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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?
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.
Share a few details and we will match you to trusted home care in your area:
I'm assuming there weren't any status meetings, or discharge planning meetings? You can handle the need for the latter by asking either the treating doctor, the administrator, the DON, or one of the nurses WHEN you can expect to meet with the Discharge Planner or Social Worker (in my experience they often handle those aspects).
That way you're letting them know that you expect some discussion before discharge.
What arrangements existed before the rehab home visit?
Did anyone suggest home care, or ask if you preferred a certain agency for that, or for rehab at home? If not, they're sadly lacking in their duties. Those issues should have been addressed 2 - 3 days prior to the planned discharge.
If you get flack and no cooperation, and have to get tough, stand your ground, and be firm. Communication levels and channels can very by whether or not the perception exists that the family is actively involved. Let them know you're a hands-on person and expect home care to be addressed before she's discharged.
In the meantime, do you have a home care agency identified? Do you need transportation to return home?
What arrangements existed before the rehab stay?
I also support the advice already given; it's good advice. …………..…………………………………………………………………………………………………………..
Further thoughts: didn't you receive an admission packet with your copy of all the documents someone (you or your mother) signed? If not, you should have.
One rehab facility (that deteriorated so much I dropped them after having gone there several times) pulled that with me that last time we were there, advising that they didn't have to provide the patient with copies. I told them it was Federal law and if they didn't know the specific citation I'd look it up for them.
I've never been given medical documents from a rehab facility; they provide summaries though, and you should be given copies of those. When was discharged from the hospital, I always asked for a copy of the records being delivered/sent to the rehab facility. And I usually had to correct them; that hospital made mistakes in the records.
Do not sign any discharge papers or make any transportation home arrangements until you have spoken with the facility’s discharge planner or social worker. You need to know whether she is eligible for home therapy, home health care, whether she is eligible for home Durable medical equipment, what her prognosis and diagnoses is, you need all this IN WRITING.
MAKE them communicate with you! Do not let them blow you off. Call every fifteen minutes if you need to until you get an answer. Once she is discharged, they are no longer responsible for her and you’re sunk.
If they know she lives with you (from your profile, you've noted that she does), she is going to be your problem as quickly as they can push her out the door.
If she's in rehab following a hospitalization, what was that for? Is she in a weaker state than she was prior to the hospitalization? What kind of care did you do for her then, and what are you going to be expected to do for her now? These are very important questions, and the time to ask is before she gets released, not after. As Ahmjoy noted, get all of your questions answered in writing before you sign anything.
Whomever is the POA for Health/Financial, or both should call the facility and should ask about "discharge planning",and request a meeting. This should have been done when Mom was entered into the facility. The person who is POA or who has any control of anything whatsoever goes to the office to do the admission papers. Then they are the one called about plan of care meetings, and discharge planning. These things are done pretty by state law state by state. Call now. Ask to meet with Discharge planner. Say that discharge without a discharge plan constitutes and "Unsafe Discharge". Use just those words.
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.
That way you're letting them know that you expect some discussion before discharge.
What arrangements existed before the rehab home visit?
Did anyone suggest home care, or ask if you preferred a certain agency for that, or for rehab at home? If not, they're sadly lacking in their duties. Those issues should have been addressed 2 - 3 days prior to the planned discharge.
If you get flack and no cooperation, and have to get tough, stand your ground, and be firm. Communication levels and channels can very by whether or not the perception exists that the family is actively involved. Let them know you're a hands-on person and expect home care to be addressed before she's discharged.
In the meantime, do you have a home care agency identified? Do you need transportation to return home?
What arrangements existed before the rehab stay?
I also support the advice already given; it's good advice.
…………..…………………………………………………………………………………………………………..
Further thoughts: didn't you receive an admission packet with your copy of all the documents someone (you or your mother) signed? If not, you should have.
One rehab facility (that deteriorated so much I dropped them after having gone there several times) pulled that with me that last time we were there, advising that they didn't have to provide the patient with copies. I told them it was Federal law and if they didn't know the specific citation I'd look it up for them.
I've never been given medical documents from a rehab facility; they provide summaries though, and you should be given copies of those. When was discharged from the hospital, I always asked for a copy of the records being delivered/sent to the rehab facility. And I usually had to correct them; that hospital made mistakes in the records.
.
MAKE them communicate with you! Do not let them blow you off. Call every fifteen minutes if you need to until you get an answer. Once she is discharged, they are no longer responsible for her and you’re sunk.
If she's in rehab following a hospitalization, what was that for? Is she in a weaker state than she was prior to the hospitalization? What kind of care did you do for her then, and what are you going to be expected to do for her now? These are very important questions, and the time to ask is before she gets released, not after. As Ahmjoy noted, get all of your questions answered in writing before you sign anything.