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Which best describes their mobility?
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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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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.
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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.
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In most states, Medicaid only pays for LTC. This is usually assessed as medically necessary by her doctor, and it usually means someone is bedridden and cannot do any of their ADLs, or has a profound illness/injury that requires 24/7 medical oversight. One must also qualify financially.
I don't think Medicaid pays for private sitters.
I'm not sure why a NH/LTC facility would require someone on Medicaid to have a sitter? Can you provide more info?
Why is a sitter being required? Is this for your mom (you say in your profile she is living at home with Alzheimer's/ dementia so not sure if this is for your m om or another person)And is this person in a "nursing home" aka Skilled Nursing facility or are they in Memory Care or Assisted Living? If it is for mom with dementia and the reason for the sitter is agitation, anxiety there are medications that can help. And if this is for mom and she is on Medicaid I doubt there are funds to pay for a sitter. And the family should NOT agree to pay for a sitter. I hope no one has signed anything that they are responsible for any expenses.
My Dad would get out of hand in assisted living and they would want to put him in dimentia unit. Luckly we had a little money, I had a friend with some medical background and she was not working at the time. She would go in overnight to stay with him. Much cheaper than than sitting service.
They are hoping family will provide and pay for the sitter. They can try, just tell them LO has no money and either does family. They can't discharge LO because it would be considered an "unsafe" discharge.
Nursing homes that accept Medicaid are required to provide comprehensive care to their residents as part of the Medicaid agreement. They cannot require families to hire private sitters or caregivers, especially if the resident is on Medicaid and has no financial resources. Here’s why: 1. Medicaid Regulations: Medicaid has strict guidelines that nursing homes must follow to ensure that all necessary care and services are provided to residents without additional charges. 2. Obligation of Care: Nursing homes accepting Medicaid are obligated to meet the medical and personal care needs of their residents. This includes providing adequate staffing to ensure residents’ safety and well being. 3. Financial Protection: Residents on Medicaid are protected from extra charges beyond what Medicaid covers. Requiring a private sitter would be considered an additional charge, which is not permissible under Medicaid regulations.
If a nursing home suggests or requires a private sitter for a Medicaid resident, this could be a violation of Medicaid rules. In such cases, it is advisable to: Discuss the issue with the nursing home administration to clarify their request and explore all options. Contact the state’s Medicaid office or a local ombudsman for assistance and to report the situation if necessary. Ombudsman advocate for the rights of residents in long term care facilities and can help resolve such issues.
Ensuring the resident receives the appropriate care without undue financial burden is a key aspect of Medicaid’s protection for long term care residents.
For detailed information about Medicaid regulations and nursing home responsibilities, you can refer to the Centers for Medicare and Medicaid Services (CMS) nursing home information and the Code of Federal Regulations (CFR). 42 Part 483 outlines the requirements for long term care facilities, including the obligation to provide necessary care and services without additional charges.
I believe they can as 'sitters' are usually required when there is a need for the LO. It likely is a legal matter.
If a person reacts adversely to medication, they can 'act out' - Unfortunately, finding the right medication is a trial and error - and can adversely affect the brain chemistry, causing the intended distress / negative physical and likely psychological reactions.
From my experience ...
While restraints aren't allowed legally (there are very specific laws/rules), some kind of item can be used to keep the person in a bed if they are 'kicking and screaming' to get out of the bed.
You likely need to call Medicaid as well as talk to the facility administrator about finances. They have very specific rules to follow.
No, not for a person on Medicaid in a Nursing Home! If you need to, please call the ombudsman and complain, but don’t think you need to pay out of pocket for a sitter. You don’t, and if the person in the facility is on Medicaid, obviously he or she doesn’t have the money either. The NH must take the necessary steps to ensure his or her safety.
Just a possibility OP – are you the ones asking for more services for your mother? If you think that the staff attendance on M is not enough, and are asking for more, that might make sense of the NH asking YOU to pay.
Geaton, a minor point, but I believe you can have some ADLs and still have Medicaid cover LTC; that is, custodial care may be medically necessary while some ADLs remain intact.
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 don't think Medicaid pays for private sitters.
I'm not sure why a NH/LTC facility would require someone on Medicaid to have a sitter? Can you provide more info?
Is this for your mom (you say in your profile she is living at home with Alzheimer's/ dementia so not sure if this is for your m om or another person)And is this person in a "nursing home" aka Skilled Nursing facility or are they in Memory Care or Assisted Living?
If it is for mom with dementia and the reason for the sitter is agitation, anxiety there are medications that can help.
And if this is for mom and she is on Medicaid I doubt there are funds to pay for a sitter. And the family should NOT agree to pay for a sitter. I hope no one has signed anything that they are responsible for any expenses.
1. Medicaid Regulations: Medicaid has strict guidelines that nursing homes must follow to ensure that all necessary care and services are provided to residents without additional charges.
2. Obligation of Care: Nursing homes accepting Medicaid are obligated to meet the medical and personal care needs of their residents. This includes providing adequate staffing to ensure residents’ safety and well being.
3. Financial Protection: Residents on Medicaid are protected from extra charges beyond what Medicaid covers. Requiring a private sitter would be considered an additional charge, which is not permissible under Medicaid regulations.
If a nursing home suggests or requires a private sitter for a Medicaid resident, this could be a violation of Medicaid rules. In such cases, it is advisable to:
Discuss the issue with the nursing home administration to clarify their request and explore all options.
Contact the state’s Medicaid office or a local ombudsman for assistance and to report the situation if necessary. Ombudsman advocate for the rights of residents in long term care facilities and can help resolve such issues.
Ensuring the resident receives the appropriate care without undue financial burden is a key aspect of Medicaid’s protection for long term care residents.
For detailed information about Medicaid regulations and nursing home responsibilities, you can refer to the Centers for Medicare and Medicaid Services (CMS) nursing home information and the Code of Federal Regulations (CFR). 42 Part 483 outlines the requirements for long term care facilities, including the obligation to provide necessary care and services without additional charges.
It likely is a legal matter.
If a person reacts adversely to medication, they can 'act out' -
Unfortunately, finding the right medication is a trial and error - and can adversely affect the brain chemistry, causing the intended distress / negative physical and likely psychological reactions.
From my experience ...
While restraints aren't allowed legally (there are very specific laws/rules), some kind of item can be used to keep the person in a bed if they are 'kicking and screaming' to get out of the bed.
You likely need to call Medicaid as well as talk to the facility administrator about finances. They have very specific rules to follow.
Gena / Touch Matters