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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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I never handed in a letter but Moms primary was probably notified and asked to fill out a form for both the AL and the LTC. A doctor in a hospital or Rehab can probably say a person is 24/7 care and needs to be placed.
My Mom was 24/7 care because of Dementia and I had no problem placing her. Her only health problem was high B/P. There were a lot of residents just like Mom. Some in wheelchairs. There were bedridden ones too.
Very often a doctor is the one who orders SNF just as a doctor is the one who orders rehab. This ordering usually is done when patient is in hospital care and discharge from acute care is imminent. That means that your elder has taken a fall or become ill in some way, and no longer needs acute hospitalization, but DOES still need skilled nursing support beyond what PT and OT rehabs supply. This may be dressing changes or the continuing administration of IV antibiotic or a host of other things. Where is your elder living now, or is she hospitalized? Are you in contact with Discharge Planning or Social Services? What acute nursing care is required? Have you discussed this with her doctor?
Here is what I learned from my experience doing exactly this. Back in August my 95 yo mother decided she wanted to go into the NH to be with her husband. At the time she was on hospice. A NH administrator said we needed a PRI which I was able to obtain from hospice. It was also suggested from someone who was helping me to have her PCP write a letter. I brought her to her PCP and that was done.
I then went to the NH with these two documents to put in her records for their "waiting list" only to have the director of admissions tell me that they do not accept people directly from the community. Placement is done through the hospital.
This is how it goes in NY, not sure how it is where you are. We had to wait until my mother had a medical problem and was admitted to the hospital to get her into the the facility.
Usually the facility interviews people to assess what level of care they need (like AL, MC). A doctor needs to assess someone for LTC (which is covered by Medicaid).
Your profile says your LO has dementia. So unless they have more profound health issues, they probably need either AL or MC (if they are still mobile in any way).
"Skilled Nursing Facilities provide more complex medical care and rehabilitation while Long Term Care Facilities offer more permanent support for day-to-day needs. In some instances, both types of institutions are combined to provide the most comprehensive level of care."
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 Mom was 24/7 care because of Dementia and I had no problem placing her. Her only health problem was high B/P. There were a lot of residents just like Mom. Some in wheelchairs. There were bedridden ones too.
This ordering usually is done when patient is in hospital care and discharge from acute care is imminent. That means that your elder has taken a fall or become ill in some way, and no longer needs acute hospitalization, but DOES still need skilled nursing support beyond what PT and OT rehabs supply. This may be dressing changes or the continuing administration of IV antibiotic or a host of other things.
Where is your elder living now, or is she hospitalized?
Are you in contact with Discharge Planning or Social Services?
What acute nursing care is required?
Have you discussed this with her doctor?
My best to you.
I then went to the NH with these two documents to put in her records for their "waiting list" only to have the director of admissions tell me that they do not accept people directly from the community. Placement is done through the hospital.
This is how it goes in NY, not sure how it is where you are. We had to wait until my mother had a medical problem and was admitted to the hospital to get her into the the facility.
Usually the facility interviews people to assess what level of care they need (like AL, MC). A doctor needs to assess someone for LTC (which is covered by Medicaid).
Your profile says your LO has dementia. So unless they have more profound health issues, they probably need either AL or MC (if they are still mobile in any way).
"Skilled Nursing Facilities provide more complex medical care and rehabilitation while Long Term Care Facilities offer more permanent support for day-to-day needs. In some instances, both types of institutions are combined to provide the most comprehensive level of care."
Source: https://www.sierracare.com/long-term-care-facility-vs-skilled-nursing-facility/#:~:text=As%20discussed%20earlier%2C%20Skilled%20Nursing,most%20comprehensive%20level%20of%20care.