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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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I worked as a secretary for a local Visiting nurse facility. The easiest way we found in getting a person in a NH was being in the hospital or rehab and transferring from there. Harder to go from a personnal home and Doctor recommendation. You have patient evaluated while in hospital or rehab and more likely to get onto the nursing section if connectedto the rehab.
Dogtired - first, does this AL take Medicaid waivers? If so, you need to get mom on the list and find out where she is on it for getting a waiver bed, if it's realistically 6 mos, then you have lucked out!. But if this AL is only private pay, then you need to work with mom's doctors to get them to write orders for her that "skilled nursing care is needed". Skilled means nursing home and start looking for NH that have Medicaid beds and take residents "Medicaid Pending".
The AL medical director or affiliated MD is likely not going to be helpful in doing this as the AL being private pay is pretty profitable. They want mom to stay in AL & have you all private pay. For my mom, I was able to move her from IL to NH and totally bypassed the AL stage. What I did was find a couple of NH that had room and took Medicaid; and had mom become a patient of the medical director of one. He was also one of the doc's who had been within my mom's gerontology group, so there was overlap in medical history. Basicially he saw mom every 3 - 5 weeks or so and did a spate of tests and monitoring. Lots more lab work oriented than the regular gerontology visits which where more about dementia & cognitive testing. Anyway about mo. # 5 mom got a bad H&H lab report, a 10%+ weight loss and some other issues so doc wrote orders for skilled nursing care needed. A medical director of a NH will have their own private practice and will know just how a chart should to read to show the need for skilled nursing care. When they are coming from their home or IL or AL, they often just do not have the fat medical file to show that. So some creativity is needed. Also maybe some medication changes - like from Exelon pill to Exelon patch which requires more "skill" to apply; or a medication needs to be compounded which the AL isn't set up to do but a NH does as that is "skilled".
Most NH admits come from a post hospitalization discharge to the NH for "rehab" and they have this nice fat medical chart so all OK and existing to show the need for skilled nursing. But if you're at IL or AL or home, that chart is too slim and needs to get built up to show need.
Do you have a copy of mom's AL admission agreement? You want to find out what # of days or weeks you need to provide written notice in advance to have her move out without penalty. Most have it at 30 days. If so, you need to try to move her so that there is no penalty from the old AL and still have her move into the NH within the doctors orders prescription time frame. If mom paid a AL deposit, you might find the new NH and get admission paperwork done and filed for mom to be Medicaid Pending the day she moves in - oh on this ask the NH for the list of the documents they want to review to do the application, it could be simple to find or not, but it will take some time. Then you move mom a couple of days over the 30 days and let the AL take the extra days stay out of the deposit. May just be simpler and not increase any of mom's assets for Medicaid.
Once mom is on Medicaid in the NH, she will have no $ to ever pay for anything anymore basically. If mom does not have a prepaid no cash value funeral & burial done, please think about using some of her existing $ to pay for this. Once on Medicaid, she will have to do a co-pay of all her income to the NH except for a small $ 35 - 90 a mo personal needs allowance which basically covers beauty shop and phone or cable. Good luck.
We live in California. My mothers funds are running low. She has been in assistant living for the last wo years and has enough money left for about five months. I and my sisters are unable to have her move in with any of us for many reasons. What are the options to get financial aid for her.
What if we can't afford a "nice" one? Isn't it better to sacrifice for a while and keep her at home? I am sure I can find ways to survive and not lose my life completely.
At home with Dad is now at home with Mom as Dad is now gone. Mom is 90 and not nearly as difficult as Dad was although I do get tired of the routine sometimes..
I was told the best thing is to find a place you are interested in. Talk to the director about how things work. Then make an appointment at the Medicaid office to get their info.
Some nursing homes, nice ones, will take her if she can private pay for two years before converting to Medicaid. To go into a NH with just Medicaid limits you to county run or non-profit facilities that can be pretty depressing. The limits vary from state to state. See your state's rules.
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.
The AL medical director or affiliated MD is likely not going to be helpful in doing this as the AL being private pay is pretty profitable. They want mom to stay in AL & have you all private pay. For my mom, I was able to move her from IL to NH and totally bypassed the AL stage. What I did was find a couple of NH that had room and took Medicaid; and had mom become a patient of the medical director of one. He was also one of the doc's who had been within my mom's gerontology group, so there was overlap in medical history. Basicially he saw mom every 3 - 5 weeks or so and did a spate of tests and monitoring. Lots more lab work oriented than the regular gerontology visits which where more about dementia & cognitive testing. Anyway about mo. # 5 mom got a bad H&H lab report, a 10%+ weight loss and some other issues so doc wrote orders for skilled nursing care needed. A medical director of a NH will have their own private practice and will know just how a chart should to read to show the need for skilled nursing care. When they are coming from their home or IL or AL, they often just do not have the fat medical file to show that. So some creativity is needed. Also maybe some medication changes - like from Exelon pill to Exelon patch which requires more "skill" to apply; or a medication needs to be compounded which the AL isn't set up to do but a NH does as that is "skilled".
Most NH admits come from a post hospitalization discharge to the NH for "rehab" and they have this nice fat medical chart so all OK and existing to show the need for skilled nursing. But if you're at IL or AL or home, that chart is too slim and needs to get built up to show need.
Do you have a copy of mom's AL admission agreement? You want to find out what # of days or weeks you need to provide written notice in advance to have her move out without penalty. Most have it at 30 days. If so, you need to try to move her so that there is no penalty from the old AL and still have her move into the NH within the doctors orders prescription time frame. If mom paid a AL deposit, you might find the new NH and get admission paperwork done and filed for mom to be Medicaid Pending the day she moves in - oh on this ask the NH for the list of the documents they want to review to do the application, it could be simple to find or not, but it will take some time. Then you move mom a couple of days over the 30 days and let the AL take the extra days stay out of the deposit. May just be simpler and not increase any of mom's assets for Medicaid.
Once mom is on Medicaid in the NH, she will have no $ to ever pay for anything anymore basically. If mom does not have a prepaid no cash value funeral & burial done, please think about using some of her existing $ to pay for this. Once on Medicaid, she will have to do a co-pay of all her income to the NH except for a small $ 35 - 90 a mo personal needs allowance which basically covers beauty shop and phone or cable. Good luck.
At home with Dad is now at home with Mom as Dad is now gone. Mom is 90 and not nearly as difficult as Dad was although I do get tired of the routine sometimes..
The limits vary from state to state. See your state's rules.