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How are they managing their medications?
Does their living environment pose any safety concerns?
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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.
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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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Another thing to remember is that the Medicare ratings, while helpful, are generally more quantitative - they're based on certain criteria, not necessarily the warm and fuzzy feelings we might or might not get when we tour the facility itself.
And that's of necessity; Medicare has to have some quantitative standards to use for comparison of different facilities on the same level.
I remember asking someone about his experience at a specific rehab when I was looking for a place after my father fell the first time. This person loved the place and had nothing but excellent recommendations.. So I toured it but found it to be mediocre.
I usually take those ratings for rehab/nursing homes with a grain of salt.... same with rating groups such as Angie's List. Today on the morning news there was a segment where people are being paid to write wonderful reviews for restaurants, services, etc. even though those writers never set foot in the places or had said services done.
My Mom is in a rehab/long term care which was known under a different name in a different location... the reviews were very negative. The old rehab/long term care was bought out by another company and they built a brand new building a few miles away, which open a year ago, and closed down the old location. If you put in the new name the old name will still pop up with all those negative reviews.
As mentioned above, visit the places first hand... but one has to remember that long term care facilities aren't going to be 5-star hotels... a building could be old and drab looking but the care is outstanding.
The official star ratings are not worth much. I was the director of rehab at a facility for a while and went through a number of the inspections that determine these ratings. It is known well in advance roughly when the inspectors are coming so there is a lot of prep and putting on the best. Even with surprise inspections it is easy to clean things up. The best way to know is to visit- and visit often. I would honestly take consumer ranking sites more seriously than the government sites with the caveat that people tend to use those sites to complain more than to complement.
My Mom went to 2 nursing homes last year for rehab. One that I know of lost a star. Both had 5 star medicare ratings, but in the first they just let Mom lie there and she developed a 4 stage bedsore and UTI she was hospitalized for. Did not send her back there! The second nursing home was also a "5 star" and one stupid aide dropped her while putting her into a wheelchair and broke my poor Mom's leg. Four out of Five nurses were really mean and this place was a constant calamity while Mom was there for rehab. Aides bragging about their patients not wanting to get up out of bed so they didn't have to dress them on weekends etc. I witnessed one nurse have a meltdown and yelling to Jesus while she was wallking down the hall, because a resident had fallen and hit her head. This upset the other residents. I saw feces on the wall where aides had thrown a soiled brief at the wastebasket. Once day hot dogs were served for lunch AND dinner. People were constantly crying in there. And this was just what I saw once a day while I visited. I began to go 2x to make sure Mom was ok the remaining days she finished the rehab, and got scowling looks everytime I walked by the nurses desk though I knew better than to bother them with anything. It was like they had something to hide and didn't like family visiting. The director knew of all this and it seemed she was not able to control the rest of the staff. This is how they lose a star. When you enter the place the lobby is all nice furniture and chandeliers but go down the halls it is a different story. Don't let that 5 star rating fool you or the decor out front or a website that makes the place look like a fancy resort. It was anything but that!
Here is the Medicare rating system explained - this is the one that I was talking about - though I agree that ratings on websites, such as Google, can be good to look at also. We had a bad experience with a home that actually started with a five star and went to a three star - then back to a four star (!) Link: https://www.medicare.gov/nursinghomecompare/About/HowWeCalculate.html
Mother was in a nursing home that misrepresented the type of rooms they offered (all private, when in fact there were 2 private rooms, the rest were doubles) and the basic kind of care she'd get. She didn't VISIT the place, she went on how close it was to the 2 kids who care for her. Disaster. This place has been constantly in the "hot seat" and everyone in my area knows not to use it. She could have just asked me. It is maybe a 3 star, didn't look up the ratings, myself, but there clearly was not enough staff, she'd fall and it could take up to 10 minutes for someone to show up. I think with the internet, you can check out a NH within a few minutes. And don't totally ignore "social media" comments, but take them with a grain of salt. When mother left this facility the director begged us not to downgrade them to the "outside world". We didn't, they serve their purpose and aren't horrible....just not what they presented themselves to Mother. I had a friend who stayed in this same facility for 4 months and thought it lovely. A lot of reasons to lose a "great" rating that can have nothing to do with patient care, which is our major concern as caregivers.
A nursing home in my area lost stars because there were not enough employees and also because they were not keeping up with patients medicine - bad record keeping.
Whose rating system are you observing? Medicare? State Health Dept? Please don't say social media, because they use review postings to do their star rating, which is totally inaccurate.
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.
And that's of necessity; Medicare has to have some quantitative standards to use for comparison of different facilities on the same level.
I remember asking someone about his experience at a specific rehab when I was looking for a place after my father fell the first time. This person loved the place and had nothing but excellent recommendations.. So I toured it but found it to be mediocre.
My Mom is in a rehab/long term care which was known under a different name in a different location... the reviews were very negative. The old rehab/long term care was bought out by another company and they built a brand new building a few miles away, which open a year ago, and closed down the old location. If you put in the new name the old name will still pop up with all those negative reviews.
As mentioned above, visit the places first hand... but one has to remember that long term care facilities aren't going to be 5-star hotels... a building could be old and drab looking but the care is outstanding.
Link: https://www.medicare.gov/nursinghomecompare/About/HowWeCalculate.html