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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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Yes, assisted living facilities are not hospitals nor is memory care. They are not equipped or staffed to handle medical emergencies. Though if she were on hospice they would not call an ambulance. They would call hospice instead to administer comfort care, not to fix her.
It is their call to determine whether emergency treatment is necessary
Check the contract it is probably signed with instructions on when hospital transport will be utilized. What sorts of things are they transporting her for?
My understanding is that paramedics make the call as to which ER to transport not the facility
In my case I'd prefer the hospital 5 miles away where mom's doctor has access not the local poorly rated one
Does your mom need skilled nursing care ?
I chose memory care over a nursing home following discharge from the hospital in order to give my mom a better quality of life and frankly nursing homes aren't locked down and can't always deal with dementia - the best ones are dismal and wouldn't take her anyway with her behavior
From my conversation with someone who works at an AL making calls to transport to ER depends on which staff member is working, whether the behaviour/problem is causing enough disruption to seriously hamper their routine and effect the other residents, and whether the symptoms are of a kind where the facility needs to cover their a**es (chest pains could fall into that category). Management has let it be known that nobody dies on site unless it is totally unavoidable.
They said she had "chest pains". It was during her sundown period and the floor care knew this was "typical" of my mom. The ambulance took her to a hospital 30 min away- if she had "chest pains" there is a hospital 5 min from the facility for emergencies. This is typical of the care-they use the ER like a doctor's office.
They said she had "chest pains". It was during her sundown period and the floor care knew this was "typical" of my mom. The ambulance took her to a hospital 30 min away- if she had "chest pains" there is a hospital 5 min from the facility for emergencies. This is typical of the care-they use the ER like a doctor's office. Would she be better in a nursing home?
Rules vary for each state. In my state, assisted living (AL) is not allowed to have a 'do not transport' option. Since ALs in my state don't require a nurse at night, there are only aides during that shift. If there is an emergency, they call the nurse on call. The nurse then makes the decision as to what to do. Without hands on ability to assess the situation, they cover themselves and the facility and send the resident to the ER. While this might not happen in the nursing home, nursing homes (in my area) are twice the cost of memory care and not as nice. Can you speak with the Executive Director and ask how to address this situation? He/she may have some ideas.
In both the regular AL and the Memory Care facility that I dealt with, the hospital which transport will be used is in the contract for services. I'd check the paperwork.
I wonder if the near-by hospital was full and that's why she had to go elsewhere. I recently heard that on some weekends, a hospital near me gets so full that they start diverting ambulances to another one that is about 15 minutes away in another county.
When my Dad lived in senior living, anytime he fell and depending where he fell [like falling in the bathroom, there is always that chance for head trauma] he would be taken to the ER via 911 after being checked by the facility RN. Better safe then sorry.
I agree with Sunnygirl regarding the hospital ERs. I listen to an EMT scanner and it is not unusual for one hospital ER to be booked, thus the patient is driven to the next hospital on the list.
Today's ambulances, the EMT's can do an EKG which is automatically transmitted to the hospital and get advice from the emergency physician on what to do next.
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 their call to determine whether emergency treatment is necessary
Check the contract it is probably signed with instructions on when hospital transport will be utilized. What sorts of things are they transporting her for?
In my case I'd prefer the hospital 5 miles away where mom's doctor has access not the local poorly rated one
Does your mom need skilled nursing care ?
I chose memory care over a nursing home following discharge from the hospital in order to give my mom a better quality of life and frankly nursing homes aren't locked down and can't always deal with dementia - the best ones are dismal and wouldn't take her anyway with her behavior
While this might not happen in the nursing home, nursing homes (in my area) are twice the cost of memory care and not as nice.
Can you speak with the Executive Director and ask how to address this situation? He/she may have some ideas.
I wonder if the near-by hospital was full and that's why she had to go elsewhere. I recently heard that on some weekends, a hospital near me gets so full that they start diverting ambulances to another one that is about 15 minutes away in another county.
I agree with Sunnygirl regarding the hospital ERs. I listen to an EMT scanner and it is not unusual for one hospital ER to be booked, thus the patient is driven to the next hospital on the list.
Today's ambulances, the EMT's can do an EKG which is automatically transmitted to the hospital and get advice from the emergency physician on what to do next.