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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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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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When I questioned head nurse about who was caring for him, was a struggle reported etc...there is never anything in the notes. He has dementia. However, after this last tear he told his private M-F caregiver that someone had 'hurt him" over the weekend. The investigation has dragged on for 5 days with no real answers. Does nursing home ( in CT) have to report to State since the family requested an investigation?Also, I have resisted installing a camera in his room due to my concerns for his privacy (I'm his niece and shouldn't normally see personal care being given) However I need to see what is happening in the overnight shifts (when last tear occurred) so will be researching that now. Any recommendations on camera? He is in a private room so it will be allowed by nursing homeThis home came highly recommended 4 years ago but in the interim they have had to turn to outside agencies for CNAs in the overnight and weekend shifts. Their oversight seem to be way less. I can't move him at this late stage but need to do somethingThank you for any advice :)
A person who has dementia isn't a reliable reporter. They don't know the meaning of words that they used to know, plus they can be very suggestible. For instance, if you were to ask, "Did someone hurt you?" my husband (who lives in a memory care facility) would probably say yes, since he's a fairly agreeable sort. He has no idea what the word "hurt" means, or "bathroom" or "wife," for that matter.
Elderly people have skin tears no matter where they live. I can pretty much assure you that no one is sneaking around the nursing home ripping skin off of old people. They don't have time, even if it were a "thing." My mother died at age 95 after years of skin tears, and she had a private live-in 24/7 caregiver who was the best and who loved her. Mom could scrape against her wheelchair in the slightest way and her skin would tear. My dad had skin tears for years, living at home alone until he got a live-in caregiver and died at 92. He was hale and hearty and walked a couple of miles every single day, but his skin tore and bled nevertheless. My husband was in my care at home, and he was having skin tears long before he had dementia. I couldn't know what caused all of them, he'd be out in the garage or on a walk or putting his clothes in his closet, and there it would be. I patched them up and that was that.
You may be making too much of this, but go ahead if you must and install the cameras and begin an inquisition, but uncle will still get skin tears. Also, if you get a reputation for stirring up trouble when it isn't warranted, there may be no place uncle can go for care, since somehow word gets around and no facility wants troublemakers. I'm not talking about something where you SHOULD stir up trouble, such as if you have proof that they are locking residents in their rooms and starving them! But some things, though sad and regrettable, cannot be helped.
Skin tears happen. Does not mean they are being physically hurt. The skin is very thin. My Mom got tears because she kept hitting herself on tables and chairs. My husband helped to position her legs in a recliner and tore her skin. All a nurse can do is put steri strips on them to help the skin heal together. You can't do stitches, the skin is too thin. My daughter is a nurse and one of her patients hit her glasses with the back of her hand and tore the skin. Yes, there was a complaint filed by a relative but it will happen. Its unavoidable. Bruising too.
Changing facilities will not solve this problem. I am surprised this has not been explained to you. Its really no ones fault.
You can either contact the ombudsman or the CT DPH.
It is difficult to rely on someone with dementia to self report and just as difficult with age and fragile skin to tear from a small bump. Residents do not have 1 to 1 staff contact.
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.
Elderly people have skin tears no matter where they live. I can pretty much assure you that no one is sneaking around the nursing home ripping skin off of old people. They don't have time, even if it were a "thing." My mother died at age 95 after years of skin tears, and she had a private live-in 24/7 caregiver who was the best and who loved her. Mom could scrape against her wheelchair in the slightest way and her skin would tear. My dad had skin tears for years, living at home alone until he got a live-in caregiver and died at 92. He was hale and hearty and walked a couple of miles every single day, but his skin tore and bled nevertheless. My husband was in my care at home, and he was having skin tears long before he had dementia. I couldn't know what caused all of them, he'd be out in the garage or on a walk or putting his clothes in his closet, and there it would be. I patched them up and that was that.
You may be making too much of this, but go ahead if you must and install the cameras and begin an inquisition, but uncle will still get skin tears. Also, if you get a reputation for stirring up trouble when it isn't warranted, there may be no place uncle can go for care, since somehow word gets around and no facility wants troublemakers. I'm not talking about something where you SHOULD stir up trouble, such as if you have proof that they are locking residents in their rooms and starving them! But some things, though sad and regrettable, cannot be helped.
Changing facilities will not solve this problem. I am surprised this has not been explained to you. Its really no ones fault.
It is difficult to rely on someone with dementia to self report and just as difficult with age and fragile skin to tear from a small bump. Residents do not have 1 to 1 staff contact.