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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 am middle-income or upper middle income. I am covered by a Medicare Advantage program. I am not eligible for any waivers. There are no full-pay or personal pay assisted living facilities near me. Although I am well able to pay full market rental in an assisted living facility, federal regulations do not allow that. I have not consulted an eldercare attorney yet. I will not need access to an assisted living facility for another year or so. My only option seems to be to stay put (I live in a mobile home in a Seniors' Mobile Home Park) and to enter into an agreement with a private Home Visiting Nurse service to provide home health care and other services as I become in need of them. Thanks for your answer to my question. Maybe this will clarify my current situation a little.
Do they have "board and care" homes in your area? They usually are the least expensive option for care. ($2,500./mo. (in California) and up depending on needs and/or dementia.) It's a private home that has residents who need assistance in one way or another, (bathing, dressing, eating, meds, transportation, etc.) There are only a few (6-8) residents because there are only 2 to a bedroom and usually only up to 4 bedrooms. Possibly you could get a private room for added cost.
Having home health caregivers is good also but they don't do things like yard work, heavy house cleaning, etc. You would have to hire others to do work not covered by home health. Caregivers go for around $21./hr. here in San Diego county (California). Overtime (for the same employee) starts after the 9th hour worked but would be regular time if a new employee came on duty.
I'm not at all familiar or wasn't even aware that federal regulations preclude paying full "market rental in an assisted living facility." Could you elaborate? My understanding from posters here is that they often bear the full cost of AL for their loved ones.
Long before you feel you might need private duty care, do a lot of research on the companies and call some to get an idea of what you'll face. And know that there's no oversight for them as they aren't reimbursed by Medicare. That lack of oversight gives them a lot of latitude to set their own terms.
Be prepared for misrepresentations between the advance people and the admins. In my experience, most of them aren't on the same page, unless you find a company that's still owned individually and not franchised, as most of them.
And that's another drawback; some folks here and on another forum I visit have used the same national franchise, with good results, but I found our local franchise to be owned by people with a much different approach, and not a very professional one.
So start your research early.
What you might consider trying to find a private duty nurse as that's not typically provided by private duty care unless the company has a home care affiliate, and nursing might be the most important aspect you need.
I've found that the light housekeeping is really not much and am going with a real house cleaning company that does a thorough cleaning.
I live in a Mobile Home Park for seniors. I am 86, but one of my younger neighbors does work for other neighbors as a part-time income source. He does all my regular cleaning every 10 days, does minor repairs, and also is a friend who checks on me to see if everything is o.k. I have lawn care service, and also winter snow clearing services, so I do not have any unfilled maintenance needs. I have checked the County Office for the Aging which maintains a list of AL facilities. I have checked that list and all the listed facilities have income limitations as they are federally subsidized and have to follow their regulations. I am not eligible because my income is too high. Under my HMO Medicare Advantage plan I have a free Home Visiting Nurse service which has an on-call service available 24/7 and visits me regularly every 2 months or so for overall check-ups. There are 2 Home Visiting Nurse Associations available to me in my local area and I plan on interviewing them when I need their services. Their fees are based on your needs and time requirements. I would not be interested in using a "room and board" or group home. I continue to do online research into various alternative solutions for my future needs as they arise. Some of the residents in the MHP I live in are well into their 90's and I don't think I will actually need medical assistance beyond what I currently have, for a couple more years. Thanks very much to all the helpful answers and suggestions I have received. They are very much appreciated. Kevin C.
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.
Have you talked to an eldercare attorney about creating a pooled income trust? Find out if that is a way that you can get your income below the limit.
It's a private home that has residents who need assistance in one way or another, (bathing, dressing, eating, meds, transportation, etc.) There are only a few (6-8) residents because there are only 2 to a bedroom and usually only up to 4 bedrooms. Possibly you could get a private room for added cost.
Having home health caregivers is good also but they don't do things like yard work, heavy house cleaning, etc. You would have to hire others to do work not covered by home health. Caregivers go for around $21./hr. here in San Diego county (California). Overtime (for the same employee) starts after the 9th hour worked but would be regular time if a new employee came on duty.
Hope this helps. Good luck.
Long before you feel you might need private duty care, do a lot of research on the companies and call some to get an idea of what you'll face. And know that there's no oversight for them as they aren't reimbursed by Medicare. That lack of oversight gives them a lot of latitude to set their own terms.
Be prepared for misrepresentations between the advance people and the admins. In my experience, most of them aren't on the same page, unless you find a company that's still owned individually and not franchised, as most of them.
And that's another drawback; some folks here and on another forum I visit have used the same national franchise, with good results, but I found our local franchise to be owned by people with a much different approach, and not a very professional one.
So start your research early.
What you might consider trying to find a private duty nurse as that's not typically provided by private duty care unless the company has a home care affiliate, and nursing might be the most important aspect you need.
I've found that the light housekeeping is really not much and am going with a real house cleaning company that does a thorough cleaning.