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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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My father has Alzheimers and has been in a nursing home since my mother passed away over 2 years ago. He is on medicaid. I am the only living child and am his health power of attorney. However, he is in Florida and I reside in Wisconsin. I am disabled and on medicare and unable to travel. My husband and I are financially strapped. However, the nursing home sent me a notice telling me that I am responsible for a payment outstanding on my father's account and that since it has not been paid, they are now going to evict him. He is 83 years old, unable to care for himself at all and has nothing but a burial policy which I purchased from an overage last year in his account when it went over $2,000. Can they evict my father? Can they force me to be financially responsible for him even though I have not lived at home for over 40 years? Thank you for your help.
This is a very tough situation and one for which there is not a succinct answer.
It is not as easy to gain the required 3 day hospital admittance to qualify for Medicare skilled nursing facility benefits as it used to be so cooperation from your loved one's physician would be required. Even so, it may not be doable if there is an absence of medical need.
The most extreme option would be to have the elder declared incompetent, have a guardian appointed, and then have the guardian spend the funds necessary for a private pay nursing home stay.
Less extreme: Does someone have a health care proxy and durable power of attorney for the elder? If so, that person may have some luck in obtaining funds and therefore the services the elder requires as follows:
Simple "refusal" by the elder to gain weight for surgery may not be enough to establish that he/she is not able to make decisions for him/herself but having the proxy will allow the holder thereof to at least speak to the physician(s) involved and see what they believe as to the elder's capacity and find out what the medical recommendations are. If a physician is willing to state that the elder does not have capacity then the agent (the person designated as the holder of the power of attorney) could take a written determination to a financial institution and gain the funds necessary to implement the physician's recommendations. This does not, of course, address the elder's "refusal".
To that end, you may also want to consider the enlistment of a geriatric care manager or social worker who may be able to gain the confidence of the elder and then guide him/her in the right direction.
My question is how to get one into the nursing home for a short time in order to for them to gain weight to have surgery and refuse to go but is also not really safe for them to be at home . when they do have medicare and V.A. benifits but refuses to pay for anything out of pocket
Medicare pays for skilled care in a facility if: 1. The beneficiary is first hospitalized for at least 3 days 2. The beneficiary then enters a Medicare approved facility 3. For the same condition for which they were hospitalized 4. Within 30 days of discharge.
If these conditions are met Medicare will pay: 1. The full Medicare approved charge for the first 20 days. 2. All but $137.50 per day for the next 80 days (in 2010). 3. The additional charges are typically covered by Medicare supplements.
The skilled nursing benefit is PER BENEFIT PERIOD. NOT ANNUAL. A benefit period is described as periods of care separated by at least 60 days.
The Medicare beneficiary may be denied skilled nursing benefits even if they have benefit days left. This is because of the definition of skilled care. The patient must be receiveing physician ordered and professionally rendered medically related services and must be making progress. Once progress ceases then the patient is no longer eligible for skilled services and hence, no longer eligible for Medicare skilled nursing benefits.
It would be a this point that one would apply for Medicaid if continued skilled, intermediate, or custodial care was required in a facility.
If things have progressed this far you have hopefully begun to seek some financial guidance. If not, this would be the time to do so. I would suggest that no gifts or transfers or financial commitments or any kind be made until you have done so.
Medicare only pays for rehabiltation stays at a nursing home, they do not pay for permanent residence. Medicaid will pay after the Medicare period has run out, but the person's income has to be below 22,000 dollars a year for them to pay.
In reference to Medicare/medicade paying for respite or nursing home...does anyone know if they will pay for this stay more than once and if so the frequency? Wil they pay for 21 days everymonth or every three months or ????
Thank you for asking the question...and thank you for answering
Medicare will pay for 21 days following a 3 day hospital stay and if you have supplement insurance may pay up to 100 days for rehab and some nursing homes are happy to keep them in for the whole time that the insurance covers if they need long term you need or the social worker needs to put them on medicaide pending and the application has to be done for medicaide have the social worker help you or get a elder lawyer to assist you it is very difficult for a person to do it on your own if they sav the persons assests are too high they will have to spend dowm which means they have to pay for their own care which is about 450 dollars a day and when they have spent down they will be covered by medicare -you will need an elder lawyer in your area who will know all the rules it does not help you to call medicaide because some of their employees do not always know the answers and will make up an answer that may be wrong.
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.
It is not as easy to gain the required 3 day hospital admittance to qualify for Medicare skilled nursing facility benefits as it used to be so cooperation from your loved one's physician would be required. Even so, it may not be doable if there is an absence of medical need.
The most extreme option would be to have the elder declared incompetent, have a guardian appointed, and then have the guardian spend the funds necessary for a private pay nursing home stay.
Less extreme: Does someone have a health care proxy and durable power of attorney for the elder? If so, that person may have some luck in obtaining funds and therefore the services the elder requires as follows:
Simple "refusal" by the elder to gain weight for surgery may not be enough to establish that he/she is not able to make decisions for him/herself but having the proxy will allow the holder thereof to at least speak to the physician(s) involved and see what they believe as to the elder's capacity and find out what the medical recommendations are. If a physician is willing to state that the elder does not have capacity then the agent (the person designated as the holder of the power of attorney) could take a written determination to a financial institution and gain the funds necessary to implement the physician's recommendations. This does not, of course, address the elder's "refusal".
To that end, you may also want to consider the enlistment of a geriatric care manager or social worker who may be able to gain the confidence of the elder and then guide him/her in the right direction.
Good luck!
Medicare pays for skilled care in a facility if:
1. The beneficiary is first hospitalized for at least 3 days
2. The beneficiary then enters a Medicare approved facility
3. For the same condition for which they were hospitalized
4. Within 30 days of discharge.
If these conditions are met Medicare will pay:
1. The full Medicare approved charge for the first 20 days.
2. All but $137.50 per day for the next 80 days (in 2010).
3. The additional charges are typically covered by Medicare supplements.
The skilled nursing benefit is PER BENEFIT PERIOD. NOT ANNUAL. A benefit period is described as periods of care separated by at least 60 days.
The Medicare beneficiary may be denied skilled nursing benefits even if they have benefit days left. This is because of the definition of skilled care. The patient must be receiveing physician ordered and professionally rendered medically related services and must be making progress. Once progress ceases then the patient is no longer eligible for skilled services and hence, no longer eligible for Medicare skilled nursing benefits.
It would be a this point that one would apply for Medicaid if continued skilled, intermediate, or custodial care was required in a facility.
If things have progressed this far you have hopefully begun to seek some financial guidance. If not, this would be the time to do so. I would suggest that no gifts or transfers or financial commitments or any kind be made until you have done so.
Thank you for asking the question...and thank you for answering