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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?
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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.
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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Not only does a (good ) nurse on duty help to identify and correctly address medical issues and falls , it can also be a deterrent to laziness by the other workers .
I think it’s helpful, also depending on the medical needs of your LO for example, the other weekend I was out of town and on a sat my dad had a red and sore eye. There was debate about having him taken to ER, which would have been a big ordeal , especially without me in town. It turned out in the end to just be an eyelash in the eye. If there was a weekend onsite nurse , the nurse would have figured that out and solved it
Very few ALF or MC have an RN there regularly 9-5 weekdays. Almost all MC do have them on call and frequently visiting and checking things. Otherwise it is usually LPN/LVN and med techs doing the daily oversite, with the DON managing things, sometimes at more than one facility. So this is unusual. And I cannot to be frank, with good med techs and competent staff, imagine why 24/7 onsite would actually be REQUIRED or needed. I can see certain instances when there may be value in assessment of injury and etc. But nothing a trained LVN could not do as well. So were I to be paying a horrific amount increase, I wouldn't set much stock in it and I AM/WAS an RN before retirement.
Things vary WIDELY in MC especially. So the question is one for you to ask each facility you explore. RNs typically ARE present in SNF care.
Some have an LPN on duty at all times . I placed my LO’s in facilities that had a nurse (most often an LPN ) on duty on the unit 24/7. Each of these facilities I used had an RN director in the building during the week 8 hours a day 5 days a week and on call. This RN was not at multiple facilities, therefore she/he knew the residents well .
The best care my mom got was in a very small home facility where the owners lived and cared for the residents. The other caregiver was an RN, who preferred that kind of work to her previous hospital work. She worked 5 days a week and was on call for weekends. There were a couple of part time aides who helped with bathing and cooking. The largest number of residents was 6. When my mom was there they had only 2 residents. Except for the nursing home toward the end, I always chose very small places for her. She and I did not like the corporate feel of many of the larger facilities. The problem with my choices was only that when she had to move from assisted living to memory care and then to nursing home I had a lot of work to do. But I'm still glad she was in smaller home-like facilities. In a memory care, different from the one I mentioned before, the nurse visited each of the 12 residents once a week and was otherwise on call. A dentist and a doctor came to the facility as well. Mom did not have to be taken out for those visits.
These are called Board and Care. Homes where a person rents out rooms and cares for a small group of clients. They do not have medical staff on site. Although for all housing placements, it is necessary / important to ask about their services. Gena / Touch Matters
Have you visited MC facilities? I visited five in my state and NONE had a full-time RN there at all! NOT required by the state. Memory Care is NOT a nursing home. They do not provide medical care, but you can hire medical(and dental for extra money, to come in and perform exams). All they do that is medical is give out prescribed meds. There are major differences between dependent care, memory care, and nursing home care. Hope you know the difference. Good luck.
I sure agree with you, ArtistDaughter, on the Board and Care model. For some it is wonderful. Often fewer people at 6 to 8, often family run and family in feeling, often better caring and better cooking and better all the way around. My friend's Mom was in one and was very happy there.
Give it a LOT of weight, but also check to see if there is an after-hours phone number that correctly connects to that nurse's desk. Many nursing facilities have an overnight nurse, but no way to reach her. Their phone number continues ringing at the front desk, which often closes at 5:00. It wouldn't even let me leave a message. My loved one was suffering from delirium after very serious heart surgery and called me from his cell phone (in his room) eight times in a single night because he was panicked—he didn't know where he was and a lady across the hall kept screaming and making strange noises. I tried to calm him but couldn't. Finally, I got in the car at 3 am and drove 10 miles to the nursing home. I could see the nurse through the window but couldn't get her to notice me. And meanwhile my poor fiance was terrified but didn't call again so I guess he fell asleep. The next day I called the Manager and also out-of-town corporate management to tell them what had happened. They told me it is standard practice not to be able to call the nurse on duty after hours. If this is the case, that policy needs to change! They said the nurse made the rounds twice a night, but she didn't see my fiance and didn't calm his fears. It would have been so easy for me to call her and ask her to go check on him and try to sooth him, if I had had an after-hours number.
24/7 RN is nice but you need to know if they evaluate before calling 911 and calling you first for complaints from your loved one. ALSO, it is really important to be able to have a video camera in the room of your mom so you can evaluate her movements and activities. It takes a team and I was very glad when my mom complained of chest pain, she was evaluated by the RN and they called me with the results-which were not indicative of heart issues. My mom has GERD and that is pain in the chest. I told them to give her a peppermint and she was satisfied and went to bed. THE last facility had 24/7 nurses but they did nothing preventative and I HAD to take mom to the hospital to get her evaluated. It was GERD!
Trust but verify. To verify, ask if the services they are boasting are in writing. If not, that’s just hot air. If in writing, you can refer back to it later if nothing is carried out as advertised. One of the places I looked at for my husband bragged that they would assign a caregiver to be with him in the yard whenever he wished to go out. I pressed how that would be possible when one caregiver was responsible for 10-12 patients a day? They didn’t have an answer. I crossed that place off my list pronto.
agree. often there have a "residents handbook" and they may give you a copy ahead of time, before you sign up/ sign contract. Take a look through those details
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.
for example, the other weekend I was out of town and on a sat my dad had a red and sore eye. There was debate about having him taken to ER, which would have been a big ordeal , especially without me in town. It turned out in the end to just be an eyelash in the eye. If there was a weekend onsite nurse , the nurse would have figured that out and solved it
Things vary WIDELY in MC especially.
So the question is one for you to ask each facility you explore.
RNs typically ARE present in SNF care.
My friend's Mom was in one and was very happy there.
My loved one was suffering from delirium after very serious heart surgery and called me from his cell phone (in his room) eight times in a single night because he was panicked—he didn't know where he was and a lady across the hall kept screaming and making strange noises. I tried to calm him but couldn't. Finally, I got in the car at 3 am and drove 10 miles to the nursing home. I could see the nurse through the window but couldn't get her to notice me. And meanwhile my poor fiance was terrified but didn't call again so I guess he fell asleep. The next day I called the Manager and also out-of-town corporate management to tell them what had happened. They told me it is standard practice not to be able to call the nurse on duty after hours. If this is the case, that policy needs to change! They said the nurse made the rounds twice a night, but she didn't see my fiance and didn't calm his fears. It would have been so easy for me to call her and ask her to go check on him and try to sooth him, if I had had an after-hours number.