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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.
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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.*
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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:
You as a caregiver don't evaluate them. A doctor does. He/she will assess the patient's health condition, daily living skills, need for rehab or skilled medical care, etc. Placement in a nursing home or skilled nursing requires a doctor's referral and diagnosis to be paid for at all by Medicare, Medicaid, or private insurance. Start with the person's primary physician or the emergency room doctor.
Did you mean, how do you specifically, or how does one generally - i.e. how is it done?
I would expect the facilities themselves to have admissions criteria, but I would be surprised if they were categorical or absolute because the distinctions are a bit of a wavy line. Are you looking around at what's available, or satisfying yourself that what has been suggested for your loved one is appropriate?
Your bio only alludes to Grandmother's dementia, are there other medical issues?? And I agree, each state/area seems to have its own standards! Having said that - from my personal experience and in my opinion -- memory care is needed if the person has a risk of walking out of a place. Memory care is secured. Then there is the choice - memory care in assisted living or skilled nursing. If true nursing help is not required, I would opt for assisted living. It is half the cost of SNF and often a better environment. In my area, very few Assisted living memory care places accept medicaid so the resident has to have financial resources. I am sure there are exceptions to each of my statements but this was my philosophy. I was able to keep my Mom in an AL memory care for 18 months. Make appointments and visit 2 ALs and 2 SNFs. Ask about their requirements and you will have a better picture of services in your area.
Each time one of my parents went to rehab, or NH (from a hospital setting) a nurse was sent from the facility to assess them to see if they met admission criteria.
In the case of IL and AL, we brought mom to the facility and they assessed her to see if she met their criteria.
I agree with the above, start with the doctor who knows her and let her/him initially guide you; what is called Assisted Living in one area is called a nursing home in another. Different states have different regulations for what can be managed in various settings. For example, in NYS, lifts may not be used in AL settings, only in Nursing Homes; in Connecticut, lifts may be used in AL settings.
I noticed that your profile says you are a caretaker for a person with AD. Due to their special needs, some states have facilities that are special care units. If the dementia is rather pronounced, I would encourage you to explore them. Sometimes they are called MC units.
If your loved one will be needing Medicaid or some other state funded program to pay for the care facility, then there may be an official form that the state has that has a checklist of the needs and abilities. A doctor or some other health care professional signs it. A director at most facilities should be familiar with the requirements and guide you. You can ask them about some rules and requirements in your state. In my state, residents in AL have to be able to transfer from a wheelchair with the assistance of no more than 1 person. And they can't be double incontinent. However, MC does allow residents like that. I'd consult with someone who works with this type of thing all the time.
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 would expect the facilities themselves to have admissions criteria, but I would be surprised if they were categorical or absolute because the distinctions are a bit of a wavy line. Are you looking around at what's available, or satisfying yourself that what has been suggested for your loved one is appropriate?
Make appointments and visit 2 ALs and 2 SNFs. Ask about their requirements and you will have a better picture of services in your area.
In the case of IL and AL, we brought mom to the facility and they assessed her to see if she met their criteria.
I agree with the above, start with the doctor who knows her and let her/him initially guide you; what is called Assisted Living in one area is called a nursing home in another. Different states have different regulations for what can be managed in various settings. For example, in NYS, lifts may not be used in AL settings, only in Nursing Homes; in Connecticut, lifts may be used in AL settings.
If your loved one will be needing Medicaid or some other state funded program to pay for the care facility, then there may be an official form that the state has that has a checklist of the needs and abilities. A doctor or some other health care professional signs it. A director at most facilities should be familiar with the requirements and guide you. You can ask them about some rules and requirements in your state. In my state, residents in AL have to be able to transfer from a wheelchair with the assistance of no more than 1 person. And they can't be double incontinent. However, MC does allow residents like that. I'd consult with someone who works with this type of thing all the time.