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.
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 acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
Barry - Can you explain "AD" ? Do you mean advance directive on her health care in case she's found unresponsive? It would also be good understand WHO wants her to move to assisted living - her physician? her family? Does she NEED it due to medical conditions or physical limits, or is it about company for her and not worrying about her welfare? If she's able to keep up with her hygiene, feed herself, take her meds as prescribed, get groceries and prescriptions - then should she move?
Often when people get older families start a waiting game - we wait for a fall, a stroke, an illness or a new ache/pain that signals it's time to make a change. The change is usually someone moving in or them moving out. These are called sentinel events. It's really hard to wait and watch them decline without doing anything. That said, we must consider their quality of life, their sense of control and what they REALLY need. I just went through all of this with my own mom. We worked to keep her in her own home until her arthritis became too bad and she needed help to get up/down from chairs and on/off the toilet. By this time she was 88 and we had listened to 2 years of complaints about lack of company, aides that didn't clean well enough, poor food from wheels on meals and requests for new shoes for her swollen feet (we never found them so I altered slippers for her). We also made all kinds of adjustments to her home to make things easier as her body declined. We finally got her to move by telling her that it was "just for winter" but by then she was so weak and wheelchair bound she had to stay. We told her that home was not safe any longer. We also put it all on the doctor - he ORDERED that she stay.
So - there's our story. I hope it helps. It's hard to sit on the sidelines, help as you can and jump to action when something happens. BUT - what's most important is that your elder feel loved and engaged with family or loved ones. That was our goal with Mom even though she was her own worst enemy when it came to dealing with her arthritis - it's been best for her. Best of luck to you and to your Mom, she's lucky to have a family that cares.
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.
Often when people get older families start a waiting game - we wait for a fall, a stroke, an illness or a new ache/pain that signals it's time to make a change. The change is usually someone moving in or them moving out. These are called sentinel events. It's really hard to wait and watch them decline without doing anything. That said, we must consider their quality of life, their sense of control and what they REALLY need. I just went through all of this with my own mom. We worked to keep her in her own home until her arthritis became too bad and she needed help to get up/down from chairs and on/off the toilet. By this time she was 88 and we had listened to 2 years of complaints about lack of company, aides that didn't clean well enough, poor food from wheels on meals and requests for new shoes for her swollen feet (we never found them so I altered slippers for her). We also made all kinds of adjustments to her home to make things easier as her body declined. We finally got her to move by telling her that it was "just for winter" but by then she was so weak and wheelchair bound she had to stay. We told her that home was not safe any longer. We also put it all on the doctor - he ORDERED that she stay.
So - there's our story. I hope it helps. It's hard to sit on the sidelines, help as you can and jump to action when something happens. BUT - what's most important is that your elder feel loved and engaged with family or loved ones. That was our goal with Mom even though she was her own worst enemy when it came to dealing with her arthritis - it's been best for her. Best of luck to you and to your Mom, she's lucky to have a family that cares.