[Tagging] nursing homes and group homes
gdt at ir.bbn.com
Tue Jun 28 00:09:50 UTC 2016
Martin Koppenhoefer <dieterdreist at gmail.com> writes:
> Recently we have discovered (in a thread on the Italian ML), that someone
> has deprecated amenity=nursing_home by putting a disclaimer on the wikipage
>  to use
> because the tags are newer.
That sounds like wikifiddling.
> From my understanding, these are different things, where a nursing home is
> a place for people in need of permanent care (maybe in groups but more
> likely not), while group_home is a very specific kind of structure for
> which (small) groups (of the people to be looked after) are necessarily
Agreed, mostly. In en_US (these terms are often different in different
countries), there is:
assisted_living: you have an apartment, and get meals, cleaning, and
washing of sheets. Basically for people physicall unable to live on
their own, or because of dementia. You can get more help (showering,
medication management, more laundry, etc.), but they can't put pills
in your mouth or give injectable medications. You often aren't
allowed to have a stove or anything dangerous like that. There is a
nurse around sometimes, sometimes not. Usually a large building with
many people. Feels like a dorm for old people. Has a big obvious sign
out front, saying something like "Sunny Acres Assisted Living" or
"Sunny Acres Senior Residence".
"nursing home", also "long-term care". As above, but has nurses 24x7
and a doctor most of the time; they can handle injectable medication,
people who need 2 people to get them in and out of bed, and people
that can't get out of bed. Often a joint long-term care and rehab
hospital. People often move from assisted living to nursing home when
they deteriorate. Feels almost like a hospital. Again usually a
largish facility. Has a big obvious sign out front, saying something
like "Sunny Acres Nursing Home".
"group home". Almost always for people whose issues are mental,
substance abuse, or behavioral rather than physical. They almost
never have nurses; they instead have "counselors" who look after the
residents, try to keep them functioning, try to keep them out of
trouble, and call the police to find them when they go missing.
Usually a regular house type building in a regular neigborhood. Often
only 4-8 residents plus several staff. Part of the point is to make
it feel de-institutionalized and more like a bunch of roommates, even
though that's not how it is. Almost never has a sign, and tries to be
low profile. Can sometimes be called halfway-house (in that it is
intermediate between a psychiatric hospital and regular society),
although that term is probably considered derogatory now.
There is also
"independent living" An apartment like assisted living, but they don't
help you with medications or showering. They will often have 1 meal
served per day and do housekeeping. You have a functioning kitchen.
Calling this "social_facility" seems wrong.
"rest home" An old-fashioned word that is not used much. Probably
would denote independent living, but could mean assisted_living.
Should not be tagged because it is ambiguous.
"over 55 condo": regular condo, but you have to be >=55 and not have
children to live there. Definitely not social_facility - just regular
dwelling units with a rule about who can move it (normally such rules
> Some nursing homes might also be group homes, but not all of them are (and
> there don't seem to be social facility tags to cover all nursing home
> instances, likely on purpose, because there is already an established
> nursing home tag).
In my experience, nursing homes and group homes do not overlap. If
there were a small nursing home with 8 people, no one would call it a
group home. But nursing homes are never small, because you need
multiple LPNs (1st level of US nurse certification) on duty 24x7, and
small ones would not make sense economically.
I find "social_facility" to be a strange tag (no one would call any of
those places that name), but the important thing from the en_US
viewpoint is to keep assisted/nursing/group/independent separate.
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