Bienvivir Senior Health Services (Bienvivir) is a community-based program developed in El Paso in 1986 to specifically and exclusively render services to the frail elderly of El Paso using the PACE model (Program for All-Inclusive Care of the Elderly). The objective of PACE is to enable frail elderly persons to remain independent and reside in their own homes and communities for as long as it is desired and medically possible. Key components of the program are the comprehensive health care centers and the interdisciplinary team. The comprehensive health care centers serve as the sites where the elderly person receives most services in one setting. The Interdisciplinary team is comprised of health care professionals and allied health staff whom evaluate, develop a care plan, and directly provide all necessary services. Bienvivir provides comprehensive health care in three facilities to elderly who have been assessed as frail and in need of skilled nursing care. In each of the three facilities, there is a dementia-specific Special Care Unit which serves participants with Alzheimers disease who need more individualized attention. In addition, we offer a 40 bed residential assisted living unit at our McKinley center. Under the PACE system, services are paid by Medicare, Medicaid, and/or private pay premiums. Eligibility is determined according to State and Federal guidelines.