Nothing big; small things like used paperback books. Maybe a couple dollars from her purse? Nothing she can prove. Plus, Mom's memory is notoriously bad, and it's entirely possible she just can't remember what the did with these things. She says she can no longer trust CG and wants to let her go. We have been here before, and each time Mom called me just before D-day and said "never mind, everything's okay, caregiver is wonderful." We are not there yet.
My concerns are that the care is paid for with VA funds (Aid & Attendance) and is with an agency. So, 1) if we let her go and can't replace her, the A&A funds will go away; 2) I think we need to be careful with confronting CG, as there is no proof and I don't think we can just accuse and let her go. Does anyone know the rules on this? I'm thinking the agency would expect us to tell them the CG is not a good fit and we need them to send someone else. But, the agency didn't find her in the first place, as Mom lives in a remote area and the agency/we would have had to pay 2 hours of travel time each day. So we recruited someone local, and Mom is her only client. When Mom is not suspecting her of stealing or lying, she is singing her praises.
Sorry for the long-winded post. All I need to know at this point is, when you suspect a household employee of stealing, how must you conduct yourself to avoid overstepping any legal constraints? Thank you, experts.
You do not indicate if she has been diagnosed with any type of dementia.
The thought/fear that someone is stealing from you is a common one with dementia for the simple fact that they do not know what happened to the missing item so the assumption is that it was stolen.
There is not much that you can do about the thought/fear other than try to work around it using diversion, therapeutic fibs.
You can tell mom that you can’t fire one caregiver without having another in place first so the one will have to stay until a replacement can be found, vetted and trained. By the time all that would be done mom will be “ok” with keeping the caregiver she has now.
Hopefully the caregiver is understanding and can work with this type of scenario.
I do think your mom should be tested for dementia.
It might be wise to put in cameras so that you can monitor mom when the caregiver is not there. IF you are dealing with dementia mom should not be left alone.
I like your answer about having to put another CG in place before firing the current one. That will probably work. In so many ways, Mom is still very sharp and functional. But she is having more and more trouble remembering events, conversations and things in the house that she moves or changes. Between CG, SIL and myself we cover nearly every day through mealtimes, meds and appointments, more if she is ill. But the funds are not there for more paid hours, and family is about at our limit of time we can put in without sacrificing others who need us, or our own health. I feel like Mom will soon be needing placement but again, the funding just doesn't exist, even with the VA benefit. Meanwhile, I'm trying to extend the hours we get from VA by looking at direct hire with all the legal requirements met.
We live in a litigious world and accusations of wrong doing can end in lawsuits if you are dealing with an entitled, irresponsible jerk. Tread lightly when dismissing someone.
If you have an accountant or know someone that does, ask them about doing the payroll or you can use a payroll company that is set up to be the "employer" meaning they file the payroll under their company tax numbers and have workman comp insurance, etc.
I don't know about all industries but my workmans comp annual minimum was 1,500.00. So it may be well worth what they charge, or I also had to pay a 200.00 bond for unemployment insurance. Speak to your insurance broker for guidance on workman comp, your state will help you with unemployment and other state requirements and the IRS can help you with SS/Medicare, FUTA, and Fed Withholding.
I looked up some general info about Workers Comp in California, and it said about $800-$900 a year for household employees. I think now I can get an actual quote since I have CG's DMV report. And the most economical payroll service quoted $45 a month to help get an employer ID, handle payroll including withholding, FICA, SDI etc and file quarterly taxes, end of year filings, basically everything but Workers Comp.
Not all facilities have "Medicaid Beds" and she might be on a waiting list.
There are lots of others that post that know soooo much more about Medicaid than I do hopefully they will respond and give some insight.
Sometimes it is different language to find the right type of services.
But, 45.00 monthly isn't bad for what they are doing. With WC you are looking at 120.00 monthly, how does that break down in savings and additional care hours?
Hopefully, it gives you lots of extra hours by getting rid of the agencies cut.
Good luck!
I would discuss this with the caregiver so she knows what is happening and stress to Him/Her that they are not a suspect, it's the dementia talking. You need to develop a strategy to distract your Mom when she gets on this path. Hopefully she will forget what she has lost or misplaced.
I'm not saying CGs don't ever steal (oh they do!).
A good CG experienced with dementia would know about this behaviour, but not everyone has that life or job experience & may take real offence & quit.
From what you write, it seems a worthwhile plan to keep Mom in her lovley surrounds as long as possible.
Sometimes I think folk picture the *not possible* bit as just end stage. Or the big things like fire risk & constant falls. I used to.
Now I hear more & more that *not possible* is strongly influenced by behaviour. That Fear makes miles of difference between a placid person content with their CG at home - or a person becoming fearful, wandering out the door in search of their 'home' or not trusting the CG to let them in.
I suppose the dilemma is weighing things up. Keep reviewing as you doing right now. What if the CG leaves? Can you get another (in this remote area)? Is it worth keeping this CG at all costs (even if the books etc ARE being stolen) to keep Mom at home longer?
Often there are no right & wrong answers. Trust your gut is all I can offer.
Again, thank you all so much. This is a great community.
1 - Confront the caregiver in a firm but kindly manner. Let the person know what you witnessed and that theft is a serious problem. Decide for yourself if you want to give this person another chance.
2 - Let the agency know that you suspect this person of theft and want them replaced. Share any evidence with the agency.
3 - If there are several instances of problems with one agency, report the agency and go with another one.
As an in-home caregiver myself, my policy was always to drop a client from my service when the care situation started getting ridiculous. I'd tell the agency supervisor that I was quitting that client and to find me another position. This is also my policy in private care.
Once the stealing accusations or other nonsense of that order start up, I go. I will not have a mark on my spotless employment record and not be able to get a job because some elder with dementia is good enough at showtiming that they can to put one over on an agency supervisor or a family member.
This is something I've always made clear early on to any family that I've worked for. If they dismiss me or I have to go, I will not return for any reason. I've had so many families over the years who ended up finding grandma's ring or remembering that she gave it to her grand daughter. Or who look at a bank statement and realize dad is incompetent and can't handle money anymore. Then they want me back because the help they replaced me with isn't doing as well. They will make very attractive offers too. Then some even try guilting and claiming how much their loved one misses me. Too bad. I will not return.
Good help is hard to find. People should remember this before the get theirs in trouble on a suspicion because some elderly person with dementia misplaced something.
Some posts here are suggesting to “test” the integrity of the caregiver and I would strongly dissuade you from it, by asking you…. Could it be possible that the items have been misplaced, or given away? Please do not jump into conclusions, which could impact many and cause someone to lose their job.
suspicions and accusations are easily placed and it grows and it fasters, please be careful into buying into it. Talk to the caregiver, not making accusations but talk to her, you might be surprised in what you find.
Best wishes
When it's at the point where the dementia client is threatening the caregivers with the police and other action, this when it's time to call it a day with in-home care. When this behavior starts up, it's time for a memory care facility.
The caregiver began to steal small things like a coffee mug, petty cash in small amounts. I would see that she was washing her filthy dog blankets in my machine as she never did learn to clean out the lint trap. I had front door locks put on all bedroom doors. She found the hidden key and stole about $800. I told my sister and she didn’t believe me. She actually accused other family members. I doubted myself and my own eyes then. So I didn’t move other money I had to a safer location. I was so dependent on this woman also. She ended up stealing another $400 the next day. My sister was still supportive of keeping her, and I felt so vulnerable then. Recently, more than a year later, my housemate discovered that this caregiver also stole items of jewelry from her ... she just had not been aware of this because never wore them in all this time and it never occurred to her that the CG had also found a way into her room, as well. (the same key fit both locks). I share all of this to say that it is a terrible thing not to be believed and your concerns ignored because of dependence on another’s care. I very nearly took my life in the end, between having no life, being utterly exhausted, and having no family that stood up for my needs, in addition to my mother’s. Best to put in cameras and to do small tests, in my opinion...especially if your mother has never exhibited this “paranoia” before.
Really? If you were indeed living with your mother and caring for her as much as you say AND you had a roommate there as well, I find it hard to believe that the caregiver wouldn't have been dismissed by you long ago if she wasn't working out. I've worked for families who have replaced me and my crew on a case. Not because the care was poor, but because they found cheaper. When a family gets rid of a caregiver or caregivers, they don't tell them. They find the replacement and then fire them. Honestly, with all respect to you, your story is a little hard to buy.
Share with caregiver that Mom accuses others of taking her things, when she can't find them. Do this casually, so that she's alerted, but not accused.
More than likely, it's Mom's memory and not a stealing issue.
Because of where you live, it's fortunate that you have someone.
Hopefully, this will continue. If not it's a good idea to be pepared and look at other options.
Last, would it be possible to give the caregiver extra money maybe twice a month to take her and Mom out for lunch or dinner? It would show appreciation for her commitment.
The best answer: don't leave anything around that is valuable that she can take.
Your MIL lives in a remote area and you might not find a replacement.
My 97 yr old Dad with Dementia will start accusing Caregivers of stealing money, but only when he has a UTI.
In his case, he has no money at the house so I just tell him I put it in the Bank.
You could install a few cameras in the home where you would be able to chk on mil any time 24 7 from your computer or cell phone.
Iuse Nest which wasn't hard to install.
You can explain everything to MIL that you haven't found a replacement yet and just keep saying that.
"Miss D. I am so worried about my mother and hope you can help. She seems more forgetful. She seems to be misplacing things, like some books and money (or other items she says are missing). Have you noticed a worsening change in her? I have to think about taking her to the doctor to be evaluated. I hope you can reassure me".
This will make her feel like you value her while in effect giving notice that you are aware of things missing without accusing her.
In home health if a patient accused one of us of stealing it could be a faulty memory of an item misplaced or sadly it could be theft. We would then say we would call the police to take a report. If they just didn't like us and nothing was taken, they would back pedal quickly. Sadly, I discovered that a colleague was stealing my patient's (her aunt!!) narcotics. Ironically, the patient didn't need them.
As I left to go visit one of my daily patients, a colleague warned me that she was accusing me of having stolen her rosary beads. She was such a crabby woman her daughter would only take her meals upstairs to her apartment. I got there and said, "I understand you 'lost' your rosary beads'. The look on her face was priceless. I offered to look for them. "maybe they fell into the cushions". After a few minutes of this, I turned to her and said, "Well, at least you know I didn't steal them. I'm Protestant and don't even know what you do with them". If she had accused me in person, I would have called the police in front of her to come take a report. No, she was not demented at all.
I hope this suggestion helps and preserves the relationship.
i do suggest that all her precious items are kept in a secure place, i.e. if she likes to wear her fine jewelry, keep it in a bank vault and purchase inexpensive lookalike costume pieces instead.
PS - It's very common that persons with dementia accuse others of stealing from them when they've misplaced items.
Always lock valuable things up. If someone is so far gone with dementia that they'll take off an expensive piece of jewelry and give it away or misplace it somewhere, they shouldn't have access to these expensive things without supervision.
Please do not get someone fired over a groundless accusations unless there is proof. That is very malicious. If that is the case do not use paid caregivers.
There are ways to talk about a person without accusing.
IMPORTANT: You cannot accuse 'anyway' (well you could although you don't want to) without proof and you do not want to set up this negative, 'accusatory' discussion / implication of behavior anyway. You can state it from your 'mom's point of view' and we / you do not know if your mom is clear headed or confused.
* People with dementia believe people, even family, are stealing. Check into Teepa Snow's webinars or call her / office and ask about this behavior with people with dementia and they could guide you to specific webinars to watch (and/or provide you input - they are very helpful.)
* I don't know / see if your mom lives alone - I presume so.
* Set up a camera (don't tell your mother - if possible).
* You WANT your mom to feel safe.
* If it is dementia to a degree that she may feel this way with 'anyone,' you will have to figure out how to talk to your mom to feel secure with the caregiver (if possible) - It is also the responsibility of the caregiver agency to talk to your mother, and comfort her. Talk the their manager.
* I'd put out a two $5 bills somewhere as a test and see what happens - to one or both. Again, you may need a camera planted somewhere. This camera is ALSO security for you to watch your mom move around - not 'just' to see what the caregiver is doing although that is critically important, too. However, if you are not there and you relay on your 'mom's' recollection, this may not work, either.
* As a last resort, you may need to move your mom to a less isolated area.
- Yes, caregivers steal. (My friend lost a bullet - blender, brand new in the box. When I looked in the box, it was gone.. By then, so was the caregiver by a few weeks. I am suspecting 'her' out of a few others. We often do not know.
THE KEY IS INTERVIEWING as best as you can before you hire.
Ask questions with specific scenarios and see how they answer.
Gena / Touch Matters
If you think it might be possible someone is stealing from her, set up a camera, set out bait. But don’t be surprised if it is just her mind playing tricks on you.
Good Luck!
This will educate her on what she is seeing, what to expect and how to deal with it. Beneficial for all of you.
This would help her understand that paranoia is absolutely normal and not personal in the event that your mom says something to her.
You are doing a tremendous job dealing with your mom. She is able to freely share with you and that is something that you want to last as long as possible. Keep hearing her and giving her a safe place to share. Please don't try to correct her perception, as long as she is coming around it isn't really a problem. You know that it is the disease and you obviously known your mom and how to reach her, well done! My point is, don't stress about this glitch in mom's reality, cross bridges as you come to them and you will feel so much better.
Used paperback books? A couple of singles or small change here and there? She isn't taking anything. Your mother most likely told her she could borrow one of the used books. Or gave the caregiver a few dollars to go to the store for her or something. The caregiver can't also be expected to pay for things the client needs or wants. Believe me when I say many times the caregiver is expected to because we're supposed to love our low-wage, laborious job and your elderly "loved ones" just so much.
I've been in elderly homecare for almost 25 years. Many of those years as agency help until I wised up and went private cases only. I can't tell you how many times I've been accused of stealing by some senior with dementia, or by some senior who just wants something to complain and fight about.
I remember at the AL I worked in one senior lady on my service. She always had these butterscotch candies with her because she loved them. Now, she'd pass these candies out to anyone who came near her. She wouldn't let me walk past without pushing a butterscotch candy on me.
Then the accusations that everyone is stealing her candy would start. I'm stole her candy. The other residents stole her candy. The landscaping guys outside mowing the lawn stole her candy. The president stole her candy. Evidently, George W. Bush (the then president) went in her room at the AL and stole her candy.
I'm going to give you some good advice here. Don't cut off your nose to spite your face here by calling the caregiver out on the stealing when you have no proof. Don't have her fired when there's no one to replace her. Your mom forgets where she puts things then the nearest person to her stole it. Then she finds what she's looking for and the caregiver is great.
Always make sure anything valuable is locked up. Don't let your mother have large amounts of cash around, or checkbooks, or credit and debit cards. If the caregiver also has to do you mom's shopping, you give her a certain amount of cash and insist on receipts every week. Or get a debit or credit card with a limit on it for household shopping or if your mom wants something. Have the caregiver use this for the shopping then produce receipts every week. This can also be used if she takes your mom out to eat somewhere too. Once again, show a receipt.