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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.
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Skilled nursing is for people with primarily medical problems that need monitoring. If your wife has dementia, I'd say she needs memory care.
My mother had heart failure, macular degeneration, and dementia. She started in skilled nursing and she nearly died in there because she was largely neglected. She was "sick" enough to warrant much attention.
I finally wised up and decided I wanted to focus on what would improve her life the most, and since the heart failure was controlled with medication but wasn't going to be cured, I decided to focus on her mental health more. Yes, the dementia progressed, too, but in MC she had activities, had caregivers who engaged with her constantly, and it was a more sociable existence. They were able to handle all her medical needs as well, so she was able to remain there the rest of her life. She was infinitely happier there.
So very glad your mom is well cared-far on memory care. I’ve had the opposite experience. My 91 yr old sister is in a MC unit in a California assisted living facility. Although she’s not AT ALL a wanderer, she’s in a locked unit which doesn’t bother her. But her fellow MC residents are basically non-communicative and her basic care needs - like toenail care and not wearing her daytime clothes to bed - are ignored. She is very lonely. The facility refuses to allow her to be transferred to a regular assisted living unit saying that by law she can only be in MC since being diagnosed with dementia. Any advice. Her son and family have tried to get her transferred but the facility says it’s California law that a dementia dx requires a locked MC placement. I live in MN so only see her 2x a year but common sense suggests that the unit someone lives in should be based on need not diagnosis. ????
You need to research the SNFs in your area. If Medicaid is in the person's future make sure they take it. Once you found the one you like, you sit down with their representative and find out when a bed will be available. If the person you are placing is paying privately, thats good. Easier to get them in if private pay and then go on Medicaid. Then you work it so you give the AL 30 days notice (or whatever the contract says) and a bed will be available.
In my situation, Mom had 20k after being in an AL. That covered 2 months private pay in LTC. I started the Medicaid application in April, placed Mom May 1st in LTC, she paid May and June. In June I confirmed with the Medicaid caseworker that I had supplied all info needed and Mom was spent down. July 1st Medicaid started. My State gives 90 days from date of application to...get the caseworker info needed, spent down and find a facility. If not done in 90days, the application has to be started over.
Usually someone going into SN needs more than an AL can provide. My Mom got in because she was in the last stages of Dementia. She needed 24/7 care. When you research facilities, this is question you need to ask them. Having a letter from a doctor saying the person needs 24/7 care in a facility may help.
Hi, as much as I like reading these alternate plans it would be helpful if everyone would write out fully what all the initials mean. Some of us are very new to all of this and don’t know all the abbreviations that well. Thank you
Sorry that your wife is having so many issues. How advanced is her dementia?
Does the AL say that she needs too much care to live there anymore?
I wonder if she needs a nursing home or memory care? If the reason for her needing to leave AL is her dementia, then maybe MC is a better fit? If her needs are more medical, then a nursing home might be more appropriate.
This question and the replies reflect a dilemma produced by how long term care is funded. Skilled nursing is for individuals with “Primary medical problems that need monitoring.” Memory care is “for dementia.” Although dementia IS a medical problem their is no public funding for assisted living care for folks on limited income. The cost for assisted living is out of reach for many. Hope I’m wrong about this, and welcome information.
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.
My mother had heart failure, macular degeneration, and dementia. She started in skilled nursing and she nearly died in there because she was largely neglected. She was "sick" enough to warrant much attention.
I finally wised up and decided I wanted to focus on what would improve her life the most, and since the heart failure was controlled with medication but wasn't going to be cured, I decided to focus on her mental health more. Yes, the dementia progressed, too, but in MC she had activities, had caregivers who engaged with her constantly, and it was a more sociable existence. They were able to handle all her medical needs as well, so she was able to remain there the rest of her life. She was infinitely happier there.
Any advice. Her son and family have tried to get her transferred but the facility says it’s California law that a dementia dx requires a locked MC placement. I live in MN so only see her 2x a year but common sense suggests that the unit someone lives in should be based on need not diagnosis. ????
In my situation, Mom had 20k after being in an AL. That covered 2 months private pay in LTC. I started the Medicaid application in April, placed Mom May 1st in LTC, she paid May and June. In June I confirmed with the Medicaid caseworker that I had supplied all info needed and Mom was spent down. July 1st Medicaid started. My State gives 90 days from date of application to...get the caseworker info needed, spent down and find a facility. If not done in 90days, the application has to be started over.
Usually someone going into SN needs more than an AL can provide. My Mom got in because she was in the last stages of Dementia. She needed 24/7 care. When you research facilities, this is question you need to ask them. Having a letter from a doctor saying the person needs 24/7 care in a facility may help.
Does the AL say that she needs too much care to live there anymore?
I wonder if she needs a nursing home or memory care? If the reason for her needing to leave AL is her dementia, then maybe MC is a better fit? If her needs are more medical, then a nursing home might be more appropriate.
Good luck.
Although dementia IS a medical problem their is no public funding for assisted living care for folks on limited income. The cost for assisted living is out of reach for many. Hope I’m wrong about this, and welcome information.
Hope you filed complaints at the state level for nursing negligence: silence is probably the biggest cause of suffering in that industry.