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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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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.*
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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.
Share a few details and we will match you to trusted home care in your area:
These websites offer excellent information about the different options of long term care available for your loved one-either in the home or in a facility, the types of facilities, the cost of the facilities, suggestions as to how to pay for the care, https://www.seniorliving.org/care/
https://www.seniorliving.org/memory-care/ "Most memory care centers are specialized nursing homes or specialized areas of nursing homes. Assisted living communities increasingly have memory care divisions too. Memory care centers ensure that residents won't wander away; exits are carefully monitored. Employees and visiting specialists facilitate daily social events and potentially therapeutic activities."
https://www.seniorliving.org/nursing-homes/ "Nursing home residents typically are recovering from illness or injury, or need help managing chronic health issues such as cardiovascular disease, diabetes or dementia. Many of the (skilled nursing) homes are equipped with oxygen tanks, dialysis machines and other medical equipment that isn't normally found at assisted living centers.
After being hospitalized for a week, my Mom transferred to a Skilled Nursing Facility for Medicare Rehab Physical and Occupational Therapy and stayed in the wing when these type of residents were. Eventually Mom's PT and OT were discontinued because she refused to participate and Medicare refused to pay for her care once PT & OT ended. Mom continued to live in the same room. Her "classification" was changed from "Medicare Rehab" to "Private Pay/Semi-Private room".
When Mom began to wheel off of the "Rehab" nursing unit on to other nursing units (to look for my brother and myself), she was tranferred to the "Memory Care Unit" which had three (3) levels of care. Mom was in the same building, just a different nursing "unit/area/floor/section". The main door to the Memory Care Unit would close and lock if a resident wearing a "Wandering" sensor (or their wheelchair had a "Wandering" sensor on it) got too close to the main door. The other two units were "Locked Units" that were locked at all times and could only be opened using a keypad. Our family was able to take Mom out of the Memory Care Unit to a "Family Dining Room" for family meals or visitation and she could attend activities supervised by the Activity Department staff.
My Mother-in-Law went directly to a Memory Care facility that specialized in caring for people with cognitive problems such as wandering, combativeness, dementia, Alzheimer's, memory problems, etc.
More simply, skilled nursing is more medically focused while memory care is focused on mental decline, stimulating activities, and support for memory-related issues.
A good memory care place will be able to handle your loved one from whatever level of care they need. My mother's place has residents who are seemingly fine in terms of health with just some memory issues, all the way to those who are on hospice care, wheelchair- or bed-ridden. Some are unable to feed or bathe themselves, others can do it all.
For all of them, though, the focus is on mental stimulation rather than actual "nursing" of health issues.
SNF is when you leave hospital but still require some hospital care. This could be for monitoring a diabetic condition, for wound care, for some other reason that required skilled medical attention. Memory care is a unit you would be in if your deficits due to dementia put you as a danger to yourself. You would require likely a locked facility, but you would not necessarily need skilled nursing care. You would need more careful attention and there would be more staff then a normal just plain old assisted living facility. I hope that is a beginning of an answer to your questions, anyway. Skilled Nursing Facility is usually, most often, covered by medicare for some number of days (check with them) but Memory care is not unless patient is on medicaid and facility accepts medicaid.
Skilled Nursing Facility may have a very wide range of residents with a variety of conditions. Some may get better, some may not. Memory Care Facility will have people that have been diagnosed with some form of Dementia. Skilled Nursing Facility is not always a locked unit. Memory Care Facility will always be a locked wing or building (if the entire building is all Memory Care the building will be locked if the Memory Care is in a wing of a larger Facility only the Memory Care wing will have a coded door.) Usually a Memory Care Facility will require that a resident when they first enter be able to walk, transfer from from one place to another. As they decline if equipment is needed they can use equipment to aid in transfers. A Nursing Home will "accept" residents from the first day that need equipment to aid in transfers. The best way to determine what facility would be best would be to tour the facility you are thinking about and ask what the criteria is for each. An evaluation is normally done to determine if your loved one would be suited for MCF or SNF
Who does the evaluation ? At the MCF where my LO is a resident the “powers that be” told us that because of “excessive “ falls he either had to have 24/7 sitters (at $20.00 per hour) or go to SNF. He has moderate dementia. Physical therapy has been suggested as well as him using a wheelchair to get around as well as possibly getting therapeutic shoes.
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.
https://www.seniorliving.org/care/
https://www.seniorliving.org/memory-care/
"Most memory care centers are specialized nursing homes or specialized areas of nursing homes. Assisted living communities increasingly have memory care divisions too. Memory care centers ensure that residents won't wander away; exits are carefully monitored. Employees and visiting specialists facilitate daily social events and potentially therapeutic activities."
https://www.seniorliving.org/nursing-homes/
"Nursing home residents typically are recovering from illness or injury, or need help managing chronic health issues such as cardiovascular disease, diabetes or dementia. Many of the (skilled nursing) homes are equipped with oxygen tanks, dialysis machines and other medical equipment that isn't normally found at assisted living centers.
https://www.medicare.gov/sites/default/files/2019-10/NursingHomeChecklist.pdf This website is an comprehensive Nursing Home Checklist that you can use to determine whether the facility would be appropriate for your loved one.
After being hospitalized for a week, my Mom transferred to a Skilled Nursing Facility for Medicare Rehab Physical and Occupational Therapy and stayed in the wing when these type of residents were. Eventually Mom's PT and OT were discontinued because she refused to participate and Medicare refused to pay for her care once PT & OT ended. Mom continued to live in the same room. Her "classification" was changed from "Medicare Rehab" to "Private Pay/Semi-Private room".
When Mom began to wheel off of the "Rehab" nursing unit on to other nursing units (to look for my brother and myself), she was tranferred to the "Memory Care Unit" which had three (3) levels of care. Mom was in the same building, just a different nursing "unit/area/floor/section". The main door to the Memory Care Unit would close and lock if a resident wearing a "Wandering" sensor (or their wheelchair had a "Wandering" sensor on it) got too close to the main door. The other two units were "Locked Units" that were locked at all times and could only be opened using a keypad. Our family was able to take Mom out of the Memory Care Unit to a "Family Dining Room" for family meals or visitation and she could attend activities supervised by the Activity Department staff.
My Mother-in-Law went directly to a Memory Care facility that specialized in caring for people with cognitive problems such as wandering, combativeness, dementia, Alzheimer's, memory problems, etc.
A good memory care place will be able to handle your loved one from whatever level of care they need. My mother's place has residents who are seemingly fine in terms of health with just some memory issues, all the way to those who are on hospice care, wheelchair- or bed-ridden. Some are unable to feed or bathe themselves, others can do it all.
For all of them, though, the focus is on mental stimulation rather than actual "nursing" of health issues.
Memory care is a unit you would be in if your deficits due to dementia put you as a danger to yourself. You would require likely a locked facility, but you would not necessarily need skilled nursing care. You would need more careful attention and there would be more staff then a normal just plain old assisted living facility. I hope that is a beginning of an answer to your questions, anyway.
Skilled Nursing Facility is usually, most often, covered by medicare for some number of days (check with them) but Memory care is not unless patient is on medicaid and facility accepts medicaid.
Memory Care Facility will have people that have been diagnosed with some form of Dementia.
Skilled Nursing Facility is not always a locked unit.
Memory Care Facility will always be a locked wing or building (if the entire building is all Memory Care the building will be locked if the Memory Care is in a wing of a larger Facility only the Memory Care wing will have a coded door.)
Usually a Memory Care Facility will require that a resident when they first enter be able to walk, transfer from from one place to another. As they decline if equipment is needed they can use equipment to aid in transfers. A Nursing Home will "accept" residents from the first day that need equipment to aid in transfers.
The best way to determine what facility would be best would be to tour the facility you are thinking about and ask what the criteria is for each. An evaluation is normally done to determine if your loved one would be suited for MCF or SNF
the MCF where my LO is a resident the “powers that be” told us that because of “excessive “ falls he either had to have 24/7 sitters (at $20.00 per hour) or go to SNF. He has moderate dementia. Physical therapy has been suggested as well as him using a wheelchair to get around as well as possibly getting therapeutic shoes.