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.
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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.*
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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:
This process can change from state to state and from community to community but this is the basic process: Physical Assessment: A history and physical form must be completed by the resident's health care provider. Obtain the form from the facility. This must be done no more than thirty days before the resident enters the facility. Resident Agreement: Before your older relative moves in, the Resident Agreement must be signed. This contract lists all the services your relative will receive, as well as the fees. Functional Assessment: Within 30 days after admission, the manager and/or a nurse at the facility must complete a form that documents an assessment of the individual's ability to perform daily activities, such as bathing, dressing and eating, the level of support and assistance needed, and the person's social strengths and needs. Before signing the Resident Agreement, read it very carefully. Be sure you understand the services, costs and conditions described in this contract. It is recommended that you also have an attorney review it. Service Plan: This document, which must be completed within 30 days after admission, details the services that are to be provided to the resident. The service plan describes exactly how each service will be provided, when it will be provided, and who will provide it. The purpose of the document is to ensure that each resident's individual needs are met in a manner that promotes independence, dignity and privacy. The plan is updated every six months, or more often if necessary. A TB test is usually required as well as other tests mandated by each state. Good luck...
My mother-in-laws doctor just told us that she shouldn't be living on her own any more. The easy part was finding a good place for her, the HARD part was getting her used to the idea of moving. I swear if it hadn't been for her falling and breaking her hip, we would've had to blast her out of that house with dynamite. After much kicking and screaming about it, she picked her face up off the ground and said okay. She still laments how she hates the place, but she does admit it's what was needed.
The three night rule is a federal requirement if you want traditional Medicare to pay for a skilled rehab stay. For residential placement it is best to contact the admission office and ask what is required. Often they will want a TB test and financial disclosure to see if private funds will cover the cost or if Medicad application will be needed.
In my state you have to have a three day hospital stay and at our hospital nursing home people go to hospital and find out who would be available to go to rehab in a nursing home and then try to sell their nursing homes but mostly a social worker will visit a pt. or their family to ask what plans are made for discharge if you -the family do not hear from a social the first or second day of admission call them because some pts. will say they do not need rehab and not tell their family-my husband use to do this without my knowing about when indeed he needed rehab. Then the hospital will call nursing homes you are interested in and they the nursing home will evaluate the pt. and decide if they want the pt. and if it is through medicare or if you have medicaide or private insurance and if they want the pt. they will usually call the family-we were turned down by the nursing home my husband usually went to once because they said the meds. were too expensive but a year later they took him when he was on the same meds-they had empty beds that time.Then the social worker will arrange for transportation to the nursing home-hospitals push pts.ut as fast as they can -my husband was a diaibetic and was discharged after he got his noon insulin without lunch one day and he had worked there 21 years and I had worked there 29 years. It is best to use a nursing home near where you live that has liberal visiting hours so you can check often on your loved ones-no one nursing home is perfect,
Visit facilities until you find one you are comfortable with, ask for a tour. Fill out an application. Have a Physician admit the person, either through a hospital stay, or in some cases, from home (saying greater care is necessary). Wait for opening, then start packing. However, it's not always simple. You can also talk to Admissions and ask for their recommendations and suggestions. Does that 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.
Physical Assessment: A history and physical form must be completed by the resident's health care provider. Obtain the form from the facility. This must be done no more than thirty days before the resident enters the facility.
Resident Agreement: Before your older relative moves in, the Resident Agreement must be signed. This contract lists all the services your relative will receive, as well as the fees.
Functional Assessment: Within 30 days after admission, the manager and/or a nurse at the facility must complete a form that documents an assessment of the individual's ability to perform daily activities, such as bathing, dressing and eating, the level of support and assistance needed, and the person's social strengths and needs.
Before signing the Resident Agreement, read it very carefully. Be sure you understand the services, costs and conditions described in this contract. It is recommended that you also have an attorney
review it.
Service Plan: This document, which must be completed within 30 days after admission, details the services that are to be provided to the resident. The service plan describes exactly how each service will be provided, when it will be provided, and who will provide it. The purpose of the document is to ensure that each resident's individual needs are met in a manner that promotes independence, dignity and privacy. The plan is updated every six months, or more often if necessary.
A TB test is usually required as well as other tests mandated by each state.
Good luck...