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.*
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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:
This might help also. From this state of florida site . Q&B A: I am looking for a list of licensed home health care providers. Ideally, I would also like to see some descriptive information and information about ratings, inspection reports, etc... Where can I find this information?
The Department of Health (DOH) does not regulate home health type agencies. The Agency for Health Care Administration (AHCA) regulates and licenses homemaker companion, home health, and health care service pool agencies as well as other health related facilities.
Scroll down until you see the name of the facilities you are interested in then select a county. Should you have additional questions regarding licensing, you may contact AHCA directly at (850) 414-6010.
Information on medical licensing can be found at DOHs Medical Quality Assurance website:
My mother has the state nursing home waiver program. Don't know if you have the same thing but I had to select a provider and they have a case manager and any problems with agency aides they send I report to case manager, if I first do not get cooperation from the agency that supplies the aide. They get their business from the state so I would think they would address your concerns since you can complain to the provider and then to the state. Do not settle for unqualified or uncooperative aides. Document the problems and first call the agency that hired them and sent them and then go to the case manager for the program that hires the agency. there is also an appeal process for those providers if you are dealing with the long term care diversion program. Is there a possiblily that the agency doesn't understand what type of aide is needed? I tell them clearly, I need an aide strong enough, don't afraid of pets, during this time schedule, etc. Be very detailed or they will send the least experienced and qualfied, especially if they don't have anyone else. But the provider works with several, not one agency, at least in my county, so ask to see a list and call around. You have a right to get a qualified aide.
hi tired, tx so much for info. we have been receiving help from the senior serice waiver program. yes the problem is with the agencies contracted with the county, they send 2 people out at 1x with little or no experience. my ? of oversite being, does anyone see/check the qualifications of the caregivers being sent out to the elderly and i dont mean the agencies providing the service.
Not sure what you mean by oversight. are you having a problem with quality of aides being sent or do you want help from a program. If you live in Hernando county florida, maybe this site will help.
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.
Q&B A: I am looking for a list of licensed home health care providers. Ideally, I would also like to see some descriptive information and information about ratings, inspection reports, etc... Where can I find this information?
The Department of Health (DOH) does not regulate home health type agencies. The Agency for Health Care Administration (AHCA) regulates and licenses homemaker companion, home health, and health care service pool agencies as well as other health related facilities.
Scroll down until you see the name of the facilities you are interested in then select a county. Should you have additional questions regarding licensing, you may contact AHCA directly at (850) 414-6010.
Information on medical licensing can be found at DOHs Medical Quality Assurance website:
http://mqaapps.doh.state.fl.us/ServiceDir/searchByJob.asp
http://www.hernandocounty.us/HealthandHumanServices/seniorPrograms.asp