Answering the Most Common Questions About Assisted Living

A: PBH RESIDENTIAL CARE HOMES are existing private homes in an established neighborhood, fully renovated according to state regulations, accommodate a small number of aging-in-place seniors where each resident receives 24/7/365 credentialed compassionate care. All PBH RESIDENTIAL CARE HOMES are licensed small type-B assisted living aging-in-place communities. A PBH RESIDENTIAL CARE HOME fosters a family-like environment with tasteful appointments, nutritious home-cooked meals, a safe environment and beautifully landscaped grounds centrally located to major hospitals and easily accessible to highways and main thoroughfares. When moving into a 'home' environment, we have seen first-hand that it is a common occurrence for a resident to experience a smooth transition without the trauma commonly associated with moving into a "large facility".

A: Small Type-B Facility = a facility licensed for 16 or fewer residents. In a Type-B facility, a resident may:

Require staff assistance to evacuate

Require attendance during nighttime sleeping hours

Be incapable of following directions under emergency conditions

Require assistance in transferring / must be able to stand, pivot and be a single-person transfer Must not be permanently bedfast / bedridden

A: Care Amenities:

Home environment where family relationships are fostered Assistance with bathing, grooming and dressing and general mobility 1:6 Maximum ratio of staff to resident (in many cases a smaller ratio) 24/7/365 "Always Awake" staff on site

Registered Nurse Director supervision

Certified Assisted Living Manager for each home

Credentialed, attentive and compassionate staff

Monitoring of weight and blood pressure

Services available:

House call Primary Care Physician services

House call Podiatrist services

House call Dental services

Salon Services

Exercise programs / Daily Activities

3 Nutritious meals a day

General Amenities:

Housekeeping services

Laundry services

Wheelchair accessible throughout

Fully renovated private home to accommodate seniors

Clean, bright and cheerful surroundings with maintained grounds

Beautiful appointments for common areas

All utilities included

Flat-screen TVs in each with basic cable services provided

Tranquil Outdoor settings

Use Of recycled and sustainable products in construction / Energy Star efficient

Certified Aging-in-place Specialist Designed Renovations

A: Dementia:
Dementia is not a specific disease. It's an overall term that describes a wide range o symptoms associated with decline in memory Or Other thinking skills severe enough to reduce a person's ability to perform everyday activities. The most common dementia is Alzheimer's accounting for approximately 40—70% of all dementias. Vascular dementia, which occurs after a stroke, is the 2nd most common dementia type (15 — 25%). But there are many other dementias such as Parkingson's, Lewy Body, Fronto Temporal, brain traumas, Huntington's and alcohol-related diseases. Thyroid problems and vitamin deficiencies are conditions that can cause symptoms of dementia but are usually reversible. Dementia is Often incorrectly referred to as •senility' or 'senile dementia', which reflects the formerly widespread but incorrect belief that serious mental decline is a normal part of aging.

People With dementia may have problems With confusion, short-term memory loss, keeping track Of personal belongings, planning and preparing meals. remembering appointments, taking medications, etc. Core mental functions significantly impaired by dementia include: memory, communication and language, ability to focus and pay attention, reasoning and judgment, visual perception. Dementia is caused by damage to brain cells interfering with their ability to communicate With each other.

Yes. most of our residents experience some level of cognitive impairment and many of our caregivers have additional training and Skills in handling memory care issues. PBH, however, is not a lock-down full memory care facility. Residents who live at PBH homes and have cognitive impairment must be manageable and able to respond to direction.

Those who experience extreme cognitive issues and manifest symptoms of difficult behaviors are not a good fit for PBH Residential Care Homes. Residential care homes are a small environment and uncontrollable behaviors cannot be isolated and dealt with properly. Three behavioral characteristics would prevent admission into any PBH home:

Combative- where the senior tries to hit Or attack others

Wandering or elopement - where the senior tries to escape his / her surroundings

Prone to verbal outbursts— where a senior has disturbing verbal outbursts; abusive language

A: According to the Department of Aging and Disability Services (DADS), the following are general characteristics of someone who may qualify to live in an assisted living residential care home:

May need assistance with mobility, bathing, dressing and grooming

May require routine skin care and / or oral care

May need reminders to encourage toilet routine

May require temporary services by Outside professionals; home health care, hospice, physical therapist

May need assistance with administration of medication

May require encouragement to eat / participate in activities

May need help with personal hygiene

May be experiencing incontinence issues

May require an established therapeutic diet

May be experiencing loneliness and / or depression

A: PBH Residential Care Homes is a private pay entity. Payment can be made by: Automatic Bank Draft, personal Check, Cashier's Check or Cash. PBH does not accept credit cards.

The one-time non-refundable Community Fee, an administrative fee, is common to all assisted living communities and is payable at time Of contract signing. PBH has kept this fee substantially lower than most Other communities.

Monthly pricing is calculated by adding the base rate + level of care fees. PBH is not an all-inclusive fee based community. PBH has 5 levels Of care fees:

• Incontinent Care
• Medication Management
• Diabetic Care
• Feeding
• Advanced Decline in Cognitive Abilities

Because PBH Residential Homes are all existing homes, room dimensions vary along with bathroom configuration and closet size. Base rate pricing is determined by room.

A minimum of a four-month commitment is required for move-in with a month-to-month thereafter unless prevented by expiration Of life or level Of care exceeds PBH'S ability to accommodate resident.

A: The following is the process for admission into one of our communities:

1. A priority Reservation Agreement is signed along With a refundable $500 deposit. Should the party go forward With PBH, the deposit is applied to the first month's rent. Should the party decline, the deposit is processed for a refund within 30 days.

2. An assessment required by the State of Texas is scheduled for our team to do an assessment of the potential resident. That assessment determines whether the candidate is a proper fit for our community.

3. Once the resident passes the assessment, the following is required for move-in:

• A TB test or chest x-ray (stating free Of TB) dated within I year
• A physical conducted by resident's physician dated within 30 days Of move-in
• Copies of current medical history
• Contract signed
• Covid Test within 5 days Of move‑in or Covid Vaccination