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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.
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If he is on Medicare, you could get into some trouble with APS. APS reports to Medicare and Medicaid. If your dad has his right mind and is happy there do not move him. You have to remember even if you are the POA and he has his right mind he can decide where he is most happy not you. If he is not in his right mind and you want to move him to a better facility, tread lightly, APS, the nurses, CNA'S can try to get a hold of his finances and take you to court and perhaps try to get you removed as POA because they can claim you are abusing him by even moving him to a new facility. When you move him you have to check his Medicare or Medicaid plan is it public or private. If it is through the Government the facility he is at now can elect to report you if you sign him out and take him to another facility and say you left against medical advisement. APS could also open an investigation sometimes it is worth it to move your parent sometimes not depending upon medicare resources and money and the APS and if your insurance is through the government or if it is his own plan that he purchased months ago.
Hi Elizabeth, You didn't mention why you didn't like the place, so I'm assuming that a call to staff won't help to change things. 1) Do you have POA? Yes? You can move him. No? You can't. 2) What type of care is he being given? (ie) Rehab? Long Term? Medical conditions that may limit your choices for a transfer? 3) Is he on Medicaid or Medicare? They are not the same. 3a) IF he's on Medicaid - you'll have to find another facility with an available MedicAID bed. 3b) IF he's on MediCARE - it's easier. But without knowing what type of care he is currently receiving... 3c) If on Medicare with a Medigap policy - is it Medigap or an Advantage plan? You may want to contact them for coverage information for the new facility. Note: Unless you want to be unhappy with the next choice - you should go check it out before you move him anywhere.
I had to do this once. Despite what I thought was good background investigation, recommendation from a good friend who was a former employee, and interviews on a weekend, I realized the first "business day" that I missed two critical issues: (1) food quality, and (2) staff to patient ratios.
The food looked like drywall, and that's not an exaggeration. There wasn't enough staff to care for patients, one of the "nurses" couldn't find the chart, etc. It was absolutely terrible, but there were no signs of that when I interviewed them.
I contacted the doctor who prescribed the rehab care, spoke with one of the nurse practitioners about how to handle the transfer (there was NO question but that we needed to make a transfer ASAP), and learned that sometimes Medicare won't pay for a transfer to a different facility.
After discussion, a letter was written for delivery to the replacement facility (which turned out to be a great rehab place), I advised the current facility in writing of the transfer, it arranged the transfer ambulance (also an example of how bad the place was), and the move was effected. Relief after a horrible experience!
Medicare never raised the issue, and payment never became a problem. But I had the documentation letter if needed.
So, yes, but make sure that you document everything and get the physician on board for his/her written documentation, IF your father is only on Medicare. I have no experience with Medicaid.
As to legal issues, I am named in the health care proxy and DPOA, and may have had to provide a copy to the facility to which we transferred, but it's been a few years and I don't recall all the details. The medical 3 ring binder I carry with me had conformed copies of both, so if it was needed I could have provided it on the spot when I arranged for the transfer.
There was no issue of dementia or cognitive ability. I do know that I had no problem getting a bed at the new facility - they were glad to have us!
Who is paying for your dad's care? For example, is he on Medicaid? Will the place you want to move him to accept Medicaid (or whatever funds are covering him)? Is it within the state? Do you have POA? Medical proxy? If not, does anyone?
Provide a few more details and someone can probably help with your question.
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.
You didn't mention why you didn't like the place, so I'm assuming that a call to staff won't help to change things.
1) Do you have POA? Yes? You can move him. No? You can't.
2) What type of care is he being given? (ie) Rehab? Long Term? Medical conditions that may limit your choices for a transfer?
3) Is he on Medicaid or Medicare? They are not the same.
3a) IF he's on Medicaid - you'll have to find another facility with an available MedicAID bed.
3b) IF he's on MediCARE - it's easier. But without knowing what type of care he is currently receiving...
3c) If on Medicare with a Medigap policy - is it Medigap or an Advantage plan?
You may want to contact them for coverage information for the new facility.
Note: Unless you want to be unhappy with the next choice - you should go check it out before you move him anywhere.
It's difficult to answer such a general question.
The food looked like drywall, and that's not an exaggeration. There wasn't enough staff to care for patients, one of the "nurses" couldn't find the chart, etc. It was absolutely terrible, but there were no signs of that when I interviewed them.
I contacted the doctor who prescribed the rehab care, spoke with one of the nurse practitioners about how to handle the transfer (there was NO question but that we needed to make a transfer ASAP), and learned that sometimes Medicare won't pay for a transfer to a different facility.
After discussion, a letter was written for delivery to the replacement facility (which turned out to be a great rehab place), I advised the current facility in writing of the transfer, it arranged the transfer ambulance (also an example of how bad the place was), and the move was effected. Relief after a horrible experience!
Medicare never raised the issue, and payment never became a problem. But I had the documentation letter if needed.
So, yes, but make sure that you document everything and get the physician on board for his/her written documentation, IF your father is only on Medicare. I have no experience with Medicaid.
As to legal issues, I am named in the health care proxy and DPOA, and may have had to provide a copy to the facility to which we transferred, but it's been a few years and I don't recall all the details. The medical 3 ring binder I carry with me had conformed copies of both, so if it was needed I could have provided it on the spot when I arranged for the transfer.
There was no issue of dementia or cognitive ability. I do know that I had no problem getting a bed at the new facility - they were glad to have us!
Provide a few more details and someone can probably help with your question.