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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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I know here in NY, dinner to breakfast time gap cannot be more than 14 hours, so if dinner is at 5PM, breakfast has to happen by 7AM, unless there is an evening snack.
Does anyone know why many places like to get the residents up so early? I mean, it's not like they have a job to get to. Since they aren't usually going anywhere, why not let them sleep as long as they want or at least until 9:00 a,m? Even if the staff wants to get baths, meds, etc. it seems to me that could be worked around so most don't have to get up early. Perhaps, they want to ensure that they will be very sleepy by early that evening and they will go to bed early.
My mother stayed in a really nice rehab facility after hip surgery. If she didn't want to get up early, she could sleep in and they'd bring a small tray with foods that could hold and be OK to eat whenever she got up.
I think forcing elderly people to wake up before 8 am is awful--I realize the necessity of getting all these people clean, dressed and fed must be daunting, but personally? my best sleep comes between 3 am and 9 am and if somebody wakes me up earlier I am not a happy camper.
One facility I know, caters to each "group" of people--the early risers, the later sleepers and the folks who didn't care if they had breakfast at all. They had a "breakfast bar" and it was open from 5 am to 10. That's a pretty good stretch of time. I need to add that this place was nothing short of amenities and at 10K+ a month, you betcha they catered to their residents. Money can buy a lot of comfort.
I live in Texas. I'm a CNA of 7 years and we were having a huge debate about what the time really is by the state and the night shift would start at 5:30 and there is only for resadents on the list to get up some were saying that you can't get anyone up tell 6 are trays come at 7:30. So my thing was if they stat 30 min befor we get there then it's fine and. And if they do not want to get up then that is fine I don't make anyone get out of bed if they don't want too. It's just I looked all over the web and could not find an answer to this anywhere to confirm what the answer is
A lot of this is related to the timing needed for food service. Dietary requirements are pretty hard n' fast by the state with on-site regulatory visits. Institutional food service is usually set up on 12 hr blocks for a required 3 meals with a 2 hr window front & back for prep & clean up. Food costs are pretty much a budget buster (even if its an all Sysco or US Foods vendor program) for NH that are mainly Medicaid so whatever can happen to get them fed & done at the minimum cost & time will have to be the plan. If that means trays in rooms @ 5:30 & seated breakfast @ 6:00 that's what's going to need to be done. I think the average national room & board daily Medicaid reinbursement is $ 175 which means there is very little room for take-your-time dining.
That being said, one of the best things to do for your elder when you visit bring is to bring them a nice sandwich or even a healthy options kids meals from a fast food place that works for their diet and spend the hr or so needed to have them eat it. Want to make night shift nursing staff happy?......bring in a couple of sleeves of kids birthday party mini ice cream / sherberts that grocery stores sell pretty cheaply for them to dispense out as needed. Staff will love you and therefore love your elder as well.
Assandache7 - those guidelines all sound just terrific in theory but probably not in reality.....If they dont want to get up, get dressed & get down to a meal, yes they can have a tray in thier room. But if they don't eat, tray gets picked up untouched & if they loose weight well too bad or say hello to a feeding tube. If they don't want to get dressed and change clothes, they don't have to and can just stay in dirty pj's till its a health & safety issue. If they don't want to allow for bed linens to get changed, or bathe or shower, or have their hair combed, ditto. Family gets all peeved & indignant but if their elder just won't or refuses to bathe, eat, move, get with the social system of the NH, the NH won't make them and cannot make them unless there are doctors orders for a specific action like medication 1hr before /after a meal or wound care. But is that what you want for them?
One issue is that for many being in or having family in a facility, is that this is their first time dealing with a long term dormitory-like situation and also their first time ever in dealing with staff. An elder who wants to loll around till 11 & then expect staff to do for them....well they better be in private $$$ pay where staff is more attuned to being treated as servants. Your not going to get Ritz-Carlton amenities at a Comfort Inn. That approach in a NH on Medicaid won't work and a facility can easily find conditions to send family a 30 day notice that although they just love, love, love mom unfortunately they cannot meet the level of care needed for mom and she needs to move out OR that family will need to hire at the family's expense an aide from a list of bonded & vetted agencies that the facility works with.
Really if you can get your elder to get assimilated with how their facility runs, everbody is better off.
As a former resident of 8 years, I refused to get up before 10:30am! The CNAs only get the residents that can't make decisions for themselves or the one's that can't speak, up so early. Some residents, on their care plan, say that they must be sitting up to eat breakfast because they have a choking hazard. As far as the rest... from what I figured out, most of the CNAs would rush to get their first rounders up before breakfast just so they could go on their first break. Honestly, that's what I saw. I was a very young resident, so I was friends more with the workers than the residents, They confided in me. Plus I went to high school with a lot of them. The family has the right to demand anything for their family members. Just so you all know...
Assandache7 answer is right on. Must have been an aide once upon a time. I lived in nothing but County homes because Medicaid paid my way but that doesn't mean you have no right's either. If you can't keep your family member at home, than at least make frequent visits to the facility because if you don't your family member will be taken advantage of, manipulated and possibly abused. Becoming a CNA is one of the easiest decent paying jobs to get and certain kinds of people who are forced off of welfare get these jobs. The elderly and disabled are easy marks from there on out, so visit often otherwise something bad will happen. The dementia patients are the one's that are messed with the most...
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 think forcing elderly people to wake up before 8 am is awful--I realize the necessity of getting all these people clean, dressed and fed must be daunting, but personally? my best sleep comes between 3 am and 9 am and if somebody wakes me up earlier I am not a happy camper.
One facility I know, caters to each "group" of people--the early risers, the later sleepers and the folks who didn't care if they had breakfast at all. They had a "breakfast bar" and it was open from 5 am to 10. That's a pretty good stretch of time. I need to add that this place was nothing short of amenities and at 10K+ a month, you betcha they catered to their residents. Money can buy a lot of comfort.
https://www.medicare.gov/what-medicare-covers/part-a/rights-in-snf.html
It says you have the right to get up when you want and go to bed when you want...
That being said, one of the best things to do for your elder when you visit bring is to bring them a nice sandwich or even a healthy options kids meals from a fast food place that works for their diet and spend the hr or so needed to have them eat it. Want to make night shift nursing staff happy?......bring in a couple of sleeves of kids birthday party mini ice cream / sherberts that grocery stores sell pretty cheaply for them to dispense out as needed. Staff will love you and therefore love your elder as well.
One issue is that for many being in or having family in a facility, is that this is their first time dealing with a long term dormitory-like situation and also their first time ever in dealing with staff. An elder who wants to loll around till 11 & then expect staff to do for them....well they better be in private $$$ pay where staff is more attuned to being treated as servants. Your not going to get Ritz-Carlton amenities at a Comfort Inn. That approach in a NH on Medicaid won't work and a facility can easily find conditions to send family a 30 day notice that although they just love, love, love mom unfortunately they cannot meet the level of care needed for mom and she needs to move out OR that family will need to hire at the family's expense an aide from a list of bonded & vetted agencies that the facility works with.
Really if you can get your elder to get assimilated with how their facility runs, everbody is better off.
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