What is Assisted Living?
communities, such as New Horizons in Marlborough
and New Horizons in Woburn, offer a unique combination
of housing and personalized care designed to
respond to the individual needs of those who
require, or may later require, assistance with
activities of daily living. A typical Assisted
Living residence offers a supportive, residential
setting for those who are unable to continue
to live alone, but do not need the 24-hour skilled
medical care of a nursing home.
All New Horizons programs
daily, in delightful common dining rooms; light
housekeeping services; scheduled transportation;
24-hour on-duty staff; emergency call systems;
health promotion and exercise programs; and,
social and recreational activities. New Horizons'
third-party Assisted Living provider (Care Solutions,
Inc. at New Horizons at Marlborough and Winchester
Home Care at New Horizons at Choate) provides
assistance with bathing, dressing, grooming,
toiletries, and mobility, as well as medication
management, all to varying degrees as may be
needed and arranged.
of Assisted Living Care, as stated by the Assisted
Living Facilities Association of America, is:
- Fostering independence for
- Treating each resident with
dignity and respect.
- Promoting the individuality
of each resident.
- Allowing each resident's
choice of care and lifestyle.
- Protecting each resident's
right to privacy.
- Providing a safe residential
- Nurturing the spirit of
- Making the Assisted Living
residence a valuable community.
- Offering cost-effective
quality care that is personalized for individual
- Involving family and friends
in care planning and implementation
Assisted Living Programs
Care, Ltd. is a prominent, internationally-known organization
that provides dementia care in several states. It operates
residences at both the Woburn and Marlborough New Horizons.
Occasionally, when the need arises, residents may transfer
from New Horizons to the Hearthstone residence - typically
in a relatively seamless transition.
Dr. John Ziesel, widely
recognized as a pioneer in the Alzheimer treatment field,
co-founded and continues to manage the Hearthstone programs.
The main phone number of their executive offices in
Woburn, MA is 781-674-2884.
located on the second floor of New Horizons
at Marlborough's assisted living facility, is
one of a few enhanced care programs in the Commonwealth
that supports seniors coping with mental health
struggles such as depression and anxiety. It
is owned and operated by Care Solutions, Inc.
of Westborough. Using a traditional assisted
living setting and supplementing care with psychiatric
expertise, many residents will recover to live
either independently or transition to New Horizons.
New Horizons provides
meals for Hearthstone and Robbie's Place residents and,
of course, provides the upkeep of residents' individual
suites. It does not in any way, however, supervise or
direct Hearthstone or Robbie's Place management or caregivers,
or the actual residential programs in these facilities,
and has no ownership interest.
"New Horizons excels in the core values it portrays through genuineness, respect, and kindness to each resident. It has spirit; it has compassion."
- Samuel E. Toto, Ed.D.
to Determine If Assisted Living Would Fit Your
may be appropriate for individuals who need
some assistance with activities of daily living,
but who are not in need of skilled nursing home
care. Generally, it is expected that residents
are able to move from place to place by themselves
or by using supportive devices such as a cane
or walker. Residents must also be able to react
appropriately in an emergency situation.
residences benefit not only the elderly, but
also their families. Studies have shown that,
on average, for every senior needing assistance,
there are at least three other individuals whose
lives are affected - the spouse of the individual,
children, and other family members and friends.
When an elderly parent lives within an Assisted
Living environment, all involved may find peace
Living be Appropriate
for Your Parent?
honestly weigh your replies to the questions
below. If many of these questions are applicable
to your parent's current situation, you and
your family member could very well benefit from
an Assisted Living environment.
- Is your parent experiencing
- Is there difficulty with
grooming and personal hygiene?
- Is mobility becoming a problem?
- Does your parent eat properly?
- Are medications taken correctly?
- Is your parent socially
- Is loneliness a problem?
- Does he/she participate
in fewer stimulating activities?
- Are current housing expenses
- Is emergency help readily
available, day and night?
- Have family and friends
- Are you and/or others increasingly
worrying about your parent's wellbeing?
- Is the current home difficult
to maintain or inappropriate for an older
person (too large, too many stairs, cupboards
too high, bathrooms too small)?
reading this material, you're probably familiar
with the stress that comes from juggling the
responsibilities of work, home, family, finances
and concern for an aging parent. It's not easy
to "parent your parent." The whole
role-change situation has a tendency to become
emotionally charged. Asking a parent to live
in an Assisted Living residence is often an
emotional decision, one which is confronted
by hundreds of people every day.
For many, considering
a supportive residence for a parent is a difficult
step. You want to find a place where they'll
be happy . . . a place that you're certain will
take good care of your parent.
Some have feelings
of guilt or inadequacy with their decision to
not move their elderly parent in with them.
This is natural; however, studies show overwhelming
evidence that the vast majority of elders and
their families are much happier, and report
much improved relationships, after moving to
an Assisted Living arrangement.
resist Assisted Living residences because they
deny the need for help. They don't want to admit
that they should no longer live on their own,
and don't want to lose their sense of control.
It often helps to explain that a move is still
their decision. You may choose to tell them
that you are concerned about them, and that
it would give you peace of mind and comfort
if they would make the move to an Assisted Living
residence. Another suggestion is to offer to
assist them in deciding which one they like
To deal with
your own emotional feelings, try to make the
most rational decision possible. Let your parent
know that you understand the importance of the
decision, and point out that moving to New Horizons,
or any other of the many good Assisted Living
residences, does not mean a loss of independence.
On the contrary, it means the freedom to live
more independently without the responsibilities
of home ownership and without dependence on
family or friends.
your discussions, encourage your parent's feelings
of control over his or her life. You might want
to sit down with your parent and write a list
of the advantages. For example:
- No home maintenance or hassles.
- Delicious meals cooked for
- Full slate of social and
- Help is available if ever
- The possibility of companionship
and making new friends.
- Time and stress are reduced
for everyone so you have more time to enjoy
- Freedom to live independently
in a private suite with their own belongings.
- If their abilities should
ever increasingly fail, they are in a place
where help is readily available without having
to move away from a new life and friends.
The best way
to learn about any Assisted Living residence
is to visit one. While there are many similarities,
there are also many important differences. When
visiting, let your senses tell you about the
place. Allow the Marketing Director or Executive
Director to show you around, and ask questions
as you think of them. Never be bashful about
what you ask.
can take these initial tours with you, but it
is strongly recommended that you first find
a residence you like, and then take your parent
for a tour at a later date. Oftentimes, it helps
a great deal to tour a community's website before
visiting, and then see how well the program
really compares with whatever appears on the
are some questions to consider having answered
when visiting New Horizons or any other residence.
All may not be important to you, but having
these answers may help you determine if the
residence really meets your needs.
- Is it convenient?
- Is it attractive and inviting,
inside and out?
- Is the food tasty and attractively
- Is the residence well-lit
- Is it too noisy (or too
- Do you hear/see residents
- Are there attractive grounds
and other surroundings?
- Is there a "homey feel"
or an institutional atmosphere?
- How stable is the facility's
- Do staff members show genuine
interest in, and affection for, individual
- Is it a secure, pleasant
setting where your parent or loved one can
enjoy an independent lifestyle along with
the availability of supportive services to
make life a bit easier - either now or in
monthly fees to live in an Assisted Living residence
will often be much less than the costs of living
at home with outside aid coming in. Look closely
at what you're getting for the money: a place
to live, three meals a day, assistance as needed
- 24 hours a day, the possibility of new friendships,
activities, scheduled transportation, most utilities
and more. If you add the costs of each of these
items, you may find that it is a very good value.
At New Horizons, the overall cost of living
will likely be less than living independently.
In addition, no one can put a price on peace
of mind and overall well being. Most residents
who move to New Horizons, and their families,
are somewhere between very happy and ecstatic
with their decision, and ultimately happy that
they made the move.
There are very
different prices for different-sized suites
and for different Assisted Living service plans.
The staff of the residence will carefully go
over all price structures and help you with
Owner and Management
It is imperative
to check the credibility and financial stability
of the owner, management and the residence itself.
Assisted Living has become very popular within
the business community, and many facilities
are being built, operated and managed by newcomers,
who may lack experience and staying power. Sometimes,
the issue for potential residents and their
families is whether they are willing to take
a risk with a new owner/manager who lacks a
track record. You can have more confidence in
your decision when the owner/manager has experience.
Both New Horizons in Marlborough and Woburn
are rock-solid financially, with decades of
experience. Both are not-for-profit, and neither
even has any sort of mortgage on its property.
Which is why New Horizons at Choate and Marlborough
are the least expensive retirement and assisted
living communities in Massachusetts.
with Your Parent
for you and your parent, make an appointment
to tour either of our facilities and enjoy a
meal together. Encourage your parent to ask
questions and talk with people who live there.
Most residents whom you encounter will be delighted
to talk with you; they will give you their very
As you tour,
it may be helpful to identify on a personal
level, many of the benefits of the program and
the facility itself. For example, look at the
activity schedule and mention one that your
parent might enjoy. Review the menu and point
out preferred dishes. By stating benefits, you
will reassure your parent and ease your own
transition. This will help you both look forward
to the move.
If you choose
to delay your decision, take note. Both New
Horizons communities operate at near capacity,
and the facility you plan to choose may not
have a vacancy if you wait. It's a good rule
of thumb to put down a fully refundable deposit,
even if it is to just get your name on the waiting
list, and you risk nothing. There is an advantage
in already having a reservation when the decision
to move is finally made.
Once the joint
decision is made, there will be an assessment
of the prospective resident to determine the
appropriate level of Assisted Living services
necessary, and to establish a Service Plan.
Administrators will ask that your parent obtain
a physical examination and that his or her physician
fill out an information sheet. A financial application
may also be part of the community's requirements.
part about the move may be choosing which pieces
of furniture and belongings to take. Pull the
floor plan of your parent's new suite. Together
you can pencil in appropriate places for furniture.
This will not only help you decide which items
to take, but it may also assure they fit and
help determine the layout of the room prior
to the actual move, saving you time.
your loved one should be in charge of the move,
taking responsibility even if it slows things
up a bit. The more involved the parent, the
less likely he or she will feel coerced or patronized,
and the greater the commitment to the new home.
was designed to describe the role of an Assisted
Living facility, spell out simple procedures
for making the decision easier, and identify
a few things to expect once the decision is
made. We sincerely hope you found it helpful.
your search, you will come to see that most,
but not all, Assisted Living residences are
active, lively settings that promote healthy
lifestyles and goodwill. They typically are
not institutional settings with reclusive residents.
Assisted Living residences are generally wonderful
environments from which everyone benefits .
. . the residents, their families, and even
|New Horizons at Choate,
21 Warren Ave.
Woburn, MA 01801
|New Horizons at Marlborough,
400 Hemenway St.
Marlborough, MA 01752