CONCIERGE CARE
Living Options
Continuum of Care
Many seniors and developmentally disabled people are faced with making decisions about where to live because of changes in their health, mobility, and/or finances. Keen Life Care Managers can provide information regarding the types of communities available, levels of care, and associated costs.

Promoting Independence and Quality of Life
- Home or Independent Living
- Assisted Living Facility (ALF)
- Board and Care Facility (B&C)
- Secured Dementia Unit (free-standing or facility based)
- Skilled Nursing Facility (SNF)
- Long-term Acute Care (LTAC)
- Acute Care Hospital
Promoting Independence and Quality of Life
- Private Duty Home Care (HCO)
- Skilled Home Care Agency (RN, PT, OT, and Speech Therapy)
- Hospice Care
If you become educated about your options prior to a planned or forced move, you will save money, time, and anguish.
Keen Life Care Managers collaborate with families and professionals in the Long Beach, CA community by:
- Explaining choices for local care facilities and home care agencies
- Assisting with discharge or transition planning
- Assist with applications and insurance information
- Partner with facility staff for smooth transitions, especially for unstable or chronic diseases, and dementia with behaviors
- Coordinate moves or down-sizing, providing companionship, support, and care oversight until your loved one is stable and settled
Whether you are exploring options for healthy aging in place, or you are a senior of differently abled person, understanding your options is crucial.
Independent Living
55+ condo/apartment complex where maintenance, cleaning, and meals may or may not be provided. Caregivers and a licensed nurse (LVN or RN) may or may not be available for an additional fee. Outside vendors for skilled care (RN/PT/OT/ST) may provide services for individuals in accordance with insurance benefits.
Assisted Living Facility
Assisted Living Facilities (50 – 250+ beds) and Board and Care Facilities (typically six beds) offer the same services and have the same restrictions for levels of care. B&C facilities offer smaller staffing ratios and are better suited for individuals who require greater assistance for mobility and cognitive reasons, whereas larger ALFs offer greater independence and socializing options.
Assisted Living Facilities are large facilities, whereas a Board and Care is typically a single-family home in a residential neighborhood. Both usually offer either private or semi-private rooms. Some are licensed for secured memory care units.
Basic room and board fees typically include meals, medication administration, maintenance, housekeeping, activities, and transportation to medical appointments. Services for personal care assist (dressing, bathing, hygiene/grooming, and mobility assist) may involve additional fees.
Skilled care from a physician, RN, and therapists (PT/OT/ST) is not provided but may be arranged through an outside vendor. Prohibited medical conditions include wounds beyond a stage II, gastric tubes without a waiver, tracheostomies, and hospice without a waiver. Small pets are often allowed.
Board and Care Facility (B&C)
Secured Dementia Unit (Free-standing or Facility Based)
Skilled Nursing Facility (SNF)
Long-term Acute Care Hospital (LTAC)
Acute Care Hospitals
Care Support at Home or Facility
Private Duty Home Care
Private duty home care is provided by a licensed Home Care Agency (HCO) and the caregivers of these agencies are registered with the Department of Social Services- Community Care Licensing Division. This non-skilled care support may be provided to individuals in their home, including supplemental care support in assisted living facilities, or hospital settings when a sitter is required for safety.
Skilled Home Care Agencies
Hospice Agencies
Hospice agencies provide end of life comfort care to individuals in their own home, assisted living, board and care, and skilled nursing facilities.