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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.*
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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:
My dad in the Midwest has been in assisted living specializing in memory care (secure building) for 2 yrs now. It started at $4800/month for his room. Includes medication mgmt, laundry, all meals and whatever special events they have. He has now needed showing assistance and a help dressing so it had gone up to $5200. He has had several falls this summer and now uses wheelchair and a walker with help. Needs toileting help. I am assuming there will be another price increase but will not know the amount till next month but I'm guessing another 10%. His place is highly staffed which I really like.
Here in western NY a private room in a nice facility is $3000 a month. A one bedroom apartment set up $4000, but in AL you do not need a living room or kitchen. Level of care-- just pill management was $200 a month, but very quickly mom needed help dressing, then help showering and it rose to $500 a month. Finally she lost her left side from a stroke and could no longer live in AL, she had to go to a nursing home. That was $14K a month.
Angeles, it depends on how large an apartment, what services are provided, out of pocket costs, and especially location.
Example, my Dad paid around $5200 a month when he first moved in his 2 bedroom independent living apartment which had a large living room and full size kitchen, he got a discount because it was January when the rental market at facilities were much slower. With that cost he received once a week housekeeping which included vacuuming, dusting, cleaning the kitchen and bathroom... plus linen service where the bedding is washed and replaced, so are the towels.
Electricity was an extra $85 per month, and telephone service was an extra $40 per month. He wore a pendent but that was an one time cost with no monthly fee. His rent included dinner in the main dining room. The nurse would assess Dad once a month. And he got physical therapy which was paid for by Medicare and his secondary insurance.
Later down the road my Dad needed pill management as he wasn't taking his pills correctly. That was an extra $600 per month. Then he needed a higher level of care being he was getting dementia and was a fall risk, and that was an added $2000 a month. So that monthly rate really grew.
And like I had mention location, location, location. We live in a large metro area outside of Washington DC thus the cost of housing is much more then say if we had lived in a small town in the mid-west.
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.
Example, my Dad paid around $5200 a month when he first moved in his 2 bedroom independent living apartment which had a large living room and full size kitchen, he got a discount because it was January when the rental market at facilities were much slower. With that cost he received once a week housekeeping which included vacuuming, dusting, cleaning the kitchen and bathroom... plus linen service where the bedding is washed and replaced, so are the towels.
Electricity was an extra $85 per month, and telephone service was an extra $40 per month. He wore a pendent but that was an one time cost with no monthly fee. His rent included dinner in the main dining room. The nurse would assess Dad once a month. And he got physical therapy which was paid for by Medicare and his secondary insurance.
Later down the road my Dad needed pill management as he wasn't taking his pills correctly. That was an extra $600 per month. Then he needed a higher level of care being he was getting dementia and was a fall risk, and that was an added $2000 a month. So that monthly rate really grew.
And like I had mention location, location, location. We live in a large metro area outside of Washington DC thus the cost of housing is much more then say if we had lived in a small town in the mid-west.