To:
`
`Subject:
`
`Sent:
`
`Sent As:
`
`Attachments:
`
`EmpowerMe Wellness, LLC (btravers@cedarhurstliving.com)
`
`U.S. TRADEMARK APPLICATION NO. 88015111 - GUIDING INDEPENDENCE - N/A
`
`10/18/2018 5:27:25 PM
`
`ECOM107@USPTO.GOV
`
`Attachment - 1
`Attachment - 2
`Attachment - 3
`Attachment - 4
`Attachment - 5
`Attachment - 6
`Attachment - 7
`Attachment - 8
`Attachment - 9
`Attachment - 10
`Attachment - 11
`Attachment - 12
`Attachment - 13
`Attachment - 14
`Attachment - 15
`Attachment - 16
`Attachment - 17
`Attachment - 18
`Attachment - 19
`Attachment - 20
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`Attachment - 24
`Attachment - 25
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`Attachment - 27
`Attachment - 28
`Attachment - 29
`Attachment - 30
`Attachment - 31
`Attachment - 32
`Attachment - 33
`Attachment - 34
`Attachment - 35
`Attachment - 36
`Attachment - 37
`Attachment - 38
`Attachment - 39
`Attachment - 40
`Attachment - 41
`Attachment - 42
`Attachment - 43
`Attachment - 44
`
`

`

`Attachment - 45
`
`UNITED STATES PATENT AND TRADEMARK OFFICE (USPTO)
`OFFICE ACTION (OFFICIAL LETTER) ABOUT APPLICANT’S TRADEMARK APPLICATION
`
`U.S. APPLICATION
`SERIAL NO.   88015111
`
`           
`
`MARK: GUIDING
`INDEPENDENCE
`
`CORRESPONDENT
`ADDRESS:
`  
`       BRETT TRAVERS
`  
`       120 S CENTRAL AVE
`STE 1050
`         CLAYTON, MO 63105
`
`   
`APPLICANT: EmpowerMe
`Wellness, LLC
`
`              
`    
`
`*88015111*
`
`CLICK HERE TO RESPOND TO THIS
`LETTER:
`http://www.uspto.gov/trademarks/teas/response_forms.jsp
`
`VIEW YOUR APPLICATION FILE
`
`CORRESPONDENT’S
`REFERENCE/DOCKET
`
`NO:       
`
`  N/A
`CORRESPONDENT E-
`
`   
`
`MAIL ADDRESS:       
`
`btravers@cedarhurstliving.com
`
`OFFICE ACTION
`
`STRICT DEADLINE TO RESPOND TO THIS LETTER
`TO AVOID ABANDONMENT OF APPLICANT’S TRADEMARK APPLICATION, THE USPTO MUST RECEIVE APPLICANT’S
`COMPLETE RESPONSE TO THIS LETTER WITHIN 6 MONTHS OF THE ISSUE/MAILING DATE BELOW.   A RESPONSE
`TRANSMITTED THROUGH THE TRADEMARK ELECTRONIC APPLICATION SYSTEM (TEAS) MUST BE RECEIVED BEFORE
`MIDNIGHT EASTERN TIME OF THE LAST DAY OF THE RESPONSE PERIOD.
`
`ISSUE/MAILING DATE: 10/18/2018
`
`The referenced application has been reviewed by the assigned trademark examining attorney.  Applicant must respond timely and completely to
`the issue(s) below.  15 U.S.C. §1062(b); 37 C.F.R. §§2.62(a), 2.65(a); TMEP §§711, 718.03.
`
`The examining attorney respectfully advises applicant that this Office Action contains the following refusal(s)/requirement(s) summarized
`immediately below and further explained within the body of this Office Action.
`
`SUMMARY OF ISSUES that applicant must address:
`
`LIKELIHOOD OF CONFUSION REFUSAL -- applicant must respond to the examining attorney’s refusal to register the proposed mark
`because of a likelihood of confusion with the cited registered mark(s).
`
`SUMMARY OF ADVISORIES:
`DISCLAIMER UNNECESSARY
`
` 
` 
` 
` 
` 
` 
` 
`  
`  
` 
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` 
` 
` 
`

`

`SECTION 2(d) REFUSAL – LIKELIHOOD OF CONFUSION
`
`Registration of the applied-for mark, GUIDING INDEPENDENCE in standard characters, is refused because of a likelihood of confusion with
`the mark, GUIDED INDEPENDENCE    in U.S. Registration No. 4140492 in standard characters.  Trademark Act Section 2(d), 15 U.S.C.
`§1052(d); see TMEP §§1207.01 et seq.  See the attached registration.
`
`Legal Standard
`
`In any likelihood of confusion determination, two key considerations are similarity of the marks and similarity or relatedness of the goods and/or
`services.  Syndicat Des Proprietaires Viticulteurs De Chateauneuf-Du-Pape v. Pasquier DesVignes, 107 USPQ2d 1930, 1938 (TTAB 2013)
`(citing Federated Foods, Inc. v. Fort Howard Paper Co., 544 F.2d 1098, 1103, 192 USPQ 24, 29 (C.C.P.A. 1976)); In re Iolo Techs., LLC, 95
`USPQ2d 1498, 1499 (TTAB 2010); see TMEP §1207.01.  That is, the marks are compared in their entireties for similarities in appearance,
`sound, connotation, and commercial impression.  In re Viterra Inc., 671 F.3d 1358, 1362, 101 USPQ2d 1905, 1908 (Fed. Cir. 2012) (quoting In
`re E. I. du Pont de Nemours & Co., 476 F.2d 1357, 1361, 177 USPQ 563, 567 (C.C.P.A. 1973)); TMEP §1207.01(b)-(b)(v).  Additionally, the
`goods and/or services are compared to determine whether they are similar or commercially related or travel in the same trade channels.  See
`Coach Servs., Inc. v. Triumph Learning LLC, 668 F.3d 1356, 1369-71, 101 USPQ2d 1713, 1722-23 (Fed. Cir. 2012); Herbko Int’l, Inc. v. Kappa
`Books, Inc., 308 F.3d 1156, 1165, 64 USPQ2d 1375, 1381 (Fed. Cir. 2002); TMEP §1207.01, (a)(vi).
`
`Analysis
`
`Comparison Of The Marks
`
`In the present case, applicant’s mark consists of the literal element GUIDING INDEPENDENCE in standard characters.  The cited registration
`mark, GUIDED INDEPENDENCE in U.S. Registration No. 4140492 in standard characters consists of the same and highly similar elements
`
`(GUIDING  GUIDED + INDEPENDENCE) as appears in the applicant’s mark.   
`
`Marks must be compared in their entireties and should not be dissected; however, a trademark examining attorney may weigh the individual
`components of a mark to determine its overall commercial impression.  Stone Lion Capital Partners, LP v. Lion Capital LLP, 746 F.3d 1317,
`1322, 110 USPQ2d 1157, 1161 (Fed. Cir. 2014) (“[Regarding the issue of confusion,] there is nothing improper in stating that . . . more or less
`weight has been given to a particular feature of a mark, provided the ultimate conclusion rests on consideration of the marks in their entireties.”
`
`(quoting In re Nat’l Data Corp. , 753 F.2d 1056, 1058, 224 USPQ 749, 751 (Fed. Cir. 1985))).  
`
`The terms “GUIDING” and “GUIDED” are merely different grammatical forms of the same root word “GUIDE”.
`
`Both marks also contain the identical term, “INDEPENDENCE.”
`
`Marks are compared in their entireties for similarities in appearance, sound, connotation, and commercial impression.  Stone Lion Capital
`Partners, LP v. Lion Capital LLP, 746 F.3d 1317, 1321, 110 USPQ2d 1157, 1160 (Fed. Cir. 2014) (quoting Palm Bay Imps., Inc. v. Veuve
`Clicquot Ponsardin Maison Fondee En 1772, 396 F.3d 1369, 1371, 73 USPQ2d 1689, 1691 (Fed. Cir. 2005)); TMEP §1207.01(b)-(b)(v). 
`“Similarity in any one of these elements may be sufficient to find the marks confusingly similar.”   In re Davia, 110 USPQ2d 1810, 1812 (TTAB
`2014) (citing In re 1st USA Realty Prof’ls, Inc. , 84 USPQ2d 1581, 1586 (TTAB 2007)); In re White Swan Ltd., 8 USPQ2d 1534, 1535 (TTAB
`1988)); TMEP §1207.01(b).
`
`Marks may be confusingly similar in appearance where similar terms or phrases or similar parts of terms or phrases appear in the compared
`marks and create a similar overall commercial impression.  See Crocker Nat’l Bank v. Canadian Imperial Bank of Commerce , 228 USPQ 689,
`690-91 (TTAB 1986), aff’d sub nom. Canadian Imperial Bank of Commerce v. Wells Fargo Bank, Nat’l Ass’n , 811 F.2d 1490, 1495, 1
`USPQ2d 1813, 1817 (Fed. Cir. 1987) (finding COMMCASH and COMMUNICASH confusingly similar); In re Corning Glass Works, 229
`USPQ 65, 66 (TTAB 1985) (finding CONFIRM and CONFIRMCELLS confusingly similar); In re Pellerin Milnor Corp., 221 USPQ 558, 560
`(TTAB 1983) (finding MILTRON and MILLTRONICS confusingly similar); TMEP §1207.01(b)(ii)-(iii).
`
`Generally, the greater degree of similarity between the applied-for mark and the registered mark, the lesser the degree of similarity between the
`goods and/or services of the parties is required to support a finding of likelihood of confusion.   In re C.H. Hanson Co., 116 USPQ2d 1351, 1353
`
`(TTAB 2015) (citing In re Opus One Inc., 60 USPQ2d 1812, 1815 (TTAB 2001)); In re Thor Tech, Inc., 90 USPQ2d 1634, 1636 (TTAB 2009).   
`
`Comparison Of The Goods And Services
`
` 
` 
` 
` 
` 
` 
` 
` 
`  
` 
` 
`

`

`The goods and/or services are compared to determine whether they are similar, commercially related, or travel in the same trade channels.  See
`Coach Servs., Inc. v. Triumph Learning LLC, 668 F.3d 1356, 1369-71, 101 USPQ2d 1713, 1722-23 (Fed. Cir. 2012); Herbko Int’l, Inc. v. Kappa
`Books, Inc., 308 F.3d 1156, 1165, 64 USPQ2d 1375, 1381 (Fed. Cir. 2002); TMEP §§1207.01, 1207.01(a)(vi).
`
`The compared goods and/or services need not be identical or even competitive to find a likelihood of confusion.  See On-line Careline Inc. v. Am.
`Online Inc., 229 F.3d 1080, 1086, 56 USPQ2d 1471, 1475 (Fed. Cir. 2000); Recot, Inc. v. Becton, 214 F.3d 1322, 1329, 54 USPQ2d 1894, 1898
`(Fed. Cir. 2000); TMEP §1207.01(a)(i).  They need only be “related in some manner and/or if the circumstances surrounding their marketing are
`such that they could give rise to the mistaken belief that [the goods and/or services] emanate from the same source.”   Coach Servs., Inc. v.
`Triumph Learning LLC, 668 F.3d 1356, 1369, 101 USPQ2d 1713, 1722 (Fed. Cir. 2012) (quoting 7-Eleven Inc. v. Wechsler, 83 USPQ2d 1715,
`1724 (TTAB 2007)); TMEP §1207.01(a)(i).
`
`In the present case, applicant’s mark GUIDING INDEPENDENCE is for use on or in connection with “ Healthcare” in Class 43.
`
`The cited registration mark, GUIDED INDEPENDENCE in U.S. Registration No. 4140492, is for use on or in connection with “ Providing
`independent living residences and living facilities, assisted living facilities; and living facilities for persons with advancing memory decline” in
`
`Class 43.   
`
`Applicant’s and registrant’s services are both for use in or in connection with the healthcare and assisted living facilities industry. Consequently,
`applicant’s and registrant’s services would typically be available and marketed to consumers via the same trade channels.
`
`Where the goods and/or services of an applicant and registrant are “similar in kind and/or closely related,” the degree of similarity between the
`marks required to support a finding of likelihood of confusion is not as great as in the case of diverse goods and/or services.  In re J.M. Originals
`Inc., 6 USPQ2d 1393, 1394 (TTAB 1987); see Shen Mfg. Co. v. Ritz Hotel Ltd., 393 F.3d 1238, 1242, 73 USPQ2d 1350, 1354 (Fed. Cir. 2004);
`TMEP §1207.01(b).
`
`The trademark examining attorney refers to the excerpted materials from the Google search engine in which “healthcare” appeared in reference
`to “assisted living facilities” in numerous stories.   See attachments.
`
`For example, see:
`
`Facility-based long-term care services include: board and care homes, assisted living facilities, nursing homes, and continuing care retirement
`communities.
`
`Some facilities have only housing and housekeeping, but many also provide personal care and medical services. Many facilities offer special
`programs for people with Alzheimer's disease and other types of dementia.
`
`https://www.nia.nih.gov/health/residential-facilities-assisted-living-and-nursing-homes
`
`Nursing Homes, Assisted Living, and Home Care: What’s the Difference?
`
`https://www.homehero.org/blog/lifestyle/nursing-homes-assisted-living-and-home-care-what-s-the-difference
`
`Aging & Health A to Z
`
`Assisted Living
`
`Basic Facts & Information
`
`There are times when an older adult needs more assistance with personal care than can be provided in the home, but doesn’t need the round-
`the-clock skilled nursing and medical care that a nursing home provides.  In that case, an assisted living arrangement might be an option to
`consider in order to protect the older person’s independence and privacy for as long as possible.
`
`http://www.healthinaging.org/aging-and-health-a-to-z/topic:assisted-living/
`
` 
`  
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`

`

`Improving Health Care for Assisted Living Residents   
`Robert L. Kane, MD  
`John R. Mach, Jr., MD  
`
`The Gerontologist, Volume 47, Issue suppl_1, 1 December 2007, Pages 100–109, https://doi.org/10.1093/geront/47.Supplement_1.100
`
`Published: 01 December 2007
`
`   Article history 
`
`Abstract
`
`Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest
`ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on
`building testable models of better ways to organize primary health care and other health services for AL residents. Results: AL residents are
`frequently frail older persons who need good chronic care. The predominant care models today do not respond adequately to this challenge.
`Medical care for AL residents is currently practiced very much like that for persons living in the community. The potential for using the
`aggregation of patients has not been effectively tapped. We review some managed care models from other elements of long-term care to look for
`ways that might be adapted. However, the current funding approach emphasizes living settings rather than inherent client characteristics.
`Implications: A research agenda might include ways to improve communication between AL and medical providers and to get AL staff more
`actively involved in daily care. Research support might produce the data necessary to entice the Centers for Medicare & Medicaid Services into
`changing its current reimbursement policies to create a climate better suited to delivering good chronic disease care in AL facilities.
`
`https://academic.oup.com/gerontologist/article/47/suppl_1/100/614157
`
`Material obtained from the Internet is generally accepted as competent evidence in trademark examination.  See In re Jonathan Drew Inc., 97
`USPQ2d 1640, 1641-42 (TTAB 2011); In re Davey Prods. Pty Ltd., 92 USPQ2d 1198, 1202-03 (TTAB 2009); In re Leonhardt, 109 USPQ2d
`2091, 2098 (TTAB 2008); TBMP §1208.03; TMEP §710.01(b).
`
`Any goods or services in the registrant’s normal fields of expansion should be considered when determining whether the registrant’s goods
`and/or services are related to the applicant’s goods and/or services.   TMEP §1207.01(a)(v); see In re 1st USA Realty Prof’ls, Inc., 84 USPQ2d
`1581 1584 (TTAB 2007).  Evidence that third parties offer the goods and/or services of both the registrant and applicant suggest that it is likely
`that the registrant would expand their business to include applicant’s goods and/or services.   In that event, customers are likely to believe the
`goods and/or services at issue come from or, are in some way connected with, the same source.  In re 1st USA Realty Prof’ls, 84 USPQ2d at
`1584 n.4; see TMEP §1207.01(a)(v).
`
`  A
`
` determination of whether there is a likelihood of confusion is made solely on the basis of the goods and/or services identified in the application
`and registration, without limitations or restrictions that are not reflected therein.  In re Dakin’s Miniatures, Inc., 59 USPQ2d 1593, 1595 (TTAB
`1999); TMEP §1207.01(a)(iii).  If the cited registration describes the goods and/or services broadly and there are no limitations as to their nature,
`type, channels of trade or classes of purchasers, then it is presumed that the registration encompasses all goods and/or services of the type
`described, that they move in all normal channels of trade, and that they are available to all potential customers.  In re Linkvest S.A., 24 USPQ2d
`1716, 1716 (TTAB 1992); In re Elbaum, 211 USPQ 639, 640 (TTAB 1981); TMEP §1207.01(a)(iii).
`
`The overriding concern is not only to prevent buyer confusion as to the source of the goods and/or services, but to protect the registrant from
`adverse commercial impact due to use of a similar mark by a newcomer.  See In re Shell Oil Co., 992 F.2d 1204, 1208, 26 USPQ2d 1687, 1690
`(Fed. Cir. 1993).  Therefore, any doubt regarding a likelihood of confusion determination is resolved in favor of the registrant.  TMEP
`§1207.01(d)(i); see Hewlett-Packard Co. v. Packard Press, Inc., 281 F.3d 1261, 1265, 62 USPQ2d 1001, 1003 (Fed. Cir. 2002); In re Hyper
`Shoppes (Ohio), Inc., 837 F.2d 463, 464-65, 6 USPQ2d 1025, 1026 (Fed. Cir. 1988).
`
`Conclusion
`
`Accordingly, the applicant’s proposed mark, GUIDING INDEPENDENCE, is refused for likelihood of confusion under Trademark Act
`Section 2(d).
`
`  
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`

`

`Although applicant’s mark has been refused registration, applicant may respond to the refusal by submitting evidence and arguments in
`support of registration.
`
`If applicant responds to the refusal(s), applicant must also respond to the requirement(s) set forth below.
`
`DISCLAIMER IS NOT REQUIRED (ADVISORY)
`
`The application includes a disclaimer of the following matter in the applied-for mark:  "GUIDING" or "INDEPENDENCE".   An applicant may
`voluntarily disclaim matter in a mark regardless of whether the matter is registrable.  TMEP §1213.01(c); see 15 U.S.C. §1056(a).  However, a
`disclaimer of this matter is not required.
`
`Therefore, applicant may request to withdraw this disclaimer from the application.  If applicant does not expressly request its withdrawal, the
`disclaimer will remain in the application and will be printed on the registration certificate.
`
`RESPONSE GUIDELINES
`
`If applicant has questions regarding this Office action, please telephone or e-mail the assigned trademark examining attorney.  All relevant e-mail
`communications will be placed in the official application record; however, an e-mail communication will not be accepted as a response to this
`Office action and will not extend the deadline for filing a proper response.  See 37 C.F.R. §§2.62(c), 2.191; TMEP §§304.01-.02, 709.04-.05. 
`Further, although the trademark examining attorney may provide additional explanation pertaining to the refusal(s) and/or requirement(s) in this
`Office action, the trademark examining attorney may not provide legal advice or statements about applicant’s rights.  See TMEP §§705.02,
`709.06.
`
`To expedite prosecution of the application, applicant is encouraged to file its response to this Office action online via the Trademark Electronic
`Application System (TEAS), which is available at http://www.uspto.gov/trademarks/teas/index.jsp.  If applicant has technical questions about the
`TEAS
`response
`to Office
`action
`form,
`applicant
`can
`review the
`electronic
`filing
`tips
`available
`online
`at
`http://www.uspto.gov/trademarks/teas/e_filing_tips.jsp and email technical questions to TEAS@uspto.gov.
`
`   
`
`TEAS PLUS OR TEAS REDUCED FEE (TEAS RF) APPLICANTS – TO MAINTAIN LOWER FEE, ADDITIONAL
`REQUIREMENTS MUST BE MET, INCLUDING SUBMITTING DOCUMENTS ONLINE:  Applicants who filed their application online
`using the lower-fee TEAS Plus or TEAS RF application form must (1) file certain documents online using TEAS, including responses to Office
`actions (see TMEP §§819.02(b), 820.02(b) for a complete list of these documents); (2) maintain a valid e-mail correspondence address; and (3)
`agree to receive correspondence from the USPTO by e-mail throughout the prosecution of the application.  See 37 C.F.R. §§2.22(b), 2.23(b);
`TMEP §§819, 820.  TEAS Plus or TEAS RF applicants who do not meet these requirements must submit an additional processing fee of $125
`per class of goods and/or services.  37 C.F.R. §§2.6(a)(1)(v), 2.22(c), 2.23(c); TMEP §§819.04, 820.04.  However, in certain situations, TEAS
`Plus or TEAS RF applicants may respond to an Office action by authorizing an examiner’s amendment by telephone or e-mail without incurring
`
`this additional fee.     
`
`/Ronald E. DelGizzi/
`Trademark Examining Attorney
`Law Office 107
`Phone - (571) 272-2754
`ronald.delgizzi@uspto.gov
`
`TO RESPOND TO THIS LETTER:   Go to http://www.uspto.gov/trademarks/teas/response_forms.jsp.   Please wait 48-72 hours from the
`issue/mailing date before using the Trademark Electronic Application System (TEAS), to allow for necessary system updates of the application. 
`For technical assistance with online forms, e-mail TEAS@uspto.gov.  For questions about the Office action itself, please contact the assigned
`trademark examining attorney.  E-mail communications will not be accepted as responses to Office actions; therefore, do not respond to
`this Office action by e-mail.
`
` 
`  
`  
` 
` 
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` 
`  
` 
` 
`

`

`All informal e-mail communications relevant to this application will be placed in the official application record.
`
`WHO MUST SIGN THE RESPONSE:  It must be personally signed by an individual applicant or someone with legal authority to bind an
`applicant (i.e., a corporate officer, a general partner, all joint applicants).  If an applicant is represented by an attorney, the attorney must sign the
`
`response.  
`
`PERIODICALLY CHECK THE STATUS OF THE APPLICATION:   To ensure that applicant does not miss crucial deadlines or official
`notices, check the status of the application every three to four months using the Trademark Status and Document Retrieval (TSDR) system at
`http://tsdr.uspto.gov/.   Please keep a copy of the TSDR status screen.   If the status shows no change for more than six months, contact the
`Trademark Assistance Center by e-mail at TrademarkAssistanceCenter@uspto.gov or call 1-800-786-9199.   For more information on checking
`status, see http://www.uspto.gov/trademarks/process/status/.
`
`TO UPDATE CORRESPONDENCE/E-MAIL ADDRESS:  Use the TEAS form at http://www.uspto.gov/trademarks/teas/correspondence.jsp.
`
` 
` 
` 
`  
`

`

`Print: Oct 1?, 2013
`
`85383745
`
`DESIGN MARK
`
`Serial Number
`85383?45
`
`Status
`SECTION e—ACCEPTED
`
`Word Mark
`GUIDED INDEPENDENCE
`
`Standard Character Mark
`Yes
`
`Registration Number
`4140492
`
`Date Registered
`zclzxcsxes
`
`T‘ype Df Mark
`SERVICE MARK
`
`Register
`SUPPLEMENTAL
`
`Mark Drawing Code
`[4]
`STANDARD CHARACTER MARK
`
`Owner
`Burcn, Inc. CCRPCRATICN WASHINGTON 1201 Third Avenue, Suite 3400
`SEATTLE WASHINGTON 98101
`
`GoodsfServiees
`
`G d S: Providing
`100 101.
`US
`IC 043.
`Class Status -- ACTIVE.
`independent living residences and living facilities, assisted living
`facilities; and living facilities for persons with advancing memory
`decline. First Use: ZOllfOTHll. First Use In Commerce: ZUllfUTKll.
`
`Filing Date
`ZOllHOTHZS
`
`Amended Register Date
`ZOlZHOBHlZ
`
`
`Examining Attorney
`
`
`
`VENSTON, KHTHdeN M.
`
`

`

`GUIDED INDEPENDENCE
`
`

`

`https Hmwv.nia.nih.uow’hsalthfresidentiaI-facilitiss-assisled-livinu-and-nursinu-homes
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`[ClIIUlllClll CUIIIIIIUHILICS.
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`

`

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`Assisted Living
`
`Assisted living is for people who need help with daily care, but not as
`
`much help as a nursing home provides. Assisted living facilities
`
`range in size from as few as 25 residents to 120 or more. Typically,
`
`a few "levels of care" are offered, with residents paying more for
`
`higher levels of care.
`
`Assisted living residents usually live in their own apartments or
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`rooms and share common areas. They have access to many
`
`services, including up to three meals a day; assistance with personal
`
`care; help with medications, housekeeping, and laundry; 24-hour
`
`supervision, security, and on—site staff; and social and recreational
`
`activities. Exact arrangements vary from state to state.
`
`Nursing Homes
`
`Nursing homes, also called skilled nursing facilities, provide a wide
`
`range of health and personal care services. Their services focus on
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`medical care more than most assisted living facilities. These
`
`services typically include nursing care, 24-hour supervision, three
`
`meals a day, and assistance with everyday activities. Rehabilitation
`
`services, such as physical, occupational, and speech therapy, are
`also available.
`
`

`

`https Hmwv.nia.nih.uovfhealthfresidentiaI-faciIiiies-assisled-livinu-and-nursinu-homes
`1DI1EI201EE 0522113 PM
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`Some people stay at a nursing home for a short time after being in
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`ey ave
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`ongoing physical or mental conditions that require constant care and
`
`supervision.
`
`To look for and compare nursing homes in your area, see
`
`Medicare's Nursing Home Compare. Also get tips for choosing a
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`nursing home.
`
`Continuing Care Retirement Communities
`
`Continuing care retirement communities (CCRCs), also called life
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`care communities, offer different levels of service in one location.
`
`Many of them offer independent housing (houses or apartments),
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`assisted living, and skilled nursing care all on one campus.
`
`Healthcare services and recreation programs are also provided.
`
`In a CCRC, where you live depends on the level of service you
`
`need. People who can no longer live independently move to the
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`assisted living facility or sometimes receive home care in their
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`independent living unit. If necessary, they can enter the CCRC's
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`nursing home.
`
`There are many sources of information about facility-based long-
`
`term care. A good place to start is the Eldercare Locator at 1-800-
`
`677-1 116 or https:i'feldercare.acl.gov. You can also call your local
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`https Hmwv.nia.nih.uovfhealthfresidentiaI-facilities-assisted-livinu-and-nursinu-humes
`1DI1EI201EE 0522113 PM
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`Area Agency on Aging@, Aging and Disabiiity Resource Center,
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`department of human services or aging, or a social service agency.
`
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`For More Information About Facility-Based Long-
`
`Term Care
`
`Centers for Medicare 8; Medicaid Services
`
`1-800-633-4227 (toll-free)
`
`1-877—486—2048 (TTYi'toll—free)
`
`www.medicare.gov
`
`Centers for Medicare 8; Medicaid Services
`
`1-800-633-4227 (toll-free)
`
`1-877-486-2048 (TTYi'toll-free)
`
`www.medicaregov
`
`Eldercare Locator
`
`1-800-677-1 1 16 (toll-free)
`
`https:fleldercareaclgov
`
`National Association of Area Agencies on Aging
`1-202-872-0888
`
`info@n4a.orgl2
`
`wwwnétaorgma
`
`Content reviewed: May 01, 2017
`
`

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`hiips Hmwv.nia.nih.uuw’healihfresideniiaI-faCiIiiies-assisied-livinu-and-nursinu-humes
`1DI1EI201EI 0522113 PM
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`RELATED ARTICLES
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`hllps metv.humeheru.Drufbluuflifeslylefnursinu-humes-assisled-Iivinu-and-hume-care-whal-s-lhe-difierence
`lflflfiflfllfl 05'23'15 PM
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`Notice! HomeHero is no longer accepting new clients or caregivers as of February 24th, 201?,
`
`WHOMEHERO
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`About
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`Trust
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`Lc-gin
`Ell-3g Lifestyle
`Categories
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`Nursing Homes, Assisted Living, and
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`Home Care: What’s the Difference?
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`FIND A HERD
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`

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`https Hmwv.homehero.Drufblouflifeslylefnursinu-homes-assisled-Iivinu-and-homs-care-whal-s-lhe-difierence
`lflflfiflfllfl 05'23'15 PM
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`
`
`Today’s guest post comes from Sue Logan, RN.
`
`If you are looking at care options for yourself or a loved one, it can seem like the more
`you look, the more confused you get. It used to be that the nursing home was the only
`choice. But now, the number of options available for senior care services is overwhelming.
`What's the difference between a skilled nursing facility. assisted living, and home care?
`How do you make a decision? What do services cost?
`
`Entertainment
`
`Health
`
`Lifestyle
`
`News
`
`Opinions
`
`Technology
`
`Updates
`
`Before you look any further, let‘s stop for a minute and get some direction. Below. you will
`find basic information about the top three kinds of care available for the elderly: Nursing
`homes, assisted living facilities, and home care. This information will help you make
`sense of services for seniors.
`
`Follow Us
`
`Nursing Homes: Skilled Nursing and Intermediate
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`Care Facilities
`
`
`
`

`

`https Hmwv.humeheru.Drufbluuflifestylefnursinu-humes-assisted-Iivinu-and-hume-care-what-s-the-difierence
`10;“183’2018 05'23'15 PM
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`
`
`Physicians often recommend skilled nursing facilities (SNFs) or rehab care following
`surgery or a stay in the hospital for a medical condition. The various therapies, such as
`occupational. speech. or physical therapy help patients regain the strength or skills they
`need to be able to return home.
`
`Other reasons for admission to an SNF include:
`
`- Intravenous medication administration
`- Wound care
`
`- Nutritional management
`- Respiratory therapy or treatments
`
`If a person does not require “skilled" care, but is frail and has complex needs. an
`intermediate care facility (ICF) may be necessary. The care provided in an ICF inctudes
`assistance with getting into and out of bed, bathing, grooming, dressing. and eating.
`Laundry service is also provided.
`
`Unlike assisted living facil'rties, nursing homes provide a high level of medical services
`and care. Licensed doctors supervise the care of every patient in a nursing home,
`whether a skilled or intermediate care facility. Medications are carefully administered by
`professional staff and are reviewed by physicians and pharmacists.
`
`Nursing Home Costs
`
`While the goal of nursing home care is to meet all of the patient’s physical and emotional
`needs, the financial burden can be tremendous, ranging from $5000 to $9000 or more per
`month. This cost includes meals but often does not include the cost of medications.
`
`

`

`https vawv.homehero.orufblouflifestylefnursinu-homes-assisted-Iivinu-anut-horne-care-what-s-the-difierence
`1DI1EI201EE 05'23'15 PM
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`Medicare or private health insurance may pay for skilled nursing facility care. but only for
`100 days of care per year — patients must cover the costs out-of-pocket for anything
`beyond that during the same year.
`
`Likewise. Medicare does not pay for help with bathing. eating. or dressing. if that is the
`only assistance needed. You may qualify for Medicaid if your assets and income are
`limited. but many nursing facilities do not accept this form of payment.
`
`Some people are fortunate enough to have long-term care insurance that sometimes
`helps cover the cost of a nursing home stay. Veteran's benefits are another possible
`source of funding to help defray the expense. Unfortunately, out-of-pocket (private pay) is
`how many families are forced to pay for their loved one’s nursing home care.
`
`Assisted Living Facilities
`
`
`
`An assisted living facility (ALF) consists of seniors who no longer wish to stay at home. or
`
`

`

`https wavv.humeheru.Drufbluuflifestylefnur5inu-humes-assisted-Iivinu-anut-hume-care-what-s-the-difierence
`1DI1EI201EE 05'23'15 PM
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`are no longer able to safely live independently. but do not require the extensive level of
`assistance provided in a skilled or intermediate care facility.
`
`For seniors and their families, an assisted living facility can provide companionship and
`structure and may ease the transition out of the no-longer safe or practical famin home.
`Most residents enjoy a high level of autonomy combined with privacy — something not
`possible in a nursing home — with the benefit of supervision or assistance as needed.
`
`Assisted Living Services
`
`Services routinely provided in an ALF include three meals daity in a central dining
`location. assistance with medications. housekeeping. laundry, and personal care such as
`dressing, bathing. and grooming. Transportation services and social activities are also
`offered in most assisted living facilities.
`
`Residents of assisted living facilities most ofien reside in private. small apartments.
`sometimes equipped with a limited kitchenet