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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.
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Oyveyreally: Oh, I am so sorry that your mother, like mine, also suffered an ischemic stroke! Yes, NH 's are so overworked, but it should not cause a loved one's death. Thank you for your condolences, Oyvey.
llamalover47 I am so sorry for your loss. Hospitals and the rest have become big business. Many staff are overworked and just trying to hold on to their jobs. My mother was discharged prematurely, given new meds which caused her blood pressure to drop which caused her to have an ischemic stroke. Thank God, she survived, but she will never be the same. Every time I passed the nurse's station one of the women was either on the phone with someone telling them they didn't have any beds or complaining to the other staff about how she keeps getting calls for beds that she didn't have. They should have kept my mom another day to see how the new meds would work. Instead they discharged her. It's a sad situation, and I'm so sorry you lost your mom because of it.
Continued : (sorry, but keyboard hit send too fast) mom had A-Fib, CHF, macular degeneration, blood pressure of 60/40 and DIDN'T want to live out of state with either myself or my brother. She was sent from hospital to rehab unit of NH and then was supposed to go to long-term care of said NH. That is until NH pulled a fast one on us! They deemed her to well to stay there. THEY REALLY GOT IT WRONG BECAUSE LESS THAN 48 HOURS LATER OF THAT MEETING MOM SUFFERED AN ISCHEMIC STROKE WHILE AT THE NH, ENDING HER LIFE!!!!!!
I should be have explained my "weekend" response. My mother was in the rehab unit of the nursing home. This was imprtant to my brother and I and our families that she stay there as she lived solo in another state than us. She was 94, legally blind, had
Redhead, u need to complain to the Administrator. The staff should have been aware he has Dementia. Also, contact his primary. Maybe he can write an order for the Visiting Nurse to hook up his tubing. The nurses can only do what is on the order.
I found it varied every time. I learned that to keep on top of discharge I had to become very proactive with the Staff at the Rehab (social worker, rehab therapist). It does come down to the not waiting for answers. Ask questions and don't "expect" that the rehab center will automatically tell you what is going on.
I was told my Mother was being discharged 24 hours before I left for a vacation out of the country. I pressed when Medicare & her insurance was notified to the nursing director. She said I had a week because she had not even started paperwork. The rehab site director then had all the therapist on the intercom tell me my 85 year old Mother who had a stroke a month prior with limited speech and balance wanted to go home. So they felt obligated to release her. I went ballistic explaining how I was not even informed, or given any training on meds, PT, or SLP for this immediate discharge. They became so nasty and ended the conversation with this is your warning we are releasing her. I called my half brother and explained the situation and he & his wife came to care for her and took the full week to transition her to my home while I was away with my family. First she came home for two hours and walked around with a walker, then came the next day for another few hours, etc.,Meds were explained and what to look for in her physical and cognitive behavior. Don't be bullied by the rehab and I made an effort to get to know the staff. Otherwise I would of had to cancel my vacation if I didn't know to ask when the nursing director had sent the notice of discharge. The rehab wanted my Moms bed for a none medicare supplemental insurance person who had regular blue cross that would pay them at their premium rate. My favorite nurse told me and that is why the Rehab Director got so nasty with me. I lost them money when I questioned the paperwork to the director of nursing.
Here in NJ the hospital sets up the rehab facility based on who has a bed. Medicare pays fully up to 20 days after that 50% up to100 days. If there for therapy, once you have gone as far as you can, you are discharged. Medicare will not pay if you have been deemed at a plateau. A Social Worker helps with setting up any home therapy and equipment. I have never had to do it myself. You should have had a meeting about the cost. As the therapy progresses you should be kept in the loop. The therapist should have an idea how long. Always, there should be a Social Worker at the hospital and rehab facility you can talk to.
Barabara's mom developed what sounded like CHF symptoms that sent her to the hospital instead of home. Since then Barbara has posted that her mom was going to hospice. She has not posted since. Hopefully she will post again and let us know how things are going.
The times when my mom was in the hospital, we got very little notice regarding discharge to rehab. At the beginning I expected there would be notice, guidance, hand holding through the transfer. Ha! I understand that yours is not exactly the same situation as what I'm describing here, but bottom line to anyone new to the health care realm: when medical bureaucracy is involved, you always have to be one step ahead and be prepared for just about anything. After that experience, I learned to have my ducks in a row - no matter what the situation - in order to make smooth transfers in services. You have to be your loved one's advocate and expect that you will be the one to make things happen - not the social worker but you.
Redhead1: Something is very wrong with this system.
Rehab trained an elderly man with dementia how to hook up his liquid nutrition to a pump and how to hook on to it. Hahahaha. I'm wiping away tears of laughter and frustration.
The rehab called me on Friday and said my father-in-law was being discharged in 3 days. He is still on a feeding pump thru a stomach tube. He was very weak and fell when he got home. The rehab told me they trained him on how to hook up his liquid nutrition to a pump and how to hook on to it. He didnt have a clue. I questioned them if they were sending all his meds in liquid form. No. I had to purchase a med crusher and also a bed wedge so he wouldnt lie flat in bed. Rehab dumped this 88 year old man into my care. Since i live 4 hours away from him,i am here with him until things get better. Visiting nurses check vital signs and thats about it. Something is very wrong with this system. He had private insurance and medicare.
Barbara, When my mom was in rehab, I was given a timeframe of a couple weeks. The physical therapist said if she improved, he would keep her longer, but if she showed no signs of improvement, he would discharge her. Everyday when I would visit, I would talk with the nurse or PT... Keep communication open with them & tell them you'd like heads up ASAP of their discharge. They kept me up to date & told me when her discharge was coming.. I rec'd 3 days notice. In the meantime, try to prepare if your mom may need help when she returns home. (Caregiver, etc., assisted living) Prayed for you that you would be blessed in this.
Medicare requires a 2 day notice be given when somebody is being discharged from a skilled nursing facility. A patient or patient representative may waive that notice if they would like to leave prior to the 2 days. The NOMNC (notice of Medicare non coverage)must be delivered at least two calendar days before Medicare covered services end or the second to last day of service if care is not being provided daily. There are different regulations for acute rehab discharges and discharges from the hospital.
Hadnuff, my Dad really wanted to be discharged from rehab and to come home and his doctor knew it, so one morning with no warning we were told he was being discharged that afternoon. Great scramble to get the hospital bed, hire caregivers (the nurses loved to moonlight) and buy his favorite foods. Nice meeting with all the staff answering all of our questions before we took him home. He loved being home.
Hadnuff, The times my Mom was sent home from rehab the time varied. Usually it came in stages, I was told about 2 weeks, then they tell you how many days as it gets closer...usually about 3-4 days. The therapist also came to our home to do an assessment of what we needed. This gave me a little time to get any equipment that was needed. You can tell them to keep you posted so that you will be ready. The las 2 days before Mom came home were spent waiting on equipment in my home, so if you want to do anything for yourself too like a shopping trip, be sure not to wait until the last minute.
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.
Mother who had a stroke a month prior with limited speech and balance wanted to go home. So they felt obligated to release her. I went ballistic explaining how I was not even informed, or given any training on meds, PT, or SLP for this immediate discharge. They became so nasty and ended the conversation with this is your warning we are releasing her. I called my half brother and explained the situation and he & his wife came to care for her and took the full week to transition her to my home while I was away with my family. First she came home for two hours and walked around with a walker, then came the next day for another few hours, etc.,Meds were explained and what to look for in her physical and cognitive behavior. Don't be bullied by the rehab and I made an effort to get to know the staff. Otherwise I would of had to cancel my vacation if I didn't know to ask when the nursing director had sent the notice of discharge. The rehab wanted my Moms bed for a none medicare supplemental insurance person who had regular blue cross that would pay them at their premium rate. My favorite nurse told me and that is why the Rehab Director got so nasty with me. I lost them money when I questioned the paperwork to the director of nursing.
Rehab trained an elderly man with dementia how to hook up his liquid nutrition to a pump and how to hook on to it. Hahahaha. I'm wiping away tears of laughter and frustration.
Hugs to you!
When my mom was in rehab, I was given a timeframe of a couple weeks. The physical therapist said if she improved, he would keep her longer, but if she showed no signs of improvement, he would discharge her. Everyday when I would visit, I would talk with the nurse or PT... Keep communication open with them & tell them you'd like heads up ASAP of their discharge. They kept me up to date & told me when her discharge was coming.. I rec'd 3 days notice. In the meantime, try to prepare if your mom may need help when she returns home. (Caregiver, etc., assisted living) Prayed for you that you would be blessed in this.