Table of Contents

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Introduction

Housing Comparison Chart

Housing Locator Maps

Resource Lists
  Homes for the Aged
     (fewer than 10 beds)
  Offices on Aging
  Other Resources



Housing Profiles by County

ANDERSON

Auburn Hills Apartments
Clinton Housing Authority (Hill)
Clinton Towers
Continuum Courtyard
Creekwood Apartments
Estates of Oak Ridge
Key Springs Residential Home
Morning Point
Oak Ridge Retirement Community (Assisted Living)
Oak Ridge Retirement Community (Independent Living)
Oak Ridge Towers


BLOUNT

Alterra Sterling House
Asbury Place at Maryville (Assisted Living)
Asbury Place at Maryville (Independent Living)
Broadway Towers of Maryville
Home Away from Home
Maryville Towers
McGhee Terrace
Morningview Village
Quality Care Assisted Living
Shannondale of Maryville
Wellington Place of Maryville


GRAINGER

Autumn Village
Cambridge Apartment
Mill Creek


JEFFERSON

Bradford Square
Chandler House Assisted Living
Darby House
Douglas Residence


KNOX

Arbor Terrace
Atria Weston Place
Broadway Tower
Buckingham Retirement Community
Cagle Terrace
Candleridge Plaza
Continuum Courtyards of Knoxville (Inskip)
Continuum Courtyards of Knoxville (W. Parkway)
Dogwood Terrace
Echo Ridge
Elmcroft of Halls
Golden Age Retirement Village
Heritage Assisted Living (Coleman)
Heritage Assisted Living (Felix)
Heritage Assisted Living (Peters)
Homewood Residence at Deane Hill
Lake Brook Place
Dr. Lee L. Williams Complex
Guy B. Love Towers
Manor at Northgate
Manorhouse at Knoxville
Maud Booth Gardens
Morningside Gardens
Mountain Park Villas
NHC Place
Northgate Terrace
Outlook Pointe
Parkview Senior Apartments
Riverbirch Village
St. Mary's Riverview I
St. Mary's Riverview II
St. Mary's Villa
Shannondale Assisted Living Center
Shannondale Retirement Center
Summit Towers
Sunnybrook Apartments
Westview Towers
Williamsburg Villas
Windsor Gardens
Zion Residential Home for the Aged


LOUDON

Baptist Assisted Living Center
Mountain View Assisted Living
Neighborhood at Tellico Village
River Oaks Place (Lenoir City)
River Oaks Place (Loudon)
Springplace Apartments


ROANE

Jamestowne
Lakewood Village
Martin Manor
Rockwood Village
Russell Park
Victorian Square
Wellington Place of Kingston


SEVIER

Mountainbrook Village
Riverview Apartments
Robert Howard Village
Wellington Place of Sevierville
Woodland Park


UNION

The Cedars

INTRODUCTION

For those who are able to live independently (or with minimal assistance):
   Home Modification
   Home and Community Based Services
   Homesharing
   Accessory Apartments

For those who need skilled nursing care and/or substantial long-term assistance:
   Nursing Homes

How the Directory Is Organized

How to Use the Senior Housing Directory
Definitions of Terms
   Independent Living Facilities
   Residential Home for the Aged (RHA), or Home for the Aged
   Assisted Care Living Facility (ACLF)
   Continuing Care Retirement Community (CCRC)

Other Terms Used in the Directory
   Base Unit
   Costs and Fees
   Meeting state ACLF or RHA requirements
   Senior Nutrition Program
   Offices on Aging

Frequently Asked Questions about Government Housing Assistance

Questions to Ask When Considering Housing Options


Change Doesn't Have To Be an Unpleasant Experience
Changing living arrangements can be a major event in the life of an older person.  Oftentimes this change must be made on short notice in the midst of other difficult changes: decline in health, loss of a loved one, less energy, less money.  Because of a dramatic increase in the number and variety of housing and healthcare options in the past few years, elderly consumers are much more likely to find housing that fits their particular needs.  On the other hand, the broad range of options makes it more important to be well informed before making the decision.  The purpose of the Senior Housing Directory is to help older persons as well as their families and advisors to succeed in that task. Making the right choice is very satisfying.

You will probably want to discuss your options with family, friends, professionals in the field of aging, and your physician before making your decision.  The better informed you are, the more likely you are to be satisfied with your decision.  Even if you must make a decision in a short time, it is still important to gather as much information as you can.  Contact the facilities that interest you the most, and ask for more detailed information and a tour of the facility.

For those who are able to live independently (or with minimal assistance):
Home Modification may be all that is needed to make their existing home a safe alternative for years to come.  Replacing doorknobs with door handles or faucet knobs with faucet levers can greatly help arthritic hands and wrists. Removing small rugs, increasing the wattage of light bulbs, and installing grab bars in bathtubs all reduce the risk of falls.

Home and Community Based Services are services that make it possible for older persons to remain independent in their own homes with some assistance.  These services can include home health care, home-delivered meals, homemakers, sitters, transportation, errand and shopping services, and more.

At any age, two or more people can share a home or apartment, often as cheaply as one.  This kind of arrangement is called Homesharing.  Generally, each person has a private bedroom and shares the kitchen and other living spaces, as well as sharing household chores.  Sometimes assistance with cooking or cleaning can be exchanged for rent.  In some areas, faith-based groups (and others) may sponsor these homes.  Some homeowners seek this arrangement to avoid living alone or to supplement their income.  For the most part, these are arrangements entered into by private individuals and there is no agency in the nine-county area that governs or facilitates such arrangements.

Accessory Apartments are constructed by making a separate apartment within a detached home, such as a basement apartment or one above the garage or in the attic.  They allow people to live in privacy and independently without living alone.  Help with household tasks can be exchanged for rent.  Construction costs vary widely.

For those who need skilled nursing care and/or substantial long-term assistance:
Nursing Homes are an option. These homes provide medical services, personal care, and meals. Bedrooms and bathrooms may be shared.  Medicare provides only short-term coverage, which usually follows a hospitalization.  TennCare/Medicaid offers coverage for low-income, low-asset residents.  Nursing homes are not listed in this Directory because they are considered medical facilities.  For a list of nursing homes in your county, call your county Office on Aging or go to the Facilities Directory on the Health Care Facilities Administration web site at www2.state.tn.us/health/hcf (pages 136-137).

None of the aforementioned housing options are discussed further in this Directory.  The Senior Housing Directory contains detailed information about housing specifically for seniors (or, in some cases, for seniors and persons with disabilities).  The Quality of Senior Life Task Force has worked conscientiously to include every facility that fits this requirement.  The larger facilities–those with 10 units or beds or more–are described in detailed Profiles.  A list of smaller facilities is on page 135.  You can also call your county Office on Aging or go to the Facilities Directory on the Health Care Facilities Administration web site at www2.state.tn.us/health/hcf (see pages 136-137) for more information about these facilities.

Four types of facilities are included: (1) Independent Living Apartments, (2) state-licensed Residential Homes for the Aged (RHA), (3) state-licensed Assisted Care Living Facilities (ACLF), and Continuing Care Retirement Centers (CCRC).  See the Definitions section on page 3 for descriptions of these categories.

County maps showing the location of each facility are also provided in the Directory.  A map reference number for each facility is included in the description of that facility.

This Directory includes only those facilities that are designated for elderly persons (or the elderly and persons with disabilities).  It does not include facilities for individuals or families of all ages. Neither does the Directory list nursing homes.  For information about these other kinds of facilities, consult the Yellow Pages, your local housing authority, or such readily available publications as the Apartment Guide.

How the Directory Is Organized
The Senior Housing Directory is divided into nine sections–one for each of the nine counties–arranged in alphabetical order.  In each section you will find descriptions of the senior housing available in that county.  The detailed descriptions are printed in a standard format, a Profile, so you can easily compare one facility to another.  However, the range of available services is so wide that not all services can be included in the standard format.  This is especially true of the Assisted Care Living Facilities, whose purpose is to provide a number of different levels of service matching the specific needs of each resident.

Not all of the facilities in this directory offer supportive services, but many do.  The kinds of support services offered at the facilities listed here might include some or all of–but are not limited to–the following:

Some of the services are included in the base unit rental cost of the facility, some cost extra.  Private pay; some long-term-care insurance policies cover assisted living.  Some facilities require nonrefundable deposits for admission.  Some costs can be negotiated in certain circumstances.

Some facilities have secured units, making them safe places for people who have Alzheimer’s or other memory disorders and are prone to wander.

For a list of the smaller Residential Homes for the Aged and, Assisted Care Living Facilities (those with 10 beds or fewer), see page 135 or call your county Office on Aging or go to the Facilities Directory on the Health Care Facilities Administration web site at www2.state.tn.us/health/hcf (see pages 136-137).

How to Use the Senior Housing Directory
The best way to use the Directory is to:

    Determine the needs, near-term and long-term, of the person(s) making the move. Using information in the Directory, make a "short list" of appropriate facilities in any of the nine counties. Directly contact facilities for more information. A visit to the facilities for face-to-face discussions and tours is crucial. See the list of suggested questions to ask on pages 6-7.

Definitions of Terms

Four Types of Housing for the Elderly

Independent Living Facilities
Independent Living is a level of housing for people who require the least amount of care.  Residents are able to take care of themselves and are often very healthy and active.  Some independent living facilities provide added services such as meals and housekeeping.

There is no state certification or licensing for independent living facilities.  They are often informally known as retirement centers or independent living centers.  Some are a part of a Continuing Care Retirement Center.  This Directory includes information about Independent Living facilities that are specifically for the elderly or the elderly and people with disabilities.

Residential Home for the Aged (RHA), or Home for the Aged
A Residential Home for the Aged, a state-licensed facility, provides a level of housing for people who need more care than is available in independent living units.  Residents are generally able to take care of themselves but may need assistance with personal services (also known as “activities of daily living”).  However, they do not require professional medical or nursing care.  A person requiring such professional medical or nursing observation/care, help with medications, or acute medical care cannot remain in an RHA. State regulations strictly distinguish between Assisted Care Living Facilities and Residential Homes for the Aged.  Both are licensed by the state and must offer specific services to be certified.  (See Rules of the Tennessee Department of Health: Board for Licensing Health Care Facilities, Chapter 1200-8-11.  Online, go to the Health Care Facilities Administration site at
www2.state.tn.us/health/hcf, choose Rules/Regulations from the menu on the left, then click the State Rules link.  Standards for Home for the Aged is item number 1200-8-11.)

Assisted Care Living Facility (ACLF)
An Assisted Care Living Facility is a level of housing for people who need more care than that available in a Residential Home for the Aged but less than that provided in a nursing home.   Residents require domiciliary care (also known as unskilled nursing care), though they are able to move around on their own.  They may require assistance with activities of daily living and may also require medical services such as medication procedures and administration of medications, emergency response services, and home health care services as prescribed by a physician’s order.  A person may not reside in an ACLF if the person is in the latter stages of Alzheimer's Disease or related disorder, or other serious diseases specified by the state of Tennessee.  (See Rules of the Tennessee Department of Health: Board for Licensing Health Care Facilities, Chapter 1200-8-25. Online, go to the Health Care Facilities Administration site at
www2.state.tn.us/health/hcf, choose Rules/Regulations from the menu on the left, then click the State Rules link.  Standards for Assisted Care Living is item number 1200-8-25.)

Continuing Care Retirement Community (CCRC)
A Continuing Care Retirement Center is a kind of facility that contains three types of facilities, usually in separate buildings or separate wings of one building: independent living units, either a Residential Home for the Aged or an Assisted Care Living Facility, and a nursing home.  One advantage of such facilities is that residents of the independent living component are guaranteed a space in the other components should they ever need a higher level of care.

Other Terms Used in the Directory

Base Unit
The basic unit offered by each facility.  This may or may not be the unit you are seeking, but it does allow you to make a rough comparison of sizes and costs at different facilities.

Costs and Fees
The costs listed here are those in effect at the time the information for the Directory was gathered. These will change. Nevertheless, in a general way, they are a useful basis for comparing facilities.  Be aware that the Directory does not necessarily include every fee that may be charged at each facility.  Be sure to ask rental managers to itemize all applicable fees.  Be aware that it may be possible to negotiate reductions in fees in certain circumstances.

Meeting state ACLF or RHA requirements
Residents of Assisted Care Living Facilities (ACLFs) and Residential Homes for the Aged (RHAs) must be ambulatory (this does not mean the ability to walk, but means being able to get around on foot, using a cane or walker, or in a wheelchair), able to transfer independently (get from bed to wheelchair, walker, etc., and from wheelchair, walker, etc. to bed by themselves), and evacuate the building within 13 minutes when told to do so.

Senior Nutrition Program
The Senior Nutrition Program provides noontime weekday meals for persons over 60 without regard to income.  Participants contribute, as they are able.  Group dining programs are available at designated locations.  Meals on Wheels or Mobile Meals are delivered to homebound elderly.

Offices on Aging
Check with your county Office on Aging to find out about other public and private agencies that may be able to help you in deciding what services you need—in your own home, an independent living apartment, or other residence.  A list of the Offices on Aging in the nine counties of Nine Counties. One Vision. is on page 136.

IMPORTANT: All of the information in this directory is presented as it was reported by staff members of the housing facilities to volunteers from the 9 Counties. 1 Vision. Quality of Senior Life Task Force.  The task force is not responsible for inaccurate or incomplete information in the profiles.  As information can change over time, readers must confirm information and check out facilities for themselves to get the best, most reliable impression of each facility.

Frequently Asked Questions about Government Housing Assistance

What government housing subsidies are available for low-income elderly?

Government housing assistance is available to eligible low-income and very-low-income elderly persons 62 years of age and older through the U.S. Department of Housing and Urban Development's (HUD) three major programs: Public Housing, Housing Choice Voucher Program, and Section 202.  Public Housing and the Housing Choice Voucher Program are managed by local public housing authorities.  Section 202 housing is sponsored on a complex-by-complex basis by nonprofit companies.

It is important to know how HUD defines the terms “low income” and “very low income.”  As of February 1, 2004, HUD defined “low income” as annual income not exceeding $29,100 for one person and not exceeding $33,300 for two persons.  Low income limits apply to public housing. “Very low income” is defined as annual income not exceeding $18,200 for one person and not exceeding $20,800 for two persons.  Very low income limits apply to the Housing Choice Voucher Program.  HUD adjusts these figures each year.

Public Housing—low-cost housing, often in high-rise buildings, is available to low and very-low-income elderly persons 62 years of age and older.  The local public housing authority determines eligibility based on annual gross income, elderly status, and U.S. citizenship or eligible immigration status.  Tenants typically pay no more than 30 percent of adjusted gross income for rent.

Housing Choice Voucher Program—commonly known as "Section 8," this program allows very-low-income elderly persons 62 years of age and older to choose where they want to live by providing rental subsidy to landlords in the private market.  The local public housing authority determines eligibility based on annual gross income, elderly status, and U.S. citizenship or eligible immigration status.  Rental units are subject to HUD's Housing Quality Standards, and landlords must be willing to participate in the program.  Tenants typically pay no more than 30 percent of adjusted gross income for rent.  Vouchers are “tenant based,” which means the voucher moves when the person moves.  This allows a tenant to "port," or use his/her voucher anywhere in the country so long as the receiving local public housing authority is agreeable.

Section 202 Housing—provides capital advances to finance the construction and rehabilitation of structures for supportive housing, and provides rent subsidy to make them affordable to very-low-income elderly persons 62 years of age and older.  Private, nonprofit organizations with prior housing or related social services experience are eligible to apply for funds.

For more information in any of the nine counties in Nine Counties. One Vision. visit http://www.hud.gov on the World Wide Web, or contact the Housing and Urban Development office at (865) 545-4370.

Where do I apply for a government housing subsidy?

Contact the local public housing authority in your city and/or county for information on how to apply for Government Assisted Housing, commonly known as public housing, or for a Section 8 Housing Choice Voucher.   Contact the individual private housing complexes for information on how to apply for Assisted Rent Housing. For a list of these agencies and companies in your county, contact your local Office on Aging.

What is a Public Housing Authority (PHA)?

A PHA or LHA (Local Housing Authority) is a quasi-governmental entity established to carry out HUD policies related to housing and housing subsidies.  A PHA is generally responsible for a specific geographic area, such as a city or county.

What is adjusted income?

This calculation is used to determine how much out-of-pocket rent a person in subsidized housing pays. Income, assets, income earned on assets, and the value of a home and other real estate are among the items considered.  Allowances and deductions are based on elderly status, incurred medical bills, prescription medications costs, and other factors.  Private and government entities calculate tenant rent according to the HUD-established calculation.

Can a resident have a pet?

Elderly tenants may own pets and live in government-assisted housing unless a waiver prohibiting pets is granted by HUD.  Accordingly, most government-assisted housing agencies allow pets and have written pet policies.  Pet policies are typically part of the dwelling lease, and tenants are responsible for caring for and controlling pets.  Pet policies may include requirements for vaccinations, registrations, and neutering.  There may be restrictions on the number, size, and type of pets allowed.  Extra deposits and fees may be required.

The following questions highlight factors for you to consider. They can also serve as a springboard for discussions with family and friends, as you choose a new place to live that will be right for you.

Amenities

  • Does the residence have the style of living you desire (private apartment or room, private bath)?
  • Is it attractive and in good repair?
  • Does it have the level of comfort you desire (equipment, electronics, garden areas, space for entertaining or hobbies, windows)?
  • What meals are provided? Are the quality and quantity of meals adequate? Does the food style suit your tastes, nutritional requirements, and cultural preferences?
  • Are the social interactions and recreational programs appealing?
Location
  • Is it in a safe neighborhood?
  • Is it convenient for shopping, doctor's visits, religious services, and social contacts?
  • Is it reasonably convenient to your adult children's homes?
  • Is public or private transportation provided or easily accessible?
Quality of Care
  • Do current residents appear to have their needs met, and do they seem to be content?
  • Do the residents interact well with staff and owners?
  • Do staff members and residents treat each other with dignity and respect?

  • Do staff members take the time to listen and respond to residents' needs?
  • What is the staff-to-resident ratio?
  • Are residents' rights posted?
  • What training does the staff receive?
  • What do current residents or their relatives say about their care?
Policies
  • Are there restrictions on behavior, such as smoking or drinking alcohol?
  • Are pets allowed?
  • Are guests welcome (including overnight guests)?
  • Are there formal visiting hours?
  • How much flexibility is there in meal times?
  • In a shared setting, how are responsibilities determined?
  • How are rate increases handled?
  • What are the facility's discharge policies?
Safety
  • Does the facility have requisite safety equipment such as fire extinguishers and smoke detectors?
  • Is there an updated sprinkler system?
  • Does the facility have adequate liability insurance?
  • Are conditions sanitary?
  • Are doors and locks secure and is there someone on duty 24 hours a day? Is there an emergency call service?
  • Is a doctor available around the clock?
  • Are there any obvious hazards?
  • Is assistance with medications and medical care available?
  • Are facilities safely accessible for those with physical disabilities?
Business Practices
  • Is the facility currently licensed and operating legally?
  • Has its license ever been revoked and, if so, why?
  • Can you see any recent inspection reports?
  • Can you see financial records?
  • Can you get references?
If parent and child are considering living together,
  • Will this move cause family problems?
  • Can everyone living in the house get along with one another?
  • Is the space adequate?
  • Is the house equipped for the older adult?
  • Can the adult child give the parent the attention he or she needs and expects?
  • Are your lifestyles compatible?
  • What are the advantages and disadvantages for both parties?
  • Are you all comfortable with this serious commitment and reasonably sure it will work?
When your current housing is not quite meeting your needs and you begin to consider making a change, take some time to think about your choices. Discuss your needs and wishes with your family members and friends, and ask others who have made similar decision for their advice. Don’t rush into making a choice you may regret later. Find the option you think will suit you the best and where you will feel most comfortable and welcome.

List of questions courtesy of the AARP website http://www.aarp.org/confacts/housing/factors.html