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Intermediate care facilities (small) were developed by the state categorical systems (intellectual disabilities, mental health) in the 1970s, as a reaction to exposes on institutional conditions resulting in required active treatment in institutions and the new building of community facilities recommended under 16 in size. [18]
Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF) or long-term care facilities. Often, these terms have slightly different meanings to indicate whether the institutions are public or private, and whether they provide mostly assisted living , or nursing care and emergency medical care .
Assisted living falls somewhere between an independent living community and a skilled nursing facility regarding the level of care provided. [8] Continuing care retirement facilities combine independent living, assisted living, and nursing care in one facility. People living in newer assisted living facilities usually have private apartments.
"Long-term services and supports" (LTSS) is the modernized term for community services, which may obtain health care financing (e.g., home and community-based Medicaid waiver services), [7] [8] and may or may not be operated by the traditional hospital-medical system (e.g., physicians, nurses, nurse's aides).
Assistance from home care agencies is allowed in some communities, and activities and socialization opportunities are often provided. [1] Some of the characteristics typically are: the community must be age-restricted or age-qualified, [2] residents must be partially or fully retired, and the community offers shared services or amenities. [2]
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