Most families don't start planning for a parent's care until something forces the conversation. A fall. A diagnosis. A moment when it becomes clear that things have changed. Ellipses helps families plan before that moment arrives, and supports them through it when it does.
Serving older adults and their families in Raleigh, NC and nationwide.
Seven out of ten people will need long-term care in their lifetime. Most families aren't ready.
The gap between what families expect and what aging actually requires is significant. Long-term care planning involves more than choosing a facility. It involves legal documents, financial planning, care coordination, open communication about preferences, and an honest assessment of what the family can and cannot provide. Most families need guidance navigating all of it.
"I know we need to have this conversation, but no one wants to start it. By the time something happens, it will be too late to plan."
We help families start planning well before a crisis forces the conversation. That means assessing current health needs, discussing care preferences, reviewing financial resources, and identifying the legal documents that need to be in place.
"My parent has three doctors, takes eight medications, and no one seems to know what the others are doing. I'm trying to keep everyone on the same page while also working full time."
We act as the central point of contact across the full care team, managing medication management, coordinating appointments, and making sure every provider has a clear understanding of the full health picture.
"I don't know what's available, what it costs, or whether my parent qualifies for any of it. Assisted living, in-home care, government programs. I don't even know where to start."
We know the landscape of long-term care options: in-home care, senior living, assisted living, nursing home care, Medicare, Medicaid, and federal programs. We help families understand what is available, what it costs, and how to pay for it.
Support at every stage of aging.
Focus: Assessment, communication, and building the plan before a crisis arrives.
Natural aging brings gradual changes: slower recovery, difficulty with daily activities, increasing medication complexity, and early cognitive changes. We help families assess where an older adult currently is and what their trajectory involves. That assessment becomes the foundation for a plan built around their specific needs rather than a generic template.
Most families avoid discussing long-term care until something forces the issue. That delay narrows options and removes the older adult from their own decision-making. Early planning allows for more financial flexibility and more choices. We help families have those conversations, including the hard ones about what care at home can realistically provide, and when assisted living or nursing home care might become necessary.
Long-term care planning requires legal documents to be in place before they are needed: a durable power of attorney designating who can make care decisions, advance health care directives outlining medical preferences, and a will or living trust for estate planning. These documents should be current, accessible, and understood by the family.
We do not provide legal advice, but we help families identify what is needed, connect them with elder law attorneys, and make sure the legal planning piece is completed well before a crisis makes it complicated.
Focus: Care coordination, financial planning, caregiver support, and keeping daily life functional.
Older adults managing multiple conditions, such as arthritis, heart disease, diabetes, or cognitive decline, often have multiple providers, multiple medications, and no one coordinating across all of it. We act as the central point of contact, managing medical records, coordinating care, and tracking medications so the family stays on the same page. For seniors who want to continue living in their own home, we help arrange the right level of in-home support and coordinate home care providers with the clinical team.
Long-term care is costly. The national median cost of assisted living is $4,807 per month (Genworth). Nursing home care can cost $127,750 or more annually (Genworth). A 65-year-old may need $172,500 in retirement health care expenses beyond Medicare coverage (Fidelity).
Most people cannot rely on Medicare to cover long-term care. Medicaid covers nursing home care for eligible seniors but requires meeting strict financial eligibility requirements. Long-term care insurance can help, but requires planning well in advance. We help families understand their financial planning options, identify government programs and benefits, and connect with a financial professional who can provide guidance on funding long-term care.
Family caregivers providing care for aging parents spend an average of 24 hours per week on caregiving. Over 60% report work-related consequences (National Alliance for Caregiving). We connect caregivers with respite care, peer support, and counseling so they can sustain the work without losing their own health and wellbeing in the process.
Focus: Navigating senior living options, care transitions, and supporting the family through significant change.
When a senior can no longer safely manage at home, families face decisions about assisted living, memory care communities, or nursing home care. Each option has different costs, different levels of care, and different implications for quality of life. We help families understand their options, evaluate senior living communities, and make sure the choice reflects the older adult's actual needs rather than what is most familiar or most convenient.
Moving a parent from their home to a care facility is one of the most emotionally and logistically complex transitions a family faces. We support families through it: preparing the new care setting, transferring medical records, coordinating with providers, and making sure the older adult's health needs are fully communicated to the team taking over their care.
For older adults whose health is declining toward end of life, the questions shift to comfort, dignity, and what kind of care the person wants in their final months. Advance directives, hospice conversations, and decisions about the right care setting all need to happen while the family can approach them thoughtfully. We help families navigate those conversations, make sure legal documents are in place, and support them through one of the hardest periods they will face.
Care coordination, long-term care planning, and family support, working together.
Long-term care planning is not a single conversation. It is an ongoing process of assessing needs, reviewing options, adjusting the plan as health needs change, and making sure the financial and legal pieces keep pace with the clinical reality. We coordinate that process, working with the older adult, the family, the care team, and the financial and legal professionals involved.
We also know the senior care resource landscape: Medicare, Medicaid, federal programs, long-term care insurance, community resources, and in-home care support. We help families understand what is available and how to access it.
PlanProviding care for an aging parent affects every member of the family. The primary caregiver carries the greatest burden, but siblings, spouses, and other family members are all affected by the decisions and the emotional weight of watching someone they love age and decline.
We connect family members with counseling, peer connection, and practical guidance, and help families communicate openly about the caregiving responsibilities they are sharing and the stress they are managing.
HealThe Triangle's senior care network, and the programs most families never find.
The Research Triangle has strong resources for older adults and their families: geriatric care specialists at Duke Health and UNC, senior living communities, home care agencies, elder law attorneys, and Area Agencies on Aging that connect families with local programs and government assistance. We know these resources and how to access them. For families outside the Triangle, we work virtually and nationwide.
Connections with geriatric care specialists, primary care physicians experienced with older adults, and specialist networks at Duke Health and UNC, with care coordination across the full care team.
Guidance on assisted living, memory care communities, nursing home options, and in-home care providers in the Raleigh area, with coordination support through every transition.
Connections with elder law attorneys, financial professionals specializing in long-term care planning, and local Area Agencies on Aging that can identify government programs and benefits.
The families who are best positioned when a health event hits are the ones who started planning before it happened. We help families start those conversations, build those plans, and put the legal and financial pieces in place while there is still time to do it thoughtfully.
Long-term care options, Medicare and Medicaid, long-term care insurance, senior living costs, government programs, in-home care. We know what is available, what it costs, and how families can pay for it. Most families spend months trying to learn what we already know.
Multiple providers, multiple medications, multiple specialists, no one talking to each other. We fix that. One point of contact, a clear care plan, and someone who makes sure every provider is working from the same understanding of the older adult's health needs.
Aging affects everyone in the family, not just the person aging. We make sure family caregivers have the support they need, that the family is communicating openly about caregiving responsibilities, and that no one is doing this alone.
A starting point, not a substitute for real support.
A free service of the U.S. Administration on Aging. Connects older adults and families with local Area Agencies on Aging, which provide access to home care, transportation, meal programs, and caregiver support.
eldercare.acl.gov · 1-800-677-1116The federal health insurance program for adults 65 and older covers hospital care, physician services, and some skilled nursing care. Medicare does not cover most long-term care services.
medicare.gov · 1-800-633-4227Covers nursing home care and some in-home care for eligible older adults. Eligibility is based on income and assets and varies by state. Planning requires working with an elder law attorney or financial professional in advance.
medicaid.govProvides information on benefits, programs, and services available to older adults, including a BenefitsCheckUp tool to identify federal and state programs seniors may be eligible for.
ncoa.orgProvides practical resources for family caregivers supporting aging parents, including guides on long-term care planning, legal planning, and navigating senior care decisions.
aarp.org/caregivingAs early as possible. Long-term care planning is most effective when it begins well before care is needed. Early planning allows the older adult to participate in decisions about their own care preferences, gives families time to put legal documents in place, and provides more financial planning options. Waiting until a crisis forces the conversation narrows all of those options significantly.
Costs vary significantly by type and location. The national median cost of assisted living is $4,807 per month (Genworth, Cost of Care Survey). Nursing home care can cost $127,750 or more annually (Genworth). A 65-year-old should plan for approximately $172,500 in retirement health care expenses beyond Medicare coverage (Fidelity). Most families need a combination of savings, insurance, and government programs to cover long-term care costs.
We act as the central point of contact across the older adult's full care team. We coordinate between providers, manage medical records, track medications, and make sure the family stays informed and involved. We also help families navigate long-term care options, connect with financial and legal planning resources, and access government programs and community services. We work with older adults and their families across North Carolina and nationwide.
The families who reach out to us are usually dealing with a situation that has been building for a while. They have seen the changes. They have had the worry. What they haven't had is a clear plan or someone to help them build one. That is what we are here for.
Talk with a Care Advisor. No Commitment Required.Serving older adults and their families in Raleigh, NC and nationwide.
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