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Inclusion in Psychology Today does not imply recommendation or endorsement nor does omission from Psychology Today imply Psychology Today disapproval.

Costs vary with the residence, room size, and the types of services needed by the residents.

The monthly rate per resident is typically about ,600 - generally less than the cost of home health services and nursing home care.

Residents may also need help with incontinence or mobility.

In 2009 there were 18,085 residents living in certified nursing facilities in Washington State.

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For 60% the primary payer was Medicaid; 17% Medicare; and 23% paid through their own resources.

There were 234 certified nursing facilities statewide with 21,773 beds in 2009.

Some states require special staff certification and training.

Residences must comply with local building codes and fire safety regulations.

Assisted living facilities (and adult family homes) are technically called ''boarding homes.'' An assisted living residence is a special combination of housing, personalized supportive services and health care designed to meet the needs - both scheduled and unscheduled - of those who need help with activities of daily living.

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