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2277 Highway 36 West, Suite 200 Roseville, MN 55113-3830
Phone: 612-378-2742
Toll Free: 1-800-669-6442
Fax: 612-378-2789
Hours: Monday-Friday, 8 a.m. to 4:30 p.m.

Long-Term Care

Long-term care refers to a broad range of supportive medical, personal and social services needed by people who are unable to meet their basic living needs for an extended period of time. This may be caused by accident, illness or frailty. Such conditions include the inability to move about, dress, bathe, eat and medicate. Care may also be needed to help persons with disabilities with household cleaning, preparing meals, shopping, paying bills, visiting the doctor, answering the phone and taking medications.

Skilled Nursing Facility
Nursing facilities are licensed by the Minnesota Department of Health, which determines the number of skilled and nursing home beds, as well as the staffing requirements.

Skilled care is the highest level of care and is defined as requiring every patient to be under supervision of a physician; having a transfer agreement with a local hospital; requiring 24 hour nursing supervision and having a physician on-call for emergency. States also require a higher ratio of nurses and aides per patient with skilled than with non-skilled care.

To differentiate them from skilled care, other facilities are often called intermediate care facilities. The on-call requirements, 24-hour nursing and staffing levels are not as stringent for intermediate care. Some facilities, called residential care (typically three- to four-bedroom converted homes) are licensed for room and board only, with no formal medical staff. They provide help with activities of daily living (ADLs) but cannot handle medical problems.

In July 1999, the Supreme Court issued the Olmstead v. L. C. decision. The Court's decision in that case challenges federal, state, and local governments to develop more independent living opportunities for individuals with disabilities through more accessible systems of cost-effective community-based services.

The Olmstead decision interpreted Title II of the Americans with Disabilities Act (ADA) and its implementing regulation, requiring states to administer their services, programs, and activities “in the most integrated setting appropriate to the needs of qualified individuals with disabilities.” The ADA and the Olmstead decision apply to all qualified individuals with disabilities regardless of age.

This means that a person does not have to live in a long-term care facility if they chose not to. If you or a loved one currently resides in a long-term care facility you can request relocation services through your county of residence. Relocation services provide for the relocation of individuals with disabilities under the age of 65 from nursing home settings to homes of their choice in community settings.

Medicare, Medicaid, Waivers or insurance can help pay for long-term care. Click here for more information on funding sources, or contact the Minnesota Brain Injury Alliance at 612-378-2742 or 800-669-6442.

Continue to the next section, "Medical Rehabilitation/Neuropsychological Assessment."