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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.
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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.
Share a few details and we will match you to trusted home care in your area:
My mom requires a lot of care-giving assistance at home and when she has to travel anywhere. But I'm not sure what type of residence facility is necessary for her needs.
Does your mom have memory problems? My mom has Alzheimer’s. She started out in ALF but has moved to memory care unit in the same facility. Her mind was getting worse and she needed help getting around.
Where I am in NY the AL would not take anyone in a wheelchair. They had to be able to walk to the dining room. Sadly it was the only deciding factor for mom having to go to a NH.
It really depends on the facility. Some assisted living facilities are like hotel rooms. Others have complete kitchens, separate living room, swimming pool, exercise rooms, game rooms with poker tables and pool tables.
Nursing homes have staff geared towards medical care. Some though, have volunteers that play music, sing, etc.
Both usually have an activity director that plan activities such as arts and crafts, gardening, bingo, etc. Both have religious services.
Facilities vary WIDELY here and you should visit some. There are often companies that will take you and your Mom visiting and you can learn on the spot how far they can go in care. The amount of money over the monthly room charge will depend on level of care needed. Someone who can take own meds, move about and who is not incontinent will be a level one, paying the least. Someone with more needs will move up in level and cost. Generally needing memory care or nursing home would indicate the need for a lot of care with hygiene and mobility and also memory deficits.
Go on line and print a list of activities is daily living and check off the items that your LO needs help with or can do on her own. Keep in mind there is independent living, assisted living, personal care, memory care and skilled nursing. The check list will give you an idea of her current abilities. Sometimes a person will fall between two levels and you will have to consider their age and expected long term abilities. If you get them started with getting used to other people helping them you can add on care as it is needed.
I think you also need a doctors order for a NH. Years ago one of the requirements for ALF was that the elder could transition themselves from wheelchair to commode or bed They had to have at least that level of mobility and be able to respond to a fire alarm. I was trying to get my inlaws into one after an evacuation and was given this info as a basic requirement.
You can "check into" a nursing home without a doctor's order, but the latter is needed for it to be covered by Medicare (to the limited extent that it can be), and for it to count as a medical deduction for tax purposes.
The amount of staff varies tremendously with each. Assisted living usually has 1 staff to 10-11 residents. Small homes (Care, Nursing, etc) 2 staff for 6 residents. As my sister's dementia and physical needs increased, moving her to 6 bed home was epic. This became her "home"...not "apartment." Less stimulation from a large facility brought a peaceful calmness. Her daily routines created harmony in her life. We got very lucky,
I never knew that assisted living facilities are so short staffed. I have visited one before to take my HHA certification and I noticed how the rooms are like apartments. Not realizing the other differences. Thank you for your response and the information.
Nursing homes are formerly called "skilled nursing facilities". They are facilities that care for those that require 24 hour nursing care. Financially, nursing homes are funded 75 % by Medicaid. Other payors are insurance, Medicare and self pay. Assisted living is considered "housing with services" and "comprehensive home care services". It is similar to renting an apartment with provided nursing care and assistance with daily activities. Basically, you are renting an apartment and contracting for home health services. Medicaid does not pay for assisted living. Most are self pay or "elderly waiver", which is a state funded way to pay for assisted living. Unfortunately, some in assisted living could qualify for nursing home care, so assisted living is not enough.
In the US, it’s assisted livings that mainly only take people who need help with their ADLs including bathing and toileting and medication management. Nursing Homes are generally more for those who need round the clock care, can’t perform their ADLs and meet certain medical requirements .
Nursing homes generally only accept people who need help with their ADL's - Bathing and showering, Personal hygiene and grooming, Dressing, Toilet hygiene, Functional mobility (often referred to as "transferring", as measured by the ability to walk, get in and out of bed, and get into and out of a chair independently), Self-feeding.
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.
Nursing homes have staff geared towards medical care. Some though, have volunteers that play music, sing, etc.
Both usually have an activity director that plan activities such as arts and crafts, gardening, bingo, etc. Both have religious services.
Years ago one of the requirements for ALF was that the elder could transition themselves from wheelchair to commode or bed They had to have at least that level of mobility and be able to respond to a fire alarm. I was trying to get my inlaws into one after an evacuation and was given this info as a basic requirement.
She doesn't even want to go to a nursing home. Thank you
1 staff to 10-11 residents. Small homes (Care, Nursing, etc) 2 staff for 6 residents.
As my sister's dementia and physical needs increased, moving her to 6 bed home
was epic. This became her "home"...not "apartment." Less stimulation from a large facility brought a peaceful calmness. Her daily routines created harmony in her life. We got very lucky,
I have visited one before to take my HHA certification and I noticed how the rooms are like apartments. Not realizing the other differences.
Thank you for your response and the information.
Nursing homes provide dealing with medical requirements as well.