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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.
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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.
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Mostly Independent
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Is this normal? I friend of mine who worked in social work says it is not, as the evaluation could change things. One thing if it is refundable, but this is not
another question related to this issue. I did put the money down, my mom is agreeing to go, now, it appears the AL is dragging their feet a bit, though I may misunderstand, on getting the nurses intake evaluation.
The upshot is she is supposed to leave Wednesday per he Medicare Advantage plan company, but will not be able to go to AL then
The AL director says the rehab place cannot discharge her if the AL is not ready to take her, but what then?
Can she stay there for a couple more days? Who pays? She has not reached the 21 day limit for medicate pay for rehab but was leaving as medicare thought she was ready to leave.
In re the non refundable community fee prior to nurse intake evaluation: Turns out this was miscommunicated (I think, could not be possible that I misunderstood)
Anyway, I had to write the check today to get the ball rolling and hold the apartment, but, it only becomes non refundable after my mom begins living there. If something comes up before then, it will be refunded.
As far as my mom unwillingness: Talked to Occupational Therapist at rehab who confirmed she needed to have 7/24 care, which at first I interpreted as someone there in her apartment all the time. What they meant was like at an AL where there is help 24/7. So that confirmed the choice. On cognitive scale she said my mom scored 3.5 on a 5.6 scale, and I have no idea what that means. I asked if my mom should be in memory care. The OT said no, not now. But probably in the future, which I assumed.
Anyway, a social worker from a state agency which helps oversee these transitions among other things, came to talk to my mom. My mom went off saying I (and my brothers) dont care about her and must hate her for wanting to send her to assisted living. The SW had skills I dont have, she was very able to calm my down, and de escalate. She said no, your sons love and care for you and are concerned about your safety .For the first time I saw my mom kind of accept the point
She is still not into it but pointed out her aversion is in part because of the words Assisted Living. She is vain, and ideally would have gotten in one of those places where assisted living and indy living are just mixed, there is no differentiation . But those places were not best for other reasons this time Also talked to a couple cousins who had similar situations They said yes, our parent did not want to go to AL, yes, we knew legally it was their choice but they did it anyway . And parent was angry for a long time but ultimately saw the wisdom
Later talked to admissions director at the AL she is going to, and IL she is at now. She said that is not uncommon, many elders hate the Assisted Living tag.
She also said as someone mentioned here that they would nto have taken her back into IL, with the assessment of the therapy staff at rehab. Although my mom is paid up there through end of /August, so I dont know how they handle that.
She said my mom was on their radar for a while in terms of having to move her, the fall which put her in rehab sort of just hastened the process.
I know I have rambled, but one more thing. My mom says she doesnt need AL as people at IL talk about how fast she is, she like the energizer bunny
The OT said, yes she is very fast, that is part of the problem, she is a fall risk because of that and should not upgrade to a four wheel walker.
She can go where SHE thinks is best, but forfeit your help.
She can go where the professionals are advising, with your help.
Make it clear to her that if she chooses the former and she needs more care, she will be in charge of finding it, or paying someone to do so, that you are washing your hands of the situation.
Is her independent living an apt where meals and activities are included? If so, they can evaluate Mom and tell her she needs to now go to an AL because she needs more care than independent living can provide her. Your profile says Mom has a dementia. If so has she been formally diagnosed and determined she is incompetent to make informed decisions? If so, if you have DPOA you can place her. Its not what she wants now, its what she needs.
The Community fee...I think I paid it when I wrote a check for the first months rent when Mom moved in. As said, its for cleaning the room, etc when she leaves.
The evaluation will determine Moms needs and what she pays a month will determine what her care will entail. At Moms, room and board were one price and her care needs were another. Mom was a 4 the highest level. She needed help bathing, dressing, brushing her teeth,getting her down to dinner, toileting, etc. They will periodically re-evaluate your mom and if her needs have increased, so will her care costs.
Thanks all. Now we may have another problem as mom does not want to go to AL and wants to go back to her apartment in Independent living instead. From what I see, legally, short of guardianship, we cannot make her go
Meeting with a state senior agency today to hopefully navigate this
Hope you will update us on how this works for you. If your Mom is competent you will not be able to force this. If she prefers to die at home she may end just doing exactly that, but I will let the agency know that you will NOT support her in remaining in her home, that you consider her at risk, and will not enable it. And then you need NOT to enable it. Ask them if, in your state, a Social Worker is able to get temporary guardianship for you.
My mother was in two different ALF’s in two different states and I was never asked to pay a non refundable community fee until she had been cleared to move in. I was asked to pay a refundable deposit of $1200 to hold the room while her evaluation was completed. Asking you to pay the non refundable community fee without any guarantee of admission is not the industry standard and, in my opinion, very suspect.
NO! I paid a non refundable deposit when I moved my mother into the AL facility, which is normal, but do not pay a non refundable fee for an evaluation!
We paid the non refundable fee with the first month’s rent on move in day in one AL .
The other AL that another family member was in , asked for it upfront ( to hold the room we wanted ) but it was refundable IF my mother didn’t move in due to the evaluation causing them to deny her admission .
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.
The upshot is she is supposed to leave Wednesday per he Medicare Advantage plan company, but will not be able to go to AL then
The AL director says the rehab place cannot discharge her if the AL is not ready to take her, but what then?
Can she stay there for a couple more days? Who pays? She has not reached the 21 day limit for medicate pay for rehab but was leaving as medicare thought she was ready to leave.
Private pay on that could be spendy.
In re the non refundable community fee prior to nurse intake evaluation: Turns out this was miscommunicated (I think, could not be possible that I misunderstood)
Anyway, I had to write the check today to get the ball rolling and hold the apartment, but, it only becomes non refundable after my mom begins living there. If something comes up before then, it will be refunded.
As far as my mom unwillingness: Talked to Occupational Therapist at rehab who confirmed she needed to have 7/24 care, which at first I interpreted as someone there in her apartment all the time. What they meant was like at an AL where there is help 24/7. So that confirmed the choice. On cognitive scale she said my mom scored 3.5 on a 5.6 scale, and I have no idea what that means. I asked if my mom should be in memory care. The OT said no, not now. But probably in the future, which I assumed.
Anyway, a social worker from a state agency which helps oversee these transitions among other things, came to talk to my mom. My mom went off saying I (and my brothers) dont care about her and must hate her for wanting to send her to assisted living. The SW had skills I dont have, she was very able to calm my down, and de escalate. She said no, your sons love and care for you and are concerned about your safety .For the first time I saw my mom kind of accept the point
She is still not into it but pointed out her aversion is in part because of the words Assisted Living. She is vain, and ideally would have gotten in one of those places where assisted living and indy living are just mixed, there is no differentiation . But those places were not best for other reasons this time Also talked to a couple cousins who had similar situations They said yes, our parent did not want to go to AL, yes, we knew legally it was their choice but they did it anyway . And parent was angry for a long time but ultimately saw the wisdom
Later talked to admissions director at the AL she is going to, and IL she is at now. She said that is not uncommon, many elders hate the Assisted Living tag.
She also said as someone mentioned here that they would nto have taken her back into IL, with the assessment of the therapy staff at rehab. Although my mom is paid up there through end of /August, so I dont know how they handle that.
She said my mom was on their radar for a while in terms of having to move her, the fall which put her in rehab sort of just hastened the process.
I know I have rambled, but one more thing. My mom says she doesnt need AL as people at IL talk about how fast she is, she like the energizer bunny
The OT said, yes she is very fast, that is part of the problem, she is a fall risk because of that and should not upgrade to a four wheel walker.
They need to come up with a better tag .
She can go where SHE thinks is best, but forfeit your help.
She can go where the professionals are advising, with your help.
Make it clear to her that if she chooses the former and she needs more care, she will be in charge of finding it, or paying someone to do so, that you are washing your hands of the situation.
We will not help her without it, unless the court or some other authority assigns DH emergency guardianship
I see the wisdom here , let her fail first . It’s the only way to manage this level of stubbornness .
The Community fee...I think I paid it when I wrote a check for the first months rent when Mom moved in. As said, its for cleaning the room, etc when she leaves.
The evaluation will determine Moms needs and what she pays a month will determine what her care will entail. At Moms, room and board were one price and her care needs were another. Mom was a 4 the highest level. She needed help bathing, dressing, brushing her teeth,getting her down to dinner, toileting, etc. They will periodically re-evaluate your mom and if her needs have increased, so will her care costs.
Meeting with a state senior agency today to hopefully navigate this
I would ask for clarification from the business office.
We paid the non refundable fee with the first month’s rent on move in day in one AL .
The other AL that another family member was in , asked for it upfront ( to hold the room we wanted ) but it was refundable IF my mother didn’t move in due to the evaluation causing them to deny her admission .
What if that ended up being more than say another place?