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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?
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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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Its a shame you can't see her. You say in ur profile she has Dementia/ALZ. How far along? Has this stay caused a decline? Is her Dementia causing her not to progress like she should have. She needs to understand what the therapist needs her to do and remember it from day to day. The last time Mom was in rehab the Therapist said "she can't follow instructions". I said "she has Dementia". Then she said "she doesn't remember the exercises". I said "She has Dementia."
You don't mention the surgeries she had? That really would determine how long she needs to be in and why in 3 months it has not been enough time. Unless Medicare's 50% and her suppliment paid for the full 80days, then she owes maybe about 12k at $160 a day.
As Mom's Dementia progresses its going to be harder to care for her. I would wonder how the surgeries and now this lockdown has effected her. How much has she declined. She maybe ready for LTC and it would be just transferring her to another section if rehab and the NH are one and the same. Though, I would think after 3 months they would know if she has plateaued or not. They are having you make a decision based on their input only. Without u seeing her. I would be sort of leary. A hard decision.
Realize that once on Medicaid they are going to require that her SS and any pension go for her care. Medicaid paying their share.
Can you bring Mom home to care for her. Ask if homecare is available with this virus going on.
I think it is common. When Medicare stops covering, the facility still needs to be paid.
Do you know anything about applying for Medicaid? You may want to ask a Medicaid office or an estate planning lawyer for a general overview of what it will entail.
Even with CoVid, you can sometimes take a virtual tour of another facility and ask if they have any beds available. I found this site helpful.
If she is entering as a Medicaid patient, you will find you have less options but there still may be beds available in other facilities. If she has any money to offer as "private pay" you will find more beds available to you.
When we needed to place people, we found it helpful to buy an hour or so of time from a local Aging Care Specialist. They know which facilities are well run and they know which ones have long waiting lists for the Medicaid beds. It cost a couple hundred dollars to deal with them but I felt a lot better having someone on "our side" in the placement choice.
aginglifecare.org
Sometimes, you won't really get many choices. She may have to stay where she is. When you enter as a Medicaid bed, they can put you anywhere within a certain mile radius- and sometimes that is far away for the family. So if she is somewhere close by now, that might be the best you can do.
Best of luck. We've done this three times and it is always anxiety producing because you have to do it fast and you don't have a lot of information or choice.
Yes it’s typical. Unless you have already decided she will come home when her 200’days are up, they need to know they will paid if she stays there. Do you know how much LTC costs? Once her 100 days are up, her out of pocket expense for the facility is going to be $10k-$12k a month! Can she afford that? It takes Medicaid on average 2-3 months to process and application and determine eligibility. So now is the time for you & mom to decide what she’s going to do. Either she comes home or she stays and transitions to Medicaid if she cannot afford to pay.
Sam, what is your mom's financial situation? It does take about 3 months for a Medicaid app to be processed, and, depending on how much or little in assets and the complexity, it may take you a while to fill out the app and provide everything that is required. Also, every state has its own Medicaid "look-back" period...in my state it's 5 years, so hopefully she hasn't been gifting money or property to people, as this will all come under scrutiny. If you know of this sort of activity, it may be best to consult with an elder law attorney who has experience with Medicaid applications. Filling out the app is not hard if she doesn't have more than ss and a bank account, owns a house and a car, all by herself. Anything more than that may require some advice. Others on this forum have had Social Services help them fill it out, for free, but they can't give advice or consult on the wisdom of doing certain things prior.
Having her in a facility that you didn't get to tour is a difficult situation. Is it possible to arrange a video walk-through with them via FaceTime or Zoom? I don't know if I'd have her someplace where the communication was absent, but I understand you can only do so much under the current circumstances. Let us know how it goes!
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.
Does she have the funds to pay privately, either for the SNF or for full time care at home?
What are her care needs?
Does she have a cell phone, and can you provide her with one? Can she use it?
You don't mention the surgeries she had? That really would determine how long she needs to be in and why in 3 months it has not been enough time. Unless Medicare's 50% and her suppliment paid for the full 80days, then she owes maybe about 12k at $160 a day.
As Mom's Dementia progresses its going to be harder to care for her. I would wonder how the surgeries and now this lockdown has effected her. How much has she declined. She maybe ready for LTC and it would be just transferring her to another section if rehab and the NH are one and the same. Though, I would think after 3 months they would know if she has plateaued or not. They are having you make a decision based on their input only. Without u seeing her. I would be sort of leary. A hard decision.
Realize that once on Medicaid they are going to require that her SS and any pension go for her care. Medicaid paying their share.
Can you bring Mom home to care for her. Ask if homecare is available with this virus going on.
Do you know anything about applying for Medicaid? You may want to ask a Medicaid office or an estate planning lawyer for a general overview of what it will entail.
Even with CoVid, you can sometimes take a virtual tour of another facility and ask if they have any beds available. I found this site helpful.
https://www.medicare.gov/nursinghomecompare/search.html?
If she is entering as a Medicaid patient, you will find you have less options but there still may be beds available in other facilities. If she has any money to offer as "private pay" you will find more beds available to you.
When we needed to place people, we found it helpful to buy an hour or so of time from a local Aging Care Specialist. They know which facilities are well run and they know which ones have long waiting lists for the Medicaid beds. It cost a couple hundred dollars to deal with them but I felt a lot better having someone on "our side" in the placement choice.
aginglifecare.org
Sometimes, you won't really get many choices. She may have to stay where she is. When you enter as a Medicaid bed, they can put you anywhere within a certain mile radius- and sometimes that is far away for the family. So if she is somewhere close by now, that might be the best you can do.
Best of luck. We've done this three times and it is always anxiety producing because you have to do it fast and you don't have a lot of information or choice.
Having her in a facility that you didn't get to tour is a difficult situation. Is it possible to arrange a video walk-through with them via FaceTime or Zoom? I don't know if I'd have her someplace where the communication was absent, but I understand you can only do so much under the current circumstances. Let us know how it goes!