior Neighbors Lowell Center
314 South Hudson
Lowell, MI 49331
Senior Neighbors Walker Center
4101 Lake Michigan Drive
Walker, MI 49534
Adult Day Programs / Adult Day Care Centers
Adult Day Programs or Adult Day Care Centers are held at a variety of locations. These programs provide meaningful activities for adults who need assistance with their daily care, transportation, meals, and other needs (examples of those who might utilize these services are those with: Alzheimer’s or other Dementias, Post Stroke, Mental Impairments, Physical Limitations, and other challenges). Various programs and centers function differently and some are billable to some Medicare and Medicaid particularly if coupled with a type of medical service also other Medical Insurances may cover some programs / services as well. However it is very wise to check directly with your insurance and the program / center prior to beginning attendance of the program /center. Many also offer pay out of pocket programs.
2024 Health Drive SW Suite B
Wyoming, MI 49519
2211 E. Beltline Avenue NE
Grand Rapids, MI 49525
The PACE programs also known as Program of All-Inclusive Care for the Elderly, are a Government generated effort to reduce costs of caring for those age 55 and above.
The programs have different names in different Counties. Some are called PACE programs and others are called Centra Care, Care Resources, Life Circles, VOANS Senior Community Care of Michigan, etc.
There are specific criteria for being eligible to participate in a PACE program.
It is good to research ahead and realize that if you are eligible and decide to enroll in PACE that your Medical and Social services are all provided through PACE. This means they decide services and providers of care for you.
You can find additional information at: www.michigan.gov
Under: Michigan Department of Health and Human Services
Program of All-Inclusive Care for the Elderly (PACE)
You may also call your local Area Agency on Aging located under the
Senior Services Organizations heading in this listing of resources.
One note to be aware of is that while these programs can be billable to Medicare / Medicaid etc. you still need to do your research by asking exactly how costs are covered.
Care Resources – PACE
1471 Grace St. SE
Grand Rapids, MI 49506
(616) 913-2006 or (800) 610-6299
Home Care (Private Duty Care)
Home Care is generally a service that is covered by out of pocket pay, auto insurance, workman’s compensation, long term care insurance, and sometimes the Medicaid Waiver Program (not to be confused with Medicaid). There are also contracts that some Home Care agencies have with other agencies to provide care for people in need that don’t have the financial means to cover services. These contracts are sometimes with a local Senior Service Agency, Department of Human Services, Community Mental Health, Veteran’s Administration, etc. Home Care provides a variety of services which may vary from agency to agency. These services may include: Bathing, Dressing, House Keeping, Shopping, Cooking, Transportation, and more. Some Home Care agencies provide some nursing services as well. Please Note: Medicare and Medicaid do not cover Home Care Private Pay Agency Services. Always get all out of pocket costs in writing BEFORE starting services.
2153 Wealthy St SE Suite 164
Grand Rapids, MI 49506
Home Health Care (Skilled Care)
Home Health Care Agencies are able to bill Medicare, Medicaid, and Other Medical Insurances. Often times they can also bill auto insurances and workman’s compensation. Exactly which insurances a Home Health Care Agency is contracted to work with varies from agency to agency. Home Health Care Agencies need to have a signed doctor’s order which lists: the Name of The Agency to provide services and the services to be provided by the Agency in order to begin care. The types of services that a Home Health Care Agency may provide includes: Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Dietician, Social Work, and a Bath Aide. Not all Home Health Care Agencies provide all of these services. It is best to verify with the Home Health Care agency that: they can work with your insurance, any out of pocket cost that may be involved for you, and that they are able to provide all of the services your doctor has ordered. There are many good Home Health Care agencies. For the purpose of this listing we are providing our contact information. You may learn of other agencies by googling on line, checking your yellow pages, and calling the
Senior Services Organizations located at the top of this listing.
Grand Rapids Home Health Care
3033 Orchard Vista Dr. SE Suite 311
Grand Rapids, MI 49546
In Home Physician Care means that the doctor comes to where ever you call home and will bill your Medicare, Medicaid, or other Medical Insurance as if you were going to the doctor’s office. In Home Physician Care can now provide almost all types of medical care that you would receive in the doctor’s office in the comfort of your own home. There are also some portable medical testing devices that can be brought into the home under In Home Physician Care and billed to your insurance (some examples are: electrocardiogram, x-ray, ultra sounds, echocardiograms, etc.). It is best to confirm with your medical insurance and the In Home Physician Care Agency what your coverage and out of pocket cost will be BEFORE starting services.
Under: Home Based Primary Care
In Home Palliative Care
In Home Palliative Care consists of a Care Team coming to where ever you call home and providing services to alleviate pain and symptoms of chronic disease, disorders, or life threatening illness (Please Note: Palliative Care is not Hospice Care but may be similar to Hospice Care pending the patient’s condition). The Care Team may consist of a: doctor, nurse, pharmacist, social worker, dietitian, and volunteers or aides. Payment for Palliative Care varies according to your insurance, some types of Palliative Care may be covered and some may not depending on your Medical Insurance, Medicare B, and Medicaid policies. It is best to check directly with your insurance and the Palliative Care provider of your choice prior to staring services about what services they will provide and which of those services will be covered by your insurance.
Hospice Care (End of Life Care)
Hospice Care is end of life care. The general guideline for someone to qualify for Hospice Care is a prognosis of 6 months or less to live. Hospice Care though is not always the last service a person receives. There are cases where the individual is actually strengthened by Hospice Care and goes on to outlive the doctor’s expectations. In situations where the individual does pass on within the 6 months or less as anticipated, Hospice Care can be a great support to both the individual on Hospice Care and those who love and care for them. Hospice Care comes in to where ever the individual calls home and can provide: nursing services, pain management, social work, respite care for the loved ones assisting with care of the individual, and spiritual support. Some Hospices also offer services such as music therapy, pet therapy, massage therapy etc. There are Hospices that are For Profit Corporations and Not For Profit Corporations.
It is wise to not assume that all Hospices are the same… they are not. Just as with the other categories of service in this listing it is wise to ask questions and check on how services will be covered. Medicare and Medicaid usually cover Hospice Care as long as their criteria for patient condition are met.
3355 Eagle Park Dr NE
Grand Rapids, MI 49525
Senior Apartment Communities (Independent Living)
Senior Apartment Communities are often referred to as Independent Living.
These types of apartment complexes have age guidelines which may vary from age 50 to age 55 to age 62 to qualify to live within them. While they are constructed like any other apartment complex some of them also add in emergency pull cords in each unit for added resident safety. Many also have security doors and buzzer systems in order to enter the complex. There are often activities and sometimes even some meals available to the residents who reside within these complexes. It is always best to ask a lot of questions and tour several complexes prior to making a decision to move in. It should also be noted that some Senior Apartment Communities are subsidized and rent amounts can vary pending monthly income. There are many types of subsidies so you should find out about each complex and not assume that the amount of rent you pay for one would be the same at another. It is important to remember that while you may be able to purchase some housekeeping and personal care services to be brought in to or provided by the community these are not assisted living facilities. Individuals requiring ongoing assistance with their daily living needs should either be prepared to purchase those services or look into an adult foster care or assisted living facility. Finally, many Senior Apartment Communities have Home Care and Home Health Care Agencies / Companies they prefer to work with. In some cases they may even have a contract with such entities that even have an office within the Complex. However, please be informed and know that you have a right to choose what Agency / Company you want to provide any additional services needed.
1101 Wilson Avenue NW
Grand Rapids, MI 49534
162 River Street
Coopersville, MI 49404
Under: River Village (162 River St)
Respite Care is designed to be a break for those who are caring for others with physical / mental conditions that require the care on a regular basis. This care may be provided in the home of the one giving the care or the one receiving the care. It is a good idea due to what is known as Care Giver Stress to take a break from time to time from providing care. If a break of only a few hours is desired and the one being cared for can’t manage on their own for a few hours then a Home Care Agency / Company would probably be the best option. This type of respite care can be provided by calling any of those noted under Home Care on this listing. You need to plan ahead and be prepared to pay out of your pocket for these services. Another way to receive respite care is to take the individual you are caring for to an adult day program as noted on this resource listing. This can be worked out on a regular schedule or temporary scheduled basis. Ask questions, plan ahead, and be sure to find out all potential costs. Last but not least. There is residential respite where the one receiving the care may go stay in a facility for a period of days, weeks, or even months. Usually this type of respite care is available within an assisted living facility. Often times they will have care available in a dementia or memory care building / unit or within a general care building or unit. It is most common that there will be an out of pocket cost to this care. If you find yourself in need of respite care and you do not have any funds to pay for the care, then it is a good idea to not get discouraged and call the Senior Service Organizations as listed and let them know what your need is and your lack of ability to pay for services. They generally can find assistance for care givers.
3962 Whispering Way Dr. SE
Grand Rapids, MI 49546
Under: Service Level – Short Term Stays
Rehabilitation Facilities consist of both outpatient and inpatient facilities. The outpatient facilities are numerous and have no accommodations for people to stay at the facility. You need a doctor’s prescription for to receive Physical / Occupational / Speech Therapy. If your doctor feels you can have your therapy outpatient you may go with your doctor’s office recommendation or you may go ahead and request a facility of your choice. You will need to make sure that your therapy provider of choice works with your insurance and beware of any deductibles or co-pays as well. If your doctor feels you need inpatient rehabilitation therapy you can go to the facility of your doctor’s choice or you may request to go to a facility of your choosing. There are two types of places you might generally be referred to:
A Skilled Nursing and Rehabilitation Facility
In Patient Rehabilitation Facility
It is important when going to an inpatient rehabilitation facility that you ask questions about: Why you are being referred to that particular facility?
What are the benefits for you and your situation to being referred to that facility?
What is the estimated time frame you will be there?
What therapy / therapies are you being referred there for?
How can you find out ahead of time if they work with your insurance?
How can you find out what if any out of your pocket expense there will be?
Are there any options / alternatives to going to the facility?
If your doctor prescribes outpatient therapy there are many to choose from. They all provide Occupational Therapy and Physical Therapy. Some may also provide speech therapy. Just as with inpatient therapy, you will need a doctor’s order. If you are going to have a difficult time getting to and from your appointments you should ask your doctor to prescribe Home Health Care. The agency of choice can come to your home and assess to see if you qualify for in home therapy. Likewise some Outpatient Therapy practices now will go into the home to conduct therapy sessions. It is important to ask questions of the prescribing doctor and the provider of the outpatient therapy services. You will want to voice any concerns about getting to / from therapy as the order is being written. As the doctor is talking about referring you to Outpatient Therapy it is good to be assertive and ask:
- Why you being referred to therapy?
- What specific services are you being referred for?
- What is the estimated length of therapy?
- Make certain your insurance covers the therapy and will there be any out of pocket cost, copay, or deductible?
- Where is the building located?
- If you have any concerns for any reason about being able to get to and from your therapy appointments do they provide in home visits or can you have an order written for Home Health Care instead of Outpatient Therapy?
Adult Foster Care Homes (AFC’s)
Adult Foster Care Homes. There are a multitude of Adult Foster Care Homes in Michigan. Some are privately owned and some are owned by a Corporation. It is very important to ask a lot of questions and visit several homes prior to making a decision to move yourself or your loved one in. You should visit the facility more than one time at different times of the day and on different days of the week and watch for consistency in cleanliness, appearance of other residents, and those caring for the residents. You might find it useful to ask if the home is licensed by the State and ask to see their current license as well as a copy of their most recent State Inspection. There are some nice unlicensed facilities yet without the license it becomes more difficult to hold them accountable. Shop for the best value for your dollar. Make sure to find out what is included in the monthly cost of residing at the foster care. Some Adult Foster Care Homes will also call themselves an Assisted Living. Be certain as well to know what type of Home it is. For instance some Adult Foster Care Homes specialize in care for Elderly while others may cater to developmentally disabled. Make sure that the mix of residents is suitable for your or your loved one’s needs.
Assisted Living & Memory Care Facilities
Assisted Living Facilities are designed to meet the needs between independent living and skilled nursing facilities. There are now many types and styles of Assisted Living Facilities available.
It is important to know that Assisted Living in Michigan is paid for one of four ways:
- Private Pay- out of pocket cost
- Long Term Care Insurance
- Medicaid Waiver- individuals must be approved for The Waiver Program. You can find out more by contacting your Area Agency on Aging or other Senior Service Organization.
- Veterans Aide & Attendance Benefit- If you are a Veteran you need to check with a VA Social Worker to see if you qualify for this benefit.
Assisted Living Facilities provide services such as assistance with getting dressed, assistance taking medications, assistance with provision of meals and so on. It is important to realize that not all services are covered by one price in Assisted Living. You must ask plenty of questions and get specific as to what it costs to have all needed services provided for the individual. Please remember to find out how much it will cost to get additional services for the individual if their needs increase. An example is that upon entering a facility the individual may only need assistance with bathing however through time they may develop a need for assistance with dressing as well.
Memory Care is an Assisted Living that specializes in caring for those with Alzheimer’s and Other Dementias.
It is wise to ask a facility that has the term Memory Care in its title / description what special programing / services do they have? How do they handle behaviors when they occur?
Anytime you are considering a residential environment it is very important to visit multiple times, perhaps attend some activities, observe how well cared for the other residents are, and even come and eat a meal in the dining room. These are all good ways to get an accurate picture as to the atmosphere of the facility. Coming for one prescheduled tour is not a good measure of the environment.
Skilled Nursing & Rehabilitation Facilities (Nursing Homes)
Skilled Nursing Facilities have four types of stays:
- Short Term Rehab to Home- Generally geared for recovery from an illness or injury and with some nursing care and therapy services the individual may return home or perhaps go to an assisted living or Adult Foster Care Home.
- Long Term Stay- This type of stay means that the individual can no longer care for themselves and does not have the supports and care needed to continue living in their home environment. It means that usually they will live out the rest of their lives in the Skilled Nursing Facility.
- Short Term Respite Stay- Usually when Care Givers are leaving or needing a break they will place their loved one in an assisted living facility for the respite stay. However, there may be times when due to nursing / care needs they decide to private pay for a short term respite stay in a Skilled Nursing Home.
- End of Life- There are some Skilled Nursing Facilities that now have what is called an End of Life Wing. If the local Hospice facility is full and care needs have come to a point of being difficult to manage in the home then finding a Skilled Nursing Facility with an End of Life wing may be the answer.
Many people assume that Medicare will pay for the entire stay in a Nursing Home. This is not the case. It is important to find out ahead of time what Medicare will cover and what happens if Medicare coverage runs out before you are ready to go home. Another misconception is that Medicaid will automatically take over when Medicare runs out. It is very important to plan ahead with next steps and be prepared for what it will take to continue to pay for care once in a Skilled Nursing Facility. There is a process for applying for Medicaid. Remember that even if a couple years ago your neighbor went in the Nursing Home and things went a certain way for them that do not mean that things will go the same for you. Medicare and Medicaid guidelines are always changing. Additionally, your neighbor’s finances may be completely different from yours. If you are a veteran you should always check with the VA Social Worker about what type of coverage you have.
Life Care Continuum Facilities
Life Care Continuums are designed to accommodate all levels of care needs. They typically have care ranging from Long Term Skilled Nursing Care to Independent Apartments. Some even have what they call Cottages or Condominiums. In these types of Facilities you are able to purchase all types of care services from housekeeping to adult diaper changing. Be careful when signing a lease or contract. Something may look good now but in the long haul you may decide you’d rather be elsewhere. Know what you are signing. There are some continuum’s that require a very large investment with the promise that they will never kick you out even if you run out of money in the future. Sometimes this works out well and other times it doesn’t. Know the terms and conditions BEFORE signing a lease or contract.
Long Term Acute Care Unit
Long Term Acute Care Unit or LTAC is a step down unit from the hospital. They are designed to sustain a person who needs a longer term hospital stay. Generally you see individuals who need intensive comprehensive therapy, respiratory therapy, etc. Those admitted to LTAC are seen as having the ability to improve in their physical condition. Medicare may be billed for a stay in these units as they would be billed for a stay in a Skilled Nursing Facility. However, as with all types of Medical Care and Treatment, checking out the pricing and billing ahead of time is best. Additionally, getting the projected length of stay is another good idea. Keep on top of care and recovery updates. Finally, ask the Case Manager what the plan is after being discharged from the unit.
Hospitals are intended for short term intensive, medical, and surgical care stays. It is always best to be vigilant and to advocate for yourself or loved one who is in the Hospital. Make sure that you talk directly to the Social Worker or Case (sometimes called Care) Manager. Ask questions as to care needs and projected recovery time. Keep updated as to the progress and the plan once discharge occurs. If you feel that you or your loved one is being discharged to quickly before being ready to leave the hospital make sure to speak up immediately ask to speak to a patient rights advocate. Be sure to talk with the insurance company providing coverage and know what the costs, copays, deductibles are going to be. Remember that you also have a choice of hospitals. You can always request a transfer.
Hospice facilities are places that specialize in making the end of life experience as comfortable as possible. As with other services it is wise to verify all costs ahead of time and to confirm services provided for the cost. Many such facilities have accommodations for loved ones to stay the night with the patient. It sometimes becomes a need to place the patient in a facility where they have round the clock nursing care available. While one could pay privately for a nurse to be in the home it would become extremely expensive. That is why Hospice Facilities are often a good option. They provide the care for the patient so that the loved ones can better appreciate the end of life time with the patient.
Life Line or Personal Emergency Response Systems
Life Lines or PERS (personal emergency response systems) are good for individuals who are at risk of falls or other emergency situations where getting to a phone is not always possible. The individual wears a pendant that has a button they can push in case they need emergency help. There are even some systems that can sense when a person has fallen and will trigger an emergency response without having to press the button. There are now many types of these systems. As with all other services it is important to shop and compare and find the best system for the individual for the best price possible. The individual who will be using the system should test out a few different types prior to selecting the one they will use.
Ask for Lu Paletta- provides free consultations, insurances, and other financial services.
99 Monroe Ave NW Suite 700
Grand Rapids, MI 49503