I am an only child and my parents live over 1400 miles from me. My dad probably has mild to moderate dementia (he will be tested soon) and my mom has a brain tumor but is functioning better now. Within the past 2 years I flown at least 12 times to take my dad to appointments, visit my mom in the hospital and set up home care. I caught the flu and was so stressed out trying to manage their home and mine. It was also stressful for our pre-teen. Mom recently fired her home care assistants due to suspicision of theft! There is no way for me to know if anyone had stole or if things were thrown away by accident. Mom doesn't want to hire another person to help her with house cleaning, bathing etc. My dad needs help and coaxing to bathe. I am POA and manage their expenses. My dad was resistant to move until my mom pleaded her case. She agreed for me to apply for an IL apartment approx. 20 miles away from me. But there is a 6-18 month waiting list and we've waited 6 months. I don't want to wait any longer because (upon a recent visit) caring for my dad is tough on my mom. The IL apartment costs 2x their current apartment. I have talked to my parents about us purchasing a home for them to live in (not with my parent's finances). My husband and I would select a home with zero or minor cosmetic repair needs, in a good school district (for future resale or rental) and one that is less than the cost of the IL apartment. Purchasing it ourselves will help avoid the asset provision with Medicaid (when the time comes for them to apply). They will keep their current apartment, in case they don't like their new place. My parents would pay the mortgage, taxes and expenses for repairs, maintenance etc. and we wouldn't charge them for rent. They have the money to afford the move and to save. My husband and I have another home (almost paid off) that his mother pays the mortgage on. The benefit of a move is I can monitor them almost daily, not quarterly. I would take my parents to medical appointments and activities at least 2x a week. My mom understands that they will need an aide to help at least 1-2 days a week because of my family's schedule. The benefit of the IL apartment is there are on-site activities that they can participate in on their own. What am I missing here? I don't want to make a hasty decision. What are the pitfalls of purchasing a home for your parents?
NO.
It also seems like you and your husband are making a profitable investment, but No.
Having cared for someone with dementia and seeing someone else's parent decline with a brain tumor; if you parents don't need more care now, I bet they will very soon. If you were so stressed out managing their home, why do it again. Bringing them closer is an excellent idea; but you still will be incredibly stressed managing 2 homes and taking care of two elderly parents with cognitive disorders.
I also would not move them twice if you don't' have to. Assisted living with several levels of care would be your best option. Start visiting places, they are all different. Also you can hire a geriatric care manager to assist you with options for your parents.
Good Luck!
I would never buy them a house. Rent month to month if you can. The less they are moved the better. If you could afford elder care attorney would be worth the money. Have ALL papers w you & recorded as time is $. Make sure they know medicare rules. States rules are different. My hubby has alz & one of first clue he hide things & then accused thieves. As soon as they are near you have Dr. Appt set up. This is stress on you. When we put our house up for sale, I took my husband & stayed w our children & it luckily sold cash in 3 days. He had no clue. I was soooo stressed. My brain was clouded. Plan on a rest when you get them settled. Read all you can on dementia to know what to expect so not suprised. Pray for God's guidance.
Having said all that . it seems to be a good idea to move them closer to you even if it means waiting a few more months assisted living. The idea of renting an apartment for a few months while they wait is a good one. You can probably negotiate a six month lease that can continue as a month to month. It is a bad idea to retain their existing apartment, whether they like it or not they can't go back so it is a waste of money.
Living independently is really no longer an option, they already need more help than you are able or want to provide. People with brain injuries typically often can barely take care of themselves let alone be a caregiver. You say you are already taking care of their finances which of course needs to continue wherever they live. They are elderly now so things can only deteriorate as time goes on.
The best option to me seems to be to get them into Assisted living as soon as possible becaue there will be all kinds of services available where they don't even need to leave the facility. Meals,cleaning, laundry transportation and entertainment. They can still be as independent as they are able but still be secure and not dependent on you. That way they won't have screwed up their finances if there comes a time when they need Medicaid. Try and keep a cool head and really think this through. Unless you can afford and want the responsibility of another property it is not a good idea.
I think you have thought a great deal about addressing the issues today, but I think it would be advisable to think about the issues further down the road as well. You are a wonderful daughter, you have their best interests at heart, you have your families best interests at heart, you will figure it out. Good Luck!
Also, I've seen it posted that dementia sufferers do better in smaller places - less to take care of, fewer places to lose things, and so on. So a small apartment (could be 2 bedroom) may be better than a house investment.
Unless you want the house as an investment, it's a long-term solution for a short-term problem (as others have said). Plus, you'll still be very much taking care of your parents. You've only solved the problem of travel. Keep in mind that currently, your parents know you're very far away and that there's no point calling you for every little thing. Once they're around the corner, I predict you'll get multiple calls daily. You'll have to be very disciplined in your response and (I know from experience) that's easier said than done.
If you have an apartment building near you (within 5 miles), I'd rent there rather than buying a house. Apartment-style living is better suited to aging. And, there's no such thing as a maintenance-free house. You don't need the headaches of homeownership piled on top of taking care of your parents. Negotiate the shortest lease you can and move them in with caregivers coming as often as they can afford.
The best thing would be to find another IL if that's a possibility. Or, look at a nearby AL. Currently, they may enter with only base rent and no 'level of care' which may make it more affordable. Given their diagnoses, it's only a matter of time before they'd need AL services, so that would avoid having to move again (which can cause setbacks for elders with health issues and dementia).
It sounds like your parents are 'on the bubble' financially. In order to avoid making any missteps that would impact a future Medicaid application, meet with an attorney who specializes in elder law.
Roll in shower
Grab bars where you need them
No stairs
Wide doors
Wide halls
open concept
no carpet
durable floors.
And this does not take into account when either or both will need 24/7 care. You will have to at that point have someone move in with them or it would be another move to Assisted Living or more likely Memory Care.
I could go on but you get the idea.
A house like that is not easy to find.
I think the best thing would be to get them into the appropriate facility now while they are better able to adjust both physically and mentally.
First, there's the financial issue of that money being paid for a house which she doesn't own, if she ever needs Medicaid.
Second, there's the issue that she won't have a fee interest since title will be in your names. I doubt any mortgagee (lender) would grant a mortgage under those conditions.
That literally leaves the fee holders (you and your husband) without obligation for the mortgage, and an elderly woman responsible for it. It might not even be possible to get a mortgage under those conditions unless you deal with one of the lower level lenders, and I definitely wouldn't suggest that.
I do think the idea of moving them closer is a good one, for a lot of reasons, but I would seriously think about a place which doesn't require maintenance or upkeep.
So what is MILs health & finances like? She pays the mortgage, right? So what happens if she couldn't? What if she suddenly needed lots of help? And just who really deals with MIL when she needs something? Who deals with property #2 upkeep? What's the breakdown on this between you & hubs?
If dealing with your folks PLUS property #3 ends up with oodles more time & $$$ than dealing with MIL.... will this be an issue for hubs? Will he actually help you with yours if needed? Not to sound harsh, but just how much of a sense of humor & tolerance will hubs & your son have towards your folks?
I'm assuming that money isn't an overall issue for you & hubs or for his mom or your parents (everybody has plenty $$$); BUT rather the bigger reason for moving your folks is so important is that you are gone away from hubs, your son & your home too too much for a happy home life & your health. So in theory, you will have more time & you will be happier/healthier, if they are in the same city. Is that a driver in the decision to move them to your state, your city? If so, don't count on that happening.
It sounds like they really cannot live on their own, right now they sort of manage at their apt now cause so much of their daily life is routine... they are on auto pilot. Right now, they know without thinking where the light switch is, how to get to the drugstore, who to call when a fuse goes out, plus there's neighbors who know who they are... but once they move and move 1400 miles away to a new place (& I'd bet visually very different), it's going to be 24/7 all on you. The concept of "monitor them almost daily" well good luck on that. I'd bet a case of Prosecco they are going to be constantly calling you. If your mom right now fires all help which your dad realistically needs & accuses them of stealing in an apartment she's knows & is accustomed to, she's going become unglued in a new place. It sounds like they really need a really good AL or perhaps MC or even NH? I'd suggest you get them both evaluated for level of care needed before moving them into a house or IL situation. & pls check with her oncologist regarding follow up on her brain tumor with a referral & care plan to soak with the MD in your city regarding transferring her as a patient before the move.
I feel for your preteen. You might be gone quarterly now but it will seem like you are gone all the time when your parents move closer. You will most likely need more help than you are budgeting for. Regardless of whether you wait for a rental or purchase a home, your parents needs will increase and change as time goes by.
You can always sell the home if it doesn't work out the way you envision.
Closer makes more sense if they don't have a care network where they are living now.
I'd also consider how the new place may need to be fitted for safety features, like grab bars, ramps, doors widened , etc. (seniors can take a fall or lose mobility in a short time) could add up, plus, just because they say they will accept outside help now, doesn't mean they will when it comes to it.
You say your dad has dementia and your mom is accusing people of stealing....maybe, she's right, but, that is also a common symptom of cognitive decline. I might spend a least a few days with them in their home so you can observe just how able mom is to live alone and care for a spouse with dementia, even with outside help. It's a huge job and I would really question if one senior who is declining can do it for the other spouse who is even more affected.
LO's may promise to be cooperative and allow the helpers to help, but, sometimes, it doesn't work out that way and you end up getting calls around the clock. I'd read a lot of the experiences that others have encountered on this site just to see what can happen and how it can be a rather life changing experience. I hope you find answers that work for you.
You'll have enough to worry about as things go downhill for your folks without the added hassles of upkeep on a house.
Your idea of moving them closer is a wonderful idea. First choice is assisted living or a senior facility with caregivers available. Yes, it's more expensive than renting an apartment. But with their medical problems, they're going to need more help ANY TIME. If a senior facility isn't available, find an apartment or rent a house. Get them nearby. And remember, things will undoubtedly change within a year. You're just making a decision for that period of time.
Jamie