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Who are you caring for?
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?
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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.
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It would be considered a “lateral” transfer by Medicaid. It can be done, I did it for my mom at abt mo 10 at NH #1. Not simple, but is do-able. ,
As a first step, you need to find out if the new place you want to move her to has open Medicaid beds AND can provide the level of care that she needs. My moms old gerontologist suggested a couple of NH that other docs from that practice were medical directors at. Those were the ones I looked at. One had beds and I as POA signed off for them to send over a2 person assessment team of RN & SW to visit w mom at NH #1 to see if they, the new NH #2, could provide the level of care needed. Also signed off for medical chart & records to go to NH #2. Duet called me from moms bedside to say all was ok. Mom was on retrospect (she’s dead) a very easy care resident. Her care needs could be done at any NH.
IMPORTANT imo, If your Sis has mental health issues that hasn’t really gotten a medication management set up that keeps her stable; well the assessment may be that no new NH will want to take her in as a new resident. That her care needs are too challenging. Facilities can get pretty selective on lateral transfers. If she has a lot of psych issues in her chart or has had intense write up on conflicts w staff or other residents, personally I think she’s toast on moving into another place.
I didn’t have any of that w my mom. I went over the afternoon after the assessment to sign off admissions transfer paperwork and set a date to move in (5th of new mo.) Sent fax to NH #1 of move out date. If they are on Medicaid you can move them out without 30/60 day notice or any penalty. But HAVE to be current with copays required by Medicaid.
This is why we set move date at the 5th. Mom got both SSA on the 3rd and a separate retirement annuity (on 3rd or 4th), so $ all in by 5th. NH #1 was paid to the penny their copay for 4 days and NH #2 for the rest of the month. They must pay the copay for each NH and based on butts in beds days. Mom did NOT have the NH 1 become her rep payee but instead had her incomes go direct deposit into her old checking account I was signatory on & I wrote a check to NH #1 for the exact copay required ea month. If mom had allowed the NH to become her rep payee, she would need to have all that changed by SSA before the move. SSA does NOT recognize POAs. If that is your sisters situation and they aren’t competent and cognitive enough to deal with SsA, I think it will be very difficult to get thru what is needed to change a rep payee in a short & sweet amount of time. If the old NH wants to foot drag on all this, they can. But the financial part can be dealt with by you, may not be easy but you can wade thru it.
BUT medical assessment aspect, well, that is out of your hands. Again if Sis has write ups in her chart that she is & has been a challenge for her care plan, a regular NH may not want to deal with her. It may be that she would need to move into a long term care psychiatric facility. Those tend to be few and far between. If this is at all your Sisters situation, it may be that there is no easy place to move her into. She & you will need to do whatever to make her current NH work out for her. Please, pls pls realize that IF current NH finds her care not feasible at all, they can get her into EMS on a ER run and then refuse to take her back under “inability to do level of care needed” reasons. Even in theses Covid times this is still being done. Then the discharge planner at the hospital will have to find a place that will take her unless they can convince family to come and take her out & into their home.
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.
As a first step, you need to find out if the new place you want to move her to has open Medicaid beds AND can provide the level of care that she needs. My moms old gerontologist suggested a couple of NH that other docs from that practice were medical directors at. Those were the ones I looked at. One had beds and I as POA signed off for them to send over a2 person assessment team of RN & SW to visit w mom at NH #1 to see if they, the new NH #2, could provide the level of care needed. Also signed off for medical chart & records to go to NH #2. Duet called me from moms bedside to say all was ok. Mom was on retrospect (she’s dead) a very easy care resident. Her care needs could be done at any NH.
IMPORTANT imo, If your Sis has mental health issues that hasn’t really gotten a medication management set up that keeps her stable; well the assessment may be that no new NH will want to take her in as a new resident. That her care needs are too challenging. Facilities can get pretty selective on lateral transfers. If she has a lot of psych issues in her chart or has had intense write up on conflicts w staff or other residents, personally I think she’s toast on moving into another place.
I didn’t have any of that w my mom. I went over the afternoon after the assessment to sign off admissions transfer paperwork and set a date to move in (5th of new mo.) Sent fax to NH #1 of move out date. If they are on Medicaid you can move them out without 30/60 day notice or any penalty. But HAVE to be current with copays required by Medicaid.
This is why we set move date at the 5th. Mom got both SSA on the 3rd and a separate retirement annuity (on 3rd or 4th), so $ all in by 5th. NH #1 was paid to the penny their copay for 4 days and NH #2 for the rest of the month. They must pay the copay for each NH and based on butts in beds days. Mom did NOT have the NH 1 become her rep payee but instead had her incomes go direct deposit into her old checking account I was signatory on & I wrote a check to NH #1 for the exact copay required ea month. If mom had allowed the NH to become her rep payee, she would need to have all that changed by SSA before the move. SSA does NOT recognize POAs. If that is your sisters situation and they aren’t competent and cognitive enough to deal with SsA, I think it will be very difficult to get thru what is needed to change a rep payee in a short & sweet amount of time. If the old NH wants to foot drag on all this, they can. But the financial part can be dealt with by you, may not be easy but you can wade thru it.
BUT medical assessment aspect, well, that is out of your hands. Again if Sis has write ups in her chart that she is & has been a challenge for her care plan, a regular NH may not want to deal with her. It may be that she would need to move into a long term care psychiatric facility. Those tend to be few and far between. If this is at all your Sisters situation, it may be that there is no easy place to move her into. She & you will need to do whatever to make her current NH work out for her. Please, pls pls realize that IF current NH finds her care not feasible at all, they can get her into EMS on a ER run and then refuse to take her back under “inability to do level of care needed” reasons. Even in theses Covid times this is still being done. Then the discharge planner at the hospital will have to find a place that will take her unless they can convince family to come and take her out & into their home.