Not every State has this type of living option for seniors. If your State has them they may be called by an alternate name. These facilities are usually regulated and regulations establish the type of care and services that can be provided. If the level of care is not legislated, it may be the owner who defines the criteria for admission and discharge from these homes. They are most often renovated homes that seniors live in with other seniors. The seniors are usually pretty independent and need limited ADL supervision and cuing. Food service is provided and the residents eat at a common table and which provides socialization. The senior has a private or shared bedroom and is allowed to maintain their space as they see fit as long as it is safe.
There are two other non institutional options for care for seniors and others with chronic diseases that are not expected to improve or whose condition is terminal. These are palliative care and hospice. These two types of clinical management are not discussed as often and as timely as they should be. The American culture is where youth and vitality are primary. Other cultures see seniors and the aged as treasures with life lessons and sage advice to be shared.
Narcotic, other strong pain medication and tranquilizers are often prescribed for individuals on palliative or hospice care. Often the senior and family voice fear about taking these medications because of the perception of addiction to these medications. The likelihood of addiction is very small because the medication is administered for a specific symptom rather than taken for the psychological effect of the drug. Symptom management is the heart of these treatment modalities. Cessation of pain makes the end of life journey more peaceful and comfortable. Addiction should not be feared in these circumstances.