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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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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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My understanding is that their status at the hospital will make a difference.... if they sent from NH to hospital/ER & are at the hospital under “observation” they are technically not hospitalized & not an inpatient so NH has to keep a Bed hold as Medicaid will pay their R&B to the NH for the observation period (like under 48 hrs). But if they are actually hospitalized, then no bed hold payment to the NH from Medicaid (no room & board daily payment) but upon being discharged from the hospitalization of more than 3 days they can get discharged for “rehab” to the NH with rehab as a 100% Medicare paid benefit.
If you want them to return to the old NH, there needs to be a clear discussion with the NH regarding the gap to pay the non revenue days. If NH has a long waiting list for Medicaid beds, then family is going to need to pay the gap. But if the NH continuously has 4-5 open Medicaid beds, they can hold one for your elder for a bit of time. Having a good relationship with NH staff will come in handy to get this done smoothly. Keep in mind that the rehab Medicare paid bed will pay like 2 or 3 times the day rate of a Medicaid bed. So holding a bed for a few days knowing that they are returning with 21 days paid by Medicare is oodles more income.
My mom at her 1st NH was sent by ambulance (which the NH arranged for) from NH to hospital ER after she had a TIA. Around 36 hr observation. & then back to NH via ambulance transport arranged by hospital discharge planner. Happened twice; very stressful. It was one of the reasons why I moved her to another NH a few weeks later. Btw she had more TIAs while at the 2nd NH and she remained there in her bed, getting lots of rest/hydration with extra nursing staff oversight. When I went looking for a new NH, I asked pointe blank how they dealt with TIAs, uti’s, CDeff, falls. To me, it was apparent that some NH will ship them out to hospital/er if it looks like the resident will require more than the minimum nursing care. Family has to be very proactive in their care plan & reminding facility of their responsibility.
Could you be more specific about why they were taken to the hospital? Do they have some condition that the nursing home cannot deal with? Did they pay for a bed hold?
Is there a reason why the NH may not want the patient back? There is usually a waiting list for NH beds especially Medicaid ones it is not in the NH interest to leave a bed empty. It could probably be arranged if you are prepared to pay the daily rate. When i was in rehab and readmitted to the hospital, they offered to hold my bed at a cost of $182 peer day which was the medicare rate.
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.
But if they are actually hospitalized, then no bed hold payment to the NH from Medicaid (no room & board daily payment) but upon being discharged from the hospitalization of more than 3 days they can get discharged for “rehab” to the NH with rehab as a 100% Medicare paid benefit.
If you want them to return to the old NH, there needs to be a clear discussion with the NH regarding the gap to pay the non revenue days. If NH has a long waiting list for Medicaid beds, then family is going to need to pay the gap. But if the NH continuously has 4-5 open Medicaid beds, they can hold one for your elder for a bit of time. Having a good relationship with NH staff will come in handy to get this done smoothly. Keep in mind that the rehab Medicare paid bed will pay like 2 or 3 times the day rate of a Medicaid bed. So holding a bed for a few days knowing that they are returning with 21 days paid by Medicare is oodles more income.
My mom at her 1st NH was sent by ambulance (which the NH arranged for) from NH to hospital ER after she had a TIA. Around 36 hr observation. & then back to NH via ambulance transport arranged by hospital discharge planner. Happened twice; very stressful. It was one of the reasons why I moved her to another NH a few weeks later. Btw she had more TIAs while at the 2nd NH and she remained there in her bed, getting lots of rest/hydration with extra nursing staff oversight. When I went looking for a new NH, I asked pointe blank how they dealt with TIAs, uti’s, CDeff, falls. To me, it was apparent that some NH will ship them out to hospital/er if it looks like the resident will require more than the minimum nursing care. Family has to be very proactive in their care plan & reminding facility of their responsibility.
There is usually a waiting list for NH beds especially Medicaid ones it is not in the NH interest to leave a bed empty. It could probably be arranged if you are prepared to pay the daily rate.
When i was in rehab and readmitted to the hospital, they offered to hold my bed at a cost of $182 peer day which was the medicare rate.