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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 husband was the only person in the room while roommate was dying, he reassured roommate that all his friends and family were there, my husband was traumatized by this event.
In the nursing home's defense, perhaps there were no empty rooms available. However, that being said, I find that very hard to believe.
When my fil was dying, they placed him in a private room and we (the family) took 24 hour shifts with him. The staff were very accommodating and checked on him frequently. I was impressed and very pleased, even though it was an older facility and not as pretty and modern as most.
I'm so sorry that your husband was placed in this position. Was it long and drawn out or did it at least happen quickly? That was very sweet of your husband to have the presence of mind to reassure his roommate. I do believe I would talk to the head of the facility about this situation and register your dissatisfaction with their handling of it.
Wow I am really surprised! Usually NH's are very careful with these situations. Strange that no staff was around during this time either. Sounds like your husband was being used as a watcher. He must feel terrible and think that the same thing (dying with no one you love around) could happen to him.
At the last NH mom was in after her hip episode, they even converted a patient lounge into a special room for a dying patient and his/her family and friends. They provided food and refreshments and kept the patient comfortable. I thought that was handled well.
Was this a DNR issue for the roommate? I would be really upset with the staff. I would think there is a HIPPA violation at the very least. Your husband should not have been left in that situation. I would ask to see the director of the nursing home and demand an explanation and also counseling for your husband. I would also contact the Long Term care Ombudsman as this sounds like the roommate was not well cared for in his final moments either.
I would insist on a new room now...it must have been very scarey for your husband.
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.
When my fil was dying, they placed him in a private room and we (the family) took 24 hour shifts with him. The staff were very accommodating and checked on him frequently. I was impressed and very pleased, even though it was an older facility and not as pretty and modern as most.
I'm so sorry that your husband was placed in this position. Was it long and drawn out or did it at least happen quickly? That was very sweet of your husband to have the presence of mind to reassure his roommate. I do believe I would talk to the head of the facility about this situation and register your dissatisfaction with their handling of it.
At the last NH mom was in after her hip episode, they even converted a patient lounge into a special room for a dying patient and his/her family and friends. They provided food and refreshments and kept the patient comfortable. I thought that was handled well.
Was this a DNR issue for the roommate? I would be really upset with the staff. I would think there is a HIPPA violation at the very least. Your husband should not have been left in that situation. I would ask to see the director of the nursing home and demand an explanation and also counseling for your husband. I would also contact the Long Term care Ombudsman as this sounds like the roommate was not well cared for in his final moments either.
I would insist on a new room now...it must have been very scarey for your husband.
God Bless!