Are you sure you want to exit? Your progress will be lost.
Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
Dear HelpingHand333, When Mom was still alive we had in-home hospice come in. They were excellent. The doctor came to access not only Mom, but me also since I was the primary CG and it was very difficult for me. The bathing nurse came 3x a week, [and I would do the other bathing days], the RN would come and assess Mom 2x a week, and would come 24/7 should I need them. They were very compassionate and caring and loving. When Mom finally had to be place into the hospice facility, they are very experienced in caring for those who are facing death soon and know all the signs and what to do in any situation that would pop up. They took great care of Mom. They were very unique [this particular hospice]. They would sing to Mom, talk jokes with her, and made her feel extremely loved and happy till the end. Even though I wanted Mom to be at home with me till the end, she needed professional medical care that I could not provide for her. This facility where I live was and is considered the highest in ranking as the best hospice facility on the island. And it was true. God bless you and I pray that you find a great facility like the one we had for my Mom.
My husband was on hospice for 5 weeks, in our home. The experience was all good. I'd been trying for 2 weeks, going through the regular Medicare channels to get a hospital bed. Three hours after signing up with hospice a bed was delivered. They cut through red tape.
The nurse noticed things that would improve my husband's comfort. She ordered a foam mattress pad. We had it the next day. When I mentioned he was having a problem with fluids building up in his mouth she suggested a patch behind the ear that would dry up his mouth, and it was delivered that day. It worked! For minor pain she provided a liquid that was more effective than the one we were using. At one point he was having belly pain and she thought he might need a catheter. She went to her car, brought in a sterile kit, and took care of that problem immediately.
When I had a question in the middle of the night I called their 24-hour help line and talked to the nurse on duty.
There were clear and helpful instructions about what to do when he died. I made one phone call, to hospice, and they took care of notifications, having the body picked up and transported to a research center for autopsy.
The final part of the journey can be very hard. I am glad we had experienced, caring people to help us through it.
My MIL was in NH and received Hospice care for the last 2 weeks of her life.. Everything about it was wonderful... The volunteer would sit with her during the day and the nurse visited daily,, It was very comforting to know they were there when we couldn't be and they answered all our questions..
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
When Mom was still alive we had in-home hospice come in. They were excellent. The doctor came to access not only Mom, but me also since I was the primary CG and it was very difficult for me. The bathing nurse came 3x a week, [and I would do the other bathing days], the RN would come and assess Mom 2x a week, and would come 24/7 should I need them. They were very compassionate and caring and loving. When Mom finally had to be place into the hospice facility, they are very experienced in caring for those who are facing death soon and know all the signs and what to do in any situation that would pop up. They took great care of Mom. They were very unique [this particular hospice]. They would sing to Mom, talk jokes with her, and made her feel extremely loved and happy till the end. Even though I wanted Mom to be at home with me till the end, she needed professional medical care that I could not provide for her. This facility where I live was and is considered the highest in ranking as the best hospice facility on the island. And it was true.
God bless you and I pray that you find a great facility like the one we had for my Mom.
The nurse noticed things that would improve my husband's comfort. She ordered a foam mattress pad. We had it the next day. When I mentioned he was having a problem with fluids building up in his mouth she suggested a patch behind the ear that would dry up his mouth, and it was delivered that day. It worked! For minor pain she provided a liquid that was more effective than the one we were using. At one point he was having belly pain and she thought he might need a catheter. She went to her car, brought in a sterile kit, and took care of that problem immediately.
When I had a question in the middle of the night I called their 24-hour help line and talked to the nurse on duty.
There were clear and helpful instructions about what to do when he died. I made one phone call, to hospice, and they took care of notifications, having the body picked up and transported to a research center for autopsy.
The final part of the journey can be very hard. I am glad we had experienced, caring people to help us through it.