Are you sure you want to exit? Your progress will be lost.
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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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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 have FULL power of Attorney for my mother who lives in a nursing home in Estero, Florida. I was contacted last week by her head nurse about the flu shot. I was asked if they could give it to her along with another vax and I said NO you are not to give any flu shots or any vax to my mother! I went to see her and she told me that they gave her the flu shot on the 19th (September)! After I gave instruction not to! Also, These nurses administer medications I specifically tell them not to! They’re given without my consent. My mother had a stroke 7 years ago she is paralyzed on her left side and is unable to take herself potty and unable to stand alone. She is often neglected and left to sit in fecies sometimes up to 2 hours. I don’t know what to do and I don’t know what rights we have.. someone please help me. Thank you so much!
Contact the ombudsman to speak with you if administration is unwilling or unable. I do not know the rules of this nursing home. It could be that there is a requirement for flu shots at this institution as there was when I was a nurse, at my hospital. Many places caring for the elderly have rules about vaccination against diseases that can easily be deadly to residents. I am curious if you ASKED if they are required shots?
It is extremely difficult to deal with any institutionalized care, but even worse when you are attempting to do it long distance.
Q 2 hour checks are, sad to say, considered a norm in some places. Can you tell me if your Mom is capable of putting on her light. Do know that her anecdotal reports to you may not ALWAYS reflect reality, but I must tell you also that the care overall isn't perfect in any institution.
I understand your desperation and frustration, and I am so sorry for it. I wish you the best. The answer as to what you can do is only the best that you can, and you are DOING that. Again, I am sorry and I wish you the best.
Your mother, with her health issues, is surely in danger of getting pneumonia and possibly dying from it. Flu and RSV often lead to pneumonia and hospitalization. If she catches either virus and spreads it to other patients, that puts them in danger as well. The nursing home is surely trying to protect ALL of their patient population from these serious diseases.
If you don't like it, move her. Stand up for your rights. But be fully aware of what your mother is facing if you do.
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.
I do not know the rules of this nursing home.
It could be that there is a requirement for flu shots at this institution as there was when I was a nurse, at my hospital. Many places caring for the elderly have rules about vaccination against diseases that can easily be deadly to residents.
I am curious if you ASKED if they are required shots?
It is extremely difficult to deal with any institutionalized care, but even worse when you are attempting to do it long distance.
Q 2 hour checks are, sad to say, considered a norm in some places.
Can you tell me if your Mom is capable of putting on her light. Do know that her anecdotal reports to you may not ALWAYS reflect reality, but I must tell you also that the care overall isn't perfect in any institution.
I understand your desperation and frustration, and I am so sorry for it.
I wish you the best. The answer as to what you can do is only the best that you can, and you are DOING that. Again, I am sorry and I wish you the best.
If you don't like it, move her. Stand up for your rights. But be fully aware of what your mother is facing if you do.