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.
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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
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.
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First, some more explanations: Why don't you agree with rehab? Are you a therapist yourself, and don't concur with the plan, or are there other issues? If you take her home, who's going to plan, manage and carry out the rehab? Does the doctor who treated her for whatever physical injuries or issues she may have agree that she's ready for discharge, and possible home care follwoup?
Of course financial gain is involved; that's why they're in business. Do you feel and have reason to believe that there are exploitations beyond this, such as wanting to keep your mother longer than necessary just for the income? That's certainly happened, we experienced it ourselves. How long has she been in rehab, and for what condition? That could make a big difference.
When you say "they" won't agree with anything, that could extend not only from diet and therapy to hygiene, meals, bedtime hours, nonrehab activity and more. I think more specifics would offer the opportunity for better and more succinct answers.
Is the SNF permanent? If so is Medicaid paying for her care? Or is she private pay?
If rehab only, how long has she been in? What do you think they should agree to? If in rehab to be discharged to your care, then you can request she be discharged whenever you want. It may be against medical advice (AMA) but the doctor can sign her out. Medicare and insurance will pay for her stay up till then depending how long she has been in. So don't allow them to tell you different. For Medicare 21 days to 100 they only pay 50%. (100% for the first 20 days). It depends on your suppliment on what they pick up of the 50%. With my Mom after Medicare and supplimental she paid $150 a day that can really mount up. Last time she was in was after a UTI and she was sent to rehab to get her strength back. I told them there was no money after the 20 days so they better do what needed to be done in those 20 days. They released her at 18. You can ask her PCP about therapy at home if you aren't happy with her care in rehab.
I don't enough about your situation, however, I know of a case where a senior was not able to engage in rehab inside a nursing home for several reasons and still completely immobile in wheelchair. The facility could not secure a home care plan for the patient, because, the home was not equipped for his care, no ramp, no accessible bathroom, etc. and not enough care for him in the home. His wife was weak, struggled with her own mobility and there was no feasible plan for him to go home. Has the facility social worker tried to do that with you?
The OP provided info on someone else’s post. She thinks the PT is too aggressive and she wants it stopped as there’s no viable goal in place. She also says a hospice evaluation is in the works.....
Here’s what she said: ”I should have set up boundaries with my mother.......insisted or arranged for extra help myself or for her to move to an assisted living community. She's wasted years of her senior life........decades.....and she's wasted decades of mine. I need some quality time and sometimes feel like I just can't take it anymore.
This has been going on for years........and now since April 2020 lying in bed after yet another fall.........brought to the hospital and hospitalized and then a SNF....and I feel the PT is too aggressive for her and I see no viable goal in sight. So I wanted this rehab stopped......she's bedridden...can't stand for more than a few seconds......who could see possibly be ever use a walker now? And these 2 person transfers from bed to a wheelchair..............in a woman who's skin is fragile............I didn't want it, and have had many bitter arguments with the SNF. The whole thing has been awful beyond my wildest dreams.”
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.
Of course financial gain is involved; that's why they're in business. Do you feel and have reason to believe that there are exploitations beyond this, such as wanting to keep your mother longer than necessary just for the income? That's certainly happened, we experienced it ourselves. How long has she been in rehab, and for what condition? That could make a big difference.
When you say "they" won't agree with anything, that could extend not only from diet and therapy to hygiene, meals, bedtime hours, nonrehab activity and more. I think more specifics would offer the opportunity for better and more succinct answers.
Is the SNF permanent? If so is Medicaid paying for her care? Or is she private pay?
If rehab only, how long has she been in? What do you think they should agree to? If in rehab to be discharged to your care, then you can request she be discharged whenever you want. It may be against medical advice (AMA) but the doctor can sign her out. Medicare and insurance will pay for her stay up till then depending how long she has been in. So don't allow them to tell you different. For Medicare 21 days to 100 they only pay 50%. (100% for the first 20 days). It depends on your suppliment on what they pick up of the 50%. With my Mom after Medicare and supplimental she paid $150 a day that can really mount up. Last time she was in was after a UTI and she was sent to rehab to get her strength back. I told them there was no money after the 20 days so they better do what needed to be done in those 20 days. They released her at 18. You can ask her PCP about therapy at home if you aren't happy with her care in rehab.
She can't be cared for at home. She needs to be in a facility.
The PT has to demonstrate that she isn't/can't make progress.
You can then ask that she remain in the facility as a LTC client , visit as a loving daughter and regain your life.
Here’s what she said:
”I should have set up boundaries with my mother.......insisted or arranged for extra help myself or for her to move to an assisted living community. She's wasted years of her senior life........decades.....and she's wasted decades of mine. I need some quality time and sometimes feel like I just can't take it anymore.
This has been going on for years........and now since April 2020 lying in bed after yet another fall.........brought to the hospital and hospitalized and then a SNF....and I feel the PT is too aggressive for her and I see no viable goal in sight. So I wanted this rehab stopped......she's bedridden...can't stand for more than a few seconds......who could see possibly be ever use a walker now? And these 2 person transfers from bed to a wheelchair..............in a woman who's skin is fragile............I didn't want it, and have had many bitter arguments with the SNF. The whole thing has been awful beyond my wildest dreams.”