New coronavirus XNUMX new infections
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One of these cases was a paid nursing home for the elderly in Nakagawa City, and by the 1th, 18 residents and 9 employee had been confirmed infected.
On the XNUMXth, it was found that XNUMX new people were infected with the new coronavirus in Fukuoka Prefecture. The breakdown of XNUMX people is ... → Continue reading
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Paid nursing home
Paid nursing homeWhat is (Yuryo Rojin Home)?Elderly Welfare ActAt all times, one or more peopleOld manTo be admitted,Providing services such as long-term careFacility for the purpose ofNursing home)so,Welfare facilities for the elderlyIs not.Installation is a notification system.
The long-term care services provided include bathing, excretion, meal care, and meal provision.It is a system established as a necessary measure to maintain the physical and mental health of the elderly and to stabilize their lives in order to promote the welfare of the elderly.By the way, there is no definition of "old man" under the Act on Social Welfare for the Elderly.
The average pay nursing home has about 50 rooms, and a private room with a toilet of about 18 square meters is standard.The bathroom, including the living / dining room and mechanical bath, is shared.In many cases, it is run by a private company, and the lump-sum payment is paid (whole life) with various pricing (millions of yen-tens of millions of yen).RentThere is a method and a whole life building lease method.
2000 OfLong-term care insurance methodSince the enforcement, it has been established one after another by private businesses in various industries other than the long-term care field.2013 Currently, 8,499 facilities have been established nationwide.According to Ministry of Health, Labor and Welfare statistics, there were 2000 facilities in 349 and 2018 in 13,354..
For installation, it is necessary to notify the prefectural governor, the ordinance-designated mayor or the mayor of the core city (Article 29, Paragraph 1).However,Housing for the elderly with servicesAsPrefectures-Ordinance city-Core cityIf you have registered with, no notification is required (Elderly Living LawArticle 23).
So-calledAddress land exceptionIs the subject of.Building Standards LawThere are 12 types due to usage restrictions byZoningOut ofIndustrial areaCan't be built.It can be built in 11 other areas of use.
Definition and transition
1963 Was established inElderly Welfare ActAccording to (Act No. 38 of 133), the pay nursing home is legally positioned as a facility for the purpose of accommodating elderly people and providing school lunches and other facilities necessary for daily life. However, notification after the establishment of a pay nursing home was obligatory.At this time, those that always accommodate 10 or more elderly people were subject to notification as a pay nursing home.
After that, there was a problem with the treatment of residents due to the deterioration of the management of pay nursing homes, so in order to make the guidance by the government more effective,1990 Part of the Act on Social Welfare for the Elderly has been amended, and (1) provisions to change the notification of facility installation from the conventional post-notification to advance notification (Article 29, Paragraph 1), and (2) granting the prefectural governor the right to order improvement. Provisions to be made (Article 29, Paragraph 8), (3) Penal provisions for failure to notify the installation (Article 40, Item 3), etc. have been established as new regulations.
However, while the number of pay nursing homes has continued to increase year by year, the number of small facilities claiming that they do not fall under the category of pay nursing homes has increased because they do not "provide meals" themselves.2005 In addition, the Act on Social Welfare for the Elderly has been amended, and the definition has been revised, such as the abolition of the requirement for the number of residents. It was included.
2015 Currently, in Article 29, Paragraph 1 of the Act on Social Welfare for the Elderly, pay nursing homes are (1) moving in elderly people (so-called "moving-in service"), and (2) "care for bathing, excretion or meals" for the elderly. , "Providing meals", "Housework such as washing and cleaning" or "Health management" (so-called "nursing care services", not necessarily including services under long-term care insurance) It is defined as a facility to provide.In addition, even if a third party provides services such as nursing care under a consignment contract, it falls under the paid nursing home business, but there is no direct consignment relationship between the occupancy service provider and the nursing care service provider. Cases are not excluded uniformly, and service providers such as nursing care services are practically services among all third parties, such as those who have been subcontracted by a person who has made a consignment contract with the occupancy service provider. It is understood that the person who provides the service is included.Regardless of whether or not there is a notification to the prefectural governor, those that are permitted to provide occupancy services and nursing care services are treated as "paid nursing homes" by definition, so even if there is no notification, the prefectural governor, etc. Will receive guidance based on the Act on Social Welfare for the Elderly.
Many complaints about pay nursing homes regarding lump-sum payments, quality of long-term care services, etc. have been received at the National Consumer Affairs Center of Japan.In particular, the aim is to enact the so-called "" law, in which the usage fee is refunded while deducting a certain amount when the contract is canceled due to leaving the office or dying within 90 days after moving in...However, even if the law is enacted, the problem of protecting the lump-sum payment will still remain if the contract is canceled due to leaving or dying after 90 days..Tokyo UniversityHonorary professorでaccountingExpertsSatoshi DaigoPoints out that lump-sum payments should be protected.
Incidentally,2011 In the ordinary Diet sessionElderly Welfare ActWas amended, and the "short-term cancellation exception" for pay nursing homes was enacted...The date of promulgation is the same yearMay 6, Law No. 72.
Types of paid nursing homes
Paid nursing home with long-term care (general type specific facility resident life care)
It is a residential facility for the elderly with services such as long-term care, and even if long-term care is required, you can live in the room of the paid elderly home while using the specified facility resident life care provided by the paid elderly home. It is possible to continue.Nursing care services are to be provided by the staff of pay nursing homes, and pay nursing homes that have not been designated as living care for residents of specific facilities cannot be labeled as having long-term care.
In 2006, a system for disclosing nursing care service information was introduced, and basic information items (self-reported information) and survey information items (objectively confirmed by investigators) for paid nursing homes with nursing care (living care for residents of specific facilities). Information) can be viewed on the Internet.
Paid nursing home for the elderly (living care for residents of specific facilities using external services)
It is a residential facility for the elderly with services such as long-term care, and even if long-term care is required, you can live in the room of the paid elderly home while using the specified facility resident life care provided by the paid elderly home. It is possible to continue.The staff of the pay nursing home will confirm the safety and make plans, and the nursing care service will be provided by the outsourced nursing care service office.Paid elderly homes that have not been designated as long-term care for residents of specific facilities cannot be labeled as having long-term care.
Residential type nursing home for the elderly
It is a residential facility for the elderly with services such as living support, and if nursing care is required, the resident's own choice will be to use the nursing care services such as home-visit nursing care in the area while using the living room of the pay nursing home. It is possible to continue living in Japan.When the degree of long-term care becomes severe, it is said that long-term care insurance costs will be higher than those for living care for residents of specific facilities.
Healthy pay nursing home
It is a residential facility for the elderly with services such as meals, but if nursing care is required, the contract must be canceled and the person must move out.The number is very small nationwide.
Specified paid nursing home
It is a pay nursing home stipulated in Article 29 of the Act on Social Welfare for the Elderly (1)Medical lawPrescribed in hospitals and welfare law for the elderlyNursing home for the elderly,Special elderly nursing home,Retirement homesOrLong-term care insurance methodStipulate inNursing care health facilityIt is installed in a place adjacent to. (2) Those with a capacity of less than 50 people. (3) Those that meet all the requirements that the usage fee is relatively low and that, in principle, no money other than the usage fee is collected from the resident.Independent administrative agencyWelfare Medical OrganizationIs eligible for financing.
Housing for the elderly with services
As long as it fits the definition of a pay nursing home, it is also treated as a pay nursing home.
There are the National Association of Paid Elderly Homes (Arihokyo) as an industry group of paid nursing homes, and the National Association of Homes with Nursing Care (Keihokyo) as an industry group of nursing homes.
The National Association of Paid Elderly Homes is an organization stipulated in Articles XNUMX and XNUMX of the Act on Social Welfare for the Elderly, and is subject to business designation and restrictions on the use of names. No admission fee or annual membership fee for "Kagayaki Tomo no Kai".. This association also publishes books such as "Standard occupancy contract and standard management rules for pay nursing homes" and "Standard usage contract and commentary for long-term care for residents of specific facilities"...As a business, this association also has a resident fund system for the preservation of rent..
The National Association of Homes with Nursing Care expresses opinions and requests to government agencies such as the Ministry of Health, Labor and Welfare, and holds workshops and seminars specializing in the operation of homes with long-term care..
- Financial and Financial Situation Study Group, "Industry-Specific Examination Dictionary, Vol. 11, Vol. 8", "Paid Home for the Elderly", Financial and Financial Situation Study Group, 2008, p.578 --584
- Sumiko Nakamura "Are you happy with this kind of care?-How to choose a final home that you will definitely regret if you don't know" Shogakukan 101 New Book, 2009
- Sumiko Nakamura "How to choose a paid nursing home that is safe until you die--The era of" old life! "For both children and parents" Kodansha + α Shinsho, 2010
- Miyo Nagaoka "Trap of Nursing Business" Kodansha's New Book, 2015
- ^ "(Nursing Care and We Insurance System XNUMX Years: Above) Realized "Socialization of Nursing Care": Asahi Shimbun Digital: Asahi Shimbun Digital: Asahi Shimbun Digital"(July 2020, 3)
- ^ a b c February 2011, 2 Asahi Shimbun morning edition 1 pages
- ^ "Kagayaki News" 2011 vol.92, National Association of Paid Elderly Homes, September 2011, 9, p.1-1
- ^ Information about Kagayaki / Tomo no Kai --Public Interest Incorporated Association National Paid Elderly Home Association
- ^ Introduction of published books --Public Interest Incorporated Association National Paid Elderly Home Association
- ^ Overview of the association --Public Interest Incorporated Association National Paid Elderly Home Association
- ^ What is the National Home Association with Nursing Care? --General Incorporated Association National Home Association with Nursing Care
- Nursing home
- Elderly Welfare Act
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- Housing for the elderly with services