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Glossary of Terms

Active 55—a resident in the household must be at least 55 years of age. Amenities might include a clubhouse, a golf course, walking trails, hobby centers, computer labs, and other recreational spaces. These communities usually do not provide for assistance with increased care or any health-related services. Outdoor maintenance is normally included in a monthly homeowner’s association or condominium fee.

Activities of daily living (ADLs)—are routine activities that people tend to do every day without needing assistance. There are six basic ADLs: eating, bathing, dressing, toileting, transferring (walking) and continence.

Alzheimer’s disease—is an irreversible, progressive brain disorder that slowly destroys memory and thinking skills and, eventually, the ability to carry out simple tasks

Assisted living—communities aimed at helping residents remain as self-sufficient as possible with the assurance of assistance when needed. A combination of housing, meals, personal care and support, social activities, transportation and 24-hour supervision is usually provided.

Blue Zones—certain places around the world identified as having high concentrations of centenarians, or people living 100 years or more. The concept grew out of demographic work done by Gianni Pes and Michel Poulain who identified Sardinia's Nuoro province as the region with the highest concentration of male centenarians in the world. Author and Blue Zones founder Dan Buettner identified longevity hotspots in Okinawa (Japan); Sardinia (Italy); Nicoya (Costa Rica); Icaria (Greece); and among Seventh-day Adventists in Loma Linda, California.

Centers for Medicare & Medicaid Services (CMS)—a federal agency within the U.S. Department of Health and Human Services that administers the Medicare program to age-qualified citizens and works in partnership with state governments to administer Medicaid.

Certified home health care—Is primarily engaged in providing skilled nursing services and other therapeutic services in your home; Has policies established by a group of professionals (associated with the agency or organization), including one or more physicians and one or more registered professional nurses, to govern the services which it provides.

Continuing care retirement community (CCRC) —retirement communities with accommodations for independent living, assisted living, and nursing home care, offering residents a continuum of care. A person can spend the rest of his life in a CCRC, moving between levels of care as needed. Most CCRC require payment of a large entrance fee.

Continuum of care—A comprehensive and integrated system of health care that includes a broad range of care levels meant to promote the health of an individual throughout the span of their lifetime. Services along the continuum include preventive health services, care management, acute care, post-acute care and long-term care.

Entrance fee—a one-time cost that you pay up front when you become a resident of a CCRC. The entrance fee is one of the most expensive costs associated with paying for a CCRC, because it prepays the cost of your healthcare services. In some communities, it also includes the purchase of real estate. Entrance fees may be fully or partially refundable. If they are, they are usually refunded to a resident’s estate once he or she has passed. In addition, the CCRC may require that the resident’s unit be re-sold (or re-occupied) before it is paid out.

Five-star rating—The Five-Star Quality Rating System is a tool to help consumers compare nursing homes more easily and help identify areas about which you may want to ask questions. Created by the Centers for Medicare & Medicaid Services (CMS) in 2008, the rating system uses information from Health Care Surveys (both standard and complaint), Quality Measures, and Staffing.

Geriatric Care Management—A professional geriatric care manager has been educated in various fields of human services — social work, psychology, nursing, gerontology — and trained to assess, plan, coordinate, monitor and provide services for the elderly and their families.

Hospice—offers medical care towards maintaining or improving quality of life for someone whose disease is unlikely to be cured.  Each patient’s care plan is updated as needed to address the physical, emotional and spiritual pain that often accompanies terminal illness. Hospice also offers support for caregiver(s) during the illness and grief support after the death.  Hospice is available to the patient and family when curative measures have been exhausted and life prognosis is six months or less.

Independent living communities—cater to seniors who are very independent with few medical problems. Residents live in fully equipped private apartments. A variety of apartment sizes are available from studios to large two bedrooms. Dining services are offered along with housekeeping, maintenance, transportation and numerous social outings and activities to choose from for entertainment.

Instrumental activities of daily living (IADLs) —are the skills needed to successfully live independently. These skills are usually learned during the teenage years and include the following: Managing finances, handling transportation (driving or navigating public transit), shopping, preparing meals, using the telephone and other communication devices, managing medications, housework and basic home maintenance.

Level of Care Fee—not all assisted living residents require the same level of assistance. Most assisted living communities use a tiered pricing model with bundled services. For instance, a resident needing very little assistance would be at the lowest tier or level and residents needing the most services would be at the highest level. Other pricing models include all-inclusive, a la carte, or fee-for-service basis.

Long-term care—is a variety of services which help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods. It is common for long-term care to provide custodial and non-skilled care, such as assistance with Activities of Daily Living.

Medicaid— Medicaid, called Medi-Cal in California, is a joint federal and state program that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, like nursing home care and personal care services.

Medicare— is a single-payer, national social insurance program, administered by the federal government. It provides health insurance for Americans aged 65 and older who have worked and paid into the system through a payroll tax. It also provides health insurance to younger people with some disabilities as well as younger people with end stage renal disease and amyotrophic lateral sclerosis.

Memory care— is a distinct form of long-term care designed to meet the specific needs of persons with Alzheimer's disease, dementia or other types of memory related problems.

Monthly Service Package—a monthly fee that includes a variety of services, amenities, and utilities such as heating, cooling, cable TV, and property taxes.

Move-in Fees—senior living communities typically charge a non-refundable administrative move-in fee, sometimes called a community fee, which must be paid prior to move-in. This fee covers everything from the pre-move-in assessment, to getting the new resident set up for services and renovating his or her apartment.

Occupational therapy— a form of therapy for those recuperating from physical or mental illness that encourages rehabilitation through the performance of activities required in daily life.

Personal moving consultant—A professional who can help coordinate all aspects of the moving process, including downsizing, packing, space planning, and connections to reliable real estate agents.

Physical therapy— the treatment of disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise rather than by drugs or surgery.

Post-acute care— includes rehabilitation or palliative services that patients receive after, or in some cases instead of, a stay in an acute care hospital. Depending on the intensity of care the patient requires, treatment may include a stay in a SNF, ongoing outpatient therapy, or care provided at home.

Rehabilitation—is a treatment or treatments designed to facilitate the process of recovery from injury, illness, or disease such as stroke or hip fracture to as normal a condition as possible. There are multiple places where rehabilitation can take place including hospitals, skilled nursing facilities, assisted living communities and home.

Respite care—a short-term stay at a senior community, usually an assisted living or memory care community. Whether it's for a few hours a week to run errands or a weekend getaway, or a few weeks to take a vacation, respite care offers caregivers a temporary rest from caregiving, while the person continues to receive care in a safe environment.

Second person fee—The Monthly Service Package is based on single occupancy per apartment, so most communities charge a second-person fee for couples sharing living space to cover the cost of the spouse's meals, laundry, utilities, transportation, and access to amenities.

Skilled nursing care—Round-the-clock care for individuals who suffer from chronic health conditions too complex to be treated at home or in assisted living.

Skilled nursing facility—oftentimes referred to as a SNF or nursing home, they are normally the highest level of care for older adults outside of a hospital. They are residential facilities where a licensed nurse is always on the premises and residents can receive skilled nursing services 24 hours a day. 

Speech therapy—Speech and language therapy provides treatment, support and care for older adults, who have difficulties with communication, or with eating, drinking and swallowing. 

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Terms of Use

chancellorhealthcare.com ("Site")

TERMS AND CONDITIONS OF USE

Welcome to the Site. The Site is provided to you for your personal entertainment, information, education and communication through our featured content and interactive forums on the World Wide Web.

Please read these Terms and Conditions carefully. These Terms and Conditions include our policy for acceptable use of the Site and content posted on the Site, your rights, obligations and restrictions regarding your use of the Site and the Site's Privacy Policy found here.

By accessing this Site, you accept, without limitation or qualification, the following Terms and Conditions. You are only authorized to use the Site and its services if you agree to abide by all applicable laws and to these Terms and Conditions. If you do NOT accept the Terms and Conditions, then please discontinue your use of the Site.

We may modify these Terms and Conditions from time to time and such modification shall be effective upon posting on the Site. You agree to be bound to any changes to these Terms and Conditions when you use the Site after any such modification is posted. Is it important that you review these Terms and conditions regularly to ensure you are updated as to any changes made. These Terms and Conditions constitute the entire agreement regarding your use of the Site and the services it offers and supercede any such prior terms.

Without limiting any other provisions of this Agreement, you may not use this Site for any purpose that is unlawful or prohibited by this Agreement and/or any applicable additional terms. Your access to this Site may be terminated immediately in our sole discretion, with or without notice, if you fail to comply with any provision of this agreement and/or additional terms, or for any other reason, or no reason. You expressly agree not to:

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Without limiting the foregoing, the following behaviors are strictly prohibited:

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The Site may provide links to other websites or resources. Because we have no control over such sites and resources, you acknowledge and agree that we are not responsible for the availability of such external sites and resources, and do not endorse and is not responsible or liable for any content, advertising, products or other materials on or available from such sites or resources. You further acknowledge and agree that we shall not be liable, directly or indirectly, for any damage or loss caused or alleged to be caused by or in connection with the use or reliance on any such content, goods or services available on or through any such site or resource.

Children Online Protection Act Notification

Pursuant to 47 U.S.C. Section 230 (d) as amended, we hereby notify you that parental control protections (such as computer hardware, software, or filtering services) are commercially available that may assist you in limiting access to material that is harmful to minors. Information identifying current providers of such protections is available at the American Links Up web site, http://www.netparents.org.

Infringement Policy

Pursuant to 17 U.S.C. Section 512 as amended by Title II of the Digital Millennium Copyright Act (the "Act"), we reserve the right, but not the obligation, to terminate your license to use the Site if we determine in its sole and absolute discretion that you are involved in infringing activity, including allege acts of first-time or repeat infringement, regardless of whether the material or activity is ultimately determined to be infringing. We accommodate and do not interfere with standard technical measures used by copyright owners to protect their materials. In addition, pursuant to 17 U.S.C. Section 512 (c), we have implemented procedures for receiving written notification of claimed infringements and for processing such claims in accordance with the Act. All claims of infringement must be submitted in a written complaint that complies with the requirements below and delivered to our designated agent to receive notification of claimed infringement by mail:

The Legal Department
294 Union Street
Hackensack, NJ 07601
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In addition, any written notice regarding any defamatory or infringing activity, whether of a copyright, patent, trademark or other proprietary right must include the following information:

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B. Identification of the copyrighted work claimed to have been infringed, or, if multiple copyrighted works at a single online site are covered by a single notification, a representative list of such works at that site. Similarly, for materials that are defamatory or infringe patent, trademark, or other proprietary rights of a third party, please submit a list of such materials.

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IN NO EVENT SHALL THE SITE OR ITS OWNER BE LIABLE TO YOU OR ANY THIRD PARTY FOR ANY INDIRECT, CONSEQUENTIAL, EXEMPLARY, INCIDENTAL, SPECIAL OR PUNITIVE DAMAGES, INCLUDING LOST PROFIT DAMAGES ARISING FROM YOUR USE OF THE SITE OR ITS SERVICES EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

Some jurisdictions do not allow the disclaimer, exclusion or limitation of incidental or consequential damages, so the foregoing disclaimer, exclusion and limitation may not apply to you, and you may have other legal rights that vary according to jurisdiction. In no event will damages provided by law (if any) apply unless they are required to apply by statute, notwithstanding their exclusion by contract.

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We make no representation that materials on the Site are appropriate or available for use in other locations, and accessing them from territories where their content is illegal is prohibited. Those who choose to use or access the Site from other locations do so on their own initiative and are responsible for compliance with local laws.

The section titles and other headings in these Terms and Conditions are for convenience only and have no legal or contractual effect. Our failure to exercise or enforce any right or provision of these Terms and Conditions shall not operate as a waiver of such right or provision. If any provision of these Terms and Conditions is unlawful, void or unenforceable, that provision is deemed severable and does not affect the validity and enforceability of any remaining provisions.

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Privacy Policy

Your privacy is important to us, and we are committed to protecting the information you choose to share with us. For this reason, we maintain the following privacy policy.

We gather contact information you voluntarily provide, via applications or surveys needed to fulfill your requests (for example, your business addresses, phone and fax numbers, firm affiliations and titles). We use the information you share with us to provide you information about services or products you have requested or to inform you of relevant products, services or upcoming events and programs that might be of interest.

We keep all information you choose to share with us completely secure and will never share, sell or otherwise provide any information about you to any third party.

We maintain security procedures and standards which we believe are as safe as today's technology permits. We test these procedures and modify them regularly as new technologies become feasible.

We utilize a strict Opt-Out Policy for sending online notifications regarding services, products and programs. If you do not wish to receive e-mails from us, please Click Here, fill in your information and put “opt out” in the comments.

- Revised 05.01.17

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