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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.
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Can my mom finish my lower level of my house to live in with her money ? If then she would need a nursing home after a few years, would that be subject to a 5 year look back?
Yes, since mom is not an owner. Perhaps mom's doctor would write a letter stating mom needs that sort of care provided by a family member? Or another thought check with an elder law attorney. There may be an option for mom to lend the money for the basement finish, then you repay her in the form of providing care and room and board at no cost for a period of time.
Get with an elder law attorney. I wonder about the feasibility and safety of stairs though.
My question would be, would Mom do ok going up and down the basement stairs? Stairs usually become difficult as we age. Or is your house a split level, thus half the height of stairs?
If Mom has no issue with stairs, make sure there are safety exists for her to use in case there is a fire. There needs to be a window in the bedroom that is large enough for a firefighter to enter while wearing all their carry-on equipment. Also, have a radon test done to make sure there is very limited radon in the lower level, many people forget to do that.
As for using Mom's money to refinish the lower level, you would need to check with your State Medicaid office as each State has their own rules and regulations. I wouldn't want to find later on that the money given was considered a "gift". I would also seek the knowledge of an Elder Law Attorney for future reference regarding Medicaid, as such attorneys are familiar with the Medicaid maze.
Go to certified elder care attorney for a full look at Mom's financial situation. If she will need Medicaid within 5 years, you could be headed for problems.
Your mom does not own the property. Medicaid looks at IF her assets were used for her needs, her activities & her property. Doing a renovation to your property like what you described is a permanent change that ultimately benefits you the owner. If Medicaid looks in detail to her banking & financial statements, the funds will show up and likely to trigger a transfer penalty inquiry at a minimum and penalty placed as worst case scenario.
What’s especially awkward for this later on......... as mom has already moved into a facility and has applied for Medicaid so is at 2k in nonexempt assets and has to pay all her monthly income (SS, retirement) to the facility IT MEANS Mom has no-none-nada of $ anymore. If there’s a problem with Medicaid eligibility who is going to pay the NH? Mom doesn’t have the $ as she’s impoverished in order to apply for Medicaid. So can you pay mom’s NH costs while the inquiry runs its course? or till penalty period is over??? If there are siblings, I doubt they will pay mom’s NH costs for a penalty due to a renovation to your home that mom paid for.
If mom were to buy equipment, like a high height potty, bathing aids, Geri chairs, those expenses are ok. Many of these she can get a prescription for and might be somewhat covered by Medicare.
Medicaid doesn’t expect mom to live on air. She should be contributing to her share of household costs. Just how to do that is something to discuss with an elder law atty who knows how Medicaid runs for your state. What seems to be commonly done is for the elder to do a personal care contract between you & mom in which she pays you from her income & assets for caregiving. All above board & done by an atty. It’s a way to do a spend down that benefits all. What you do with the $ paid to you is up to you.... to pay for the renovation, save for kids wedding, put into savings.
It’s good you are thinking about all this now. With NH running from 7k - 15k a month, planning for mom’s probable future is worth doing.
Besides the Medicaid questions I think it’s a bad idea. If you had a qualified contractor bid this you’d be shocked at how much it would cost. And lower level, stairs, not good for elders. Finally, how long would she be able to live there? One year? Ten years?
Lower level with stairs for an elderly person will eventually prove to be problematic.
Medicaid typically does not pay for a nursing home unless the person has had a minimum of a 30 day stay due to medical reasons and/or rehab. You can’t just apply for Medicaid and decide to put your loved one in a nursing home. Also, since your mom has a place to stay, Medicaid may also look at that as a reason to deny. I just went through this with my own mother.
The best thing to do is talk to an elder attorney for more information regarding this and other issues regarding your mom.
Let alone that it most likely, COULD be deemed questionable by Medicaid, do you really think this to be a valid solution? Never mind there being possibly a few stairs, how is it going to work out with you taking care of mom? Are you up for that challenge? Are you able to co-habitate?
I definitely wouldn’t add on without seeing an elder care attorney first. We are going through this now. We had requested a permit to have a “temporary” park model for my parents. The county wouldn’t allow it and all we were allowed to do was add on to our home. My mom started preventing nurses from coming in or my dad to get me to help him. It got so bad until we were told if we didn’t get my mom out of the home APS would be called. Now both of my parents are in a memory care unit. We are facing a nursing home for my dad and memory care for my mom but in order to qualify for Medicaid we will have to pay back the money he paid to build onto the house for their care. The lawyer has suggested putting my mom’s name on the title but real estate lawyers don’t want to do that. It has really gotten us into a mess, so no, please don’t do this without a lot of advice.
Ty for all of the good advice, it's not a basement and has 6 full length windows and a sliding door. It's also about 10,000. From being ready at our expence. I will forsure check with an attorney. I would hope she could live hear gor a long time or the rest of her life. Shes 80 so who knows what tomorrow will bring, but living on her own is not a good idea anymore.
This is not an issue in my country - I would feel so sorry for you all that have to deal with the government you elected but actually you elected them - these social issues cost money & big money health care [read 'for profit'] you have doesn't want you out of their clutches -
I live in Canada & this isn't an issue here because a lot of health care is covered - it costs me $2380 CDN [$1904USD] per month for my mom in a private room [NH] for room, food, nursing care, recreation etc plus about $37.50CDN per month for her health care plus $16.68CDN for her drugs including her diabetic supplies [total $2434.18CDN OR $1947.34USD] - where does the difference go? - ask yourselves & those in control where that extra money goes .... into pockets of those making a profit from your loved one
Ask yourself where are all the illegal Canadians? - there are vertually none because we're too smart to go south - I know of people who turn down so called promotions to U.S.A. because of how bad the health care is down there - you get what you pay for - I personally don't go to the U.S.A. under any circumstances but at one time I was going 3 to 4 times a week!
I feel quite comfortable knowing my family will not be impoverished because I get sick - yes we do have to pay for our own parking but basically that is it - there is no $400 for an aspirin [should be gold plated at that price] or any other nonsense - it is time for all of you to sit up & realise that you are being taken to the cleaners by your health care system
Because of the length of time we have had our health care system [thank you Tommy Douglas who was honoured as the most influential Canadian by Canadians] we are now living 2 to 3 years longer than U.S.A. residents with same demographics because we also do preventive care - enough of my bandbox statements but like I said at begining I feel sorry for those who have to deal with these issues
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.
Get with an elder law attorney. I wonder about the feasibility and safety of stairs though.
If Mom has no issue with stairs, make sure there are safety exists for her to use in case there is a fire. There needs to be a window in the bedroom that is large enough for a firefighter to enter while wearing all their carry-on equipment. Also, have a radon test done to make sure there is very limited radon in the lower level, many people forget to do that.
As for using Mom's money to refinish the lower level, you would need to check with your State Medicaid office as each State has their own rules and regulations. I wouldn't want to find later on that the money given was considered a "gift". I would also seek the knowledge of an Elder Law Attorney for future reference regarding Medicaid, as such attorneys are familiar with the Medicaid maze.
What’s especially awkward for this later on......... as mom has already moved into a facility and has applied for Medicaid so is at 2k in nonexempt assets and has to pay all her monthly income (SS, retirement) to the facility IT MEANS Mom has no-none-nada of $ anymore. If there’s a problem with Medicaid eligibility who is going to pay the NH? Mom doesn’t have the $ as she’s impoverished in order to apply for Medicaid. So can you pay mom’s NH costs while the inquiry runs its course? or till penalty period is over??? If there are siblings, I doubt they will pay mom’s NH costs for a penalty due to a renovation to your home that mom paid for.
If mom were to buy equipment, like a high height potty, bathing aids, Geri chairs, those expenses are ok. Many of these she can get a prescription for and might be somewhat covered by Medicare.
Medicaid doesn’t expect mom to live on air. She should be contributing to her share of household costs. Just how to do that is something to discuss with an elder law atty who knows how Medicaid runs for your state. What seems to be commonly done is for the elder to do a personal care contract between you & mom in which she pays you from her income & assets for caregiving. All above board & done by an atty. It’s a way to do a spend down that benefits all. What you do with the $ paid to you is up to you.... to pay for the renovation, save for kids wedding, put into savings.
It’s good you are thinking about all this now. With NH running from 7k - 15k a month, planning for mom’s probable future is worth doing.
Medicaid typically does not pay for a nursing home unless the person has had a minimum of a 30 day stay due to medical reasons and/or rehab. You can’t just apply for Medicaid and decide to put your loved one in a nursing home. Also, since your mom has a place to stay, Medicaid may also look at that as a reason to deny. I just went through this with my own mother.
The best thing to do is talk to an elder attorney for more information regarding this and other issues regarding your mom.
I live in Canada & this isn't an issue here because a lot of health care is covered - it costs me $2380 CDN [$1904USD] per month for my mom in a private room [NH] for room, food, nursing care, recreation etc plus about $37.50CDN per month for her health care plus $16.68CDN for her drugs including her diabetic supplies [total $2434.18CDN OR $1947.34USD] - where does the difference go? - ask yourselves & those in control where that extra money goes .... into pockets of those making a profit from your loved one
Ask yourself where are all the illegal Canadians? - there are vertually none because we're too smart to go south - I know of people who turn down so called promotions to U.S.A. because of how bad the health care is down there - you get what you pay for - I personally don't go to the U.S.A. under any circumstances but at one time I was going 3 to 4 times a week!
I feel quite comfortable knowing my family will not be impoverished because I get sick - yes we do have to pay for our own parking but basically that is it - there is no $400 for an aspirin [should be gold plated at that price] or any other nonsense - it is time for all of you to sit up & realise that you are being taken to the cleaners by your health care system
Because of the length of time we have had our health care system [thank you Tommy Douglas who was honoured as the most influential Canadian by Canadians] we are now living 2 to 3 years longer than U.S.A. residents with same demographics because we also do preventive care - enough of my bandbox statements but like I said at begining I feel sorry for those who have to deal with these issues